Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE HYPO 27G 1/2 REG

Facility

$0.15

Hospital Charge Code	270650256
Hospital Revenue Code	272
Max. Negotiated Rate	$0.08
Rate for Payer: Aetna Commercial	$0.06
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.05
Rate for Payer: Oxford Commercial	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.03
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

NEEDLE HYPO 27G 1/2 REG

Facility

$0.15

Hospital Charge Code	270650256
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02

NEEDLE HYPODERMIC 19G 1-1/2

Facility

$656.50

Hospital Charge Code	270649424
Hospital Revenue Code	272
Min. Negotiated Rate	$15.82
Max. Negotiated Rate	$328.25
Rate for Payer: Aetna Commercial	$249.47
Rate for Payer: Aetna Medicare Advantage	$196.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.41
Rate for Payer: Cigna Commercial	$328.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.95
Rate for Payer: Oxford Commercial	$131.30
Rate for Payer: Qualcare PPO/HMO/WC	$98.47
Rate for Payer: UnitedHealthcare Commercial	$131.30
Rate for Payer: UnitedHealthcare Community & State	$15.82
Rate for Payer: Wellpoint Medicaid Managed Care	$17.40

NEEDLE HYPODERMIC 19G 1-1/2

Facility

$656.50

Hospital Charge Code	270649424
Hospital Revenue Code	272
Min. Negotiated Rate	$98.47
Max. Negotiated Rate	$98.47
Rate for Payer: Qualcare PPO/HMO/WC	$98.47

NEEDLE HYPODERMIC 20G 1

Facility

$0.66

Hospital Charge Code	270649638
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 20G 1

Facility

$0.66

Hospital Charge Code	270649638
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

NEEDLE HYPODERMIC 23G 1

Facility

$0.66

Hospital Charge Code	270649641
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 23G 1

Facility

$0.66

Hospital Charge Code	270649641
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

NEEDLE HYPODERMIC 25G 1-1/2

Facility

$0.66

Hospital Charge Code	270649639
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 25G 1-1/2

Facility

$0.66

Hospital Charge Code	270649639
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

NEEDLE HYPODERMIC 25G 5/8

Facility

$0.66

Hospital Charge Code	270649631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

NEEDLE HYPODERMIC 25G 5/8

Facility

$0.66

Hospital Charge Code	270649631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

NEEDLE HYPO PRO EDGE 21GX1.5

Facility

$0.76

Hospital Charge Code	270660096
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

NEEDLE HYPO PRO EDGE 21GX1.5

Facility

$0.76

Hospital Charge Code	270660096
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.38
Rate for Payer: Aetna Commercial	$0.29
Rate for Payer: Aetna Medicare Advantage	$0.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.19
Rate for Payer: Cigna Commercial	$0.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.23
Rate for Payer: Oxford Commercial	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.11
Rate for Payer: UnitedHealthcare Commercial	$0.15
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

NEEDLE IMBIBE MARROW 8G 6INL

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698866
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

NEEDLE IMBIBE MARROW 8G 6INL

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698866
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 INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

NEEDLE INSERTION 17cm

Facility

$1,075.00

Hospital Charge Code	270679699
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

NEEDLE INSERTION 4

Facility

$1,075.00

Hospital Charge Code	270673087
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

NEEDLE IN SPG-WIRE GUIDE 04318

Facility

$10.35

Hospital Charge Code	270629904
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.17
Rate for Payer: Aetna Commercial	$3.93
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.64
Rate for Payer: Cigna Commercial	$5.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.10
Rate for Payer: Oxford Commercial	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$2.07
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

NEEDLE IN SPG-WIRE GUIDE 04318

Facility

$10.35

Hospital Charge Code	270629904
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$28.01
Max. Negotiated Rate	$28.01
Rate for Payer: Qualcare PPO/HMO/WC	$28.01

NEEDLE INSUFATION 14G 150MM

Facility

$186.73

Hospital Charge Code	270671312
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$93.36
Rate for Payer: Aetna Commercial	$70.96
Rate for Payer: Aetna Medicare Advantage	$56.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.62
Rate for Payer: Cigna Commercial	$93.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.02
Rate for Payer: Oxford Commercial	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$28.01
Rate for Payer: UnitedHealthcare Commercial	$37.35
Rate for Payer: UnitedHealthcare Community & State	$4.50
Rate for Payer: Wellpoint Medicaid Managed Care	$4.95

NEEDLE INSUFFLAT 14G 120 C2201

Facility

$60.50

Hospital Charge Code	270642080
Hospital Revenue Code	272
Min. Negotiated Rate	$9.07
Max. Negotiated Rate	$9.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.07

Know your out-of-pocket cost for care.

All Charges