Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIGGY BACK

Facility

$2,290.00

Hospital Charge Code	270665306
Hospital Revenue Code	270
Min. Negotiated Rate	$55.19
Max. Negotiated Rate	$1,145.00
Rate for Payer: Aetna Commercial	$870.20
Rate for Payer: Aetna Medicare Advantage	$687.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.95
Rate for Payer: Cigna Commercial	$1,145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$687.00
Rate for Payer: Oxford Commercial	$458.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.50
Rate for Payer: UnitedHealthcare Commercial	$458.00
Rate for Payer: UnitedHealthcare Community & State	$55.19
Rate for Payer: Wellpoint Medicaid Managed Care	$60.69

PIGGY BACK

Facility

$2,290.00

Hospital Charge Code	270665306
Hospital Revenue Code	270
Min. Negotiated Rate	$343.50
Max. Negotiated Rate	$343.50
Rate for Payer: Qualcare PPO/HMO/WC	$343.50

PIGMENT LT BRN STERIL P200282

Facility

$129.00

Hospital Charge Code	270635196
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT LT BRN STERIL P200282

Facility

$129.00

Hospital Charge Code	270635196
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIGMENT MED BRN STERIL P200252

Facility

$129.00

Hospital Charge Code	270635198
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIGMENT MED BRN STERIL P200252

Facility

$129.00

Hospital Charge Code	270635198
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT STERILE 6 FLESH 200152

Facility

$129.00

Hospital Charge Code	270632781
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIGMENT STERILE 6 FLESH 200152

Facility

$129.00

Hospital Charge Code	270632781
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT STERILE 7 FLESH 200162

Facility

$129.00

Hospital Charge Code	270632782
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIGMENT STERILE 7 FLESH 200162

Facility

$129.00

Hospital Charge Code	270632782
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PIGMENT UMBER STERILE P200292

Facility

$129.00

Hospital Charge Code	270635199
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PIGMENT UMBER STERILE P200292

Facility

$129.00

Hospital Charge Code	270635199
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

PILLCAM SB 3 CAPSULE

Facility

$2,650.00

Hospital Charge Code	270690170
Hospital Revenue Code	271
Min. Negotiated Rate	$63.87
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.00
Rate for Payer: Oxford Commercial	$530.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Commercial	$530.00
Rate for Payer: UnitedHealthcare Community & State	$63.87
Rate for Payer: Wellpoint Medicaid Managed Care	$70.22

PILLCAM SB 3 CAPSULE

Facility

$2,650.00

Hospital Charge Code	270690170
Hospital Revenue Code	271
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$397.50
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

PILLCAM SENSOR BELT 2 DISP

Facility

$30.00

Hospital Charge Code	270690171
Hospital Revenue Code	270
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

PILLCAM SENSOR BELT 2 DISP

Facility

$30.00

Hospital Charge Code	270690171
Hospital Revenue Code	270
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

PILLOW ABDUCTION

Facility

$80.93

Hospital Charge Code	270655566
Hospital Revenue Code	271
Min. Negotiated Rate	$12.14
Max. Negotiated Rate	$12.14
Rate for Payer: Qualcare PPO/HMO/WC	$12.14

PILLOW ABDUCTION

Facility

$125.00

Hospital Charge Code	1606326
Hospital Revenue Code	279
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

PILLOW ABDUCTION

Facility

$125.00

Hospital Charge Code	1606326
Hospital Revenue Code	279
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

PILLOW ABDUCTION

Facility

$80.93

Hospital Charge Code	270655566
Hospital Revenue Code	271
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.47
Rate for Payer: Aetna Commercial	$30.75
Rate for Payer: Aetna Medicare Advantage	$24.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.64
Rate for Payer: Cigna Commercial	$40.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.28
Rate for Payer: Oxford Commercial	$16.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.14
Rate for Payer: UnitedHealthcare Commercial	$16.19
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.14

PILLOW ABDUCTION MED

Facility

$209.95

Hospital Charge Code	270600341
Hospital Revenue Code	270
Min. Negotiated Rate	$31.49
Max. Negotiated Rate	$31.49
Rate for Payer: Qualcare PPO/HMO/WC	$31.49

PILLOW ABDUCTION MED

Facility

$209.95

Hospital Charge Code	270600341
Hospital Revenue Code	270
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$104.97
Rate for Payer: Aetna Commercial	$79.78
Rate for Payer: Aetna Medicare Advantage	$62.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.54
Rate for Payer: Cigna Commercial	$104.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.98
Rate for Payer: Oxford Commercial	$41.99
Rate for Payer: Qualcare PPO/HMO/WC	$31.49
Rate for Payer: UnitedHealthcare Commercial	$41.99
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.56

PILLOW ABDUCTION MEDIUM

Facility

$80.93

Hospital Charge Code	270650304
Hospital Revenue Code	272
Min. Negotiated Rate	$12.14
Max. Negotiated Rate	$12.14
Rate for Payer: Qualcare PPO/HMO/WC	$12.14

PILLOW ABDUCTION MEDIUM

Facility

$80.93

Hospital Charge Code	270650304
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.47
Rate for Payer: Aetna Commercial	$30.75
Rate for Payer: Aetna Medicare Advantage	$24.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.64
Rate for Payer: Cigna Commercial	$40.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.28
Rate for Payer: Oxford Commercial	$16.19
Rate for Payer: Qualcare PPO/HMO/WC	$12.14
Rate for Payer: UnitedHealthcare Commercial	$16.19
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.14

PILLOW ABDUCTION SM

Facility

$147.64

Hospital Charge Code	270600340
Hospital Revenue Code	270
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.82
Rate for Payer: Aetna Commercial	$56.10
Rate for Payer: Aetna Medicare Advantage	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.65
Rate for Payer: Cigna Commercial	$73.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.29
Rate for Payer: Oxford Commercial	$29.53
Rate for Payer: Qualcare PPO/HMO/WC	$22.15
Rate for Payer: UnitedHealthcare Commercial	$29.53
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

Know your out-of-pocket cost for care.

All Charges