Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ELECTRODE BIPOLAR PACING 6FR

Facility

$840.42

Hospital Charge Code	270650139
Hospital Revenue Code	272
Min. Negotiated Rate	$126.06
Max. Negotiated Rate	$126.06
Rate for Payer: Qualcare PPO/HMO/WC	$126.06

ELECTRODE BIPOLAR PACING 7FR

Facility

$906.40

Hospital Charge Code	270650551
Hospital Revenue Code	278
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$453.20
Rate for Payer: Aetna Commercial	$344.43
Rate for Payer: Aetna Medicare Advantage	$271.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.13
Rate for Payer: Cigna Commercial	$453.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.41
Rate for Payer: Qualcare PPO/HMO/WC	$135.96
Rate for Payer: UnitedHealthcare Community & State	$21.84
Rate for Payer: Wellpoint Medicaid Managed Care	$24.02

ELECTRODE BIPOLAR PACING 7FR

Facility

$906.40

Hospital Charge Code	270650551
Hospital Revenue Code	278
Min. Negotiated Rate	$135.96
Max. Negotiated Rate	$219.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$181.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$199.41
Rate for Payer: Qualcare PPO/HMO/WC	$135.96

ELECTRODE BLADE EXTENDER

Facility

$24.49

Hospital Charge Code	270649194
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$12.24
Rate for Payer: Aetna Commercial	$9.31
Rate for Payer: Aetna Medicare Advantage	$7.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.24
Rate for Payer: Cigna Commercial	$12.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.35
Rate for Payer: Oxford Commercial	$4.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.67
Rate for Payer: UnitedHealthcare Commercial	$4.90
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

ELECTRODE BLADE EXTENDER

Facility

$24.49

Hospital Charge Code	270649194
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.67

ELECTRODE COAG BALL 24FR 5MM

Facility

$561.75

Hospital Charge Code	270601412
Hospital Revenue Code	272
Min. Negotiated Rate	$84.26
Max. Negotiated Rate	$84.26
Rate for Payer: Qualcare PPO/HMO/WC	$84.26

ELECTRODE COAG BALL 24FR 5MM

Facility

$561.75

Hospital Charge Code	270601412
Hospital Revenue Code	272
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$280.88
Rate for Payer: Aetna Commercial	$213.47
Rate for Payer: Aetna Medicare Advantage	$168.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.25
Rate for Payer: Cigna Commercial	$280.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.53
Rate for Payer: Oxford Commercial	$112.35
Rate for Payer: Qualcare PPO/HMO/WC	$84.26
Rate for Payer: UnitedHealthcare Commercial	$112.35
Rate for Payer: UnitedHealthcare Community & State	$13.54
Rate for Payer: Wellpoint Medicaid Managed Care	$14.89

ELECTRODE COAG BALL END 6 FR

Facility

$700.00

Hospital Charge Code	270660116
Hospital Revenue Code	270
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

ELECTRODE COAG BALL END 6 FR

Facility

$700.00

Hospital Charge Code	270660116
Hospital Revenue Code	270
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ELECTRODE/CORD LIGASURE MAX

Facility

$1,505.56

Hospital Charge Code	270644316
Hospital Revenue Code	272
Min. Negotiated Rate	$225.83
Max. Negotiated Rate	$225.83
Rate for Payer: Qualcare PPO/HMO/WC	$225.83

ELECTRODE/CORD LIGASURE MAX

Facility

$1,505.56

Hospital Charge Code	270644316
Hospital Revenue Code	272
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$752.78
Rate for Payer: Aetna Commercial	$572.11
Rate for Payer: Aetna Medicare Advantage	$451.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.92
Rate for Payer: Cigna Commercial	$752.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.67
Rate for Payer: Oxford Commercial	$301.11
Rate for Payer: Qualcare PPO/HMO/WC	$225.83
Rate for Payer: UnitedHealthcare Commercial	$301.11
Rate for Payer: UnitedHealthcare Community & State	$36.28
Rate for Payer: Wellpoint Medicaid Managed Care	$39.90

ELECTRODE CUTTING LOOP 24FR

Facility

$364.58

Hospital Charge Code	270655404
Hospital Revenue Code	271
Min. Negotiated Rate	$8.79
Max. Negotiated Rate	$182.29
Rate for Payer: Aetna Commercial	$138.54
Rate for Payer: Aetna Medicare Advantage	$109.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.97
Rate for Payer: Cigna Commercial	$182.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.37
Rate for Payer: Oxford Commercial	$72.92
Rate for Payer: Qualcare PPO/HMO/WC	$54.69
Rate for Payer: UnitedHealthcare Commercial	$72.92
Rate for Payer: UnitedHealthcare Community & State	$8.79
Rate for Payer: Wellpoint Medicaid Managed Care	$9.66

