Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ENDOBABCOCK 10mm

Facility

$349.65

Hospital Charge Code	270655928
Hospital Revenue Code	272
Min. Negotiated Rate	$52.45
Max. Negotiated Rate	$52.45
Rate for Payer: Qualcare PPO/HMO/WC	$52.45

ENDOBABCOCK 10mm

Facility

$349.65

Hospital Charge Code	270655928
Hospital Revenue Code	272
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$174.82
Rate for Payer: Aetna Commercial	$132.87
Rate for Payer: Aetna Medicare Advantage	$104.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.16
Rate for Payer: Cigna Commercial	$174.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.89
Rate for Payer: Oxford Commercial	$69.93
Rate for Payer: Qualcare PPO/HMO/WC	$52.45
Rate for Payer: UnitedHealthcare Commercial	$69.93
Rate for Payer: UnitedHealthcare Community & State	$8.43
Rate for Payer: Wellpoint Medicaid Managed Care	$9.27

ENDO BABCOCK 10 MM ****

Facility

$519.00

Hospital Charge Code	1603380
Hospital Revenue Code	272
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$77.85
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

ENDO BABCOCK 10 MM ****

Facility

$519.00

Hospital Charge Code	1603380
Hospital Revenue Code	272
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.70
Rate for Payer: Oxford Commercial	$103.80
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Commercial	$103.80
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

ENDO BABCOCK 174001

Facility

$879.25

Hospital Charge Code	270600100
Hospital Revenue Code	272
Min. Negotiated Rate	$131.89
Max. Negotiated Rate	$131.89
Rate for Payer: Qualcare PPO/HMO/WC	$131.89

ENDO BABCOCK 174001

Facility

$879.25

Hospital Charge Code	270600100
Hospital Revenue Code	272
Min. Negotiated Rate	$21.19
Max. Negotiated Rate	$439.62
Rate for Payer: Aetna Commercial	$334.12
Rate for Payer: Aetna Medicare Advantage	$263.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.21
Rate for Payer: Cigna Commercial	$439.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.77
Rate for Payer: Oxford Commercial	$175.85
Rate for Payer: Qualcare PPO/HMO/WC	$131.89
Rate for Payer: UnitedHealthcare Commercial	$175.85
Rate for Payer: UnitedHealthcare Community & State	$21.19
Rate for Payer: Wellpoint Medicaid Managed Care	$23.30

ENDO BABCOCK 1MM CLAMP

Facility

$567.00

Hospital Charge Code	270330811
Hospital Revenue Code	272
Min. Negotiated Rate	$85.05
Max. Negotiated Rate	$85.05
Rate for Payer: Qualcare PPO/HMO/WC	$85.05

ENDO BABCOCK 1MM CLAMP

Facility

$567.00

Hospital Charge Code	270330811
Hospital Revenue Code	272
Min. Negotiated Rate	$13.66
Max. Negotiated Rate	$283.50
Rate for Payer: Aetna Commercial	$215.46
Rate for Payer: Aetna Medicare Advantage	$170.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.59
Rate for Payer: Cigna Commercial	$283.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.10
Rate for Payer: Oxford Commercial	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$85.05
Rate for Payer: UnitedHealthcare Commercial	$113.40
Rate for Payer: UnitedHealthcare Community & State	$13.66
Rate for Payer: Wellpoint Medicaid Managed Care	$15.03

ENDO BEDSIDE TUBE PROCEDURE

Facility

$500.00

Hospital Charge Code	2500263
Hospital Revenue Code	360
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

ENDO BEDSIDE TUBE PROCEDURE

Facility

$500.00

Hospital Charge Code	2500263
Hospital Revenue Code	360
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

ENDO BIOPSY FORCEPS

Facility

$229.00

Hospital Charge Code	270325602
Hospital Revenue Code	272
Min. Negotiated Rate	$34.35
Max. Negotiated Rate	$34.35
Rate for Payer: Qualcare PPO/HMO/WC	$34.35

ENDO BIOPSY FORCEPS

Facility

$229.00

Hospital Charge Code	270325602
Hospital Revenue Code	272
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$114.50
Rate for Payer: Aetna Commercial	$87.02
Rate for Payer: Aetna Medicare Advantage	$68.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.40
Rate for Payer: Cigna Commercial	$114.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.70
Rate for Payer: Oxford Commercial	$45.80
Rate for Payer: Qualcare PPO/HMO/WC	$34.35
Rate for Payer: UnitedHealthcare Commercial	$45.80
Rate for Payer: UnitedHealthcare Community & State	$5.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6.07

