Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE ELECTRODE 1

Facility

$5.69

Hospital Charge Code	270645140
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$2.16
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.45
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.71
Rate for Payer: Oxford Commercial	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.14
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

NEEDLE ELECTRODE 1

Facility

$13.65

Hospital Charge Code	270060875
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

NEEDLE ELECTRODE 1

Facility

$13.65

Hospital Charge Code	270060875
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

NEEDLE ELECTRODE 1

Facility

$5.69

Hospital Charge Code	270645140
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

NEEDLE ELECTROMYOGRAPHY,UNILA

Facility

$357.00

Service Code	HCPCS 95860
Hospital Charge Code	5500044
Hospital Revenue Code	922
Min. Negotiated Rate	$53.55
Max. Negotiated Rate	$53.55
Rate for Payer: Qualcare PPO/HMO/WC	$53.55

NEEDLE ELECTROMYOGRAPHY,UNILA

Facility

$357.00

Service Code	HCPCS 95860
Hospital Charge Code	5500044
Hospital Revenue Code	922
Min. Negotiated Rate	$8.60
Max. Negotiated Rate	$2,584.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.10
Rate for Payer: Oxford Commercial	$1,474.00
Rate for Payer: Qualcare PPO/HMO/WC	$53.55
Rate for Payer: UnitedHealthcare Commercial	$2,584.00
Rate for Payer: UnitedHealthcare Community & State	$8.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.46

NEEDLE ELECTROSURGICAL

Facility

$92.00

Hospital Charge Code	270331274
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

NEEDLE ELECTROSURGICAL

Facility

$92.00

Hospital Charge Code	270331274
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

NEEDLE ENDOPATH ULTRAVERES 120

Facility

$71.30

Hospital Charge Code	270672240
Hospital Revenue Code	272
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.65
Rate for Payer: Aetna Commercial	$27.09
Rate for Payer: Aetna Medicare Advantage	$21.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.18
Rate for Payer: Cigna Commercial	$35.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.39
Rate for Payer: Oxford Commercial	$14.26
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$14.26
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

NEEDLE ENDOPATH ULTRAVERES 120

Facility

$71.30

Hospital Charge Code	270672240
Hospital Revenue Code	272
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

NEEDLE ENDO US 22G 140CM EUSN1

Facility

$1,035.25

Hospital Charge Code	270617523
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

NEEDLE ENDO US 22G 140CM EUSN1

Facility

$1,035.25

Hospital Charge Code	270617523
Hospital Revenue Code	272
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.57
Rate for Payer: Oxford Commercial	$207.05
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$207.05
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

NEEDLE EPDRL18X3.5 TUHY 332166

Facility

$36.50

Hospital Charge Code	270639236
Hospital Revenue Code	272
Min. Negotiated Rate	$5.47
Max. Negotiated Rate	$5.47
Rate for Payer: Qualcare PPO/HMO/WC	$5.47

NEEDLE EPDRL18X3.5 TUHY 332166

Facility

$36.50

Hospital Charge Code	270639236
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.25
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Oxford Commercial	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.47
Rate for Payer: UnitedHealthcare Commercial	$7.30
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

NEEDLE EPIDIDURAL TOUHG 20X6

Facility

$40.82

Hospital Charge Code	270670775
Hospital Revenue Code	272
Min. Negotiated Rate	$6.12
Max. Negotiated Rate	$6.12
Rate for Payer: Qualcare PPO/HMO/WC	$6.12

NEEDLE EPIDIDURAL TOUHG 20X6

Facility

$40.82

Hospital Charge Code	270670775
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$20.41
Rate for Payer: Aetna Commercial	$15.51
Rate for Payer: Aetna Medicare Advantage	$12.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.41
Rate for Payer: Cigna Commercial	$20.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.25
Rate for Payer: Oxford Commercial	$8.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.12
Rate for Payer: UnitedHealthcare Commercial	$8.16
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

NEEDLE EPIDURAL 14GAx6 1116

Facility

$300.00

Hospital Charge Code	270654461
Hospital Revenue Code	272
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

NEEDLE EPIDURAL 14GAx6 1116

Facility

$300.00

Hospital Charge Code	270654461
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

NEEDLE EPIDURAL TUOHY 20Gx3.5

Facility

$77.64

Hospital Charge Code	270674280
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

NEEDLE EPIDURAL TUOHY 20Gx3.5

Facility

$77.64

Hospital Charge Code	270674280
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.82
Rate for Payer: Aetna Commercial	$29.50
Rate for Payer: Aetna Medicare Advantage	$23.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.29
Rate for Payer: Oxford Commercial	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$15.53
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

NEEDLE EXPRESS SEW 214001

Facility

$584.00

Hospital Charge Code	270638182
Hospital Revenue Code	272
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$87.60
Rate for Payer: Qualcare PPO/HMO/WC	$87.60

NEEDLE EXPRESS SEW 214001

Facility

$584.00

Hospital Charge Code	270638182
Hospital Revenue Code	272
Min. Negotiated Rate	$14.07
Max. Negotiated Rate	$292.00
Rate for Payer: Aetna Commercial	$221.92
Rate for Payer: Aetna Medicare Advantage	$175.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.92
Rate for Payer: Cigna Commercial	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.20
Rate for Payer: Oxford Commercial	$116.80
Rate for Payer: Qualcare PPO/HMO/WC	$87.60
Rate for Payer: UnitedHealthcare Commercial	$116.80
Rate for Payer: UnitedHealthcare Community & State	$14.07
Rate for Payer: Wellpoint Medicaid Managed Care	$15.48

NEEDLE EXPRESS SEW 2 214005

Facility

$3,125.00

Hospital Charge Code	270640463
Hospital Revenue Code	272
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$468.75
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

NEEDLE EXPRESS SEW 2 214005

Facility

$3,125.00

Hospital Charge Code	270640463
Hospital Revenue Code	272
Min. Negotiated Rate	$75.31
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$937.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Commercial	$625.00
Rate for Payer: UnitedHealthcare Community & State	$75.31
Rate for Payer: Wellpoint Medicaid Managed Care	$82.81

NEEDLE EXPRESS SEW FLEX

Facility

$193.00

Hospital Charge Code	270659473
Hospital Revenue Code	270
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.50
Rate for Payer: Aetna Commercial	$73.34
Rate for Payer: Aetna Medicare Advantage	$57.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.22
Rate for Payer: Cigna Commercial	$96.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.90
Rate for Payer: Oxford Commercial	$38.60
Rate for Payer: Qualcare PPO/HMO/WC	$28.95
Rate for Payer: UnitedHealthcare Commercial	$38.60
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

Know your out-of-pocket cost for care.

All Charges