Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BAG ENDOPOUCH RETRIEVER SPEC

Facility

$1,251.32

Hospital Charge Code	270661398
Hospital Revenue Code	272
Min. Negotiated Rate	$30.16
Max. Negotiated Rate	$625.66
Rate for Payer: Aetna Commercial	$475.50
Rate for Payer: Aetna Medicare Advantage	$375.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.09
Rate for Payer: Cigna Commercial	$625.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.40
Rate for Payer: Oxford Commercial	$250.26
Rate for Payer: Qualcare PPO/HMO/WC	$187.70
Rate for Payer: UnitedHealthcare Commercial	$250.26
Rate for Payer: UnitedHealthcare Community & State	$30.16
Rate for Payer: Wellpoint Medicaid Managed Care	$33.16

BAG ENDOPOUCH RETRIEVER SPEC

Facility

$1,251.32

Hospital Charge Code	270661398
Hospital Revenue Code	272
Min. Negotiated Rate	$187.70
Max. Negotiated Rate	$187.70
Rate for Payer: Qualcare PPO/HMO/WC	$187.70

BAG EXACTA EVA 500ml

Facility

$33.47

Hospital Charge Code	270642968
Hospital Revenue Code	270
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.02

BAG EXACTA EVA 500ml

Facility

$33.47

Hospital Charge Code	270642968
Hospital Revenue Code	270
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.73
Rate for Payer: Aetna Commercial	$12.72
Rate for Payer: Aetna Medicare Advantage	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.53
Rate for Payer: Cigna Commercial	$16.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.04
Rate for Payer: Oxford Commercial	$6.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.02
Rate for Payer: UnitedHealthcare Commercial	$6.69
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

BAG FECAL INCONTINENCE

Facility

$54.40

Hospital Charge Code	270628252
Hospital Revenue Code	270
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$8.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.16

BAG FECAL INCONTINENCE

Facility

$54.40

Hospital Charge Code	270628252
Hospital Revenue Code	270
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.20
Rate for Payer: Aetna Commercial	$20.67
Rate for Payer: Aetna Medicare Advantage	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.87
Rate for Payer: Cigna Commercial	$27.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.32
Rate for Payer: Oxford Commercial	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$8.16
Rate for Payer: UnitedHealthcare Commercial	$10.88
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

BAG FENWALL TRANSFER #4R2014**

Facility

$9.00

Hospital Charge Code	8002545
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAG FENWALL TRANSFER #4R2014**

Facility

$9.00

Hospital Charge Code	8002545
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BAG FENWALL TRANSFER #73232***

Facility

$21.00

Hospital Charge Code	8002537
Hospital Revenue Code	279
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

BAG FENWALL TRANSFER #73232***

Facility

$21.00

Hospital Charge Code	8002537
Hospital Revenue Code	279
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

BAG FISTULA BEDSIDE DRAINAGE

Facility

$76.87

Hospital Charge Code	270650467
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

BAG FISTULA BEDSIDE DRAINAGE

Facility

$76.87

Hospital Charge Code	270650467
Hospital Revenue Code	270
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$29.21
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.06
Rate for Payer: Oxford Commercial	$15.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$15.37
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

BAG FLATUS

Facility

$16.85

Hospital Charge Code	270300110
Hospital Revenue Code	270
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

BAG FLATUS

Facility

$16.85

Hospital Charge Code	270300110
Hospital Revenue Code	270
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

BAG FLEXI SEAL 1638411108

Facility

$26.00

Hospital Charge Code	270663374
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

BAG FLEXI SEAL 1638411108

Facility

$26.00

Hospital Charge Code	270663374
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$5.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$5.20
Rate for Payer: UnitedHealthcare Community & State	$0.63
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

BAG FLUID COLLECTION

Facility

$105.00

Hospital Charge Code	270676561
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.50
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

BAG FLUID COLLECTION

Facility

$105.00

Hospital Charge Code	270676561
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

BAG HOT OR COLD

Facility

$5.60

Hospital Charge Code	270651490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.80
Rate for Payer: Aetna Commercial	$2.13
Rate for Payer: Aetna Medicare Advantage	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.43
Rate for Payer: Cigna Commercial	$2.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.68
Rate for Payer: Oxford Commercial	$1.12
Rate for Payer: Qualcare PPO/HMO/WC	$0.84
Rate for Payer: UnitedHealthcare Commercial	$1.12
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

BAG HOT OR COLD

Facility

$5.60

Hospital Charge Code	270651490
Hospital Revenue Code	270
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Qualcare PPO/HMO/WC	$0.84

BAG HOT WATER DISP***

Facility

$15.00

Hospital Charge Code	8003030
Hospital Revenue Code	279
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BAG HOT WATER DISP***

Facility

$15.00

Hospital Charge Code	8003030
Hospital Revenue Code	279
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

BAG INFANT CPR LF CUSHION MASK

Facility

$50.37

Hospital Charge Code	270650480
Hospital Revenue Code	270
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.56

BAG INFANT CPR LF CUSHION MASK

Facility

$50.37

Hospital Charge Code	270650480
Hospital Revenue Code	270
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.18
Rate for Payer: Aetna Commercial	$19.14
Rate for Payer: Aetna Medicare Advantage	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.84
Rate for Payer: Cigna Commercial	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.11
Rate for Payer: Oxford Commercial	$10.07
Rate for Payer: Qualcare PPO/HMO/WC	$7.56
Rate for Payer: UnitedHealthcare Commercial	$10.07
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.33

BAG KANGAROO****

Facility

$70.00

Hospital Charge Code	8000804
Hospital Revenue Code	279
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

Know your out-of-pocket cost for care.

All Charges