Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE COXL INTRODUCR 19X11 4

Facility

$77.50

Hospital Charge Code	270659395
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$29.45
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.25
Rate for Payer: Oxford Commercial	$15.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$15.50
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

NEEDLE COXL INTRODUCR 19X11 4

Facility

$77.50

Hospital Charge Code	270659395
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

NEEDLE CURVE AVAFLEX

Facility

$2,250.00

Hospital Charge Code	270692054
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

NEEDLE CURVE AVAFLEX

Facility

$2,250.00

Hospital Charge Code	270692054
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$675.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

NEEDLE CURVED AVAFLEX BCK9811

Facility

$1,750.00

Hospital Charge Code	270650182
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

NEEDLE CURVED AVAFLEX BCK9811

Facility

$1,750.00

Hospital Charge Code	270650182
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

NEEDLE CURVED TIP 14GA 355014

Facility

$223.25

Hospital Charge Code	270631619
Hospital Revenue Code	272
Min. Negotiated Rate	$33.49
Max. Negotiated Rate	$33.49
Rate for Payer: Qualcare PPO/HMO/WC	$33.49

NEEDLE CURVED TIP 14GA 355014

Facility

$223.25

Hospital Charge Code	270631619
Hospital Revenue Code	272
Min. Negotiated Rate	$5.38
Max. Negotiated Rate	$111.62
Rate for Payer: Aetna Commercial	$84.83
Rate for Payer: Aetna Medicare Advantage	$66.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.93
Rate for Payer: Cigna Commercial	$111.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.97
Rate for Payer: Oxford Commercial	$44.65
Rate for Payer: Qualcare PPO/HMO/WC	$33.49
Rate for Payer: UnitedHealthcare Commercial	$44.65
Rate for Payer: UnitedHealthcare Community & State	$5.38
Rate for Payer: Wellpoint Medicaid Managed Care	$5.92

NEEDLE CURVED TOUHY

Facility

$670.00

Hospital Charge Code	270654987
Hospital Revenue Code	272
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.00
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Commercial	$134.00
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

NEEDLE CURVED TOUHY

Facility

$670.00

Hospital Charge Code	270654987
Hospital Revenue Code	272
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

NEEDLE CURVTEK LG 40-0001

Facility

$19.25

Hospital Charge Code	270613471
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$7.32
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.78
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

NEEDLE CURVTEK LG 40-0001

Facility

$19.25

Hospital Charge Code	270613471
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

NEEDLE CUTTING .067X2.953

Facility

$22.90

Hospital Charge Code	270669503
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$3.44

NEEDLE CUTTING .067X2.953

Facility

$22.90

Hospital Charge Code	270669503
Hospital Revenue Code	272
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.45
Rate for Payer: Aetna Commercial	$8.70
Rate for Payer: Aetna Medicare Advantage	$6.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.84
Rate for Payer: Cigna Commercial	$11.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.87
Rate for Payer: Oxford Commercial	$4.58
Rate for Payer: Qualcare PPO/HMO/WC	$3.44
Rate for Payer: UnitedHealthcare Commercial	$4.58
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

NEEDLE CYSTOTOME IRRIGATING

Facility

$21.58

Hospital Charge Code	270651663
Hospital Revenue Code	270
Min. Negotiated Rate	$3.24
Max. Negotiated Rate	$3.24
Rate for Payer: Qualcare PPO/HMO/WC	$3.24

NEEDLE CYSTOTOME IRRIGATING

Facility

$21.58

Hospital Charge Code	270651663
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.79
Rate for Payer: Aetna Commercial	$8.20
Rate for Payer: Aetna Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.50
Rate for Payer: Cigna Commercial	$10.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.47
Rate for Payer: Oxford Commercial	$4.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.24
Rate for Payer: UnitedHealthcare Commercial	$4.32
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

NEEDLE DEBAKEY HEPARIN SML

Facility

$675.00

Hospital Charge Code	270656645
Hospital Revenue Code	272
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

NEEDLE DEBAKEY HEPARIN SML

Facility

$675.00

Hospital Charge Code	270656645
Hospital Revenue Code	272
Min. Negotiated Rate	$16.27
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.50
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$135.00
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

NEEDLE DELIVERY 10GAx10CM STER

Facility

$200.51

Hospital Charge Code	270676234
Hospital Revenue Code	272
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.15
Rate for Payer: Oxford Commercial	$40.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.08
Rate for Payer: UnitedHealthcare Commercial	$40.10
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

NEEDLE DELIVERY 10GAx10CM STER

Facility

$200.51

Hospital Charge Code	270676234
Hospital Revenue Code	272
Min. Negotiated Rate	$30.08
Max. Negotiated Rate	$30.08
Rate for Payer: Qualcare PPO/HMO/WC	$30.08

NEEDLE DELIVERY 12G 10CM

Facility

$200.51

Hospital Charge Code	270649694
Hospital Revenue Code	272
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$100.25
Rate for Payer: Aetna Commercial	$76.19
Rate for Payer: Aetna Medicare Advantage	$60.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.13
Rate for Payer: Cigna Commercial	$100.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.15
Rate for Payer: Oxford Commercial	$40.10
Rate for Payer: Qualcare PPO/HMO/WC	$30.08
Rate for Payer: UnitedHealthcare Commercial	$40.10
Rate for Payer: UnitedHealthcare Community & State	$4.83
Rate for Payer: Wellpoint Medicaid Managed Care	$5.31

NEEDLE DELIVERY 12G 10CM

Facility

$200.51

Hospital Charge Code	270649694
Hospital Revenue Code	272
Min. Negotiated Rate	$30.08
Max. Negotiated Rate	$30.08
Rate for Payer: Qualcare PPO/HMO/WC	$30.08

NEEDLE DELIVERY 12G 10cm CVD

Facility

$973.35

Hospital Charge Code	270647564
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

NEEDLE DELIVERY 12G 10cm CVD

Facility

$973.35

Hospital Charge Code	270647564
Hospital Revenue Code	272
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$369.87
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.00
Rate for Payer: Oxford Commercial	$194.67
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$194.67
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.79

NEEDLE DIATHERMIC CUTTER***

Facility

$940.00

Hospital Charge Code	2300853
Hospital Revenue Code	272
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

Know your out-of-pocket cost for care.

All Charges