Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FILTER GREENFIELD JUGULAR 12FR

Facility

$4,994.50

Hospital Charge Code	270601123
Hospital Revenue Code	278
Min. Negotiated Rate	$120.37
Max. Negotiated Rate	$2,497.25
Rate for Payer: Aetna Commercial	$1,897.91
Rate for Payer: Aetna Medicare Advantage	$1,498.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,273.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,273.60
Rate for Payer: Cigna Commercial	$2,497.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,098.79
Rate for Payer: Qualcare PPO/HMO/WC	$749.17
Rate for Payer: UnitedHealthcare Community & State	$120.37
Rate for Payer: Wellpoint Medicaid Managed Care	$132.35

FILTER GREENFIELD JUGULAR 12FR

Facility

$4,994.50

Hospital Charge Code	270601123
Hospital Revenue Code	278
Min. Negotiated Rate	$749.17
Max. Negotiated Rate	$1,208.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$998.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,208.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,098.79
Rate for Payer: Qualcare PPO/HMO/WC	$749.17

FILTER GS SYSTEM CO2 ABS

Facility

$13.65

Hospital Charge Code	270600630
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

FILTER GS SYSTEM CO2 ABS

Facility

$13.65

Hospital Charge Code	270600630
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

FILTER GUN TUL FEM IGTCFS45FEM

Facility

$5,748.85

Hospital Charge Code	270626675
Hospital Revenue Code	278
Min. Negotiated Rate	$138.55
Max. Negotiated Rate	$2,874.43
Rate for Payer: Aetna Commercial	$2,184.56
Rate for Payer: Aetna Medicare Advantage	$1,724.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,465.96
Rate for Payer: Cigna Commercial	$2,874.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,264.75
Rate for Payer: Qualcare PPO/HMO/WC	$862.33
Rate for Payer: UnitedHealthcare Community & State	$138.55
Rate for Payer: Wellpoint Medicaid Managed Care	$152.34

FILTER GUN TUL FEM IGTCFS45FEM

Facility

$5,748.85

Hospital Charge Code	270626675
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$1,391.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,264.75
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER GUN TUL JUG IGTCFS80JUG

Facility

$5,748.85

Hospital Charge Code	270626676
Hospital Revenue Code	278
Min. Negotiated Rate	$138.55
Max. Negotiated Rate	$2,874.43
Rate for Payer: Aetna Commercial	$2,184.56
Rate for Payer: Aetna Medicare Advantage	$1,724.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,465.96
Rate for Payer: Cigna Commercial	$2,874.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,264.75
Rate for Payer: Qualcare PPO/HMO/WC	$862.33
Rate for Payer: UnitedHealthcare Community & State	$138.55
Rate for Payer: Wellpoint Medicaid Managed Care	$152.34

FILTER GUN TUL JUG IGTCFS80JUG

Facility

$5,748.85

Hospital Charge Code	270626676
Hospital Revenue Code	278
Min. Negotiated Rate	$862.33
Max. Negotiated Rate	$1,391.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,149.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,391.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,264.75
Rate for Payer: Qualcare PPO/HMO/WC	$862.33

FILTER, HEAT/MOIST, SM, SAMPLE

Facility

$338.60

Hospital Charge Code	270646165
Hospital Revenue Code	270
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$169.30
Rate for Payer: Aetna Commercial	$128.67
Rate for Payer: Aetna Medicare Advantage	$101.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.34
Rate for Payer: Cigna Commercial	$169.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.58
Rate for Payer: Oxford Commercial	$67.72
Rate for Payer: Qualcare PPO/HMO/WC	$50.79
Rate for Payer: UnitedHealthcare Commercial	$67.72
Rate for Payer: UnitedHealthcare Community & State	$8.16
Rate for Payer: Wellpoint Medicaid Managed Care	$8.97

