Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LOAD UNIT MULTI 90 TRH90

Facility

$844.00

Hospital Charge Code	270608646
Hospital Revenue Code	272
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$126.60
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$70.36
Max. Negotiated Rate	$70.36
Rate for Payer: Qualcare PPO/HMO/WC	$70.36

LOAD UNIT MULTIFIRE 35W

Facility

$469.10

Hospital Charge Code	270600054
Hospital Revenue Code	272
Min. Negotiated Rate	$11.31
Max. Negotiated Rate	$234.55
Rate for Payer: Aetna Commercial	$178.26
Rate for Payer: Aetna Medicare Advantage	$140.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.62
Rate for Payer: Cigna Commercial	$234.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.73
Rate for Payer: Oxford Commercial	$93.82
Rate for Payer: Qualcare PPO/HMO/WC	$70.36
Rate for Payer: UnitedHealthcare Commercial	$93.82
Rate for Payer: UnitedHealthcare Community & State	$11.31
Rate for Payer: Wellpoint Medicaid Managed Care	$12.43

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$139.49
Rate for Payer: Aetna Commercial	$106.01
Rate for Payer: Aetna Medicare Advantage	$83.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.69
Rate for Payer: Oxford Commercial	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Commercial	$55.80
Rate for Payer: UnitedHealthcare Community & State	$6.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7.39

LOAD UNIT POLYSORB 2/0 48 VIO

Facility

$278.98

Hospital Charge Code	270604733
Hospital Revenue Code	272
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$41.85
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$15.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.34

LOAD UNIT POLYSORB 2/0 7 PLA

Facility

$102.25

Hospital Charge Code	270662760
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$51.12
Rate for Payer: Aetna Commercial	$38.85
Rate for Payer: Aetna Medicare Advantage	$30.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.07
Rate for Payer: Cigna Commercial	$51.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.68
Rate for Payer: Oxford Commercial	$20.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.34
Rate for Payer: UnitedHealthcare Commercial	$20.45
Rate for Payer: UnitedHealthcare Community & State	$2.46
Rate for Payer: Wellpoint Medicaid Managed Care	$2.71

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$34.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.82

LOAD UNIT PROXIMATE 60mm 3.5mm

Facility

$232.16

Hospital Charge Code	270655355
Hospital Revenue Code	270
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$116.08
Rate for Payer: Aetna Commercial	$88.22
Rate for Payer: Aetna Medicare Advantage	$69.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.20
Rate for Payer: Cigna Commercial	$116.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.65
Rate for Payer: Oxford Commercial	$46.43
Rate for Payer: Qualcare PPO/HMO/WC	$34.82
Rate for Payer: UnitedHealthcare Commercial	$46.43
Rate for Payer: UnitedHealthcare Community & State	$5.60
Rate for Payer: Wellpoint Medicaid Managed Care	$6.15

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA3035L

Facility

$181.25

Hospital Charge Code	270630402
Hospital Revenue Code	270
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.38
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$27.19
Max. Negotiated Rate	$27.19
Rate for Payer: Qualcare PPO/HMO/WC	$27.19

LOAD UNIT SINGLE USE TA 30-4.8

Facility

$181.25

Hospital Charge Code	270630404
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$90.62
Rate for Payer: Aetna Commercial	$68.88
Rate for Payer: Aetna Medicare Advantage	$54.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.22
Rate for Payer: Cigna Commercial	$90.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.38
Rate for Payer: Oxford Commercial	$36.25
Rate for Payer: Qualcare PPO/HMO/WC	$27.19
Rate for Payer: UnitedHealthcare Commercial	$36.25
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

LOAD UNIT SINGLE USE TA30V3L

Facility

$201.70

Hospital Charge Code	270630406
Hospital Revenue Code	272
Min. Negotiated Rate	$30.25
Max. Negotiated Rate	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$30.25

LOAD UNIT SINGLE USE TA30V3L

Facility

$201.70

Hospital Charge Code	270630406
Hospital Revenue Code	272
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$100.85
Rate for Payer: Aetna Commercial	$76.65
Rate for Payer: Aetna Medicare Advantage	$60.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.43
Rate for Payer: Cigna Commercial	$100.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.51
Rate for Payer: Oxford Commercial	$40.34
Rate for Payer: Qualcare PPO/HMO/WC	$30.25
Rate for Payer: UnitedHealthcare Commercial	$40.34
Rate for Payer: UnitedHealthcare Community & State	$4.86
Rate for Payer: Wellpoint Medicaid Managed Care	$5.35

