Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE INSUFFLAT 14G 120 C2201

Facility

$60.50

Hospital Charge Code	270642080
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$30.25
Rate for Payer: Aetna Commercial	$22.99
Rate for Payer: Aetna Medicare Advantage	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.43
Rate for Payer: Cigna Commercial	$30.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: Oxford Commercial	$12.10
Rate for Payer: Qualcare PPO/HMO/WC	$9.07
Rate for Payer: UnitedHealthcare Commercial	$12.10
Rate for Payer: UnitedHealthcare Community & State	$1.46
Rate for Payer: Wellpoint Medicaid Managed Care	$1.60

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$85.83
Rate for Payer: Aetna Commercial	$65.23
Rate for Payer: Aetna Medicare Advantage	$51.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.77
Rate for Payer: Cigna Commercial	$85.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.49
Rate for Payer: Oxford Commercial	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$25.75
Rate for Payer: UnitedHealthcare Commercial	$34.33
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: Wellpoint Medicaid Managed Care	$4.55

NEEDLE INSUFFLATIN 14G 120MM

Facility

$171.65

Hospital Charge Code	270671308
Hospital Revenue Code	272
Min. Negotiated Rate	$25.75
Max. Negotiated Rate	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$25.75

NEEDLE INSUFLATION 120MM

Facility

$59.66

Hospital Charge Code	27065600
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$29.83
Rate for Payer: Aetna Commercial	$22.67
Rate for Payer: Aetna Medicare Advantage	$17.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.21
Rate for Payer: Cigna Commercial	$29.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.90
Rate for Payer: Oxford Commercial	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.95
Rate for Payer: UnitedHealthcare Commercial	$11.93
Rate for Payer: UnitedHealthcare Community & State	$1.44
Rate for Payer: Wellpoint Medicaid Managed Care	$1.58

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

NEEDLE INSUFLATION 120MM

Facility

$330.00

Hospital Charge Code	270651398
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

NEEDLE INSUFLATION 120MM

Facility

$59.66

Hospital Charge Code	27065600
Hospital Revenue Code	272
Min. Negotiated Rate	$8.95
Max. Negotiated Rate	$8.95
Rate for Payer: Qualcare PPO/HMO/WC	$8.95

NEEDLE INSUFLATION/ACCESS 14G

Facility

$159.28

Hospital Charge Code	270624149
Hospital Revenue Code	272
Min. Negotiated Rate	$3.84
Max. Negotiated Rate	$79.64
Rate for Payer: Aetna Commercial	$60.53
Rate for Payer: Aetna Medicare Advantage	$47.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.62
Rate for Payer: Cigna Commercial	$79.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.78
Rate for Payer: Oxford Commercial	$31.86
Rate for Payer: Qualcare PPO/HMO/WC	$23.89
Rate for Payer: UnitedHealthcare Commercial	$31.86
Rate for Payer: UnitedHealthcare Community & State	$3.84
Rate for Payer: Wellpoint Medicaid Managed Care	$4.22

NEEDLE INSUFLATION/ACCESS 14G

Facility

$159.28

Hospital Charge Code	270624149
Hospital Revenue Code	272
Min. Negotiated Rate	$23.89
Max. Negotiated Rate	$23.89
Rate for Payer: Qualcare PPO/HMO/WC	$23.89

NEEDLE INSULATED STIMUPLEX

Facility

$87.00

Hospital Charge Code	270335301
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.10
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

NEEDLE INSULATED STIMUPLEX

Facility

$87.00

Hospital Charge Code	270335301
Hospital Revenue Code	272
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

NEEDLE INTESTNL ANCHOR SZ4

Facility

$24.15

Hospital Charge Code	270657336
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.62

NEEDLE INTESTNL ANCHOR SZ4

Facility

$24.15

Hospital Charge Code	270657336
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$12.07
Rate for Payer: Aetna Commercial	$9.18
Rate for Payer: Aetna Medicare Advantage	$7.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.16
Rate for Payer: Cigna Commercial	$12.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.25
Rate for Payer: Oxford Commercial	$4.83
Rate for Payer: Qualcare PPO/HMO/WC	$3.62
Rate for Payer: UnitedHealthcare Commercial	$4.83
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

NEEDLE INTRAOSS DISP*******

Facility

$90.00

Hospital Charge Code	8003618
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

NEEDLE INTRAOSS DISP*******

Facility

$90.00

Hospital Charge Code	8003618
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

NEEDLE INTRAOSS DISP COOK

Facility

$161.65

Hospital Charge Code	270607737
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

NEEDLE INTRAOSS DISP COOK

Facility

$161.65

Hospital Charge Code	270607737
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$32.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$32.33
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

NEEDLE INTRAVENOUS 18G X 1 1/4

Facility

$235.00

Hospital Charge Code	270331872
Hospital Revenue Code	272
Min. Negotiated Rate	$5.66
Max. Negotiated Rate	$117.50
Rate for Payer: Aetna Commercial	$89.30
Rate for Payer: Aetna Medicare Advantage	$70.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.92
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.50
Rate for Payer: Oxford Commercial	$47.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$47.00
Rate for Payer: UnitedHealthcare Community & State	$5.66
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

NEEDLE INTRAVENOUS 18G X 1 1/4

Facility

$235.00

Hospital Charge Code	270331872
Hospital Revenue Code	272
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

NEEDLE INTROD 13G BEVEL306-131

Facility

$250.00

Hospital Charge Code	270644263
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

NEEDLE INTROD 13G BEVEL306-131

Facility

$250.00

Hospital Charge Code	270644263
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

NEEDLE INTRODUCER 17GA 7209601

Facility

$299.00

Hospital Charge Code	270640710
Hospital Revenue Code	272
Min. Negotiated Rate	$7.21
Max. Negotiated Rate	$149.50
Rate for Payer: Aetna Commercial	$113.62
Rate for Payer: Aetna Medicare Advantage	$89.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.25
Rate for Payer: Cigna Commercial	$149.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.70
Rate for Payer: Oxford Commercial	$59.80
Rate for Payer: Qualcare PPO/HMO/WC	$44.85
Rate for Payer: UnitedHealthcare Commercial	$59.80
Rate for Payer: UnitedHealthcare Community & State	$7.21
Rate for Payer: Wellpoint Medicaid Managed Care	$7.92

NEEDLE INTRODUCER 17GA 7209601

Facility

$299.00

Hospital Charge Code	270640710
Hospital Revenue Code	272
Min. Negotiated Rate	$44.85
Max. Negotiated Rate	$44.85
Rate for Payer: Qualcare PPO/HMO/WC	$44.85

NEEDLE INTRODUCTION 13G

Facility

$250.00

Hospital Charge Code	270641892
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

NEEDLE INTRODUCTION 13G

Facility

$250.00

Hospital Charge Code	270641892
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

Know your out-of-pocket cost for care.

All Charges