Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEEDLE VARIJECT INJECT #1125

Facility

$231.25

Hospital Charge Code	270603945
Hospital Revenue Code	272
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.38
Rate for Payer: Oxford Commercial	$46.25
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$46.25
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

NEEDLE VARIJECT INJECT #1125

Facility

$231.25

Hospital Charge Code	270603945
Hospital Revenue Code	272
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

NEEDLE VARIJECT INJECT 1836

Facility

$231.25

Hospital Charge Code	270603944
Hospital Revenue Code	272
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.38
Rate for Payer: Oxford Commercial	$46.25
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$46.25
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

NEEDLE VARIJECT INJECT 1836

Facility

$231.25

Hospital Charge Code	270603944
Hospital Revenue Code	272
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

NEEDLE VENA CAVA 18G *******

Facility

$13.00

Hospital Charge Code	1608405
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

NEEDLE VENA CAVA 18G *******

Facility

$13.00

Hospital Charge Code	1608405
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$33.72
Max. Negotiated Rate	$33.72
Rate for Payer: Qualcare PPO/HMO/WC	$33.72

NEEDLE VERESS 12MM

Facility

$224.83

Hospital Charge Code	270658414
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.42
Rate for Payer: Aetna Commercial	$85.44
Rate for Payer: Aetna Medicare Advantage	$67.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.33
Rate for Payer: Cigna Commercial	$112.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.45
Rate for Payer: Oxford Commercial	$44.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.72
Rate for Payer: UnitedHealthcare Commercial	$44.97
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$9.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.95

NEEDLE VERRES 120MM DISP STR

Facility

$66.30

Hospital Charge Code	270651810
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$33.15
Rate for Payer: Aetna Commercial	$25.19
Rate for Payer: Aetna Medicare Advantage	$19.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.91
Rate for Payer: Cigna Commercial	$33.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.89
Rate for Payer: Oxford Commercial	$13.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.95
Rate for Payer: UnitedHealthcare Commercial	$13.26
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$5.23
Max. Negotiated Rate	$108.59
Rate for Payer: Aetna Commercial	$82.53
Rate for Payer: Aetna Medicare Advantage	$65.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.38
Rate for Payer: Cigna Commercial	$108.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.15
Rate for Payer: Oxford Commercial	$43.44
Rate for Payer: Qualcare PPO/HMO/WC	$32.58
Rate for Payer: UnitedHealthcare Commercial	$43.44
Rate for Payer: UnitedHealthcare Community & State	$5.23
Rate for Payer: Wellpoint Medicaid Managed Care	$5.76

NEEDLE VERRES 150MM DISP STR

Facility

$217.18

Hospital Charge Code	270600055
Hospital Revenue Code	272
Min. Negotiated Rate	$32.58
Max. Negotiated Rate	$32.58
Rate for Payer: Qualcare PPO/HMO/WC	$32.58

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$18.52
Max. Negotiated Rate	$18.52
Rate for Payer: Qualcare PPO/HMO/WC	$18.52

NEEDLE VERRES 150MM PN150

Facility

$123.50

Hospital Charge Code	270608758
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.75
Rate for Payer: Aetna Commercial	$46.93
Rate for Payer: Aetna Medicare Advantage	$37.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.49
Rate for Payer: Cigna Commercial	$61.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.05
Rate for Payer: Oxford Commercial	$24.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.52
Rate for Payer: UnitedHealthcare Commercial	$24.70
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$86.28
Max. Negotiated Rate	$86.28
Rate for Payer: Qualcare PPO/HMO/WC	$86.28

NEEDLE VIZISHOT EBUS-TBNA

Facility

$575.18

Hospital Charge Code	270675838
Hospital Revenue Code	272
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$287.59
Rate for Payer: Aetna Commercial	$218.57
Rate for Payer: Aetna Medicare Advantage	$172.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.67
Rate for Payer: Cigna Commercial	$287.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.55
Rate for Payer: Oxford Commercial	$115.04
Rate for Payer: Qualcare PPO/HMO/WC	$86.28
Rate for Payer: UnitedHealthcare Commercial	$115.04
Rate for Payer: UnitedHealthcare Community & State	$13.86
Rate for Payer: Wellpoint Medicaid Managed Care	$15.24

NEEDLE WC SCLEROTHERAPY VIN-23

Facility

$124.85

Hospital Charge Code	270623502
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

NEEDLE WC SCLEROTHERAPY VIN-23

Facility

$124.85

Hospital Charge Code	270623502
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

NEEDLE WHITACRE 26G 5 405143

Facility

$2,637.65

Hospital Charge Code	270614170
Hospital Revenue Code	272
Min. Negotiated Rate	$395.65
Max. Negotiated Rate	$395.65
Rate for Payer: Qualcare PPO/HMO/WC	$395.65

NEEDLE WHITACRE 26G 5 405143

Facility

$2,637.65

Hospital Charge Code	270614170
Hospital Revenue Code	272
Min. Negotiated Rate	$63.57
Max. Negotiated Rate	$1,318.83
Rate for Payer: Aetna Commercial	$1,002.31
Rate for Payer: Aetna Medicare Advantage	$791.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$672.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$672.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$672.60
Rate for Payer: Cigna Commercial	$1,318.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.29
Rate for Payer: Oxford Commercial	$527.53
Rate for Payer: Qualcare PPO/HMO/WC	$395.65
Rate for Payer: UnitedHealthcare Commercial	$527.53
Rate for Payer: UnitedHealthcare Community & State	$63.57
Rate for Payer: Wellpoint Medicaid Managed Care	$69.90

NEEDLE WING EATER G15

Facility

$7.50

Hospital Charge Code	270658655
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.75
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.91
Rate for Payer: Cigna Commercial	$3.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.12
Rate for Payer: UnitedHealthcare Commercial	$1.50
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

NEEDLE WING EATER G15

Facility

$7.50

Hospital Charge Code	270658655
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.12

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

NEEDLE XBRAID S VMO-6

Facility

$225.00

Service Code	HCPCS C1714
Hospital Charge Code	270701809
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

NEEDLPLASTICHUB27GALONGYELLOW

Facility

$1.20

Hospital Charge Code	270664108
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.60
Rate for Payer: Aetna Commercial	$0.46
Rate for Payer: Aetna Medicare Advantage	$0.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.36
Rate for Payer: Oxford Commercial	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.24
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

Know your out-of-pocket cost for care.

All Charges