Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE DIATHERMIC CUTTER***

Facility

$940.00

Hospital Charge Code	2300853
Hospital Revenue Code	272
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.00
Rate for Payer: Oxford Commercial	$188.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Commercial	$188.00
Rate for Payer: UnitedHealthcare Community & State	$22.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.91

NEEDLE DISP MAYO CATGUT****

Facility

$2.14

Hospital Charge Code	270620425
Hospital Revenue Code	278
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.07
Rate for Payer: Aetna Commercial	$0.81
Rate for Payer: Aetna Medicare Advantage	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.55
Rate for Payer: Cigna Commercial	$1.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.47
Rate for Payer: Qualcare PPO/HMO/WC	$0.32
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

NEEDLE DISP MAYO CATGUT****

Facility

$2.14

Hospital Charge Code	270620425
Hospital Revenue Code	278
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.47
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

NEEDLE DRIVER LARGE SUTURE CUT

Facility

$12,000.00

Hospital Charge Code	270663982
Hospital Revenue Code	272
Min. Negotiated Rate	$289.20
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,600.00
Rate for Payer: Oxford Commercial	$2,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Commercial	$2,400.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

NEEDLE DRIVER LARGE SUTURE CUT

Facility

$12,000.00

Hospital Charge Code	270663982
Hospital Revenue Code	272
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$1,800.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

NEEDLE ECHO BRIGHT 22G STIMULA

Facility

$68.50

Hospital Charge Code	270676894
Hospital Revenue Code	272
Min. Negotiated Rate	$10.28
Max. Negotiated Rate	$10.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.28

NEEDLE ECHO BRIGHT 22G STIMULA

Facility

$68.50

Hospital Charge Code	270676894
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$34.25
Rate for Payer: Aetna Commercial	$26.03
Rate for Payer: Aetna Medicare Advantage	$20.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.47
Rate for Payer: Cigna Commercial	$34.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.55
Rate for Payer: Oxford Commercial	$13.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.28
Rate for Payer: UnitedHealthcare Commercial	$13.70
Rate for Payer: UnitedHealthcare Community & State	$1.65
Rate for Payer: Wellpoint Medicaid Managed Care	$1.82

NEEDLE ECHOGENIC 9cm

Facility

$25.00

Hospital Charge Code	270669623
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

NEEDLE ECHOGENIC 9cm

Facility

$25.00

Hospital Charge Code	270669623
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

NEEDLE ECHO STIM 360 20gaX4in

Facility

$69.24

Hospital Charge Code	270679864
Hospital Revenue Code	272
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$10.39
Rate for Payer: Qualcare PPO/HMO/WC	$10.39

NEEDLE ECHO STIM 360 20gaX4in

Facility

$69.24

Hospital Charge Code	270679864
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.62
Rate for Payer: Aetna Commercial	$26.31
Rate for Payer: Aetna Medicare Advantage	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.66
Rate for Payer: Cigna Commercial	$34.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.77
Rate for Payer: Oxford Commercial	$13.85
Rate for Payer: Qualcare PPO/HMO/WC	$10.39
Rate for Payer: UnitedHealthcare Commercial	$13.85
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

NEEDLE ECHO STIM 360 20gaX6in

Facility

$73.40

Hospital Charge Code	270679863
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.70
Rate for Payer: Aetna Commercial	$27.89
Rate for Payer: Aetna Medicare Advantage	$22.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.72
Rate for Payer: Cigna Commercial	$36.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.02
Rate for Payer: Oxford Commercial	$14.68
Rate for Payer: Qualcare PPO/HMO/WC	$11.01
Rate for Payer: UnitedHealthcare Commercial	$14.68
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

NEEDLE ECHO STIM 360 20gaX6in

Facility

$73.40

Hospital Charge Code	270679863
Hospital Revenue Code	272
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$11.01
Rate for Payer: Qualcare PPO/HMO/WC	$11.01

NEEDLE ECHOTIP AMNIOC 12CM

Facility

$103.25

Hospital Charge Code	270600578
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

NEEDLE ECHOTIP AMNIOC 12CM

Facility

$103.25

Hospital Charge Code	270600578
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Oxford Commercial	$20.65
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$20.65
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

NEEDLE ECHOTIP AMNIOC 15CM

Facility

$103.25

Hospital Charge Code	270600579
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

NEEDLE ECHOTIP AMNIOC 15CM

Facility

$103.25

Hospital Charge Code	270600579
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Oxford Commercial	$20.65
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$20.65
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

NEEDLE ECHOTIP ULTA 19G G31520

Facility

$1,311.00

Hospital Charge Code	270642280
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEEDLE ECHOTIP ULTA 19G G31520

Facility

$1,311.00

Hospital Charge Code	270642280
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 ECHOTIP ULTRASO ECHO-25

Facility

$1,349.95

Hospital Charge Code	270633345
Hospital Revenue Code	272
Min. Negotiated Rate	$202.49
Max. Negotiated Rate	$202.49
Rate for Payer: Qualcare PPO/HMO/WC	$202.49

NEEDLE ECHOTIP ULTRASO ECHO-25

Facility

$1,349.95

Hospital Charge Code	270633345
Hospital Revenue Code	272
Min. Negotiated Rate	$32.53
Max. Negotiated Rate	$674.98
Rate for Payer: Aetna Commercial	$512.98
Rate for Payer: Aetna Medicare Advantage	$404.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.24
Rate for Payer: Cigna Commercial	$674.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$404.99
Rate for Payer: Oxford Commercial	$269.99
Rate for Payer: Qualcare PPO/HMO/WC	$202.49
Rate for Payer: UnitedHealthcare Commercial	$269.99
Rate for Payer: UnitedHealthcare Community & State	$32.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35.77

NEEDLE ELECTRD 2.0 COLTIP 0118

Facility

$75.07

Hospital Charge Code	270635317
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.53
Rate for Payer: Aetna Commercial	$28.53
Rate for Payer: Aetna Medicare Advantage	$22.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.14
Rate for Payer: Cigna Commercial	$37.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.52
Rate for Payer: Oxford Commercial	$15.01
Rate for Payer: Qualcare PPO/HMO/WC	$11.26
Rate for Payer: UnitedHealthcare Commercial	$15.01
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

NEEDLE ELECTRD 2.0 COLTIP 0118

Facility

$75.07

Hospital Charge Code	270635317
Hospital Revenue Code	272
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$11.26
Rate for Payer: Qualcare PPO/HMO/WC	$11.26

NEEDLE ELECTRODE

Facility

$471.00

Hospital Charge Code	270331275
Hospital Revenue Code	272
Min. Negotiated Rate	$70.65
Max. Negotiated Rate	$70.65
Rate for Payer: Qualcare PPO/HMO/WC	$70.65

NEEDLE ELECTRODE

Facility

$471.00

Hospital Charge Code	270331275
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$235.50
Rate for Payer: Aetna Commercial	$178.98
Rate for Payer: Aetna Medicare Advantage	$141.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.11
Rate for Payer: Cigna Commercial	$235.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.30
Rate for Payer: Oxford Commercial	$94.20
Rate for Payer: Qualcare PPO/HMO/WC	$70.65
Rate for Payer: UnitedHealthcare Commercial	$94.20
Rate for Payer: UnitedHealthcare Community & State	$11.35
Rate for Payer: Wellpoint Medicaid Managed Care	$12.48

Know your out-of-pocket cost for care.

All Charges