Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUBE TRUCK MDPE BLACK

Facility

$2,235.30

Hospital Charge Code	270689583
Hospital Revenue Code	272
Min. Negotiated Rate	$335.30
Max. Negotiated Rate	$335.30
Rate for Payer: Qualcare PPO/HMO/WC	$335.30

CUBE TRUCK MDPE BLACK

Facility

$2,235.30

Hospital Charge Code	270689583
Hospital Revenue Code	272
Min. Negotiated Rate	$53.87
Max. Negotiated Rate	$1,117.65
Rate for Payer: Aetna Commercial	$849.41
Rate for Payer: Aetna Medicare Advantage	$670.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.00
Rate for Payer: Cigna Commercial	$1,117.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$670.59
Rate for Payer: Oxford Commercial	$447.06
Rate for Payer: Qualcare PPO/HMO/WC	$335.30
Rate for Payer: UnitedHealthcare Commercial	$447.06
Rate for Payer: UnitedHealthcare Community & State	$53.87
Rate for Payer: Wellpoint Medicaid Managed Care	$59.24

CUFF 34 SGLE TB DIS 607070106

Facility

$151.19

Hospital Charge Code	270639240
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.59
Rate for Payer: Aetna Commercial	$57.45
Rate for Payer: Aetna Medicare Advantage	$45.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.55
Rate for Payer: Cigna Commercial	$75.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.36
Rate for Payer: Oxford Commercial	$30.24
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.24
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

CUFF 34 SGLE TB DIS 607070106

Facility

$151.19

Hospital Charge Code	270639240
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

CUFF 45 CM

Facility

$30,590.00

Service Code	HCPCS C1815
Hospital Charge Code	270683058
Hospital Revenue Code	278
Min. Negotiated Rate	$4,588.50
Max. Negotiated Rate	$7,402.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,118.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,402.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,729.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,588.50

CUFF 45 CM

Facility

$30,590.00

Service Code	HCPCS C1815
Hospital Charge Code	270683058
Hospital Revenue Code	278
Min. Negotiated Rate	$737.22
Max. Negotiated Rate	$15,295.00
Rate for Payer: Aetna Commercial	$11,624.20
Rate for Payer: Aetna Medicare Advantage	$9,177.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,800.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,800.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,118.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,800.45
Rate for Payer: Cigna Commercial	$15,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,402.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,729.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,588.50
Rate for Payer: UnitedHealthcare Community & State	$737.22
Rate for Payer: Wellpoint Medicaid Managed Care	$810.63

CUFF ADULT FINGER 060000004301

Facility

$73.60

Hospital Charge Code	270631128
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.80
Rate for Payer: Aetna Commercial	$27.97
Rate for Payer: Aetna Medicare Advantage	$22.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.77
Rate for Payer: Cigna Commercial	$36.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.08
Rate for Payer: Oxford Commercial	$14.72
Rate for Payer: Qualcare PPO/HMO/WC	$11.04
Rate for Payer: UnitedHealthcare Commercial	$14.72
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

CUFF ADULT FINGER 060000004301

Facility

$73.60

Hospital Charge Code	270631128
Hospital Revenue Code	272
Min. Negotiated Rate	$11.04
Max. Negotiated Rate	$11.04
Rate for Payer: Qualcare PPO/HMO/WC	$11.04

CUFF AORC EXT 16x5.5 YRECX1655

Facility

$10,044.00

Hospital Charge Code	270629977
Hospital Revenue Code	272
Min. Negotiated Rate	$242.06
Max. Negotiated Rate	$5,022.00
Rate for Payer: Aetna Commercial	$3,816.72
Rate for Payer: Aetna Medicare Advantage	$3,013.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,561.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,561.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,561.22
Rate for Payer: Cigna Commercial	$5,022.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,013.20
Rate for Payer: Oxford Commercial	$2,008.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.60
Rate for Payer: UnitedHealthcare Commercial	$2,008.80
Rate for Payer: UnitedHealthcare Community & State	$242.06
Rate for Payer: Wellpoint Medicaid Managed Care	$266.17

CUFF AORC EXT 16x5.5 YRECX1655

Facility

$10,044.00

Hospital Charge Code	270629977
Hospital Revenue Code	272
Min. Negotiated Rate	$1,506.60
Max. Negotiated Rate	$1,506.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.60

CUFF AORTIC EXTENSON YRECX1555

Facility

$10,044.00

Hospital Charge Code	270631400
Hospital Revenue Code	272
Min. Negotiated Rate	$1,506.60
Max. Negotiated Rate	$1,506.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.60

CUFF AORTIC EXTENSON YRECX1555

Facility

$10,044.00

Hospital Charge Code	270631400
Hospital Revenue Code	272
Min. Negotiated Rate	$242.06
Max. Negotiated Rate	$5,022.00
Rate for Payer: Aetna Commercial	$3,816.72
Rate for Payer: Aetna Medicare Advantage	$3,013.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,561.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,561.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,561.22
Rate for Payer: Cigna Commercial	$5,022.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,013.20
Rate for Payer: Oxford Commercial	$2,008.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,506.60
Rate for Payer: UnitedHealthcare Commercial	$2,008.80
Rate for Payer: UnitedHealthcare Community & State	$242.06
Rate for Payer: Wellpoint Medicaid Managed Care	$266.17

