Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE SAF-T WING 21G 3/4

Facility

$126.78

Hospital Charge Code	270649426
Hospital Revenue Code	270
Min. Negotiated Rate	$19.02
Max. Negotiated Rate	$19.02
Rate for Payer: Qualcare PPO/HMO/WC	$19.02

NEEDLE SAF-T WING 21G 3/4

Facility

$126.78

Hospital Charge Code	270649426
Hospital Revenue Code	270
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$63.39
Rate for Payer: Aetna Commercial	$48.18
Rate for Payer: Aetna Medicare Advantage	$38.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.33
Rate for Payer: Cigna Commercial	$63.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.03
Rate for Payer: Oxford Commercial	$25.36
Rate for Payer: Qualcare PPO/HMO/WC	$19.02
Rate for Payer: UnitedHealthcare Commercial	$25.36
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: Wellpoint Medicaid Managed Care	$3.36

NEEDLE SAF-T WING 23G 3/4

Facility

$138.50

Hospital Charge Code	270649427
Hospital Revenue Code	272
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$20.77
Rate for Payer: Qualcare PPO/HMO/WC	$20.77

NEEDLE SAF-T WING 23G 3/4

Facility

$3.72

Hospital Charge Code	270649642
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$0.56
Rate for Payer: Qualcare PPO/HMO/WC	$0.56

NEEDLE SAF-T WING 23G 3/4

Facility

$3.72

Hospital Charge Code	270649642
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.86
Rate for Payer: Aetna Commercial	$1.41
Rate for Payer: Aetna Medicare Advantage	$1.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.95
Rate for Payer: Cigna Commercial	$1.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.12
Rate for Payer: Oxford Commercial	$0.74
Rate for Payer: Qualcare PPO/HMO/WC	$0.56
Rate for Payer: UnitedHealthcare Commercial	$0.74
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

NEEDLE SAF-T WING 23G 3/4

Facility

$138.50

Hospital Charge Code	270649427
Hospital Revenue Code	272
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$69.25
Rate for Payer: Aetna Commercial	$52.63
Rate for Payer: Aetna Medicare Advantage	$41.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.32
Rate for Payer: Cigna Commercial	$69.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.55
Rate for Payer: Oxford Commercial	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.77
Rate for Payer: UnitedHealthcare Commercial	$27.70
Rate for Payer: UnitedHealthcare Community & State	$3.34
Rate for Payer: Wellpoint Medicaid Managed Care	$3.67

NEEDLES AND SYRINGES*****

Facility

$0.50

Service Code	HCPCS A4655
Hospital Charge Code	270000000
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$0.08
Rate for Payer: Qualcare PPO/HMO/WC	$0.08

NEEDLES AND SYRINGES*****

Facility

$0.50

Service Code	HCPCS A4655
Hospital Charge Code	270000000
Hospital Revenue Code	270
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.25
Rate for Payer: Aetna Commercial	$0.19
Rate for Payer: Aetna Medicare Advantage	$0.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.13
Rate for Payer: Cigna Commercial	$0.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.15
Rate for Payer: Oxford Commercial	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.08
Rate for Payer: UnitedHealthcare Commercial	$0.10
Rate for Payer: UnitedHealthcare Community & State	$0.01
Rate for Payer: Wellpoint Medicaid Managed Care	$0.01

NEEDLE SCLEROTHERAPY

Facility

$63.25

Hospital Charge Code	270600918
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

NEEDLE SCLEROTHERAPY

Facility

$63.25

Hospital Charge Code	270600918
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

NEEDLE SCLEROTHERAPY***

Facility

$183.00

Hospital Charge Code	2300507
Hospital Revenue Code	279
Min. Negotiated Rate	$4.41
Max. Negotiated Rate	$91.50
Rate for Payer: Aetna Commercial	$69.54
Rate for Payer: Aetna Medicare Advantage	$54.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.66
Rate for Payer: Cigna Commercial	$91.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.90
Rate for Payer: Oxford Commercial	$36.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.45
Rate for Payer: UnitedHealthcare Commercial	$36.60
Rate for Payer: UnitedHealthcare Community & State	$4.41
Rate for Payer: Wellpoint Medicaid Managed Care	$4.85