LOAD UNIT SINGLE USE TA4535L

Facility

$250.40

Hospital Charge Code	270630381
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.20
Rate for Payer: Aetna Commercial	$95.15
Rate for Payer: Aetna Medicare Advantage	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.85
Rate for Payer: Cigna Commercial	$125.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.12
Rate for Payer: Oxford Commercial	$50.08
Rate for Payer: Qualcare PPO/HMO/WC	$37.56
Rate for Payer: UnitedHealthcare Commercial	$50.08
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.64

LOAD UNIT SINGLE USE TA4535L

Facility

$250.40

Hospital Charge Code	270630381
Hospital Revenue Code	272
Min. Negotiated Rate	$37.56
Max. Negotiated Rate	$37.56
Rate for Payer: Qualcare PPO/HMO/WC	$37.56

LOAD UNIT SINGLE USE TA*45-4.8

Facility

$237.65

Hospital Charge Code	270630383
Hospital Revenue Code	272
Min. Negotiated Rate	$5.73
Max. Negotiated Rate	$118.83
Rate for Payer: Aetna Commercial	$90.31
Rate for Payer: Aetna Medicare Advantage	$71.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.60
Rate for Payer: Cigna Commercial	$118.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.30
Rate for Payer: Oxford Commercial	$47.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.65
Rate for Payer: UnitedHealthcare Commercial	$47.53
Rate for Payer: UnitedHealthcare Community & State	$5.73
Rate for Payer: Wellpoint Medicaid Managed Care	$6.30

LOAD UNIT SINGLE USE TA*45-4.8

Facility

$237.65

Hospital Charge Code	270630383
Hospital Revenue Code	272
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.65

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$30.58
Max. Negotiated Rate	$30.58
Rate for Payer: Qualcare PPO/HMO/WC	$30.58

LOAD UNIT SINGLE USE TA 60-4.8

Facility

$203.85

Hospital Charge Code	270630410
Hospital Revenue Code	272
Min. Negotiated Rate	$4.91
Max. Negotiated Rate	$101.92
Rate for Payer: Aetna Commercial	$77.46
Rate for Payer: Aetna Medicare Advantage	$61.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.98
Rate for Payer: Cigna Commercial	$101.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.16
Rate for Payer: Oxford Commercial	$40.77
Rate for Payer: Qualcare PPO/HMO/WC	$30.58
Rate for Payer: UnitedHealthcare Commercial	$40.77
Rate for Payer: UnitedHealthcare Community & State	$4.91
Rate for Payer: Wellpoint Medicaid Managed Care	$5.40

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$119.81
Max. Negotiated Rate	$119.81
Rate for Payer: Qualcare PPO/HMO/WC	$119.81

LOAD UNIT SINGLE USE TA90-35L

Facility

$798.73

Hospital Charge Code	270630412
Hospital Revenue Code	272
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$399.37
Rate for Payer: Aetna Commercial	$303.52
Rate for Payer: Aetna Medicare Advantage	$239.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.68
Rate for Payer: Cigna Commercial	$399.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.62
Rate for Payer: Oxford Commercial	$159.75
Rate for Payer: Qualcare PPO/HMO/WC	$119.81
Rate for Payer: UnitedHealthcare Commercial	$159.75
Rate for Payer: UnitedHealthcare Community & State	$19.25
Rate for Payer: Wellpoint Medicaid Managed Care	$21.17

LOAD UNIT SINGLE USE TA*90-4.8

Facility

$235.40

Hospital Charge Code	270630414
Hospital Revenue Code	272
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$35.31
Rate for Payer: Qualcare PPO/HMO/WC	$35.31

LOAD UNIT SINGLE USE TA*90-4.8

Facility

$235.40

Hospital Charge Code	270630414
Hospital Revenue Code	272
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$117.70
Rate for Payer: Aetna Commercial	$89.45
Rate for Payer: Aetna Medicare Advantage	$70.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.03
Rate for Payer: Cigna Commercial	$117.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.62
Rate for Payer: Oxford Commercial	$47.08
Rate for Payer: Qualcare PPO/HMO/WC	$35.31
Rate for Payer: UnitedHealthcare Commercial	$47.08
Rate for Payer: UnitedHealthcare Community & State	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6.24

Know your out-of-pocket cost for care.

All Charges