Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUFF DISP DUAL PORT 42 SINGLE

Facility

$154.65

Hospital Charge Code	270648579
Hospital Revenue Code	272
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$77.33
Rate for Payer: Aetna Commercial	$58.77
Rate for Payer: Aetna Medicare Advantage	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.44
Rate for Payer: Cigna Commercial	$77.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.40
Rate for Payer: Oxford Commercial	$30.93
Rate for Payer: Qualcare PPO/HMO/WC	$23.20
Rate for Payer: UnitedHealthcare Commercial	$30.93
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$4.10

CUFF DISP DUAL PORT 8 SINGLE

Facility

$142.25

Hospital Charge Code	270648577
Hospital Revenue Code	272
Min. Negotiated Rate	$21.34
Max. Negotiated Rate	$21.34
Rate for Payer: Qualcare PPO/HMO/WC	$21.34

CUFF DISP DUAL PORT 8 SINGLE

Facility

$142.25

Hospital Charge Code	270648577
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.12
Rate for Payer: Aetna Commercial	$54.05
Rate for Payer: Aetna Medicare Advantage	$42.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.27
Rate for Payer: Cigna Commercial	$71.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.67
Rate for Payer: Oxford Commercial	$28.45
Rate for Payer: Qualcare PPO/HMO/WC	$21.34
Rate for Payer: UnitedHealthcare Commercial	$28.45
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

CUFF DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
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 DUAL PORT DISPOSABLE 34

Facility

$151.19

Hospital Charge Code	270664114
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

CUFF DUAL PORT SINGLE BLADDER

Facility

$149.05

Hospital Charge Code	270648199
Hospital Revenue Code	272
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$22.36
Rate for Payer: Qualcare PPO/HMO/WC	$22.36

CUFF DUAL PORT SINGLE BLADDER

Facility

$149.05

Hospital Charge Code	270648199
Hospital Revenue Code	272
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$74.53
Rate for Payer: Aetna Commercial	$56.64
Rate for Payer: Aetna Medicare Advantage	$44.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.01
Rate for Payer: Cigna Commercial	$74.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.72
Rate for Payer: Oxford Commercial	$29.81
Rate for Payer: Qualcare PPO/HMO/WC	$22.36
Rate for Payer: UnitedHealthcare Commercial	$29.81
Rate for Payer: UnitedHealthcare Community & State	$3.59
Rate for Payer: Wellpoint Medicaid Managed Care	$3.95

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$106.67
Rate for Payer: Aetna Commercial	$81.07
Rate for Payer: Aetna Medicare Advantage	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.40
Rate for Payer: Cigna Commercial	$106.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.00
Rate for Payer: Oxford Commercial	$42.67
Rate for Payer: Qualcare PPO/HMO/WC	$32.00
Rate for Payer: UnitedHealthcare Commercial	$42.67
Rate for Payer: UnitedHealthcare Community & State	$5.14
Rate for Payer: Wellpoint Medicaid Managed Care	$5.65

CUFF DYN GEL TOURNET 24 531124

Facility

$213.35

Hospital Charge Code	270622086
Hospital Revenue Code	272
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.00

CUFF MEDT ANEURX 16MM YREC1655

Facility

$8,164.85

Hospital Charge Code	270621565
Hospital Revenue Code	272
Min. Negotiated Rate	$1,224.73
Max. Negotiated Rate	$1,224.73
Rate for Payer: Qualcare PPO/HMO/WC	$1,224.73

CUFF MEDT ANEURX 16MM YREC1655

Facility

$8,164.85

Hospital Charge Code	270621565
Hospital Revenue Code	272
Min. Negotiated Rate	$196.77
Max. Negotiated Rate	$4,082.43
Rate for Payer: Aetna Commercial	$3,102.64
Rate for Payer: Aetna Medicare Advantage	$2,449.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,082.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,082.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,082.04
Rate for Payer: Cigna Commercial	$4,082.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,449.45
Rate for Payer: Oxford Commercial	$1,632.97
Rate for Payer: Qualcare PPO/HMO/WC	$1,224.73
Rate for Payer: UnitedHealthcare Commercial	$1,632.97
Rate for Payer: UnitedHealthcare Community & State	$196.77
Rate for Payer: Wellpoint Medicaid Managed Care	$216.37

CUFF MEDT STENT GRAF YREC28375

Facility

$10,614.45

Hospital Charge Code	270623603
Hospital Revenue Code	278
Min. Negotiated Rate	$1,592.17
Max. Negotiated Rate	$2,568.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,122.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,568.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,335.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.17