FILTER, HEAT/MOIST, SM, SAMPLE

Facility

$338.60

Hospital Charge Code	270646165
Hospital Revenue Code	270
Min. Negotiated Rate	$50.79
Max. Negotiated Rate	$50.79
Rate for Payer: Qualcare PPO/HMO/WC	$50.79

FILTER IN-LINE

Facility

$30.00

Hospital Charge Code	270646324
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$6.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

FILTER IN-LINE

Facility

$30.00

Hospital Charge Code	270646324
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

FILTER IVC JUGULAR W/ NAVALIGN

Facility

$5,250.00

Service Code	HCPCS C1880
Hospital Charge Code	270673332
Hospital Revenue Code	278
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

FILTER IVC JUGULAR W/ NAVALIGN

Facility

$5,250.00

Service Code	HCPCS C1880
Hospital Charge Code	270673332
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

FILTER JUG ECLIP SUBCLA EC500J

Facility

$5,232.50

Hospital Charge Code	27064410
Hospital Revenue Code	278
Min. Negotiated Rate	$126.10
Max. Negotiated Rate	$2,616.25
Rate for Payer: Aetna Commercial	$1,988.35
Rate for Payer: Aetna Medicare Advantage	$1,569.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,334.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,334.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,334.29
Rate for Payer: Cigna Commercial	$2,616.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,266.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,151.15
Rate for Payer: Qualcare PPO/HMO/WC	$784.88
Rate for Payer: UnitedHealthcare Community & State	$126.10
Rate for Payer: Wellpoint Medicaid Managed Care	$138.66

FILTER JUG ECLIP SUBCLA EC500J

Facility

$5,232.50

Hospital Charge Code	27064410
Hospital Revenue Code	278
Min. Negotiated Rate	$784.88
Max. Negotiated Rate	$1,266.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,046.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,266.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,151.15
Rate for Payer: Qualcare PPO/HMO/WC	$784.88

FILTER JUGULAR ECLIPSE EC500J

Facility

$7,475.00

Hospital Charge Code	270644010
Hospital Revenue Code	278
Min. Negotiated Rate	$180.15
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$180.15
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

FILTER JUGULAR ECLIPSE EC500J

Facility

$7,475.00

Hospital Charge Code	270644010
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

FILTER LEUKOCYTE RCEZIT

Facility

$180.00

Hospital Charge Code	270626660
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

FILTER LEUKOCYTE RCEZIT

Facility

$180.00

Hospital Charge Code	270626660
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

FILTER LINE H-SET

Facility

$325.00

Hospital Charge Code	270646167
Hospital Revenue Code	270
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

FILTER LINE H-SET

Facility

$325.00

Hospital Charge Code	270646167
Hospital Revenue Code	270
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

FILTERLINE H SET ADULT/PEDS

Facility

$66.95

Hospital Charge Code	270652784
Hospital Revenue Code	270
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.48
Rate for Payer: Aetna Commercial	$25.44
Rate for Payer: Aetna Medicare Advantage	$20.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.07
Rate for Payer: Cigna Commercial	$33.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.09
Rate for Payer: Oxford Commercial	$13.39
Rate for Payer: Qualcare PPO/HMO/WC	$10.04
Rate for Payer: UnitedHealthcare Commercial	$13.39
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

FILTERLINE H SET ADULT/PEDS

Facility

$66.95

Hospital Charge Code	270652784
Hospital Revenue Code	270
Min. Negotiated Rate	$10.04
Max. Negotiated Rate	$10.04
Rate for Payer: Qualcare PPO/HMO/WC	$10.04

FILTERLINE W/O2 CONN F/CPAP/

Facility

$63.22

Hospital Charge Code	270674939
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.61
Rate for Payer: Aetna Commercial	$24.02
Rate for Payer: Aetna Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.12
Rate for Payer: Cigna Commercial	$31.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.97
Rate for Payer: Oxford Commercial	$12.64
Rate for Payer: Qualcare PPO/HMO/WC	$9.48
Rate for Payer: UnitedHealthcare Commercial	$12.64
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

Know your out-of-pocket cost for care.

All Charges