Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE JAMSHIDI****

Facility

$314.00

Hospital Charge Code	8001497
Hospital Revenue Code	279
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$47.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

NEEDLE JAMSHIDI****

Facility

$314.00

Hospital Charge Code	8001497
Hospital Revenue Code	279
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$157.00
Rate for Payer: Aetna Commercial	$119.32
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.20
Rate for Payer: Oxford Commercial	$62.80
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Commercial	$62.80
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.32

NEEDLE JAMSHIDI 11G

Facility

$180.00

Hospital Charge Code	270677235
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

NEEDLE JAMSHIDI 11G

Facility

$180.00

Hospital Charge Code	270677235
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

NEEDLE JAMSHIDI 74066-15M

Facility

$1,000.00

Hospital Charge Code	270698049
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

NEEDLE JAMSHIDI 74066-15M

Facility

$1,000.00

Hospital Charge Code	270698049
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

NEEDLE JAMSHIDI 8 G X 15CM

Facility

$300.00

Hospital Charge Code	270692303
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 JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

NEEDLE JAMSHIDIE FR

Facility

$750.00

Hospital Charge Code	270691514
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

NEEDLE JMS FISTULA

Facility

$3.90

Hospital Charge Code	270658653
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.95
Rate for Payer: Aetna Commercial	$1.48
Rate for Payer: Aetna Medicare Advantage	$1.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.99
Rate for Payer: Cigna Commercial	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$0.78
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

NEEDLE JMS FISTULA

Facility

$3.90

Hospital Charge Code	270658653
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

NEEDLE JMS FISTULA WING

Facility

$3.90

Hospital Charge Code	270658654
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.95
Rate for Payer: Aetna Commercial	$1.48
Rate for Payer: Aetna Medicare Advantage	$1.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.99
Rate for Payer: Cigna Commercial	$1.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.17
Rate for Payer: Oxford Commercial	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$0.78
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

NEEDLE JMS FISTULA WING

Facility

$3.90

Hospital Charge Code	270658654
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

NEEDLE KEITH STRAIGHT 213404

Facility

$13.65

Hospital Charge Code	270620426
Hospital Revenue Code	279
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

NEEDLE KEITH STRAIGHT 213404

Facility

$13.65

Hospital Charge Code	270620426
Hospital Revenue Code	279
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 KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$140.86
Max. Negotiated Rate	$140.86
Rate for Payer: Qualcare PPO/HMO/WC	$140.86

NEEDLE KNIFE XL 4584

Facility

$939.05

Hospital Charge Code	270627937
Hospital Revenue Code	272
Min. Negotiated Rate	$22.63
Max. Negotiated Rate	$469.52
Rate for Payer: Aetna Commercial	$356.84
Rate for Payer: Aetna Medicare Advantage	$281.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.46
Rate for Payer: Cigna Commercial	$469.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.71
Rate for Payer: Oxford Commercial	$187.81
Rate for Payer: Qualcare PPO/HMO/WC	$140.86
Rate for Payer: UnitedHealthcare Commercial	$187.81
Rate for Payer: UnitedHealthcare Community & State	$22.63
Rate for Payer: Wellpoint Medicaid Managed Care	$24.88

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$16.25
Rate for Payer: Aetna Commercial	$12.35
Rate for Payer: Aetna Medicare Advantage	$9.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.29
Rate for Payer: Cigna Commercial	$16.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.88
Rate for Payer: UnitedHealthcare Commercial	$6.50
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

NEEDLE LIFEGUARD 20G 1 1/2

Facility

$32.50

Hospital Charge Code	270674984
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$4.88

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$314.98
Rate for Payer: Aetna Medicare Advantage	$248.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.37
Rate for Payer: Cigna Commercial	$414.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.67
Rate for Payer: Qualcare PPO/HMO/WC	$124.33
Rate for Payer: UnitedHealthcare Community & State	$19.98
Rate for Payer: Wellpoint Medicaid Managed Care	$21.97

NEEDLELOC MAMMO GD ADD LES BIL

Facility

$828.90

Service Code	HCPCS 1928250
Hospital Charge Code	94064011
Hospital Revenue Code	361
Min. Negotiated Rate	$124.33
Max. Negotiated Rate	$124.33
Rate for Payer: Qualcare PPO/HMO/WC	$124.33

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$298.88
Max. Negotiated Rate	$298.88
Rate for Payer: Qualcare PPO/HMO/WC	$298.88

NEEDLELOC MAMMO GDE 1ST LES BI

Facility

$1,992.50

Service Code	HCPCS 1928150
Hospital Charge Code	94064009
Hospital Revenue Code	361
Min. Negotiated Rate	$48.02
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$757.15
Rate for Payer: Aetna Medicare Advantage	$597.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.09
Rate for Payer: Cigna Commercial	$996.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.75
Rate for Payer: Qualcare PPO/HMO/WC	$298.88
Rate for Payer: UnitedHealthcare Community & State	$48.02
Rate for Payer: Wellpoint Medicaid Managed Care	$52.80

NEEDLELOC MAMMO GUIDE 1ST LES

Facility

$996.25

Service Code	HCPCS 19281RT
Hospital Charge Code	94064009R
Hospital Revenue Code	361
Min. Negotiated Rate	$24.01
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$378.57
Rate for Payer: Aetna Medicare Advantage	$298.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.04
Rate for Payer: Cigna Commercial	$498.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.88
Rate for Payer: Qualcare PPO/HMO/WC	$149.44
Rate for Payer: UnitedHealthcare Community & State	$24.01
Rate for Payer: Wellpoint Medicaid Managed Care	$26.40

Know your out-of-pocket cost for care.

All Charges