Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

Loop cortical 15mm

Facility

$2,125.00

Hospital Charge Code	270666243
Hospital Revenue Code	272
Min. Negotiated Rate	$51.21
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$807.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$637.50
Rate for Payer: Oxford Commercial	$425.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.75
Rate for Payer: UnitedHealthcare Commercial	$425.00
Rate for Payer: UnitedHealthcare Community & State	$51.21
Rate for Payer: Wellpoint Medicaid Managed Care	$56.31

LOOP CUTTING 24FR

Facility

$337.50

Hospital Charge Code	270658548
Hospital Revenue Code	272
Min. Negotiated Rate	$8.13
Max. Negotiated Rate	$168.75
Rate for Payer: Aetna Commercial	$128.25
Rate for Payer: Aetna Medicare Advantage	$101.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.06
Rate for Payer: Cigna Commercial	$168.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.25
Rate for Payer: Oxford Commercial	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$50.62
Rate for Payer: UnitedHealthcare Commercial	$67.50
Rate for Payer: UnitedHealthcare Community & State	$8.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8.94

LOOP CUTTING 24FR

Facility

$337.50

Hospital Charge Code	270658548
Hospital Revenue Code	272
Min. Negotiated Rate	$50.62
Max. Negotiated Rate	$50.62
Rate for Payer: Qualcare PPO/HMO/WC	$50.62

LOOP CUT TUR 24F 27050G-10

Facility

$508.00

Hospital Charge Code	270600265
Hospital Revenue Code	272
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

LOOP CUT TUR 24F 27050G-10

Facility

$508.00

Hospital Charge Code	270600265
Hospital Revenue Code	272
Min. Negotiated Rate	$12.24
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$193.04
Rate for Payer: Aetna Medicare Advantage	$152.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.54
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.40
Rate for Payer: Oxford Commercial	$101.60
Rate for Payer: Qualcare PPO/HMO/WC	$76.20
Rate for Payer: UnitedHealthcare Commercial	$101.60
Rate for Payer: UnitedHealthcare Community & State	$12.24
Rate for Payer: Wellpoint Medicaid Managed Care	$13.46

LOOP CUT TUR 24F 27050G-6

Facility

$561.75

Hospital Charge Code	270601253
Hospital Revenue Code	272
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$280.88
Rate for Payer: Aetna Commercial	$213.47
Rate for Payer: Aetna Medicare Advantage	$168.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.25
Rate for Payer: Cigna Commercial	$280.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.53
Rate for Payer: Oxford Commercial	$112.35
Rate for Payer: Qualcare PPO/HMO/WC	$84.26
Rate for Payer: UnitedHealthcare Commercial	$112.35
Rate for Payer: UnitedHealthcare Community & State	$13.54
Rate for Payer: Wellpoint Medicaid Managed Care	$14.89

LOOP CUT TUR 24F 27050G-6

Facility

$561.75

Hospital Charge Code	270601253
Hospital Revenue Code	272
Min. Negotiated Rate	$84.26
Max. Negotiated Rate	$84.26
Rate for Payer: Qualcare PPO/HMO/WC	$84.26

LOOP CUT TUR BRN 28F 27050-KF

Facility

$729.65

Hospital Charge Code	270605535
Hospital Revenue Code	272
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

LOOP CUT TUR BRN 28F 27050-KF

Facility

$729.65

Hospital Charge Code	270605535
Hospital Revenue Code	272
Min. Negotiated Rate	$17.58
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$277.27
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.90
Rate for Payer: Oxford Commercial	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Commercial	$145.93
Rate for Payer: UnitedHealthcare Community & State	$17.58
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

LOOP CUT TUR YEL 24F 27050-KG

Facility

$766.45

Hospital Charge Code	270601251
Hospital Revenue Code	272
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$291.25
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.94
Rate for Payer: Oxford Commercial	$153.29
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Commercial	$153.29
Rate for Payer: UnitedHealthcare Community & State	$18.47
Rate for Payer: Wellpoint Medicaid Managed Care	$20.31

LOOP CUT TUR YEL 24F 27050-KG

Facility

$766.45

Hospital Charge Code	270601251
Hospital Revenue Code	272
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$114.97
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

LOOP ELECTRODE

Facility

$389.00

Hospital Charge Code	270335247
Hospital Revenue Code	272
Min. Negotiated Rate	$58.35
Max. Negotiated Rate	$58.35
Rate for Payer: Qualcare PPO/HMO/WC	$58.35

LOOP ELECTRODE

Facility

$389.00

Hospital Charge Code	270335247
Hospital Revenue Code	272
Min. Negotiated Rate	$9.37
Max. Negotiated Rate	$194.50
Rate for Payer: Aetna Commercial	$147.82
Rate for Payer: Aetna Medicare Advantage	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.19
Rate for Payer: Cigna Commercial	$194.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.70
Rate for Payer: Oxford Commercial	$77.80
Rate for Payer: Qualcare PPO/HMO/WC	$58.35
Rate for Payer: UnitedHealthcare Commercial	$77.80
Rate for Payer: UnitedHealthcare Community & State	$9.37
Rate for Payer: Wellpoint Medicaid Managed Care	$10.31

