Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ENDOSTITCH 0 BLK 18CM SOFSILK

Facility

$559.50

Hospital Charge Code	270692094
Hospital Revenue Code	272
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$279.75
Rate for Payer: Aetna Commercial	$212.61
Rate for Payer: Aetna Medicare Advantage	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.67
Rate for Payer: Cigna Commercial	$279.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.85
Rate for Payer: Oxford Commercial	$111.90
Rate for Payer: Qualcare PPO/HMO/WC	$83.92
Rate for Payer: UnitedHealthcare Commercial	$111.90
Rate for Payer: UnitedHealthcare Community & State	$13.48
Rate for Payer: Wellpoint Medicaid Managed Care	$14.83

ENDO STITCH 173016

Facility

$2,009.42

Hospital Charge Code	270600144
Hospital Revenue Code	272
Min. Negotiated Rate	$48.43
Max. Negotiated Rate	$1,004.71
Rate for Payer: Aetna Commercial	$763.58
Rate for Payer: Aetna Medicare Advantage	$602.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.40
Rate for Payer: Cigna Commercial	$1,004.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.83
Rate for Payer: Oxford Commercial	$401.88
Rate for Payer: Qualcare PPO/HMO/WC	$301.41
Rate for Payer: UnitedHealthcare Commercial	$401.88
Rate for Payer: UnitedHealthcare Community & State	$48.43
Rate for Payer: Wellpoint Medicaid Managed Care	$53.25

ENDO STITCH 173016

Facility

$2,009.42

Hospital Charge Code	270600144
Hospital Revenue Code	272
Min. Negotiated Rate	$301.41
Max. Negotiated Rate	$301.41
Rate for Payer: Qualcare PPO/HMO/WC	$301.41

ENDO STITCH 3-0 POLY 48 IN

Facility

$296.50

Hospital Charge Code	270692034
Hospital Revenue Code	272
Min. Negotiated Rate	$44.48
Max. Negotiated Rate	$44.48
Rate for Payer: Qualcare PPO/HMO/WC	$44.48

ENDO STITCH 3-0 POLY 48 IN

Facility

$296.50

Hospital Charge Code	270692034
Hospital Revenue Code	272
Min. Negotiated Rate	$7.15
Max. Negotiated Rate	$148.25
Rate for Payer: Aetna Commercial	$112.67
Rate for Payer: Aetna Medicare Advantage	$88.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.61
Rate for Payer: Cigna Commercial	$148.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.95
Rate for Payer: Oxford Commercial	$59.30
Rate for Payer: Qualcare PPO/HMO/WC	$44.48
Rate for Payer: UnitedHealthcare Commercial	$59.30
Rate for Payer: UnitedHealthcare Community & State	$7.15
Rate for Payer: Wellpoint Medicaid Managed Care	$7.86

ENDO STITCH 3-0 POLY 7 IN

Facility

$295.00

Hospital Charge Code	270692035
Hospital Revenue Code	272
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$112.10
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.50
Rate for Payer: Oxford Commercial	$59.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Commercial	$59.00
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

ENDO STITCH 3-0 POLY 7 IN

Facility

$295.00

Hospital Charge Code	270692035
Hospital Revenue Code	272
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$44.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

ENDOSTITCH APPLIER

Facility

$326.00

Hospital Charge Code	270338703
Hospital Revenue Code	272
Min. Negotiated Rate	$7.86
Max. Negotiated Rate	$163.00
Rate for Payer: Aetna Commercial	$123.88
Rate for Payer: Aetna Medicare Advantage	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.13
Rate for Payer: Cigna Commercial	$163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.80
Rate for Payer: Oxford Commercial	$65.20
Rate for Payer: Qualcare PPO/HMO/WC	$48.90
Rate for Payer: UnitedHealthcare Commercial	$65.20
Rate for Payer: UnitedHealthcare Community & State	$7.86
Rate for Payer: Wellpoint Medicaid Managed Care	$8.64

ENDOSTITCH APPLIER

Facility

$326.00

Hospital Charge Code	270338703
Hospital Revenue Code	272
Min. Negotiated Rate	$48.90
Max. Negotiated Rate	$48.90
Rate for Payer: Qualcare PPO/HMO/WC	$48.90

ENDO STITCH - DLU *******

Facility

$115.00

Hospital Charge Code	1606573
Hospital Revenue Code	278
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

ENDO STITCH - DLU *******

Facility

$115.00

Hospital Charge Code	1606573
Hospital Revenue Code	278
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$27.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

