Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE TRUGUIDE 18g 10CM

Facility

$10.57

Hospital Charge Code	270631206
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

NEEDLE TRU GUIDE 18G X 10CM

Facility

$52.85

Hospital Charge Code	2709001229
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

NEEDLE TRU GUIDE 18G X 10CM

Facility

$52.85

Hospital Charge Code	2709001229
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

NEEDLE TRUGUIDE 19G 17.8cm

Facility

$55.55

Hospital Charge Code	270624457
Hospital Revenue Code	272
Min. Negotiated Rate	$8.33
Max. Negotiated Rate	$8.33
Rate for Payer: Qualcare PPO/HMO/WC	$8.33

NEEDLE TRUGUIDE 19G 17.8cm

Facility

$55.55

Hospital Charge Code	270624457
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$27.77
Rate for Payer: Aetna Commercial	$21.11
Rate for Payer: Aetna Medicare Advantage	$16.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.17
Rate for Payer: Cigna Commercial	$27.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.66
Rate for Payer: Oxford Commercial	$11.11
Rate for Payer: Qualcare PPO/HMO/WC	$8.33
Rate for Payer: UnitedHealthcare Commercial	$11.11
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

NEEDLE TRU GUIDE 5/BX

Facility

$52.85

Hospital Charge Code	2706000707
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

NEEDLE TRU GUIDE 5/BX

Facility

$52.85

Hospital Charge Code	2706000704
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

NEEDLE TRU GUIDE 5/BX

Facility

$52.85

Hospital Charge Code	2706000707
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

NEEDLE TRU GUIDE 5/BX

Facility

$52.85

Hospital Charge Code	2706000704
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

NEEDLE TUOHY

Facility

$125.24

Hospital Charge Code	270649085
Hospital Revenue Code	272
Min. Negotiated Rate	$3.02
Max. Negotiated Rate	$62.62
Rate for Payer: Aetna Commercial	$47.59
Rate for Payer: Aetna Medicare Advantage	$37.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.94
Rate for Payer: Cigna Commercial	$62.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.57
Rate for Payer: Oxford Commercial	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$18.79
Rate for Payer: UnitedHealthcare Commercial	$25.05
Rate for Payer: UnitedHealthcare Community & State	$3.02
Rate for Payer: Wellpoint Medicaid Managed Care	$3.32

NEEDLE TUOHY

Facility

$125.24

Hospital Charge Code	270649085
Hospital Revenue Code	272
Min. Negotiated Rate	$18.79
Max. Negotiated Rate	$18.79
Rate for Payer: Qualcare PPO/HMO/WC	$18.79

NEEDLE TUOHY 17G 6IN 001401

Facility

$90.20

Hospital Charge Code	270626532
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.10
Rate for Payer: Aetna Commercial	$34.28
Rate for Payer: Aetna Medicare Advantage	$27.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.00
Rate for Payer: Cigna Commercial	$45.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.06
Rate for Payer: Oxford Commercial	$18.04
Rate for Payer: Qualcare PPO/HMO/WC	$13.53
Rate for Payer: UnitedHealthcare Commercial	$18.04
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.39

NEEDLE TUOHY 17G 6IN 001401

Facility

$90.20

Hospital Charge Code	270626532
Hospital Revenue Code	272
Min. Negotiated Rate	$13.53
Max. Negotiated Rate	$13.53
Rate for Payer: Qualcare PPO/HMO/WC	$13.53

NEEDLE TUOHY 17GA 3-1/2 332180

Facility

$36.50

Hospital Charge Code	270638873
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.25
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Oxford Commercial	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.47
Rate for Payer: UnitedHealthcare Commercial	$7.30
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

NEEDLE TUOHY 17GA 3-1/2 332180

Facility

$36.50

Hospital Charge Code	270638873
Hospital Revenue Code	272
Min. Negotiated Rate	$5.47
Max. Negotiated Rate	$5.47
Rate for Payer: Qualcare PPO/HMO/WC	$5.47

NEEDLE TUOHY 17GX6 INCH 1401

Facility

$131.60

Hospital Charge Code	270637210
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$19.74

NEEDLE TUOHY 17GX6 INCH 1401

Facility

$131.60

Hospital Charge Code	270637210
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$65.80
Rate for Payer: Aetna Commercial	$50.01
Rate for Payer: Aetna Medicare Advantage	$39.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.56
Rate for Payer: Cigna Commercial	$65.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.48
Rate for Payer: Oxford Commercial	$26.32
Rate for Payer: Qualcare PPO/HMO/WC	$19.74
Rate for Payer: UnitedHealthcare Commercial	$26.32
Rate for Payer: UnitedHealthcare Community & State	$3.17
Rate for Payer: Wellpoint Medicaid Managed Care	$3.49

NEEDLE TUOHY 20G 3-1/2 405028

Facility

$18.64

Hospital Charge Code	270604862
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

NEEDLE TUOHY 20G 3-1/2 405028

Facility

$18.64

Hospital Charge Code	270604862
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.32
Rate for Payer: Aetna Commercial	$7.08
Rate for Payer: Aetna Medicare Advantage	$5.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.75
Rate for Payer: Cigna Commercial	$9.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.59
Rate for Payer: Oxford Commercial	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$3.73
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

NEEDLE TUOHY EPIDURAL 20x3-1/2

Facility

$34.98

Hospital Charge Code	270651006
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

NEEDLE TUOHY EPIDURAL 20x3-1/2

Facility

$34.98

Hospital Charge Code	270651006
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.49
Rate for Payer: Aetna Commercial	$13.29
Rate for Payer: Aetna Medicare Advantage	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.92
Rate for Payer: Cigna Commercial	$17.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.49
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

NEEDLE VACUTAINER 21G 1

Facility

$27.20

Hospital Charge Code	270650285
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$13.60
Rate for Payer: Aetna Commercial	$10.34
Rate for Payer: Aetna Medicare Advantage	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.94
Rate for Payer: Cigna Commercial	$13.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.16
Rate for Payer: Oxford Commercial	$5.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.08
Rate for Payer: UnitedHealthcare Commercial	$5.44
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

NEEDLE VACUTAINER 21G 1

Facility

$27.20

Hospital Charge Code	270650285
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$4.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.08

NEEDLE VARIABLE INJ 23G LDV123

Facility

$405.00

Hospital Charge Code	270626206
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

NEEDLE VARIABLE INJ 23G LDV123

Facility

$405.00

Hospital Charge Code	270626206
Hospital Revenue Code	272
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.50
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

Know your out-of-pocket cost for care.

All Charges