Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE BLUNT FILL 18G 1-1/2

Facility

$356.50

Hospital Charge Code	270020150
Hospital Revenue Code	272
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$135.47
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.95
Rate for Payer: Oxford Commercial	$71.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$71.30
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.45

NEEDLE BLUNT FILL 18G 1-1/2

Facility

$385.20

Hospital Charge Code	270020066C
Hospital Revenue Code	272
Min. Negotiated Rate	$57.78
Max. Negotiated Rate	$57.78
Rate for Payer: Qualcare PPO/HMO/WC	$57.78

NEEDLE BLUNT FILL 18G 1-1/2

Facility

$385.20

Hospital Charge Code	270020066C
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$192.60
Rate for Payer: Aetna Commercial	$146.38
Rate for Payer: Aetna Medicare Advantage	$115.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.23
Rate for Payer: Cigna Commercial	$192.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.56
Rate for Payer: Oxford Commercial	$77.04
Rate for Payer: Qualcare PPO/HMO/WC	$57.78
Rate for Payer: UnitedHealthcare Commercial	$77.04
Rate for Payer: UnitedHealthcare Community & State	$9.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.21

NEEDLE BLUNT FILL 18G 1-1/2 B

Facility

$1.00

Hospital Charge Code	270020150C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

NEEDLE BLUNT FILL 18G 1-1/2 B

Facility

$1.00

Hospital Charge Code	270020150C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

NEEDLE BN CEMENT 11G 6IN INTRO

Facility

$830.00

Hospital Charge Code	270698102
Hospital Revenue Code	272
Min. Negotiated Rate	$124.50
Max. Negotiated Rate	$124.50
Rate for Payer: Qualcare PPO/HMO/WC	$124.50

NEEDLE BN CEMENT 11G 6IN INTRO

Facility

$830.00

Hospital Charge Code	270698102
Hospital Revenue Code	272
Min. Negotiated Rate	$20.00
Max. Negotiated Rate	$415.00
Rate for Payer: Aetna Commercial	$315.40
Rate for Payer: Aetna Medicare Advantage	$249.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.65
Rate for Payer: Cigna Commercial	$415.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.00
Rate for Payer: Oxford Commercial	$166.00
Rate for Payer: Qualcare PPO/HMO/WC	$124.50
Rate for Payer: UnitedHealthcare Commercial	$166.00
Rate for Payer: UnitedHealthcare Community & State	$20.00
Rate for Payer: Wellpoint Medicaid Managed Care	$22.00

NEEDLE BONE ACCESS 8G BEV TIP

Facility

$390.00

Hospital Charge Code	270696204
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

NEEDLE BONE ACCESS 8G BEV TIP

Facility

$390.00

Hospital Charge Code	270696204
Hospital Revenue Code	272
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

NEEDLE BONE BIOPSY 11G 15 0CM

Facility

$502.55

Hospital Charge Code	270664169
Hospital Revenue Code	272
Min. Negotiated Rate	$12.11
Max. Negotiated Rate	$251.28
Rate for Payer: Aetna Commercial	$190.97
Rate for Payer: Aetna Medicare Advantage	$150.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.15
Rate for Payer: Cigna Commercial	$251.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.76
Rate for Payer: Oxford Commercial	$100.51
Rate for Payer: Qualcare PPO/HMO/WC	$75.38
Rate for Payer: UnitedHealthcare Commercial	$100.51
Rate for Payer: UnitedHealthcare Community & State	$12.11
Rate for Payer: Wellpoint Medicaid Managed Care	$13.32

NEEDLE BONE BIOPSY 11G 15 0CM

Facility

$502.55

Hospital Charge Code	270664169
Hospital Revenue Code	272
Min. Negotiated Rate	$75.38
Max. Negotiated Rate	$75.38
Rate for Payer: Qualcare PPO/HMO/WC	$75.38

NEEDLE BONE CANNULA 150MM 8G

Facility

$1,125.00

Hospital Charge Code	270692591
Hospital Revenue Code	272
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

NEEDLE BONE CANNULA 150MM 8G

Facility

$1,125.00

Hospital Charge Code	270692591
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

NEEDLE BONE MARROW 13G 4

Facility

$139.25

Hospital Charge Code	270615245
Hospital Revenue Code	272
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

NEEDLE BONE MARROW 13G 4

Facility

$139.25

Hospital Charge Code	270615245
Hospital Revenue Code	272
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.77
Rate for Payer: Oxford Commercial	$27.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$27.85
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

NEEDLE BONE MARROW ASPIR 11G

Facility

$86.47

Hospital Charge Code	270301280
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$43.23
Rate for Payer: Aetna Commercial	$32.86
Rate for Payer: Aetna Medicare Advantage	$25.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.05
Rate for Payer: Cigna Commercial	$43.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.94
Rate for Payer: Oxford Commercial	$17.29
Rate for Payer: Qualcare PPO/HMO/WC	$12.97
Rate for Payer: UnitedHealthcare Commercial	$17.29
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

NEEDLE BONE MARROW ASPIR 11G

Facility

$86.47

Hospital Charge Code	270301280
Hospital Revenue Code	272
Min. Negotiated Rate	$12.97
Max. Negotiated Rate	$12.97
Rate for Payer: Qualcare PPO/HMO/WC	$12.97

NEEDLE BONE MARROW ASPIR 15G

Facility

$46.35

Hospital Charge Code	270646745
Hospital Revenue Code	272
Min. Negotiated Rate	$6.95
Max. Negotiated Rate	$6.95
Rate for Payer: Qualcare PPO/HMO/WC	$6.95

NEEDLE BONE MARROW ASPIR 15G

Facility

$46.35

Hospital Charge Code	270646745
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.18
Rate for Payer: Aetna Commercial	$17.61
Rate for Payer: Aetna Medicare Advantage	$13.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.82
Rate for Payer: Cigna Commercial	$23.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.90
Rate for Payer: Oxford Commercial	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.95
Rate for Payer: UnitedHealthcare Commercial	$9.27
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

NEEDLE BUTTERFLY 19G 7/8

Facility

$4.00

Hospital Charge Code	270041105
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NEEDLE BUTTERFLY 19G 7/8

Facility

$4.00

Hospital Charge Code	270041105
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE BUTTERFLY 19G 7/8

Facility

$9.65

Hospital Charge Code	270041055
Hospital Revenue Code	272
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

NEEDLE BUTTERFLY 19G 7/8

Facility

$9.65

Hospital Charge Code	270041055
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

NEEDLE BUTTERFLY 21G 3/4

Facility

$5.65

Hospital Charge Code	270041050
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

NEEDLE BUTTERFLY 21G 3/4

Facility

$5.65

Hospital Charge Code	270041050
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

Know your out-of-pocket cost for care.

All Charges