Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE ARDVARK 2.5 278-545-250

Facility

$813.50

Hospital Charge Code	270635274
Hospital Revenue Code	272
Min. Negotiated Rate	$122.03
Max. Negotiated Rate	$122.03
Rate for Payer: Qualcare PPO/HMO/WC	$122.03

PROBE ARDVARK 2.5 278-545-250

Facility

$813.50

Hospital Charge Code	270635274
Hospital Revenue Code	272
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.75
Rate for Payer: Aetna Commercial	$309.13
Rate for Payer: Aetna Medicare Advantage	$244.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.44
Rate for Payer: Cigna Commercial	$406.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.05
Rate for Payer: Oxford Commercial	$162.70
Rate for Payer: Qualcare PPO/HMO/WC	$122.03
Rate for Payer: UnitedHealthcare Commercial	$162.70
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

PROBE BALL TIP STIM 200MM

Facility

$2,700.00

Hospital Charge Code	270694861
Hospital Revenue Code	272
Min. Negotiated Rate	$65.07
Max. Negotiated Rate	$1,350.00
Rate for Payer: Aetna Commercial	$1,026.00
Rate for Payer: Aetna Medicare Advantage	$810.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$688.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$688.50
Rate for Payer: Cigna Commercial	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.00
Rate for Payer: Oxford Commercial	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$540.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

PROBE BI CAP****

Facility

$1,140.00

Hospital Charge Code	2300800
Hospital Revenue Code	279
Min. Negotiated Rate	$27.47
Max. Negotiated Rate	$570.00
Rate for Payer: Aetna Commercial	$433.20
Rate for Payer: Aetna Medicare Advantage	$342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.70
Rate for Payer: Cigna Commercial	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$342.00
Rate for Payer: Oxford Commercial	$228.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00
Rate for Payer: UnitedHealthcare Commercial	$228.00
Rate for Payer: UnitedHealthcare Community & State	$27.47
Rate for Payer: Wellpoint Medicaid Managed Care	$30.21

PROBE BI CAP****

Facility

$1,140.00

Hospital Charge Code	2300800
Hospital Revenue Code	279
Min. Negotiated Rate	$171.00
Max. Negotiated Rate	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$171.00

PROBE BICAP***

Facility

$924.00

Hospital Charge Code	2300630
Hospital Revenue Code	279
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

PROBE BICAP***

Facility

$924.00

Hospital Charge Code	2300630
Hospital Revenue Code	279
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$321.75
Max. Negotiated Rate	$321.75
Rate for Payer: Qualcare PPO/HMO/WC	$321.75

PROBE BILIARY 1.9FR375CM

Facility

$2,145.00

Hospital Charge Code	270675509
Hospital Revenue Code	272
Min. Negotiated Rate	$51.69
Max. Negotiated Rate	$1,072.50
Rate for Payer: Aetna Commercial	$815.10
Rate for Payer: Aetna Medicare Advantage	$643.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$546.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$546.98
Rate for Payer: Cigna Commercial	$1,072.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$643.50
Rate for Payer: Oxford Commercial	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$321.75
Rate for Payer: UnitedHealthcare Commercial	$429.00
Rate for Payer: UnitedHealthcare Community & State	$51.69
Rate for Payer: Wellpoint Medicaid Managed Care	$56.84

PROBE BIPOLAR 10FR 000398

Facility

$1,149.65

Hospital Charge Code	270611259
Hospital Revenue Code	272
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$436.87
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.89
Rate for Payer: Oxford Commercial	$229.93
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Commercial	$229.93
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.47

PROBE BIPOLAR 10FR 000398

Facility

$1,149.65

Hospital Charge Code	270611259
Hospital Revenue Code	272
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$172.45
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PROBE BIPOLAR 7F

Facility

$1,149.65

Hospital Charge Code	270607095
Hospital Revenue Code	272
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$436.87
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$344.89
Rate for Payer: Oxford Commercial	$229.93
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Commercial	$229.93
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.47

PROBE BIPOLAR 7F

Facility

$1,149.65

Hospital Charge Code	270607095
Hospital Revenue Code	272
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$172.45
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PROBE COVER 503-0116

Facility

$635.25

Hospital Charge Code	270609431
Hospital Revenue Code	272
Min. Negotiated Rate	$95.29
Max. Negotiated Rate	$95.29
Rate for Payer: Qualcare PPO/HMO/WC	$95.29

PROBE COVER 503-0116

Facility

$635.25

Hospital Charge Code	270609431
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$317.62
Rate for Payer: Aetna Commercial	$241.40
Rate for Payer: Aetna Medicare Advantage	$190.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.99
Rate for Payer: Cigna Commercial	$317.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.57
Rate for Payer: Oxford Commercial	$127.05
Rate for Payer: Qualcare PPO/HMO/WC	$95.29
Rate for Payer: UnitedHealthcare Commercial	$127.05
Rate for Payer: UnitedHealthcare Community & State	$15.31
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

PROBE COVERS FOR ULTRASOUND

Facility

$13.65

Hospital Charge Code	1810068
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

PROBE COVERS FOR ULTRASOUND

Facility

$13.65

Hospital Charge Code	1810068
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

PROBECOVER U/S TRANSDUCER

Facility

$13.65

Hospital Charge Code	270601242
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

PROBECOVER U/S TRANSDUCER

Facility

$13.65

Hospital Charge Code	270601242
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

PROBE COVER W/21G NEEDLE GUIDE

Facility

$90.00

Hospital Charge Code	270664040
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

PROBE/CRITTER COVERS

Facility

$142.55

Hospital Charge Code	270662651
Hospital Revenue Code	270
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$71.28
Rate for Payer: Aetna Commercial	$54.17
Rate for Payer: Aetna Medicare Advantage	$42.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.35
Rate for Payer: Cigna Commercial	$71.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.77
Rate for Payer: Oxford Commercial	$28.51
Rate for Payer: Qualcare PPO/HMO/WC	$21.38
Rate for Payer: UnitedHealthcare Commercial	$28.51
Rate for Payer: UnitedHealthcare Community & State	$3.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.78

PROBE/CRITTER COVERS

Facility

$142.55

Hospital Charge Code	270662651
Hospital Revenue Code	270
Min. Negotiated Rate	$21.38
Max. Negotiated Rate	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$21.38

PROBE CURETTE TITANIUM WITH VA

Facility

$2,425.00

Hospital Charge Code	270679597
Hospital Revenue Code	272
Min. Negotiated Rate	$363.75
Max. Negotiated Rate	$363.75
Rate for Payer: Qualcare PPO/HMO/WC	$363.75

Know your out-of-pocket cost for care.

All Charges