Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
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

AIRWAY NASOPHAYNGEAL 22FR

Facility

$44.40

Hospital Charge Code	270676989
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
Hospital Revenue Code	272
Min. Negotiated Rate	$6.66
Max. Negotiated Rate	$6.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.66

AIRWAY NASOPHAYNGEAL 24FR

Facility

$44.40

Hospital Charge Code	270676990
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

AIRWAY PORTEX DISP 10.0cm

Facility

$1.36

Hospital Charge Code	270650239
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 10.0cm

Facility

$1.36

Hospital Charge Code	270650239
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.52
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.27
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

AIRWAY PORTEX DISP 11.0cm

Facility

$5.70

Hospital Charge Code	270650492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.45
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.71
Rate for Payer: Oxford Commercial	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$1.14
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

AIRWAY PORTEX DISP 11.0cm

Facility

$5.70

Hospital Charge Code	270650492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

AIRWAY PORTEX DISP. 5.0CM

Facility

$1.26

Hospital Charge Code	270650489
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.19

AIRWAY PORTEX DISP. 5.0CM

Facility

$1.26

Hospital Charge Code	270650489
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.63
Rate for Payer: Aetna Commercial	$0.48
Rate for Payer: Aetna Medicare Advantage	$0.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.32
Rate for Payer: Cigna Commercial	$0.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.38
Rate for Payer: Oxford Commercial	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.19
Rate for Payer: UnitedHealthcare Commercial	$0.25
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

AIRWAY PORTEX DISP 7.0cm

Facility

$1.36

Hospital Charge Code	270650491
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.52
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.27
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

AIRWAY PORTEX DISP 7.0cm

Facility

$1.36

Hospital Charge Code	270650491
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 8.0cm

Facility

$1.36

Hospital Charge Code	270650237
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY PORTEX DISP 8.0cm

Facility

$1.36

Hospital Charge Code	270650237
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.52
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.27
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

AIRWAY PORTEX DISP 9.0cm

Facility

$1.36

Hospital Charge Code	270650238
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.68
Rate for Payer: Aetna Commercial	$0.52
Rate for Payer: Aetna Medicare Advantage	$0.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.41
Rate for Payer: Oxford Commercial	$0.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.20
Rate for Payer: UnitedHealthcare Commercial	$0.27
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

AIRWAY PORTEX DISP 9.0cm

Facility

$1.36

Hospital Charge Code	270650238
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.20

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

AIRWAY QUICKTRACH PEDIATRIC

Facility

$690.00

Hospital Charge Code	270680639
Hospital Revenue Code	272
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.00
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$138.00
Rate for Payer: UnitedHealthcare Community & State	$16.63
Rate for Payer: Wellpoint Medicaid Managed Care	$18.29

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$201.84
Max. Negotiated Rate	$4,187.50
Rate for Payer: Aetna Commercial	$3,182.50
Rate for Payer: Aetna Medicare Advantage	$2,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,135.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,135.62
Rate for Payer: Cigna Commercial	$4,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,842.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25
Rate for Payer: UnitedHealthcare Community & State	$201.84
Rate for Payer: Wellpoint Medicaid Managed Care	$221.94

AISENA SINUS TARSI

Facility

$8,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270702083
Hospital Revenue Code	278
Min. Negotiated Rate	$1,256.25
Max. Negotiated Rate	$2,026.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,026.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,842.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,256.25

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$696.75
Max. Negotiated Rate	$696.75
Rate for Payer: Qualcare PPO/HMO/WC	$696.75

AKINATOR BLADE

Facility

$4,645.00

Hospital Charge Code	270704036
Hospital Revenue Code	272
Min. Negotiated Rate	$111.94
Max. Negotiated Rate	$2,322.50
Rate for Payer: Aetna Commercial	$1,765.10
Rate for Payer: Aetna Medicare Advantage	$1,393.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,184.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,184.47
Rate for Payer: Cigna Commercial	$2,322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,393.50
Rate for Payer: Oxford Commercial	$929.00
Rate for Payer: Qualcare PPO/HMO/WC	$696.75
Rate for Payer: UnitedHealthcare Commercial	$929.00
Rate for Payer: UnitedHealthcare Community & State	$111.94
Rate for Payer: Wellpoint Medicaid Managed Care	$123.09

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$8.78

AKWATEARS OINTMENT 3.5 GM

Facility

$58.56

Service Code	NDC 17478006235
Hospital Charge Code	606350963
Hospital Revenue Code	250
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$29.28
Rate for Payer: Aetna Commercial	$22.25
Rate for Payer: Aetna Medicare Advantage	$17.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.93
Rate for Payer: Cigna Commercial	$29.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.57
Rate for Payer: Oxford Commercial	$11.71
Rate for Payer: Qualcare PPO/HMO/WC	$8.78
Rate for Payer: UnitedHealthcare Commercial	$11.71
Rate for Payer: UnitedHealthcare Community & State	$1.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1.55

Know your out-of-pocket cost for care.

All Charges