CUFF AT DUAL PORT 18 607070103

Facility

$117.10

Hospital Charge Code	270630625
Hospital Revenue Code	272
Min. Negotiated Rate	$2.82
Max. Negotiated Rate	$58.55
Rate for Payer: Aetna Commercial	$44.50
Rate for Payer: Aetna Medicare Advantage	$35.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.86
Rate for Payer: Cigna Commercial	$58.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.13
Rate for Payer: Oxford Commercial	$23.42
Rate for Payer: Qualcare PPO/HMO/WC	$17.57
Rate for Payer: UnitedHealthcare Commercial	$23.42
Rate for Payer: UnitedHealthcare Community & State	$2.82
Rate for Payer: Wellpoint Medicaid Managed Care	$3.10

CUFF AT DUAL PORT 18 607070103

Facility

$117.10

Hospital Charge Code	270630625
Hospital Revenue Code	272
Min. Negotiated Rate	$17.57
Max. Negotiated Rate	$17.57
Rate for Payer: Qualcare PPO/HMO/WC	$17.57

CUFF ATS DUAL PORT 18 IN

Facility

$112.29

Hospital Charge Code	270620629
Hospital Revenue Code	272
Min. Negotiated Rate	$16.84
Max. Negotiated Rate	$16.84
Rate for Payer: Qualcare PPO/HMO/WC	$16.84

CUFF ATS DUAL PORT 18 IN

Facility

$112.29

Hospital Charge Code	270620629
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.15
Rate for Payer: Aetna Commercial	$42.67
Rate for Payer: Aetna Medicare Advantage	$33.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.63
Rate for Payer: Cigna Commercial	$56.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.69
Rate for Payer: Oxford Commercial	$22.46
Rate for Payer: Qualcare PPO/HMO/WC	$16.84
Rate for Payer: UnitedHealthcare Commercial	$22.46
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

CUFF ATS DUAL PORT 30

Facility

$136.50

Hospital Charge Code	270664097
Hospital Revenue Code	270
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$20.48
Rate for Payer: Qualcare PPO/HMO/WC	$20.48

CUFF ATS DUAL PORT 30

Facility

$136.50

Hospital Charge Code	270664097
Hospital Revenue Code	270
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$68.25
Rate for Payer: Aetna Commercial	$51.87
Rate for Payer: Aetna Medicare Advantage	$40.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.81
Rate for Payer: Cigna Commercial	$68.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.95
Rate for Payer: Oxford Commercial	$27.30
Rate for Payer: Qualcare PPO/HMO/WC	$20.48
Rate for Payer: UnitedHealthcare Commercial	$27.30
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

CUFF BP DISP NEP-NATAL 1 TUBE

Facility

$197.45

Hospital Charge Code	270664141
Hospital Revenue Code	270
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.72
Rate for Payer: Aetna Commercial	$75.03
Rate for Payer: Aetna Medicare Advantage	$59.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.35
Rate for Payer: Cigna Commercial	$98.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.23
Rate for Payer: Oxford Commercial	$39.49
Rate for Payer: Qualcare PPO/HMO/WC	$29.62
Rate for Payer: UnitedHealthcare Commercial	$39.49
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

CUFF BP DISP NEP-NATAL 1 TUBE

Facility

$197.45

Hospital Charge Code	270664141
Hospital Revenue Code	270
Min. Negotiated Rate	$29.62
Max. Negotiated Rate	$29.62
Rate for Payer: Qualcare PPO/HMO/WC	$29.62

CUFF COMPLETE V-LOK ADULT

Facility

$137.00

Hospital Charge Code	270331861
Hospital Revenue Code	272
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

CUFF COMPLETE V-LOK ADULT

Facility

$137.00

Hospital Charge Code	270331861
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$68.50
Rate for Payer: Aetna Commercial	$52.06
Rate for Payer: Aetna Medicare Advantage	$41.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.94
Rate for Payer: Cigna Commercial	$68.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.10
Rate for Payer: Oxford Commercial	$27.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$27.40
Rate for Payer: UnitedHealthcare Community & State	$3.30
Rate for Payer: Wellpoint Medicaid Managed Care	$3.63

CUFF CRYO MED KNEE 11-A

Facility

$616.00

Hospital Charge Code	270611846
Hospital Revenue Code	272
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

CUFF CRYO MED KNEE 11-A

Facility

$616.00

Hospital Charge Code	270611846
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$234.08
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.80
Rate for Payer: Oxford Commercial	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$123.20
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.32

CUFF DISP DUAL PORT 42 SINGLE

Facility

$154.65

Hospital Charge Code	270648579
Hospital Revenue Code	272
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$23.20
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

Know your out-of-pocket cost for care.

All Charges