CUFF MEDT STENT GRAF YREC28375

Facility

$10,614.45

Hospital Charge Code	270623603
Hospital Revenue Code	278
Min. Negotiated Rate	$255.81
Max. Negotiated Rate	$5,307.23
Rate for Payer: Aetna Commercial	$4,033.49
Rate for Payer: Aetna Medicare Advantage	$3,184.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,706.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,706.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,122.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,706.68
Rate for Payer: Cigna Commercial	$5,307.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,568.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,335.18
Rate for Payer: Qualcare PPO/HMO/WC	$1,592.17
Rate for Payer: UnitedHealthcare Community & State	$255.81
Rate for Payer: Wellpoint Medicaid Managed Care	$281.28

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$32.57
Max. Negotiated Rate	$32.57
Rate for Payer: Qualcare PPO/HMO/WC	$32.57

CUFF NEO NATAL BP SZ 3 DISPOSA

Facility

$217.15

Hospital Charge Code	270664144
Hospital Revenue Code	270
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$108.58
Rate for Payer: Aetna Commercial	$82.52
Rate for Payer: Aetna Medicare Advantage	$65.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.37
Rate for Payer: Cigna Commercial	$108.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.14
Rate for Payer: Oxford Commercial	$43.43
Rate for Payer: Qualcare PPO/HMO/WC	$32.57
Rate for Payer: UnitedHealthcare Commercial	$43.43
Rate for Payer: UnitedHealthcare Community & State	$5.23
Rate for Payer: Wellpoint Medicaid Managed Care	$5.75

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$36.52
Max. Negotiated Rate	$36.52
Rate for Payer: Qualcare PPO/HMO/WC	$36.52

CUFF NEO NATAL BP SZ 4 DISPOSA

Facility

$243.50

Hospital Charge Code	270664143
Hospital Revenue Code	270
Min. Negotiated Rate	$5.87
Max. Negotiated Rate	$121.75
Rate for Payer: Aetna Commercial	$92.53
Rate for Payer: Aetna Medicare Advantage	$73.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.09
Rate for Payer: Cigna Commercial	$121.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.05
Rate for Payer: Oxford Commercial	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$36.52
Rate for Payer: UnitedHealthcare Commercial	$48.70
Rate for Payer: UnitedHealthcare Community & State	$5.87
Rate for Payer: Wellpoint Medicaid Managed Care	$6.45

CUFF OCCLU 4.0 W/INHI 72404130

Facility

$17,990.00

Hospital Charge Code	270641447
Hospital Revenue Code	278
Min. Negotiated Rate	$433.56
Max. Negotiated Rate	$8,995.00
Rate for Payer: Aetna Commercial	$6,836.20
Rate for Payer: Aetna Medicare Advantage	$5,397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,587.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,587.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,587.45
Rate for Payer: Cigna Commercial	$8,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,353.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,957.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,698.50
Rate for Payer: UnitedHealthcare Community & State	$433.56
Rate for Payer: Wellpoint Medicaid Managed Care	$476.74

CUFF OCCLU 4.0 W/INHI 72404130

Facility

$17,990.00

Hospital Charge Code	270641447
Hospital Revenue Code	278
Min. Negotiated Rate	$2,698.50
Max. Negotiated Rate	$4,353.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,598.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,353.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,957.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,698.50

CUFFS ATS DUAL PORT 24 SINGLE

Facility

$378.50

Hospital Charge Code	270645840
Hospital Revenue Code	271
Min. Negotiated Rate	$9.12
Max. Negotiated Rate	$189.25
Rate for Payer: Aetna Commercial	$143.83
Rate for Payer: Aetna Medicare Advantage	$113.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.52
Rate for Payer: Cigna Commercial	$189.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.55
Rate for Payer: Oxford Commercial	$75.70
Rate for Payer: Qualcare PPO/HMO/WC	$56.77
Rate for Payer: UnitedHealthcare Commercial	$75.70
Rate for Payer: UnitedHealthcare Community & State	$9.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.03

CUFFS ATS DUAL PORT 24 SINGLE

Facility

$378.50

Hospital Charge Code	270645840
Hospital Revenue Code	271
Min. Negotiated Rate	$56.77
Max. Negotiated Rate	$56.77
Rate for Payer: Qualcare PPO/HMO/WC	$56.77

CUFF STD ARM/SINGLE HOSE NAVY

Facility

$172.50

Hospital Charge Code	270658223
Hospital Revenue Code	270
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$25.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

CUFF STD ARM/SINGLE HOSE NAVY

Facility

$172.50

Hospital Charge Code	270658223
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$65.55
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.75
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Commercial	$34.50
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.57

CUFF TEMPA-KUFF ADULT DISP 1 T

Facility

$13.70

Hospital Charge Code	270662687
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.85
Rate for Payer: Aetna Commercial	$5.21
Rate for Payer: Aetna Medicare Advantage	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.49
Rate for Payer: Cigna Commercial	$6.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: Oxford Commercial	$2.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$2.74
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CUFF TEMPA-KUFF ADULT DISP 1 T

Facility

$13.70

Hospital Charge Code	270662687
Hospital Revenue Code	270
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

Know your out-of-pocket cost for care.

All Charges