Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BAG PRESSURE C-FUSOR 500ml

Facility

$344.07

Hospital Charge Code	270615821
Hospital Revenue Code	270
Min. Negotiated Rate	$51.61
Max. Negotiated Rate	$51.61
Rate for Payer: Qualcare PPO/HMO/WC	$51.61

BAG PRESSURE C-FUSOR 500ml

Facility

$344.07

Hospital Charge Code	270615821
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$172.03
Rate for Payer: Aetna Commercial	$130.75
Rate for Payer: Aetna Medicare Advantage	$103.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.74
Rate for Payer: Cigna Commercial	$172.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.22
Rate for Payer: Oxford Commercial	$68.81
Rate for Payer: Qualcare PPO/HMO/WC	$51.61
Rate for Payer: UnitedHealthcare Commercial	$68.81
Rate for Payer: UnitedHealthcare Community & State	$8.29
Rate for Payer: Wellpoint Medicaid Managed Care	$9.12

BAG PRESSURE INFUSER 500ML

Facility

$112.50

Hospital Charge Code	270664220
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BAG PRESSURE INFUSER 500ML

Facility

$112.50

Hospital Charge Code	270664220
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.75
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

BAG PRESSURE INFUSOR 3000ML DI

Facility

$66.63

Hospital Charge Code	270684583
Hospital Revenue Code	272
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$9.99
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

BAG PRESSURE INFUSOR 3000ML DI

Facility

$66.63

Hospital Charge Code	270684583
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.31
Rate for Payer: Aetna Commercial	$25.32
Rate for Payer: Aetna Medicare Advantage	$19.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.99
Rate for Payer: Cigna Commercial	$33.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.99
Rate for Payer: Oxford Commercial	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$9.99
Rate for Payer: UnitedHealthcare Commercial	$13.33
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

BAG REINFUSION BAXTER 4R2014

Facility

$30.00

Hospital Charge Code	270637706
Hospital Revenue Code	272
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

BAG REINFUSION BAXTER 4R2014

Facility

$30.00

Hospital Charge Code	270637706
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$6.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

BAG REINFUSION SORIN

Facility

$96.25

Hospital Charge Code	270657569
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$48.12
Rate for Payer: Aetna Commercial	$36.58
Rate for Payer: Aetna Medicare Advantage	$28.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.54
Rate for Payer: Cigna Commercial	$48.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.88
Rate for Payer: Oxford Commercial	$19.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.44
Rate for Payer: UnitedHealthcare Commercial	$19.25
Rate for Payer: UnitedHealthcare Community & State	$2.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2.55

BAG REINFUSION SORIN

Facility

$96.25

Hospital Charge Code	270657569
Hospital Revenue Code	272
Min. Negotiated Rate	$14.44
Max. Negotiated Rate	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.44

BAG RESERVOIR NONCONDUC

Facility

$119.25

Hospital Charge Code	270600864
Hospital Revenue Code	272
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

BAG RESERVOIR NONCONDUC

Facility

$119.25

Hospital Charge Code	270600864
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$59.62
Rate for Payer: Aetna Commercial	$45.31
Rate for Payer: Aetna Medicare Advantage	$35.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.41
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.77
Rate for Payer: Oxford Commercial	$23.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$23.85
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$21.95
Rate for Payer: Aetna Commercial	$16.69
Rate for Payer: Aetna Medicare Advantage	$13.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.20
Rate for Payer: Cigna Commercial	$21.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.17
Rate for Payer: Oxford Commercial	$8.78
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$8.78
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

BAG RESUSCITATOR ADULT 5877

Facility

$43.91

Hospital Charge Code	270200045
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.50
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

BAG RESUSCITATOR MASK ADULT

Facility

$44.99

Hospital Charge Code	270643477
Hospital Revenue Code	270
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

BAG RESUSCITATOR NEONATE

Facility

$141.65

Hospital Charge Code	270200096
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.49
Rate for Payer: Oxford Commercial	$28.33
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$28.33
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

BAG RESUSCITATOR NEONATE

Facility

$141.65

Hospital Charge Code	270200096
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$7.63
Rate for Payer: Qualcare PPO/HMO/WC	$7.63

BAG RESUSCITATOR PEDIATRIC

Facility

$50.89

Hospital Charge Code	270600613
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.45
Rate for Payer: Aetna Commercial	$19.34
Rate for Payer: Aetna Medicare Advantage	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.98
Rate for Payer: Cigna Commercial	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.27
Rate for Payer: Oxford Commercial	$10.18
Rate for Payer: Qualcare PPO/HMO/WC	$7.63
Rate for Payer: UnitedHealthcare Commercial	$10.18
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BAG RETRIEVAL 10 INZII CD001

Facility

$331.00

Hospital Charge Code	270642076
Hospital Revenue Code	272
Min. Negotiated Rate	$49.65
Max. Negotiated Rate	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$49.65

BAG RETRIEVAL 10 INZII CD001

Facility

$331.00

Hospital Charge Code	270642076
Hospital Revenue Code	272
Min. Negotiated Rate	$7.98
Max. Negotiated Rate	$165.50
Rate for Payer: Aetna Commercial	$125.78
Rate for Payer: Aetna Medicare Advantage	$99.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.41
Rate for Payer: Cigna Commercial	$165.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.30
Rate for Payer: Oxford Commercial	$66.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.65
Rate for Payer: UnitedHealthcare Commercial	$66.20
Rate for Payer: UnitedHealthcare Community & State	$7.98
Rate for Payer: Wellpoint Medicaid Managed Care	$8.77

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$226.64
Rate for Payer: Aetna Commercial	$172.25
Rate for Payer: Aetna Medicare Advantage	$135.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.59
Rate for Payer: Cigna Commercial	$226.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.98
Rate for Payer: Oxford Commercial	$90.66
Rate for Payer: Qualcare PPO/HMO/WC	$67.99
Rate for Payer: UnitedHealthcare Commercial	$90.66
Rate for Payer: UnitedHealthcare Community & State	$10.92
Rate for Payer: Wellpoint Medicaid Managed Care	$12.01

BAG RETRIEVER ENDOPUCH

Facility

$453.28

Hospital Charge Code	270658501
Hospital Revenue Code	272
Min. Negotiated Rate	$67.99
Max. Negotiated Rate	$67.99
Rate for Payer: Qualcare PPO/HMO/WC	$67.99

BAGS *******

Facility

$9.00

Hospital Charge Code	7000375
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

Know your out-of-pocket cost for care.

All Charges