LOOP ELECTRODE HF RESECT 24

Facility

$502.92

Hospital Charge Code	270658615
Hospital Revenue Code	272
Min. Negotiated Rate	$12.12
Max. Negotiated Rate	$251.46
Rate for Payer: Aetna Commercial	$191.11
Rate for Payer: Aetna Medicare Advantage	$150.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.24
Rate for Payer: Cigna Commercial	$251.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.88
Rate for Payer: Oxford Commercial	$100.58
Rate for Payer: Qualcare PPO/HMO/WC	$75.44
Rate for Payer: UnitedHealthcare Commercial	$100.58
Rate for Payer: UnitedHealthcare Community & State	$12.12
Rate for Payer: Wellpoint Medicaid Managed Care	$13.33

LOOP ELECTRODE HF RESECT 24

Facility

$502.92

Hospital Charge Code	270658615
Hospital Revenue Code	272
Min. Negotiated Rate	$75.44
Max. Negotiated Rate	$75.44
Rate for Payer: Qualcare PPO/HMO/WC	$75.44

LOOP ELECTRODE HF RESECT 26FR

Facility

$7,777.00

Hospital Charge Code	270665953
Hospital Revenue Code	270
Min. Negotiated Rate	$187.43
Max. Negotiated Rate	$3,888.50
Rate for Payer: Aetna Commercial	$2,955.26
Rate for Payer: Aetna Medicare Advantage	$2,333.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,983.13
Rate for Payer: Cigna Commercial	$3,888.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,333.10
Rate for Payer: Oxford Commercial	$1,555.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55
Rate for Payer: UnitedHealthcare Commercial	$1,555.40
Rate for Payer: UnitedHealthcare Community & State	$187.43
Rate for Payer: Wellpoint Medicaid Managed Care	$206.09

LOOP ELECTRODE HF RESECT 26FR

Facility

$7,777.00

Hospital Charge Code	270665953
Hospital Revenue Code	270
Min. Negotiated Rate	$1,166.55
Max. Negotiated Rate	$1,166.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55

LOOP GLOBE URINE STERILE 1UL

Facility

$325.00

Hospital Charge Code	270653915
Hospital Revenue Code	272
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

LOOP GLOBE URINE STERILE 1UL

Facility

$325.00

Hospital Charge Code	270653915
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

LOOP INOCULATION DK BLUE 10UL

Facility

$25.46

Hospital Charge Code	270652330
Hospital Revenue Code	270
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$3.82
Rate for Payer: Qualcare PPO/HMO/WC	$3.82

LOOP INOCULATION DK BLUE 10UL

Facility

$25.46

Hospital Charge Code	270652330
Hospital Revenue Code	270
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.73
Rate for Payer: Aetna Commercial	$9.67
Rate for Payer: Aetna Medicare Advantage	$7.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.49
Rate for Payer: Cigna Commercial	$12.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.64
Rate for Payer: Oxford Commercial	$5.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.82
Rate for Payer: UnitedHealthcare Commercial	$5.09
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

LOOP MONOPOLAR ANG .35MM YELLO

Facility

$3,370.50

Hospital Charge Code	270682726
Hospital Revenue Code	272
Min. Negotiated Rate	$81.23
Max. Negotiated Rate	$1,685.25
Rate for Payer: Aetna Commercial	$1,280.79
Rate for Payer: Aetna Medicare Advantage	$1,011.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$859.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$859.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$859.48
Rate for Payer: Cigna Commercial	$1,685.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.15
Rate for Payer: Oxford Commercial	$674.10
Rate for Payer: Qualcare PPO/HMO/WC	$505.57
Rate for Payer: UnitedHealthcare Commercial	$674.10
Rate for Payer: UnitedHealthcare Community & State	$81.23
Rate for Payer: Wellpoint Medicaid Managed Care	$89.32

LOOP MONOPOLAR ANG .35MM YELLO

Facility

$3,370.50

Hospital Charge Code	270682726
Hospital Revenue Code	272
Min. Negotiated Rate	$505.57
Max. Negotiated Rate	$505.57
Rate for Payer: Qualcare PPO/HMO/WC	$505.57

LOOP OSTOMY SYS 2-3/4020933**

Facility

$84.00

Hospital Charge Code	1605922
Hospital Revenue Code	272
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

LOOP OSTOMY SYS 2-3/4020933**

Facility

$84.00

Hospital Charge Code	1605922
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.20
Rate for Payer: Oxford Commercial	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$16.80
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

Know your out-of-pocket cost for care.

All Charges