Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE LOC US GUIDE ADDLESION

Facility

$2,321.15

Service Code	HCPCS 19286LT
Hospital Charge Code	94064019L
Hospital Revenue Code	361
Min. Negotiated Rate	$348.17
Max. Negotiated Rate	$348.17
Rate for Payer: Qualcare PPO/HMO/WC	$348.17

NEEDLE LVT VERRES 5IN 120305

Facility

$603.75

Hospital Charge Code	270608439
Hospital Revenue Code	272
Min. Negotiated Rate	$90.56
Max. Negotiated Rate	$90.56
Rate for Payer: Qualcare PPO/HMO/WC	$90.56

NEEDLE LVT VERRES 5IN 120305

Facility

$603.75

Hospital Charge Code	270608439
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$301.88
Rate for Payer: Aetna Commercial	$229.43
Rate for Payer: Aetna Medicare Advantage	$181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.96
Rate for Payer: Cigna Commercial	$301.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.12
Rate for Payer: Oxford Commercial	$120.75
Rate for Payer: Qualcare PPO/HMO/WC	$90.56
Rate for Payer: UnitedHealthcare Commercial	$120.75
Rate for Payer: UnitedHealthcare Community & State	$14.55
Rate for Payer: Wellpoint Medicaid Managed Care	$16.00

NEEDLE MAYO 1/2 #5 CIRC

Facility

$15.12

Hospital Charge Code	270669513
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.56
Rate for Payer: Aetna Commercial	$5.75
Rate for Payer: Aetna Medicare Advantage	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.86
Rate for Payer: Cigna Commercial	$7.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.54
Rate for Payer: Oxford Commercial	$3.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.27
Rate for Payer: UnitedHealthcare Commercial	$3.02
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

NEEDLE MAYO 1/2 #5 CIRC

Facility

$15.12

Hospital Charge Code	270669513
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.27

NEEDLE MAYO 1/2 CIRC CATGUT #4

Facility

$23.60

Hospital Charge Code	270663269
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.80
Rate for Payer: Aetna Commercial	$8.97
Rate for Payer: Aetna Medicare Advantage	$7.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.02
Rate for Payer: Cigna Commercial	$11.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.08
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.72
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

NEEDLE MAYO 1/2 CIRC CATGUT #4

Facility

$23.60

Hospital Charge Code	270663269
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

NEEDLE MAYO CATGUT 1/2 CIRCLE

Facility

$2.85

Hospital Charge Code	270629952
Hospital Revenue Code	272
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.43
Rate for Payer: Aetna Commercial	$1.08
Rate for Payer: Aetna Medicare Advantage	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.73
Rate for Payer: Cigna Commercial	$1.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$0.57
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

NEEDLE MAYO CATGUT 1/2 CIRCLE

Facility

$2.85

Hospital Charge Code	270629952
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

NEEDLE MAYO CATGUT DISP

Facility

$5.65

Hospital Charge Code	270605370
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

NEEDLE MAYO CATGUT DISP

Facility

$5.65

Hospital Charge Code	270605370
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

NEEDLE MAYO CATGUT TAPER POINT

Facility

$2.85

Hospital Charge Code	270615594
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.43

NEEDLE MAYO CATGUT TAPER POINT

Facility

$2.85

Hospital Charge Code	270615594
Hospital Revenue Code	272
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.43
Rate for Payer: Aetna Commercial	$1.08
Rate for Payer: Aetna Medicare Advantage	$0.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.73
Rate for Payer: Cigna Commercial	$1.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.86
Rate for Payer: Oxford Commercial	$0.57
Rate for Payer: Qualcare PPO/HMO/WC	$0.43
Rate for Payer: UnitedHealthcare Commercial	$0.57
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

NEEDLE MCV CONTRAST 23G 1815

Facility

$275.25

Hospital Charge Code	270627934
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.62
Rate for Payer: Aetna Commercial	$104.59
Rate for Payer: Aetna Medicare Advantage	$82.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.19
Rate for Payer: Cigna Commercial	$137.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.58
Rate for Payer: Oxford Commercial	$55.05
Rate for Payer: Qualcare PPO/HMO/WC	$41.29
Rate for Payer: UnitedHealthcare Commercial	$55.05
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

NEEDLE MCV CONTRAST 23G 1815

Facility

$275.25

Hospital Charge Code	270627934
Hospital Revenue Code	272
Min. Negotiated Rate	$41.29
Max. Negotiated Rate	$41.29
Rate for Payer: Qualcare PPO/HMO/WC	$41.29

NEEDLE MCV DURASPHERE 890-204

Facility

$109.20

Hospital Charge Code	270627960
Hospital Revenue Code	272
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$16.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.38

NEEDLE MCV DURASPHERE 890-204

Facility

$109.20

Hospital Charge Code	270627960
Hospital Revenue Code	272
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$54.60
Rate for Payer: Aetna Commercial	$41.50
Rate for Payer: Aetna Medicare Advantage	$32.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.85
Rate for Payer: Cigna Commercial	$54.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.76
Rate for Payer: Oxford Commercial	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$16.38
Rate for Payer: UnitedHealthcare Commercial	$21.84
Rate for Payer: UnitedHealthcare Community & State	$2.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

NEEDLE MCV DURASPHERE 890-205

Facility

$109.20

Hospital Charge Code	270629270
Hospital Revenue Code	272
Min. Negotiated Rate	$16.38
Max. Negotiated Rate	$16.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.38

NEEDLE MCV DURASPHERE 890-205

Facility

$109.20

Hospital Charge Code	270629270
Hospital Revenue Code	272
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$54.60
Rate for Payer: Aetna Commercial	$41.50
Rate for Payer: Aetna Medicare Advantage	$32.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.85
Rate for Payer: Cigna Commercial	$54.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.76
Rate for Payer: Oxford Commercial	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$16.38
Rate for Payer: UnitedHealthcare Commercial	$21.84
Rate for Payer: UnitedHealthcare Community & State	$2.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

NEEDLE MENGHINI

Facility

$729.65

Hospital Charge Code	2708001455
Hospital Revenue Code	272
Min. Negotiated Rate	$17.58
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$277.27
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.90
Rate for Payer: Oxford Commercial	$145.93
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Commercial	$145.93
Rate for Payer: UnitedHealthcare Community & State	$17.58
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

NEEDLE MENGHINI

Facility

$729.65

Hospital Charge Code	2708001455
Hospital Revenue Code	272
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$109.45
Rate for Payer: Qualcare PPO/HMO/WC	$109.45

NEEDLE MENISCAL 2-0

Facility

$360.00

Hospital Charge Code	270652729
Hospital Revenue Code	272
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

NEEDLE MENISCAL 2-0

Facility

$360.00

Hospital Charge Code	270652729
Hospital Revenue Code	272
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$136.80
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.00
Rate for Payer: Oxford Commercial	$72.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Commercial	$72.00
Rate for Payer: UnitedHealthcare Community & State	$8.68
Rate for Payer: Wellpoint Medicaid Managed Care	$9.54

NEEDLE MINI SCORPION DX

Facility

$1,975.00

Hospital Charge Code	27065634
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

NEEDLE MINI SCORPION DX

Facility

$1,975.00

Hospital Charge Code	27065634
Hospital Revenue Code	272
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

Know your out-of-pocket cost for care.

All Charges