Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BAG AMBU INFANT

Facility

$47.73

Hospital Charge Code	270651479
Hospital Revenue Code	270
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$7.16
Rate for Payer: Qualcare PPO/HMO/WC	$7.16

BAG AMBU INFANT SPUR II

Facility

$134.13

Hospital Charge Code	270647279
Hospital Revenue Code	270
Min. Negotiated Rate	$20.12
Max. Negotiated Rate	$20.12
Rate for Payer: Qualcare PPO/HMO/WC	$20.12

BAG AMBU INFANT SPUR II

Facility

$134.13

Hospital Charge Code	270647279
Hospital Revenue Code	270
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$67.06
Rate for Payer: Aetna Commercial	$50.97
Rate for Payer: Aetna Medicare Advantage	$40.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.20
Rate for Payer: Cigna Commercial	$67.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.24
Rate for Payer: Oxford Commercial	$26.83
Rate for Payer: Qualcare PPO/HMO/WC	$20.12
Rate for Payer: UnitedHealthcare Commercial	$26.83
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

BAG AMBU RESUSCITATOR DISP

Facility

$37.88

Hospital Charge Code	270650265
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

BAG AMBU RESUSCITATOR DISP

Facility

$37.88

Hospital Charge Code	270650265
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.94
Rate for Payer: Aetna Commercial	$14.39
Rate for Payer: Aetna Medicare Advantage	$11.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.36
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$24.29
Max. Negotiated Rate	$24.29
Rate for Payer: Qualcare PPO/HMO/WC	$24.29

BAG ASPIRA DRAINAGE 4992301

Facility

$161.90

Hospital Charge Code	270649130
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.95
Rate for Payer: Aetna Commercial	$61.52
Rate for Payer: Aetna Medicare Advantage	$48.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.28
Rate for Payer: Cigna Commercial	$80.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.57
Rate for Payer: Oxford Commercial	$32.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.29
Rate for Payer: UnitedHealthcare Commercial	$32.38
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.04
Rate for Payer: Aetna Commercial	$4.59
Rate for Payer: Aetna Medicare Advantage	$3.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.08
Rate for Payer: Cigna Commercial	$6.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.62
Rate for Payer: Oxford Commercial	$2.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.81
Rate for Payer: UnitedHealthcare Commercial	$2.42
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

BAG BAND CIRCLR 127cm 2226010H

Facility

$12.08

Hospital Charge Code	270628461
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.81

BAG BANDED CIRCULAR 127cm

Facility

$9.50

Hospital Charge Code	270637194
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.75
Rate for Payer: Aetna Commercial	$3.61
Rate for Payer: Aetna Medicare Advantage	$2.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.42
Rate for Payer: Cigna Commercial	$4.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.85
Rate for Payer: Oxford Commercial	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$1.90
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

BAG BANDED CIRCULAR 127cm

Facility

$9.50

Hospital Charge Code	270637194
Hospital Revenue Code	272
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$32.40
Max. Negotiated Rate	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$32.40

BAG BECKER DRAINAGE EDMS

Facility

$216.00

Hospital Charge Code	270670473
Hospital Revenue Code	272
Min. Negotiated Rate	$5.21
Max. Negotiated Rate	$108.00
Rate for Payer: Aetna Commercial	$82.08
Rate for Payer: Aetna Medicare Advantage	$64.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.08
Rate for Payer: Cigna Commercial	$108.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.80
Rate for Payer: Oxford Commercial	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$32.40
Rate for Payer: UnitedHealthcare Commercial	$43.20
Rate for Payer: UnitedHealthcare Community & State	$5.21
Rate for Payer: Wellpoint Medicaid Managed Care	$5.72

BAG BE DBL CONTRAST

Facility

$70.82

Hospital Charge Code	270608810
Hospital Revenue Code	270
Min. Negotiated Rate	$10.62
Max. Negotiated Rate	$10.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.62

BAG BE DBL CONTRAST

Facility

$70.82

Hospital Charge Code	270608810
Hospital Revenue Code	270
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.41
Rate for Payer: Aetna Commercial	$26.91
Rate for Payer: Aetna Medicare Advantage	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.06
Rate for Payer: Cigna Commercial	$35.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.25
Rate for Payer: Oxford Commercial	$14.16
Rate for Payer: Qualcare PPO/HMO/WC	$10.62
Rate for Payer: UnitedHealthcare Commercial	$14.16
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

BAG BELT F/INFUSOR PUMP

Facility

$48.60

Hospital Charge Code	270638220
Hospital Revenue Code	270
Min. Negotiated Rate	$7.29
Max. Negotiated Rate	$7.29
Rate for Payer: Qualcare PPO/HMO/WC	$7.29

BAG BELT F/INFUSOR PUMP

Facility

$48.60

Hospital Charge Code	270638220
Hospital Revenue Code	270
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$24.30
Rate for Payer: Aetna Commercial	$18.47
Rate for Payer: Aetna Medicare Advantage	$14.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.39
Rate for Payer: Cigna Commercial	$24.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.58
Rate for Payer: Oxford Commercial	$9.72
Rate for Payer: Qualcare PPO/HMO/WC	$7.29
Rate for Payer: UnitedHealthcare Commercial	$9.72
Rate for Payer: UnitedHealthcare Community & State	$1.17
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$14.12
Rate for Payer: Aetna Commercial	$10.73
Rate for Payer: Aetna Medicare Advantage	$8.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.20
Rate for Payer: Cigna Commercial	$14.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.47
Rate for Payer: Oxford Commercial	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$4.24
Rate for Payer: UnitedHealthcare Commercial	$5.65
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

BAG BILE

Facility

$28.24

Hospital Charge Code	270300090
Hospital Revenue Code	270
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.24

BAG BILE****

Facility

$34.00

Hospital Charge Code	8000135
Hospital Revenue Code	279
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.20
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$6.80
Rate for Payer: UnitedHealthcare Community & State	$0.82
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

BAG BILE****

Facility

$34.00

Hospital Charge Code	8000135
Hospital Revenue Code	279
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

BAG BIOHAZARD SPECIMEN 6x9

Facility

$0.16

Hospital Charge Code	270650404
Hospital Revenue Code	270
Max. Negotiated Rate	$0.08
Rate for Payer: Aetna Commercial	$0.06
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.05
Rate for Payer: Oxford Commercial	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.03
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

BAG BIOHAZARD SPECIMEN 6x9

Facility

$0.16

Hospital Charge Code	270650404
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.02
Rate for Payer: Qualcare PPO/HMO/WC	$0.02

BAG BIOHAZARD STAT SPEC 6x9

Facility

$0.17

Hospital Charge Code	270650405
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.03

BAG BIOHAZARD STAT SPEC 6x9

Facility

$0.17

Hospital Charge Code	270650405
Hospital Revenue Code	270
Max. Negotiated Rate	$0.09
Rate for Payer: Aetna Commercial	$0.06
Rate for Payer: Aetna Medicare Advantage	$0.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.05
Rate for Payer: Oxford Commercial	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.03
Rate for Payer: UnitedHealthcare Commercial	$0.03
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

Know your out-of-pocket cost for care.

All Charges