Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CURETTE VAC BUSSE ******

Facility

$12.00

Hospital Charge Code	1607324
Hospital Revenue Code	274
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

CURETTE VAC BUSSE ******

Facility

$12.00

Hospital Charge Code	1607324
Hospital Revenue Code	274
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

CURETTE VAC BUSSE ALL SIZE****

Facility

$12.00

Hospital Charge Code	1607316
Hospital Revenue Code	274
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

CURETTE VAC BUSSE ALL SIZE****

Facility

$12.00

Hospital Charge Code	1607316
Hospital Revenue Code	274
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

CURETTE VACUUM 10MM CRVD

Facility

$23.92

Hospital Charge Code	270600253
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$11.96
Rate for Payer: Aetna Commercial	$9.09
Rate for Payer: Aetna Medicare Advantage	$7.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.10
Rate for Payer: Cigna Commercial	$11.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.18
Rate for Payer: Oxford Commercial	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$3.59
Rate for Payer: UnitedHealthcare Commercial	$4.78
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

CURETTE VACUUM 10MM CRVD

Facility

$23.92

Hospital Charge Code	270600253
Hospital Revenue Code	272
Min. Negotiated Rate	$3.59
Max. Negotiated Rate	$3.59
Rate for Payer: Qualcare PPO/HMO/WC	$3.59

CURETTE VACUUM 10mm STR

Facility

$25.40

Hospital Charge Code	270600255
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.48
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.62
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

CURETTE VACUUM 10mm STR

Facility

$25.40

Hospital Charge Code	270600255
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

CURETTE VACUUM 11MM STR

Facility

$14.80

Hospital Charge Code	270677262
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.40
Rate for Payer: Aetna Commercial	$5.62
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.77
Rate for Payer: Cigna Commercial	$7.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.44
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$2.96
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

CURETTE VACUUM 11MM STR

Facility

$14.80

Hospital Charge Code	270677262
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

CURETTE VACUUM 12mm CRVD

Facility

$25.40

Hospital Charge Code	270613956
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

CURETTE VACUUM 12mm CRVD

Facility

$25.40

Hospital Charge Code	270613956
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.48
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.62
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

CURETTE VACUUM 12mm STR

Facility

$25.40

Hospital Charge Code	270600256
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.48
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.62
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

CURETTE VACUUM 12mm STR

Facility

$25.40

Hospital Charge Code	270600256
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

CURETTE VACUUM 7MM RIGID STR

Facility

$126.00

Hospital Charge Code	270656354
Hospital Revenue Code	272
Min. Negotiated Rate	$18.90
Max. Negotiated Rate	$18.90
Rate for Payer: Qualcare PPO/HMO/WC	$18.90

CURETTE VACUUM 7MM RIGID STR

Facility

$126.00

Hospital Charge Code	270656354
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$63.00
Rate for Payer: Aetna Commercial	$47.88
Rate for Payer: Aetna Medicare Advantage	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.13
Rate for Payer: Cigna Commercial	$63.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.80
Rate for Payer: Oxford Commercial	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.90
Rate for Payer: UnitedHealthcare Commercial	$25.20
Rate for Payer: UnitedHealthcare Community & State	$3.04
Rate for Payer: Wellpoint Medicaid Managed Care	$3.34

CURETTE VACUUM 8mm CRVD

Facility

$9.44

Hospital Charge Code	270600252
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.42

CURETTE VACUUM 8mm CRVD

Facility

$9.44

Hospital Charge Code	270600252
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.72
Rate for Payer: Aetna Commercial	$3.59
Rate for Payer: Aetna Medicare Advantage	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.41
Rate for Payer: Cigna Commercial	$4.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.83
Rate for Payer: Oxford Commercial	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.42
Rate for Payer: UnitedHealthcare Commercial	$1.89
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

CURETTE VACUUM 8MM RIGID STR

Facility

$9.44

Hospital Charge Code	270600254
Hospital Revenue Code	272
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.42

CURETTE VACUUM 8MM RIGID STR

Facility

$9.44

Hospital Charge Code	270600254
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.72
Rate for Payer: Aetna Commercial	$3.59
Rate for Payer: Aetna Medicare Advantage	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.41
Rate for Payer: Cigna Commercial	$4.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.83
Rate for Payer: Oxford Commercial	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.42
Rate for Payer: UnitedHealthcare Commercial	$1.89
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

CURETTE VACUUM 9MM RIGID STR

Facility

$14.75

Hospital Charge Code	270656355
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$2.21
Rate for Payer: Qualcare PPO/HMO/WC	$2.21

CURETTE VACUUM 9MM RIGID STR

Facility

$14.75

Hospital Charge Code	270656355
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.38
Rate for Payer: Aetna Commercial	$5.61
Rate for Payer: Aetna Medicare Advantage	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.76
Rate for Payer: Cigna Commercial	$7.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.42
Rate for Payer: Oxford Commercial	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.21
Rate for Payer: UnitedHealthcare Commercial	$2.95
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

Curosurf 120mg/1.5ml

Facility

$4,815.63

Service Code	NDC 10122051001
Hospital Charge Code	6063943282
Hospital Revenue Code	250
Min. Negotiated Rate	$116.06
Max. Negotiated Rate	$2,407.82
Rate for Payer: Aetna Commercial	$1,829.94
Rate for Payer: Aetna Medicare Advantage	$1,444.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,227.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,227.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,227.99
Rate for Payer: Cigna Commercial	$2,407.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,444.69
Rate for Payer: Oxford Commercial	$963.13
Rate for Payer: Qualcare PPO/HMO/WC	$722.34
Rate for Payer: UnitedHealthcare Commercial	$963.13
Rate for Payer: UnitedHealthcare Community & State	$116.06
Rate for Payer: Wellpoint Medicaid Managed Care	$127.61

Curosurf 120mg/1.5ml

Facility

$4,815.63

Service Code	NDC 10122051001
Hospital Charge Code	6063943282
Hospital Revenue Code	250
Min. Negotiated Rate	$722.34
Max. Negotiated Rate	$722.34
Rate for Payer: Qualcare PPO/HMO/WC	$722.34

CURRENT EVENTS GROUP PSYCHOTPY

Facility

$800.80

Service Code	HCPCS 90853
Hospital Charge Code	83246300
Hospital Revenue Code	915
Min. Negotiated Rate	$120.12
Max. Negotiated Rate	$120.12
Rate for Payer: Qualcare PPO/HMO/WC	$120.12

Know your out-of-pocket cost for care.

All Charges