ELECTRODE CUTTING LOOP 24FR

Facility

$364.58

Hospital Charge Code	270655404
Hospital Revenue Code	271
Min. Negotiated Rate	$54.69
Max. Negotiated Rate	$54.69
Rate for Payer: Qualcare PPO/HMO/WC	$54.69

ELECTRODE CUTTING LOOP 26FR

Facility

$353.33

Hospital Charge Code	270655405
Hospital Revenue Code	272
Min. Negotiated Rate	$53.00
Max. Negotiated Rate	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.00

ELECTRODE CUTTING LOOP 26FR

Facility

$353.33

Hospital Charge Code	270655405
Hospital Revenue Code	272
Min. Negotiated Rate	$8.52
Max. Negotiated Rate	$176.66
Rate for Payer: Aetna Commercial	$134.27
Rate for Payer: Aetna Medicare Advantage	$106.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.10
Rate for Payer: Cigna Commercial	$176.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.00
Rate for Payer: Oxford Commercial	$70.67
Rate for Payer: Qualcare PPO/HMO/WC	$53.00
Rate for Payer: UnitedHealthcare Commercial	$70.67
Rate for Payer: UnitedHealthcare Community & State	$8.52
Rate for Payer: Wellpoint Medicaid Managed Care	$9.36

ELECTRODE CUTTING LOOPS 24FR.

Facility

$464.00

Hospital Charge Code	270331566
Hospital Revenue Code	272
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

ELECTRODE CUTTING LOOPS 24FR.

Facility

$464.00

Hospital Charge Code	270331566
Hospital Revenue Code	272
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$232.00
Rate for Payer: Aetna Commercial	$176.32
Rate for Payer: Aetna Medicare Advantage	$139.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.32
Rate for Payer: Cigna Commercial	$232.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.20
Rate for Payer: Oxford Commercial	$92.80
Rate for Payer: Qualcare PPO/HMO/WC	$69.60
Rate for Payer: UnitedHealthcare Commercial	$92.80
Rate for Payer: UnitedHealthcare Community & State	$11.18
Rate for Payer: Wellpoint Medicaid Managed Care	$12.30

ELECTRODE DEFIB CADENCE 2255OR

Facility

$103.20

Hospital Charge Code	270633060
Hospital Revenue Code	272
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$15.48
Rate for Payer: Qualcare PPO/HMO/WC	$15.48

ELECTRODE DEFIB CADENCE 2255OR

Facility

$103.20

Hospital Charge Code	270633060
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.60
Rate for Payer: Aetna Commercial	$39.22
Rate for Payer: Aetna Medicare Advantage	$30.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.32
Rate for Payer: Cigna Commercial	$51.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.96
Rate for Payer: Oxford Commercial	$20.64
Rate for Payer: Qualcare PPO/HMO/WC	$15.48
Rate for Payer: UnitedHealthcare Commercial	$20.64
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

ELECTRODE DISPERSIVE

Facility

$86.65

Hospital Charge Code	270670973
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.00

ELECTRODE DISPERSIVE

Facility

$86.65

Hospital Charge Code	270670973
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$43.33
Rate for Payer: Aetna Commercial	$32.93
Rate for Payer: Aetna Medicare Advantage	$26.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.10
Rate for Payer: Cigna Commercial	$43.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$17.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.00
Rate for Payer: UnitedHealthcare Commercial	$17.33
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

ELECTRODE ECG 5400

Facility

$0.11

Hospital Charge Code	270628909
Hospital Revenue Code	272
Max. Negotiated Rate	$0.06
Rate for Payer: Aetna Commercial	$0.04
Rate for Payer: Aetna Medicare Advantage	$0.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.03
Rate for Payer: Cigna Commercial	$0.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.03
Rate for Payer: Oxford Commercial	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.02
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

ELECTRODE ECG 5400

Facility

$0.11

Hospital Charge Code	270628909
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02

ELECTRODE ECG Q TRACE 5500

Facility

$220.40

Hospital Charge Code	270653995
Hospital Revenue Code	270
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.20
Rate for Payer: Aetna Commercial	$83.75
Rate for Payer: Aetna Medicare Advantage	$66.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.20
Rate for Payer: Cigna Commercial	$110.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.12
Rate for Payer: Oxford Commercial	$44.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.06
Rate for Payer: UnitedHealthcare Commercial	$44.08
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

ELECTRODE ECG Q TRACE 5500

Facility

$220.40

Hospital Charge Code	270653995
Hospital Revenue Code	270
Min. Negotiated Rate	$33.06
Max. Negotiated Rate	$33.06
Rate for Payer: Qualcare PPO/HMO/WC	$33.06

Know your out-of-pocket cost for care.

All Charges