NEEDLE SCLEROTHERAPY***

Facility

$183.00

Hospital Charge Code	2300507
Hospital Revenue Code	279
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.45

NEEDLE SCLEROTHERAPY COLON

Facility

$208.00

Hospital Charge Code	27604690
Hospital Revenue Code	272
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$31.20
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

NEEDLE SCLEROTHERAPY COLON

Facility

$208.00

Hospital Charge Code	27604690
Hospital Revenue Code	272
Min. Negotiated Rate	$5.01
Max. Negotiated Rate	$104.00
Rate for Payer: Aetna Commercial	$79.04
Rate for Payer: Aetna Medicare Advantage	$62.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.04
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.40
Rate for Payer: Oxford Commercial	$41.60
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Commercial	$41.60
Rate for Payer: UnitedHealthcare Community & State	$5.01
Rate for Payer: Wellpoint Medicaid Managed Care	$5.51

NEEDLE SCORPIO CAPSULE CLCOSE

Facility

$245.00

Hospital Charge Code	270687985
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.50
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$49.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

NEEDLE SCORPIO CAPSULE CLCOSE

Facility

$245.00

Hospital Charge Code	270687985
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

NEEDLE SCORPION AR13990N

Facility

$1,190.45

Hospital Charge Code	270635104
Hospital Revenue Code	272
Min. Negotiated Rate	$178.57
Max. Negotiated Rate	$178.57
Rate for Payer: Qualcare PPO/HMO/WC	$178.57

NEEDLE SCORPION AR13990N

Facility

$1,190.45

Hospital Charge Code	270635104
Hospital Revenue Code	272
Min. Negotiated Rate	$28.69
Max. Negotiated Rate	$595.23
Rate for Payer: Aetna Commercial	$452.37
Rate for Payer: Aetna Medicare Advantage	$357.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.56
Rate for Payer: Cigna Commercial	$595.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$357.13
Rate for Payer: Oxford Commercial	$238.09
Rate for Payer: Qualcare PPO/HMO/WC	$178.57
Rate for Payer: UnitedHealthcare Commercial	$238.09
Rate for Payer: UnitedHealthcare Community & State	$28.69
Rate for Payer: Wellpoint Medicaid Managed Care	$31.55

NEEDLE SEED IMPLNT 18G BT1820M

Facility

$74.45

Hospital Charge Code	270609069
Hospital Revenue Code	272
Min. Negotiated Rate	$11.17
Max. Negotiated Rate	$11.17
Rate for Payer: Qualcare PPO/HMO/WC	$11.17

NEEDLE SEED IMPLNT 18G BT1820M

Facility

$74.45

Hospital Charge Code	270609069
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$37.23
Rate for Payer: Aetna Commercial	$28.29
Rate for Payer: Aetna Medicare Advantage	$22.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$37.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.34
Rate for Payer: Oxford Commercial	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$11.17
Rate for Payer: UnitedHealthcare Commercial	$14.89
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

NEEDLE SELDINGER

Facility

$26.45

Hospital Charge Code	270601306
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

NEEDLE SELDINGER

Facility

$26.45

Hospital Charge Code	270601306
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

NEEDLE SGLE SHOT 24X2.0 18367

Facility

$37.15

Hospital Charge Code	270634759
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$14.12
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.14
Rate for Payer: Oxford Commercial	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$7.43
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

NEEDLE SGLE SHOT 24X2.0 18367

Facility

$37.15

Hospital Charge Code	270634759
Hospital Revenue Code	272
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

NEEDLE SHORT VERSASTEP 14 GA

Facility

$204.00

Hospital Charge Code	270690400
Hospital Revenue Code	272
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

Know your out-of-pocket cost for care.

All Charges