Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE CANNULA STERILE 150MM

Facility

$250.00

Hospital Charge Code	270670842
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

NEEDLE CAR LOCK INJEC 00711813

Facility

$290.00

Hospital Charge Code	270644361
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$145.00
Rate for Payer: Aetna Commercial	$110.20
Rate for Payer: Aetna Medicare Advantage	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.95
Rate for Payer: Cigna Commercial	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.00
Rate for Payer: Oxford Commercial	$58.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.50
Rate for Payer: UnitedHealthcare Commercial	$58.00
Rate for Payer: UnitedHealthcare Community & State	$6.99
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

NEEDLE CAR LOCK INJEC 00711813

Facility

$290.00

Hospital Charge Code	270644361
Hospital Revenue Code	272
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.50

NEEDLE CASSETTE FOR SPD-STITCH

Facility

$515.00

Hospital Charge Code	270668392
Hospital Revenue Code	272
Min. Negotiated Rate	$12.41
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$195.70
Rate for Payer: Aetna Medicare Advantage	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.32
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.50
Rate for Payer: Oxford Commercial	$103.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Commercial	$103.00
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$13.65

NEEDLE CASSETTE FOR SPD-STITCH

Facility

$515.00

Hospital Charge Code	270668392
Hospital Revenue Code	272
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Hospital Charge Code	270658315R
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Service Code	HCPCS C1729
Hospital Charge Code	270658315
Hospital Revenue Code	278
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Service Code	HCPCS C1729
Hospital Charge Code	270658315
Hospital Revenue Code	278
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$43.34
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

NEEDLE CATHETER 5.0FR 19G 10CM

Facility

$114.05

Hospital Charge Code	270658315R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$43.34
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.22
Rate for Payer: Oxford Commercial	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$22.81
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448R
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$43.34
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.22
Rate for Payer: Oxford Commercial	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$22.81
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448R
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448
Hospital Revenue Code	272
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.02
Rate for Payer: Aetna Commercial	$43.34
Rate for Payer: Aetna Medicare Advantage	$34.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.08
Rate for Payer: Cigna Commercial	$57.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.22
Rate for Payer: Oxford Commercial	$22.81
Rate for Payer: Qualcare PPO/HMO/WC	$17.11
Rate for Payer: UnitedHealthcare Commercial	$22.81
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

NEEDLE CATHETER 5.0FR 19G 15CM

Facility

$114.05

Hospital Charge Code	270661448
Hospital Revenue Code	272
Min. Negotiated Rate	$17.11
Max. Negotiated Rate	$17.11
Rate for Payer: Qualcare PPO/HMO/WC	$17.11

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$57.50

Hospital Charge Code	270669582
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669582N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.85
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.58

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669582N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE CHIBA 18GX15CM ECHO TIP

Facility

$57.50

Hospital Charge Code	270669582
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

NEEDLE CHIBA 18GX20CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669581
Hospital Revenue Code	272
Min. Negotiated Rate	$8.93
Max. Negotiated Rate	$8.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.93

NEEDLE CHIBA 18GX20CM ECHO TIP

Facility

$59.50

Hospital Charge Code	270669581
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$29.75
Rate for Payer: Aetna Commercial	$22.61
Rate for Payer: Aetna Medicare Advantage	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.17
Rate for Payer: Cigna Commercial	$29.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.85
Rate for Payer: Oxford Commercial	$11.90
Rate for Payer: Qualcare PPO/HMO/WC	$8.93
Rate for Payer: UnitedHealthcare Commercial	$11.90
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.58

NEEDLE CHIBA BIOPSY DISPOSABLE

Facility

$64.00

Hospital Charge Code	270331250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

NEEDLE CHIBA BIOPSY DISPOSABLE

Facility

$64.00

Hospital Charge Code	270331250
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

NEEDLE CK AMNIO ECHO TIP****

Facility

$54.00

Hospital Charge Code	1800234
Hospital Revenue Code	279
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

NEEDLE CK AMNIO ECHO TIP****

Facility

$54.00

Hospital Charge Code	1800234
Hospital Revenue Code	279
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.20
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.43

NEEDLE CK FRANSEEN DFBN-2020

Facility

$131.25

Hospital Charge Code	270611963
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$49.88
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.38
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$26.25
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

NEEDLE CK FRANSEEN DFBN-2020

Facility

$131.25

Hospital Charge Code	270611963
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

Know your out-of-pocket cost for care.

All Charges