Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CLEANERS ********

Facility

$131.00

Hospital Charge Code	8000275
Hospital Revenue Code	279
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

CLEANERS ********

Facility

$131.00

Hospital Charge Code	8000275
Hospital Revenue Code	279
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$49.78
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.30
Rate for Payer: Oxford Commercial	$26.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$26.20
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

CLEANERS CHIX TISSUES

Facility

$23.30

Hospital Charge Code	270649370
Hospital Revenue Code	270
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$11.65
Rate for Payer: Aetna Commercial	$8.85
Rate for Payer: Aetna Medicare Advantage	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.94
Rate for Payer: Cigna Commercial	$11.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.99
Rate for Payer: Oxford Commercial	$4.66
Rate for Payer: Qualcare PPO/HMO/WC	$3.50
Rate for Payer: UnitedHealthcare Commercial	$4.66
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

CLEANERS CHIX TISSUES

Facility

$23.30

Hospital Charge Code	270649370
Hospital Revenue Code	270
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$3.50
Rate for Payer: Qualcare PPO/HMO/WC	$3.50

CLEANER SKIN CAVILON 8OZ 3380

Facility

$10.00

Hospital Charge Code	270641326W
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.80
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$2.00
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

CLEANER SKIN CAVILON 8OZ 3380

Facility

$10.00

Hospital Charge Code	270641326W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

CLEANER STAINLESS STEEL 18OZ

Facility

$27.95

Hospital Charge Code	270665154
Hospital Revenue Code	270
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$13.97
Rate for Payer: Aetna Commercial	$10.62
Rate for Payer: Aetna Medicare Advantage	$8.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.13
Rate for Payer: Cigna Commercial	$13.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.38
Rate for Payer: Oxford Commercial	$5.59
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

CLEANER STAINLESS STEEL 18OZ

Facility

$27.95

Hospital Charge Code	270665154
Hospital Revenue Code	270
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CLEANER TIP

Facility

$1.65

Hospital Charge Code	270656276
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.83
Rate for Payer: Aetna Commercial	$0.63
Rate for Payer: Aetna Medicare Advantage	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.42
Rate for Payer: Cigna Commercial	$0.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.50
Rate for Payer: Oxford Commercial	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.25
Rate for Payer: UnitedHealthcare Commercial	$0.33
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

CLEANER TIP

Facility

$1.65

Hospital Charge Code	270656276
Hospital Revenue Code	270
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.25

CLEANERXT THR SYSTEM 6Fx135cm

Facility

$4,250.00

Hospital Charge Code	270678568
Hospital Revenue Code	272
Min. Negotiated Rate	$102.42
Max. Negotiated Rate	$2,125.00
Rate for Payer: Aetna Commercial	$1,615.00
Rate for Payer: Aetna Medicare Advantage	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,083.75
Rate for Payer: Cigna Commercial	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,275.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$637.50
Rate for Payer: UnitedHealthcare Commercial	$850.00
Rate for Payer: UnitedHealthcare Community & State	$102.42
Rate for Payer: Wellpoint Medicaid Managed Care	$112.62

CLEANERXT THR SYSTEM 6Fx135cm

Facility

$4,250.00

Hospital Charge Code	270678568
Hospital Revenue Code	272
Min. Negotiated Rate	$637.50
Max. Negotiated Rate	$637.50
Rate for Payer: Qualcare PPO/HMO/WC	$637.50

CLEANERXT THR SYSTEM 6Fx135cm

Facility

$4,250.00

Hospital Charge Code	270678568N
Hospital Revenue Code	272
Min. Negotiated Rate	$637.50
Max. Negotiated Rate	$637.50
Rate for Payer: Qualcare PPO/HMO/WC	$637.50

CLEANERXT THR SYSTEM 6Fx135cm

Facility

$4,250.00

Hospital Charge Code	270678568N
Hospital Revenue Code	272
Min. Negotiated Rate	$102.42
Max. Negotiated Rate	$2,125.00
Rate for Payer: Aetna Commercial	$1,615.00
Rate for Payer: Aetna Medicare Advantage	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,083.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,083.75
Rate for Payer: Cigna Commercial	$2,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,275.00
Rate for Payer: Oxford Commercial	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$637.50
Rate for Payer: UnitedHealthcare Commercial	$850.00
Rate for Payer: UnitedHealthcare Community & State	$102.42
Rate for Payer: Wellpoint Medicaid Managed Care	$112.62

CLEANERXT THR SYSTEM 6Fx65cm

Facility

$2,750.00

Hospital Charge Code	270678567
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

CLEANERXT THR SYSTEM 6Fx65cm

Facility

$2,750.00

Hospital Charge Code	270678567
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CLEANERXT THR SYSTEM 6Fx65cm

Facility

$2,750.00

Hospital Charge Code	270678567N
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CLEANERXT THR SYSTEM 6Fx65cm

Facility

$2,750.00

Hospital Charge Code	270678567N
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

CLEANING ADAPTER

Facility

$165.00

Hospital Charge Code	270665253
Hospital Revenue Code	270
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.50
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

CLEANING ADAPTER

Facility

$165.00

Hospital Charge Code	270665253
Hospital Revenue Code	270
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

CLEAN KIT D

Facility

$939.20

Hospital Charge Code	270665979
Hospital Revenue Code	270
Min. Negotiated Rate	$22.63
Max. Negotiated Rate	$469.60
Rate for Payer: Aetna Commercial	$356.90
Rate for Payer: Aetna Medicare Advantage	$281.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.50
Rate for Payer: Cigna Commercial	$469.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.76
Rate for Payer: Oxford Commercial	$187.84
Rate for Payer: Qualcare PPO/HMO/WC	$140.88
Rate for Payer: UnitedHealthcare Commercial	$187.84
Rate for Payer: UnitedHealthcare Community & State	$22.63
Rate for Payer: Wellpoint Medicaid Managed Care	$24.89

CLEAN KIT D

Facility

$939.20

Hospital Charge Code	270665979
Hospital Revenue Code	270
Min. Negotiated Rate	$140.88
Max. Negotiated Rate	$140.88
Rate for Payer: Qualcare PPO/HMO/WC	$140.88

CLEANSER CART WASHER

Facility

$755.10

Hospital Charge Code	270666126
Hospital Revenue Code	270
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$377.55
Rate for Payer: Aetna Commercial	$286.94
Rate for Payer: Aetna Medicare Advantage	$226.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.55
Rate for Payer: Cigna Commercial	$377.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.53
Rate for Payer: Oxford Commercial	$151.02
Rate for Payer: Qualcare PPO/HMO/WC	$113.27
Rate for Payer: UnitedHealthcare Commercial	$151.02
Rate for Payer: UnitedHealthcare Community & State	$18.20
Rate for Payer: Wellpoint Medicaid Managed Care	$20.01

CLEANSER CART WASHER

Facility

$755.10

Hospital Charge Code	270666126
Hospital Revenue Code	270
Min. Negotiated Rate	$113.27
Max. Negotiated Rate	$113.27
Rate for Payer: Qualcare PPO/HMO/WC	$113.27

CLEANSER DM WD 8oz 50484492000

Facility

$26.15

Hospital Charge Code	270631760
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$3.92

Know your out-of-pocket cost for care.

All Charges