ENDOBLADE

Facility

$4,475.00

Hospital Charge Code	270681170
Hospital Revenue Code	272
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,342.50
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$895.00
Rate for Payer: UnitedHealthcare Community & State	$107.85
Rate for Payer: Wellpoint Medicaid Managed Care	$118.59

ENDOBLADE

Facility

$4,475.00

Hospital Charge Code	270681170
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

ENDOBLADE PLANTAR X2

Facility

$4,475.00

Hospital Charge Code	270689930
Hospital Revenue Code	272
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,342.50
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$895.00
Rate for Payer: UnitedHealthcare Community & State	$107.85
Rate for Payer: Wellpoint Medicaid Managed Care	$118.59

ENDOBLADE PLANTAR X2

Facility

$4,475.00

Hospital Charge Code	270689930
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

ENDO BLADE SAMURAI

Facility

$1,225.00

Hospital Charge Code	270668507
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

ENDO BLADE SAMURAI

Facility

$1,225.00

Hospital Charge Code	270668507
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

ENDO BOWEL *****

Facility

$519.00

Hospital Charge Code	1603364
Hospital Revenue Code	272
Min. Negotiated Rate	$77.85
Max. Negotiated Rate	$77.85
Rate for Payer: Qualcare PPO/HMO/WC	$77.85

ENDO BOWEL *****

Facility

$519.00

Hospital Charge Code	1603364
Hospital Revenue Code	272
Min. Negotiated Rate	$12.51
Max. Negotiated Rate	$259.50
Rate for Payer: Aetna Commercial	$197.22
Rate for Payer: Aetna Medicare Advantage	$155.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.34
Rate for Payer: Cigna Commercial	$259.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.70
Rate for Payer: Oxford Commercial	$103.80
Rate for Payer: Qualcare PPO/HMO/WC	$77.85
Rate for Payer: UnitedHealthcare Commercial	$103.80
Rate for Payer: UnitedHealthcare Community & State	$12.51
Rate for Payer: Wellpoint Medicaid Managed Care	$13.75

ENDO BOWEL 10MM 174307

Facility

$916.85

Hospital Charge Code	270600095
Hospital Revenue Code	272
Min. Negotiated Rate	$22.10
Max. Negotiated Rate	$458.43
Rate for Payer: Aetna Commercial	$348.40
Rate for Payer: Aetna Medicare Advantage	$275.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.80
Rate for Payer: Cigna Commercial	$458.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.06
Rate for Payer: Oxford Commercial	$183.37
Rate for Payer: Qualcare PPO/HMO/WC	$137.53
Rate for Payer: UnitedHealthcare Commercial	$183.37
Rate for Payer: UnitedHealthcare Community & State	$22.10
Rate for Payer: Wellpoint Medicaid Managed Care	$24.30

ENDO BOWEL 10MM 174307

Facility

$916.85

Hospital Charge Code	270600095
Hospital Revenue Code	272
Min. Negotiated Rate	$137.53
Max. Negotiated Rate	$137.53
Rate for Payer: Qualcare PPO/HMO/WC	$137.53

ENDOBRONCHIAL BLOCKER ARNDT 9F

Facility

$1,305.20

Hospital Charge Code	270663829
Hospital Revenue Code	270
Min. Negotiated Rate	$31.46
Max. Negotiated Rate	$652.60
Rate for Payer: Aetna Commercial	$495.98
Rate for Payer: Aetna Medicare Advantage	$391.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.83
Rate for Payer: Cigna Commercial	$652.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.56
Rate for Payer: Oxford Commercial	$261.04
Rate for Payer: Qualcare PPO/HMO/WC	$195.78
Rate for Payer: UnitedHealthcare Commercial	$261.04
Rate for Payer: UnitedHealthcare Community & State	$31.46
Rate for Payer: Wellpoint Medicaid Managed Care	$34.59

ENDOBRONCHIAL BLOCKER ARNDT 9F

Facility

$1,305.20

Hospital Charge Code	270663829
Hospital Revenue Code	270
Min. Negotiated Rate	$195.78
Max. Negotiated Rate	$195.78
Rate for Payer: Qualcare PPO/HMO/WC	$195.78

ENDO CANNULA FLOWPORT II

Facility

$1,445.00

Hospital Charge Code	270668508
Hospital Revenue Code	272
Min. Negotiated Rate	$216.75
Max. Negotiated Rate	$216.75
Rate for Payer: Qualcare PPO/HMO/WC	$216.75

Know your out-of-pocket cost for care.

All Charges