Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$2.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.41

COLLAR FORM FIT CERVICAL MED

Facility

$16.05

Hospital Charge Code	270649876
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.03
Rate for Payer: Aetna Commercial	$6.10
Rate for Payer: Aetna Medicare Advantage	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.09
Rate for Payer: Cigna Commercial	$8.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.82
Rate for Payer: Oxford Commercial	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.41
Rate for Payer: UnitedHealthcare Commercial	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

COLLAR HOOD 0308

Facility

$161.65

Hospital Charge Code	270600476
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

COLLAR HOOD 0308

Facility

$161.65

Hospital Charge Code	270600476
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$32.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$32.33
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.90
Rate for Payer: Aetna Commercial	$9.04
Rate for Payer: Aetna Medicare Advantage	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.07
Rate for Payer: Cigna Commercial	$11.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.14
Rate for Payer: Oxford Commercial	$4.76
Rate for Payer: Qualcare PPO/HMO/WC	$3.57
Rate for Payer: UnitedHealthcare Commercial	$4.76
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

COLLAR LD CONTOUR 3 FOAM XLG

Facility

$23.80

Hospital Charge Code	270654990
Hospital Revenue Code	270
Min. Negotiated Rate	$3.57
Max. Negotiated Rate	$3.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.57

COLLAR MIAMI J

Facility

$1,320.00

Hospital Charge Code	270607222
Hospital Revenue Code	270
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

COLLAR MIAMI J

Facility

$1,320.00

Hospital Charge Code	270607222
Hospital Revenue Code	270
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$396.00
Rate for Payer: Oxford Commercial	$264.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Commercial	$264.00
Rate for Payer: UnitedHealthcare Community & State	$31.81
Rate for Payer: Wellpoint Medicaid Managed Care	$34.98

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$29.48
Max. Negotiated Rate	$47.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.23
Rate for Payer: Qualcare PPO/HMO/WC	$29.48

COLLAR MIAMI J MEDIUM

Facility

$196.50

Service Code	HCPCS L0174
Hospital Charge Code	270670525
Hospital Revenue Code	274
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$98.25
Rate for Payer: Aetna Commercial	$74.67
Rate for Payer: Aetna Medicare Advantage	$58.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.11
Rate for Payer: Cigna Commercial	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.23
Rate for Payer: Qualcare PPO/HMO/WC	$29.48
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$5.21

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

COLLAR MIAMI J MED MJ400

Facility

$463.25

Hospital Charge Code	270610724
Hospital Revenue Code	270
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

COLLAR MIAMI J SM MJR300

Facility

$522.45

Hospital Charge Code	270613185
Hospital Revenue Code	272
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$78.37
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

COLLAR MIAMI J SM MJR300

Facility

$522.45

Hospital Charge Code	270613185
Hospital Revenue Code	272
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$198.53
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.74
Rate for Payer: Oxford Commercial	$104.49
Rate for Payer: Qualcare PPO/HMO/WC	$78.37
Rate for Payer: UnitedHealthcare Commercial	$104.49
Rate for Payer: UnitedHealthcare Community & State	$12.59
Rate for Payer: Wellpoint Medicaid Managed Care	$13.84

COLLAR MIAMI J STOUT MJR-200L

Facility

$524.85

Hospital Charge Code	270613184
Hospital Revenue Code	270
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.43
Rate for Payer: Aetna Commercial	$199.44
Rate for Payer: Aetna Medicare Advantage	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.84
Rate for Payer: Cigna Commercial	$262.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.46
Rate for Payer: Oxford Commercial	$104.97
Rate for Payer: Qualcare PPO/HMO/WC	$78.73
Rate for Payer: UnitedHealthcare Commercial	$104.97
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

COLLAR MIAMI J STOUT MJR-200L

Facility

$524.85

Hospital Charge Code	270613184
Hospital Revenue Code	270
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$78.73
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

COLLAR PHILADELPHIA 4

Facility

$1,040.85

Hospital Charge Code	270608487
Hospital Revenue Code	270
Min. Negotiated Rate	$25.08
Max. Negotiated Rate	$520.42
Rate for Payer: Aetna Commercial	$395.52
Rate for Payer: Aetna Medicare Advantage	$312.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.42
Rate for Payer: Cigna Commercial	$520.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.25
Rate for Payer: Oxford Commercial	$208.17
Rate for Payer: Qualcare PPO/HMO/WC	$156.13
Rate for Payer: UnitedHealthcare Commercial	$208.17
Rate for Payer: UnitedHealthcare Community & State	$25.08
Rate for Payer: Wellpoint Medicaid Managed Care	$27.58

COLLAR PHILADELPHIA 4

Facility

$1,040.85

Hospital Charge Code	270608487
Hospital Revenue Code	270
Min. Negotiated Rate	$156.13
Max. Negotiated Rate	$156.13
Rate for Payer: Qualcare PPO/HMO/WC	$156.13

COLLAR STIFNECK EXTRICATN

Facility

$70.00

Hospital Charge Code	270645108
Hospital Revenue Code	271
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

COLLAR STIFNECK EXTRICATN

Facility

$70.00

Hospital Charge Code	270645108
Hospital Revenue Code	271
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.00
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$14.00
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

COLLAR STIFNECK EXTRICATN PEDS

Facility

$70.00

Hospital Charge Code	270645110
Hospital Revenue Code	271
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.00
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$14.00
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

COLLAR STIFNECK EXTRICATN PEDS

Facility

$70.00

Hospital Charge Code	270645110
Hospital Revenue Code	271
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

COLL BLOOD VAD IMPLANT

Facility

$259.00

Service Code	HCPCS 36591
Hospital Charge Code	3400072
Hospital Revenue Code	761
Min. Negotiated Rate	$6.24
Max. Negotiated Rate	$570.55
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.70
Rate for Payer: Oxford Commercial	$51.80
Rate for Payer: Qualcare PPO/HMO/WC	$38.85
Rate for Payer: UnitedHealthcare Commercial	$51.80
Rate for Payer: UnitedHealthcare Community & State	$6.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$6.86

COLL BLOOD VAD IMPLANT

Facility

$259.00

Service Code	HCPCS 36591
Hospital Charge Code	3400072
Hospital Revenue Code	761
Min. Negotiated Rate	$38.85
Max. Negotiated Rate	$38.85
Rate for Payer: Qualcare PPO/HMO/WC	$38.85

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	321736592
Hospital Revenue Code	361
Min. Negotiated Rate	$93.53
Max. Negotiated Rate	$93.53
Rate for Payer: Qualcare PPO/HMO/WC	$93.53

Know your out-of-pocket cost for care.

All Charges