Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HANDLE MDT DEPLOY STENT YR5100

Facility

$5,111.25

Hospital Charge Code	270623302
Hospital Revenue Code	272
Min. Negotiated Rate	$123.18
Max. Negotiated Rate	$2,555.62
Rate for Payer: Aetna Commercial	$1,942.28
Rate for Payer: Aetna Medicare Advantage	$1,533.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,303.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,303.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,303.37
Rate for Payer: Cigna Commercial	$2,555.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,533.38
Rate for Payer: Oxford Commercial	$1,022.25
Rate for Payer: Qualcare PPO/HMO/WC	$766.69
Rate for Payer: UnitedHealthcare Commercial	$1,022.25
Rate for Payer: UnitedHealthcare Community & State	$123.18
Rate for Payer: Wellpoint Medicaid Managed Care	$135.45

HANDLE QUICK RATCHETING

Facility

$4,950.00

Hospital Charge Code	270690997
Hospital Revenue Code	272
Min. Negotiated Rate	$742.50
Max. Negotiated Rate	$742.50
Rate for Payer: Qualcare PPO/HMO/WC	$742.50

HANDLE QUICK RATCHETING

Facility

$4,950.00

Hospital Charge Code	270690997
Hospital Revenue Code	272
Min. Negotiated Rate	$119.30
Max. Negotiated Rate	$2,475.00
Rate for Payer: Aetna Commercial	$1,881.00
Rate for Payer: Aetna Medicare Advantage	$1,485.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,262.25
Rate for Payer: Cigna Commercial	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,485.00
Rate for Payer: Oxford Commercial	$990.00
Rate for Payer: Qualcare PPO/HMO/WC	$742.50
Rate for Payer: UnitedHealthcare Commercial	$990.00
Rate for Payer: UnitedHealthcare Community & State	$119.30
Rate for Payer: Wellpoint Medicaid Managed Care	$131.18

HANDLE SCREWDRIVER RATCHETING

Facility

$2,365.00

Hospital Charge Code	270684772
Hospital Revenue Code	272
Min. Negotiated Rate	$57.00
Max. Negotiated Rate	$1,182.50
Rate for Payer: Aetna Commercial	$898.70
Rate for Payer: Aetna Medicare Advantage	$709.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.08
Rate for Payer: Cigna Commercial	$1,182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.50
Rate for Payer: Oxford Commercial	$473.00
Rate for Payer: Qualcare PPO/HMO/WC	$354.75
Rate for Payer: UnitedHealthcare Commercial	$473.00
Rate for Payer: UnitedHealthcare Community & State	$57.00
Rate for Payer: Wellpoint Medicaid Managed Care	$62.67

HANDLE SCREWDRIVER RATCHETING

Facility

$2,365.00

Hospital Charge Code	270684772
Hospital Revenue Code	272
Min. Negotiated Rate	$354.75
Max. Negotiated Rate	$354.75
Rate for Payer: Qualcare PPO/HMO/WC	$354.75

HANDLE T W/QUICK COUPLING

Facility

$1,257.65

Hospital Charge Code	270614764
Hospital Revenue Code	272
Min. Negotiated Rate	$188.65
Max. Negotiated Rate	$188.65
Rate for Payer: Qualcare PPO/HMO/WC	$188.65

HANDLE T W/QUICK COUPLING

Facility

$1,257.65

Hospital Charge Code	270614764
Hospital Revenue Code	272
Min. Negotiated Rate	$30.31
Max. Negotiated Rate	$628.83
Rate for Payer: Aetna Commercial	$477.91
Rate for Payer: Aetna Medicare Advantage	$377.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$320.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$320.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$320.70
Rate for Payer: Cigna Commercial	$628.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$377.30
Rate for Payer: Oxford Commercial	$251.53
Rate for Payer: Qualcare PPO/HMO/WC	$188.65
Rate for Payer: UnitedHealthcare Commercial	$251.53
Rate for Payer: UnitedHealthcare Community & State	$30.31
Rate for Payer: Wellpoint Medicaid Managed Care	$33.33

HANDLE T W/QUICK COUPLING SM

Facility

$1,425.85

Hospital Charge Code	270682612
Hospital Revenue Code	272
Min. Negotiated Rate	$34.36
Max. Negotiated Rate	$712.92
Rate for Payer: Aetna Commercial	$541.82
Rate for Payer: Aetna Medicare Advantage	$427.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.59
Rate for Payer: Cigna Commercial	$712.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.75
Rate for Payer: Oxford Commercial	$285.17
Rate for Payer: Qualcare PPO/HMO/WC	$213.88
Rate for Payer: UnitedHealthcare Commercial	$285.17
Rate for Payer: UnitedHealthcare Community & State	$34.36
Rate for Payer: Wellpoint Medicaid Managed Care	$37.79

