Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$36.88
Rate for Payer: Aetna Commercial	$28.02
Rate for Payer: Aetna Medicare Advantage	$22.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.81
Rate for Payer: Cigna Commercial	$36.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.12
Rate for Payer: Oxford Commercial	$14.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.06
Rate for Payer: UnitedHealthcare Commercial	$14.75
Rate for Payer: UnitedHealthcare Community & State	$1.78
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 17GX6 8CM

Facility

$73.75

Hospital Charge Code	270654270R
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$11.06
Rate for Payer: Qualcare PPO/HMO/WC	$11.06

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$11.32
Rate for Payer: Qualcare PPO/HMO/WC	$11.32

NEEDLE COAXIAL INTRO 18GX10CM

Facility

$75.50

Hospital Charge Code	270669591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$37.75
Rate for Payer: Aetna Commercial	$28.69
Rate for Payer: Aetna Medicare Advantage	$22.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.25
Rate for Payer: Cigna Commercial	$37.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.65
Rate for Payer: Oxford Commercial	$15.10
Rate for Payer: Qualcare PPO/HMO/WC	$11.32
Rate for Payer: UnitedHealthcare Commercial	$15.10
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

NEEDLE CONCEPT SUTURE PASSER

Facility

$1,311.00

Hospital Charge Code	270676307
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEEDLE CONCEPT SUTURE PASSER

Facility

$1,311.00

Hospital Charge Code	270676307
Hospital Revenue Code	272
Min. Negotiated Rate	$31.60
Max. Negotiated Rate	$655.50
Rate for Payer: Aetna Commercial	$498.18
Rate for Payer: Aetna Medicare Advantage	$393.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.31
Rate for Payer: Cigna Commercial	$655.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.30
Rate for Payer: Oxford Commercial	$262.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.65
Rate for Payer: UnitedHealthcare Commercial	$262.20
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$34.74

NEEDLE CONTRAST

Facility

$153.00

Hospital Charge Code	270638458
Hospital Revenue Code	272
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.90
Rate for Payer: Oxford Commercial	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$30.60
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

NEEDLE CONTRAST

Facility

$153.00

Hospital Charge Code	270638458
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

NEEDLE CONTRAST 25G 4mm 200cm

Facility

$199.00

Hospital Charge Code	270644054
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$99.50
Rate for Payer: Aetna Commercial	$75.62
Rate for Payer: Aetna Medicare Advantage	$59.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.74
Rate for Payer: Cigna Commercial	$99.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.70
Rate for Payer: Oxford Commercial	$39.80
Rate for Payer: Qualcare PPO/HMO/WC	$29.85
Rate for Payer: UnitedHealthcare Commercial	$39.80
Rate for Payer: UnitedHealthcare Community & State	$4.80
Rate for Payer: Wellpoint Medicaid Managed Care	$5.27

NEEDLE CONTRAST 25G 4mm 200cm

Facility

$199.00

Hospital Charge Code	270644054
Hospital Revenue Code	272
Min. Negotiated Rate	$29.85
Max. Negotiated Rate	$29.85
Rate for Payer: Qualcare PPO/HMO/WC	$29.85

NEEDLE COPE

Facility

$729.65

Hospital Charge Code	2708001448
Hospital Revenue Code	270
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

NEEDLE COPE

Facility

$729.65

Hospital Charge Code	2708001448
Hospital Revenue Code	270
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

NEEDLE COPE****

Facility

$285.00

Hospital Charge Code	8001448
Hospital Revenue Code	279
Min. Negotiated Rate	$6.87
Max. Negotiated Rate	$142.50
Rate for Payer: Aetna Commercial	$108.30
Rate for Payer: Aetna Medicare Advantage	$85.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.67
Rate for Payer: Cigna Commercial	$142.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.50
Rate for Payer: Oxford Commercial	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.75
Rate for Payer: UnitedHealthcare Commercial	$57.00
Rate for Payer: UnitedHealthcare Community & State	$6.87
Rate for Payer: Wellpoint Medicaid Managed Care	$7.55

NEEDLE COPE****

Facility

$285.00

Hospital Charge Code	8001448
Hospital Revenue Code	279
Min. Negotiated Rate	$42.75
Max. Negotiated Rate	$42.75
Rate for Payer: Qualcare PPO/HMO/WC	$42.75

NEEDLE CORE BIOPSY 15CM 500128

Facility

$408.85

Hospital Charge Code	270600455
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$204.43
Rate for Payer: Aetna Commercial	$155.36
Rate for Payer: Aetna Medicare Advantage	$122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.26
Rate for Payer: Cigna Commercial	$204.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.66
Rate for Payer: Oxford Commercial	$81.77
Rate for Payer: Qualcare PPO/HMO/WC	$61.33
Rate for Payer: UnitedHealthcare Commercial	$81.77
Rate for Payer: UnitedHealthcare Community & State	$9.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

NEEDLE CORE BIOPSY 15CM 500128

Facility

$408.85

Hospital Charge Code	270600455
Hospital Revenue Code	272
Min. Negotiated Rate	$61.33
Max. Negotiated Rate	$61.33
Rate for Payer: Qualcare PPO/HMO/WC	$61.33

NEEDLE CORE BIOPSY 18G 510-110

Facility

$198.45

Hospital Charge Code	270601245
Hospital Revenue Code	272
Min. Negotiated Rate	$29.77
Max. Negotiated Rate	$29.77
Rate for Payer: Qualcare PPO/HMO/WC	$29.77

NEEDLE CORE BIOPSY 18G 510-110

Facility

$198.45

Hospital Charge Code	270601245
Hospital Revenue Code	272
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$99.22
Rate for Payer: Aetna Commercial	$75.41
Rate for Payer: Aetna Medicare Advantage	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.60
Rate for Payer: Cigna Commercial	$99.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.53
Rate for Payer: Oxford Commercial	$39.69
Rate for Payer: Qualcare PPO/HMO/WC	$29.77
Rate for Payer: UnitedHealthcare Commercial	$39.69
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$5.26

NEEDLECOUNTER *********

Facility

$6.00

Hospital Charge Code	1601160
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

NEEDLECOUNTER *********

Facility

$6.00

Hospital Charge Code	1601160
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

NEEDLECOUNTER DISP

Facility

$12.85

Hospital Charge Code	270061040
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

NEEDLECOUNTER DISP

Facility

$12.85

Hospital Charge Code	270061040
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$4.88
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.57
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

NEEDLE COUNTER STER DISP

Facility

$11.24

Hospital Charge Code	270649421
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

NEEDLE COUNTER STER DISP

Facility

$11.24

Hospital Charge Code	270649421
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.27
Rate for Payer: Aetna Medicare Advantage	$3.37
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	$3.37
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

Know your out-of-pocket cost for care.

All Charges