Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE EXPRESS SEW FLEX

Facility

$193.00

Hospital Charge Code	270659473
Hospital Revenue Code	270
Min. Negotiated Rate	$28.95
Max. Negotiated Rate	$28.95
Rate for Payer: Qualcare PPO/HMO/WC	$28.95

NEEDLE FERGUSON 1/2-CIRCLE

Facility

$3.75

Hospital Charge Code	270616839
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.88
Rate for Payer: Aetna Commercial	$1.43
Rate for Payer: Aetna Medicare Advantage	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.96
Rate for Payer: Cigna Commercial	$1.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.56
Rate for Payer: UnitedHealthcare Commercial	$0.75
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

NEEDLE FERGUSON 1/2-CIRCLE

Facility

$3.75

Hospital Charge Code	270616839
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.56

NEEDLE FILTER 18G 1-1/2

Facility

$86.00

Hospital Charge Code	270649419
Hospital Revenue Code	272
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$12.90
Rate for Payer: Qualcare PPO/HMO/WC	$12.90

NEEDLE FILTER 18G 1-1/2

Facility

$86.00

Hospital Charge Code	270649419
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$43.00
Rate for Payer: Aetna Commercial	$32.68
Rate for Payer: Aetna Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.93
Rate for Payer: Cigna Commercial	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.80
Rate for Payer: Oxford Commercial	$17.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.90
Rate for Payer: UnitedHealthcare Commercial	$17.20
Rate for Payer: UnitedHealthcare Community & State	$2.07
Rate for Payer: Wellpoint Medicaid Managed Care	$2.28

NEEDLE FISTULA 15G 1-1/4

Facility

$2.10

Hospital Charge Code	270636886
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.05
Rate for Payer: Aetna Commercial	$0.80
Rate for Payer: Aetna Medicare Advantage	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.54
Rate for Payer: Cigna Commercial	$1.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$0.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.32
Rate for Payer: UnitedHealthcare Commercial	$0.42
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

NEEDLE FISTULA 15G 1-1/4

Facility

$2.10

Hospital Charge Code	270636886
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

NEEDLE FISTULA 15G 1 207-515

Facility

$4.00

Hospital Charge Code	270614917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NEEDLE FISTULA 15G 1 207-515

Facility

$4.00

Hospital Charge Code	270614917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G 1.5 207515

Facility

$4.00

Hospital Charge Code	270615572
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G 1.5 207515

Facility

$4.00

Hospital Charge Code	270615572
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$4.00

Hospital Charge Code	270605456
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$9.65

Hospital Charge Code	270604637
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$9.65

Hospital Charge Code	270604637
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

NEEDLE FISTULA 15G 1 FN-7515B

Facility

$4.00

Hospital Charge Code	270605456
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEEDLE FISTULA 15G SINGLE

Facility

$2.32

Hospital Charge Code	270634586
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$0.35
Rate for Payer: Qualcare PPO/HMO/WC	$0.35

NEEDLE FISTULA 15G SINGLE

Facility

$2.32

Hospital Charge Code	270634586
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.16
Rate for Payer: Aetna Commercial	$0.88
Rate for Payer: Aetna Medicare Advantage	$0.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.70
Rate for Payer: Oxford Commercial	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$0.46
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

NEEDLE FISTULA 15G TWINPAK

Facility

$3.81

Hospital Charge Code	270634585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.91
Rate for Payer: Aetna Commercial	$1.45
Rate for Payer: Aetna Medicare Advantage	$1.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.97
Rate for Payer: Cigna Commercial	$1.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.14
Rate for Payer: Oxford Commercial	$0.76
Rate for Payer: Qualcare PPO/HMO/WC	$0.57
Rate for Payer: UnitedHealthcare Commercial	$0.76
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

NEEDLE FISTULA 15G TWINPAK

Facility

$3.81

Hospital Charge Code	270634585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.57

NEEDLE FISTULA 16G 820-6013-3

Facility

$2.45

Hospital Charge Code	270647844
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.93
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.49
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

NEEDLE FISTULA 16G 820-6013-3

Facility

$2.45

Hospital Charge Code	270647844
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

NEEDLE FISTULA 16G SINGLE

Facility

$2.10

Hospital Charge Code	27062615
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.05
Rate for Payer: Aetna Commercial	$0.80
Rate for Payer: Aetna Medicare Advantage	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.54
Rate for Payer: Cigna Commercial	$1.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.63
Rate for Payer: Oxford Commercial	$0.42
Rate for Payer: Qualcare PPO/HMO/WC	$0.32
Rate for Payer: UnitedHealthcare Commercial	$0.42
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

NEEDLE FISTULA 16G SINGLE

Facility

$2.10

Hospital Charge Code	27062615
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

NEEDLE FISTULA 17G 1 FN-7517B

Facility

$5.65

Hospital Charge Code	270606762
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

NEEDLE FISTULA 17G 1 FN-7517B

Facility

$5.65

Hospital Charge Code	270606762
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

Know your out-of-pocket cost for care.

All Charges