HANDLE T W/QUICK COUPLING SM

Facility

$1,425.85

Hospital Charge Code	270682612
Hospital Revenue Code	272
Min. Negotiated Rate	$213.88
Max. Negotiated Rate	$213.88
Rate for Payer: Qualcare PPO/HMO/WC	$213.88

HANDLE W/QK COUPLNG ROTATG CAP

Facility

$1,959.05

Hospital Charge Code	270677604
Hospital Revenue Code	272
Min. Negotiated Rate	$293.86
Max. Negotiated Rate	$293.86
Rate for Payer: Qualcare PPO/HMO/WC	$293.86

HANDLE W/QK COUPLNG ROTATG CAP

Facility

$1,959.05

Hospital Charge Code	270677604
Hospital Revenue Code	272
Min. Negotiated Rate	$47.21
Max. Negotiated Rate	$979.52
Rate for Payer: Aetna Commercial	$744.44
Rate for Payer: Aetna Medicare Advantage	$587.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.56
Rate for Payer: Cigna Commercial	$979.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$587.72
Rate for Payer: Oxford Commercial	$391.81
Rate for Payer: Qualcare PPO/HMO/WC	$293.86
Rate for Payer: UnitedHealthcare Commercial	$391.81
Rate for Payer: UnitedHealthcare Community & State	$47.21
Rate for Payer: Wellpoint Medicaid Managed Care	$51.91

HAND&LOWER FREARM GAUNTLT

Facility

$288.00

Service Code	HCPCS 29085
Hospital Charge Code	94186030
Hospital Revenue Code	361
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

HAND&LOWER FREARM GAUNTLT

Facility

$288.00

Service Code	HCPCS 29085
Hospital Charge Code	94186030
Hospital Revenue Code	361
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$525.10
Rate for Payer: Aetna Medicare Advantage	$625.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$193.05
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	$696.85
Rate for Payer: Cigna Commercial	$386.97
Rate for Payer: Cigna Medicare Advantage	$193.05
Rate for Payer: Clover Medicare Advantage	$183.40
Rate for Payer: EmblemHealth Commercial	$579.15
Rate for Payer: Humana Medicare Advantage	$198.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$193.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.40
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$193.05
Rate for Payer: Wellcare Medicare Advantage	$193.05
Rate for Payer: Wellpoint Medicaid Managed Care	$7.63

HAND NEB COMPRESSOR******

Facility

$39.60

Hospital Charge Code	9500265
Hospital Revenue Code	419
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.94

HAND NEB COMPRESSOR******

Facility

$39.60

Hospital Charge Code	9500265
Hospital Revenue Code	419
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$15.05
Rate for Payer: Aetna Medicare Advantage	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.10
Rate for Payer: Cigna Commercial	$19.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.88
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

HAND NEB TRMT INI W/COMPRSSR**

Facility

$79.00

Service Code	HCPCS 94640
Hospital Charge Code	9500308
Hospital Revenue Code	419
Min. Negotiated Rate	$11.85
Max. Negotiated Rate	$11.85
Rate for Payer: Qualcare PPO/HMO/WC	$11.85

HAND NEB TRMT INI W/COMPRSSR**

Facility

$79.00

Service Code	HCPCS 94640
Hospital Charge Code	9500308
Hospital Revenue Code	419
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.70
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.85
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$2.09

HAND NEBULIZER - LATEX FREE

Facility

$9.65

Hospital Charge Code	270200165
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

HAND NEBULIZER - LATEX FREE

Facility

$9.65

Hospital Charge Code	270200165
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

HAND NEBULIZER PIPE - #600634

Facility

$11.25

Hospital Charge Code	270600634
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

HAND NEBULIZER PIPE - #600634

Facility

$11.25

Hospital Charge Code	270600634
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

HAND NEBULIZER SUBSEQ TREATMNT

Facility

$467.85

Service Code	HCPCS 9464076
Hospital Charge Code	9500325
Hospital Revenue Code	410
Min. Negotiated Rate	$70.18
Max. Negotiated Rate	$70.18
Rate for Payer: Qualcare PPO/HMO/WC	$70.18

HAND NEBULIZER SUBSEQ TREATMNT

Facility

$467.85

Service Code	HCPCS 9464076
Hospital Charge Code	9500325
Hospital Revenue Code	410
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$177.78
Rate for Payer: Aetna Medicare Advantage	$140.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.30
Rate for Payer: Cigna Commercial	$233.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.35
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.18
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: Wellpoint Medicaid Managed Care	$12.40

HAND NEBULIZER TREATMENT

Facility

$467.85

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$70.18
Max. Negotiated Rate	$70.18
Rate for Payer: Qualcare PPO/HMO/WC	$70.18

HAND NEBULIZER TREATMENT

Facility

$467.85

Service Code	HCPCS 94640
Hospital Charge Code	9500306
Hospital Revenue Code	410
Min. Negotiated Rate	$11.28
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.35
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.18
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$11.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$12.40

Know your out-of-pocket cost for care.

All Charges