ENDO STITCH SUT DEVICE 10MM

Facility

$1,800.53

Hospital Charge Code	270658698
Hospital Revenue Code	272
Min. Negotiated Rate	$43.39
Max. Negotiated Rate	$900.26
Rate for Payer: Aetna Commercial	$684.20
Rate for Payer: Aetna Medicare Advantage	$540.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.14
Rate for Payer: Cigna Commercial	$900.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.16
Rate for Payer: Oxford Commercial	$360.11
Rate for Payer: Qualcare PPO/HMO/WC	$270.08
Rate for Payer: UnitedHealthcare Commercial	$360.11
Rate for Payer: UnitedHealthcare Community & State	$43.39
Rate for Payer: Wellpoint Medicaid Managed Care	$47.71

ENDO STITCH SUT DEVICE 10MM

Facility

$1,800.53

Hospital Charge Code	270658698
Hospital Revenue Code	272
Min. Negotiated Rate	$270.08
Max. Negotiated Rate	$270.08
Rate for Payer: Qualcare PPO/HMO/WC	$270.08

ENDOSTITCH SUTURE

Facility

$66.00

Hospital Charge Code	270338704
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.80
Rate for Payer: Oxford Commercial	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$13.20
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

ENDOSTITCH SUTURE

Facility

$66.00

Hospital Charge Code	270338704
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

ENDO THORACIC STAPLER

Facility

$395.00

Hospital Charge Code	270338730
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.50
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

ENDO THORACIC STAPLER

Facility

$395.00

Hospital Charge Code	270338730
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

ENDOTINE TRANSBLEPH 3.0

Facility

$1,245.00

Hospital Charge Code	270647458
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$622.50
Rate for Payer: Aetna Commercial	$473.10
Rate for Payer: Aetna Medicare Advantage	$373.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.48
Rate for Payer: Cigna Commercial	$622.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.50
Rate for Payer: Oxford Commercial	$249.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.75
Rate for Payer: UnitedHealthcare Commercial	$249.00
Rate for Payer: UnitedHealthcare Community & State	$30.00
Rate for Payer: Wellpoint Medicaid Managed Care	$32.99

ENDOTINE TRANSBLEPH 3.0

Facility

$1,245.00

Hospital Charge Code	270647458
Hospital Revenue Code	272
Min. Negotiated Rate	$186.75
Max. Negotiated Rate	$186.75
Rate for Payer: Qualcare PPO/HMO/WC	$186.75

ENDOTRACHEAL EXTUBATION

Facility

$49.00

Service Code	HCPCS 31500
Hospital Charge Code	2500361
Hospital Revenue Code	450
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1,015.70
Rate for Payer: Aetna Commercial	$765.35
Rate for Payer: Aetna Medicare Advantage	$911.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,015.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,015.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$281.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,015.70
Rate for Payer: Cigna Commercial	$564.04
Rate for Payer: Cigna Medicare Advantage	$281.38
Rate for Payer: Clover Medicare Advantage	$267.31
Rate for Payer: EmblemHealth Commercial	$844.14
Rate for Payer: Humana Medicare Advantage	$289.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$281.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$281.38
Rate for Payer: Wellcare Medicare Advantage	$281.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$640.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

ENDOTRACHEAL EXTUBATION

Facility

$49.00

Service Code	HCPCS 31500
Hospital Charge Code	2500361
Hospital Revenue Code	450
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

ENDOTRACH IN-LINE SUCTION CATH

Facility

$85.65

Hospital Charge Code	270650303R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$32.55
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.70
Rate for Payer: Oxford Commercial	$17.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$17.13
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

ENDOTRACH IN-LINE SUCTION CATH

Facility

$85.65

Hospital Charge Code	270650303R
Hospital Revenue Code	272
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

ENDOTREACHEAL SHER 1 BRONCH

Facility

$268.33

Hospital Charge Code	270660426
Hospital Revenue Code	272
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$134.16
Rate for Payer: Aetna Commercial	$101.97
Rate for Payer: Aetna Medicare Advantage	$80.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.42
Rate for Payer: Cigna Commercial	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.50
Rate for Payer: Oxford Commercial	$53.67
Rate for Payer: Qualcare PPO/HMO/WC	$40.25
Rate for Payer: UnitedHealthcare Commercial	$53.67
Rate for Payer: UnitedHealthcare Community & State	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$7.11

ENDOTREACHEAL SHER 1 BRONCH

Facility

$268.33

Hospital Charge Code	270660426
Hospital Revenue Code	272
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$40.25
Rate for Payer: Qualcare PPO/HMO/WC	$40.25

Know your out-of-pocket cost for care.

All Charges