Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

AIRWAY NASOPHARYN 34FR 055534

Facility

$60.55

Hospital Charge Code	270645583
Hospital Revenue Code	272
Min. Negotiated Rate	$9.08
Max. Negotiated Rate	$9.08
Rate for Payer: Qualcare PPO/HMO/WC	$9.08

AIRWAY NASOPHARYN 34FR 055534

Facility

$60.55

Hospital Charge Code	270645583
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$30.27
Rate for Payer: Aetna Commercial	$23.01
Rate for Payer: Aetna Medicare Advantage	$18.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.44
Rate for Payer: Cigna Commercial	$30.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.16
Rate for Payer: Oxford Commercial	$12.11
Rate for Payer: Qualcare PPO/HMO/WC	$9.08
Rate for Payer: UnitedHealthcare Commercial	$12.11
Rate for Payer: UnitedHealthcare Community & State	$1.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1.60

AIRWAY NASOPHARYNG 30FR 123030

Facility

$20.27

Hospital Charge Code	270652856
Hospital Revenue Code	270
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

AIRWAY NASOPHARYNG 30FR 123030

Facility

$20.27

Hospital Charge Code	270652856
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.13
Rate for Payer: Aetna Commercial	$7.70
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.17
Rate for Payer: Cigna Commercial	$10.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.08
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

AIRWAY NASOPHARYNG 32FR 123032

Facility

$20.27

Hospital Charge Code	270651047
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.13
Rate for Payer: Aetna Commercial	$7.70
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.17
Rate for Payer: Cigna Commercial	$10.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.08
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

AIRWAY NASOPHARYNG 32FR 123032

Facility

$20.27

Hospital Charge Code	270651047
Hospital Revenue Code	270
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

AIRWAY NASOPHARYNGEAL 20FR

Facility

$19.39

Hospital Charge Code	270645117
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

AIRWAY NASOPHARYNGEAL 20FR

Facility

$19.39

Hospital Charge Code	270645117
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHARYNGEAL 24FR

Facility

$19.39

Hospital Charge Code	270627036
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHARYNGEAL 24FR

Facility

$19.39

Hospital Charge Code	270627036
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

AIRWAY NASOPHARYNGEAL 28FR

Facility

$19.39

Hospital Charge Code	270644796
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

AIRWAY NASOPHARYNGEAL 28FR

Facility

$19.39

Hospital Charge Code	270644796
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHARYNGEAL 28FR PVC

Facility

$9.25

Hospital Charge Code	270668219
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

AIRWAY NASOPHARYNGEAL 28FR PVC

Facility

$9.25

Hospital Charge Code	270668219
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.62
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.77
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

AIRWAY NASOPHARYNGEAL 30FR

Facility

$19.39

Hospital Charge Code	270627040
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

AIRWAY NASOPHARYNGEAL 30FR

Facility

$19.39

Hospital Charge Code	270627040
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHARYNGEAL 30FR PVC

Facility

$9.27

Hospital Charge Code	270668335
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$1.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.39

AIRWAY NASOPHARYNGEAL 30FR PVC

Facility

$9.27

Hospital Charge Code	270668335
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.63
Rate for Payer: Aetna Commercial	$3.52
Rate for Payer: Aetna Medicare Advantage	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.36
Rate for Payer: Cigna Commercial	$4.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.78
Rate for Payer: Oxford Commercial	$1.85
Rate for Payer: Qualcare PPO/HMO/WC	$1.39
Rate for Payer: UnitedHealthcare Commercial	$1.85
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

AIRWAY NASOPHARYNGEAL 32FR

Facility

$271.15

Hospital Charge Code	270627041
Hospital Revenue Code	270
Min. Negotiated Rate	$40.67
Max. Negotiated Rate	$40.67
Rate for Payer: Qualcare PPO/HMO/WC	$40.67

AIRWAY NASOPHARYNGEAL 32FR

Facility

$271.15

Hospital Charge Code	270627041
Hospital Revenue Code	270
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$135.57
Rate for Payer: Aetna Commercial	$103.04
Rate for Payer: Aetna Medicare Advantage	$81.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.14
Rate for Payer: Cigna Commercial	$135.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.34
Rate for Payer: Oxford Commercial	$54.23
Rate for Payer: Qualcare PPO/HMO/WC	$40.67
Rate for Payer: UnitedHealthcare Commercial	$54.23
Rate for Payer: UnitedHealthcare Community & State	$6.53
Rate for Payer: Wellpoint Medicaid Managed Care	$7.19

AIRWAY NASOPHARYNGEAL 34FR

Facility

$19.40

Hospital Charge Code	270600861
Hospital Revenue Code	272
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

AIRWAY NASOPHARYNGEAL 34FR

Facility

$19.40

Hospital Charge Code	270600861
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

AIRWAY NASOPHARYNGEAL 34FR

Facility

$27.12

Hospital Charge Code	270627042
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.56
Rate for Payer: Aetna Commercial	$10.31
Rate for Payer: Aetna Medicare Advantage	$8.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.92
Rate for Payer: Cigna Commercial	$13.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.14
Rate for Payer: Oxford Commercial	$5.42
Rate for Payer: Qualcare PPO/HMO/WC	$4.07
Rate for Payer: UnitedHealthcare Commercial	$5.42
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

AIRWAY NASOPHARYNGEAL 34FR

Facility

$27.12

Hospital Charge Code	270627042
Hospital Revenue Code	272
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$4.07
Rate for Payer: Qualcare PPO/HMO/WC	$4.07

AIRWAY NASOPHAYNGEAL 20FR

Facility

$44.40

Hospital Charge Code	270676988
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.20
Rate for Payer: Aetna Commercial	$16.87
Rate for Payer: Aetna Medicare Advantage	$13.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.32
Rate for Payer: Cigna Commercial	$22.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.32
Rate for Payer: Oxford Commercial	$8.88
Rate for Payer: Qualcare PPO/HMO/WC	$6.66
Rate for Payer: UnitedHealthcare Commercial	$8.88
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

Know your out-of-pocket cost for care.

All Charges