Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE CURETTE TITANIUM WITH VA

Facility

$2,425.00

Hospital Charge Code	270679597
Hospital Revenue Code	272
Min. Negotiated Rate	$58.44
Max. Negotiated Rate	$1,212.50
Rate for Payer: Aetna Commercial	$921.50
Rate for Payer: Aetna Medicare Advantage	$727.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$618.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$618.38
Rate for Payer: Cigna Commercial	$1,212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.50
Rate for Payer: Oxford Commercial	$485.00
Rate for Payer: Qualcare PPO/HMO/WC	$363.75
Rate for Payer: UnitedHealthcare Commercial	$485.00
Rate for Payer: UnitedHealthcare Community & State	$58.44
Rate for Payer: Wellpoint Medicaid Managed Care	$64.26

PROBE CURVED BLADE 5MM-32CM

Facility

$522.00

Hospital Charge Code	270335401
Hospital Revenue Code	272
Min. Negotiated Rate	$12.58
Max. Negotiated Rate	$261.00
Rate for Payer: Aetna Commercial	$198.36
Rate for Payer: Aetna Medicare Advantage	$156.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.11
Rate for Payer: Cigna Commercial	$261.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.60
Rate for Payer: Oxford Commercial	$104.40
Rate for Payer: Qualcare PPO/HMO/WC	$78.30
Rate for Payer: UnitedHealthcare Commercial	$104.40
Rate for Payer: UnitedHealthcare Community & State	$12.58
Rate for Payer: Wellpoint Medicaid Managed Care	$13.83

PROBE CURVED BLADE 5MM-32CM

Facility

$522.00

Hospital Charge Code	270335401
Hospital Revenue Code	272
Min. Negotiated Rate	$78.30
Max. Negotiated Rate	$78.30
Rate for Payer: Qualcare PPO/HMO/WC	$78.30

PROBE CYLINDERICAL TI

Facility

$2,025.00

Hospital Charge Code	270678536
Hospital Revenue Code	272
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

PROBE CYLINDERICAL TI

Facility

$2,025.00

Hospital Charge Code	270678536
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

PROBE DISPOSABLE ADULT

Facility

$28.00

Hospital Charge Code	270669532
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

PROBE DISPOSABLE ADULT

Facility

$28.00

Hospital Charge Code	270669532
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

PROBE DISPOSABLE VTI DOPPLER

Facility

$499.00

Hospital Charge Code	270657530
Hospital Revenue Code	270
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$249.50
Rate for Payer: Aetna Commercial	$189.62
Rate for Payer: Aetna Medicare Advantage	$149.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.25
Rate for Payer: Cigna Commercial	$249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.70
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$74.85
Rate for Payer: UnitedHealthcare Commercial	$99.80
Rate for Payer: UnitedHealthcare Community & State	$12.03
Rate for Payer: Wellpoint Medicaid Managed Care	$13.22

PROBE DISPOSABLE VTI DOPPLER

Facility

$499.00

Hospital Charge Code	270657530
Hospital Revenue Code	270
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$74.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.85

PROBE DPPLR PENCIL 7' 9.2 MHZ

Facility

$720.00

Hospital Charge Code	270658140
Hospital Revenue Code	270
Min. Negotiated Rate	$17.35
Max. Negotiated Rate	$360.00
Rate for Payer: Aetna Commercial	$273.60
Rate for Payer: Aetna Medicare Advantage	$216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.60
Rate for Payer: Cigna Commercial	$360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.00
Rate for Payer: Oxford Commercial	$144.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00
Rate for Payer: UnitedHealthcare Commercial	$144.00
Rate for Payer: UnitedHealthcare Community & State	$17.35
Rate for Payer: Wellpoint Medicaid Managed Care	$19.08

PROBE DPPLR PENCIL 7' 9.2 MHZ

Facility

$720.00

Hospital Charge Code	270658140
Hospital Revenue Code	270
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

PROBE EFLEX INTEGRATED CABLE

Facility

$2,620.00

Hospital Charge Code	270670485
Hospital Revenue Code	272
Min. Negotiated Rate	$393.00
Max. Negotiated Rate	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.00

PROBE EFLEX INTEGRATED CABLE

Facility

$2,620.00

Hospital Charge Code	270670485
Hospital Revenue Code	272
Min. Negotiated Rate	$63.14
Max. Negotiated Rate	$1,310.00
Rate for Payer: Aetna Commercial	$995.60
Rate for Payer: Aetna Medicare Advantage	$786.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$668.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$668.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$668.10
Rate for Payer: Cigna Commercial	$1,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.00
Rate for Payer: Oxford Commercial	$524.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.00
Rate for Payer: UnitedHealthcare Commercial	$524.00
Rate for Payer: UnitedHealthcare Community & State	$63.14
Rate for Payer: Wellpoint Medicaid Managed Care	$69.43

PROBE ELEC SURG W HAND 7205565

Facility

$245.65

Hospital Charge Code	270616859
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$122.83
Rate for Payer: Aetna Commercial	$93.35
Rate for Payer: Aetna Medicare Advantage	$73.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.64
Rate for Payer: Cigna Commercial	$122.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.69
Rate for Payer: Oxford Commercial	$49.13
Rate for Payer: Qualcare PPO/HMO/WC	$36.85
Rate for Payer: UnitedHealthcare Commercial	$49.13
Rate for Payer: UnitedHealthcare Community & State	$5.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6.51

PROBE ELEC SURG W HAND 7205565

Facility

$245.65

Hospital Charge Code	270616859
Hospital Revenue Code	272
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$36.85

PROBE ELECTROHYDRAUL 1.6F

Facility

$1,200.00

Hospital Charge Code	270600274
Hospital Revenue Code	272
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.00
Rate for Payer: Oxford Commercial	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$240.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

PROBE ELECTROHYDRAUL 1.6F

Facility

$1,200.00

Hospital Charge Code	270600274
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

PROBE ELECTROHYDRAUL 3.0FR

Facility

$1,371.25

Hospital Charge Code	270600275
Hospital Revenue Code	272
Min. Negotiated Rate	$33.05
Max. Negotiated Rate	$685.62
Rate for Payer: Aetna Commercial	$521.08
Rate for Payer: Aetna Medicare Advantage	$411.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.67
Rate for Payer: Cigna Commercial	$685.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.38
Rate for Payer: Oxford Commercial	$274.25
Rate for Payer: Qualcare PPO/HMO/WC	$205.69
Rate for Payer: UnitedHealthcare Commercial	$274.25
Rate for Payer: UnitedHealthcare Community & State	$33.05
Rate for Payer: Wellpoint Medicaid Managed Care	$36.34

PROBE ELECTROHYDRAUL 3.0FR

Facility

$1,371.25

Hospital Charge Code	270600275
Hospital Revenue Code	272
Min. Negotiated Rate	$205.69
Max. Negotiated Rate	$205.69
Rate for Payer: Qualcare PPO/HMO/WC	$205.69

PROBE ELECTROHYDRAUL 4.5F

Facility

$1,296.00

Hospital Charge Code	270600289
Hospital Revenue Code	272
Min. Negotiated Rate	$194.40
Max. Negotiated Rate	$194.40
Rate for Payer: Qualcare PPO/HMO/WC	$194.40

PROBE ELECTROHYDRAUL 4.5F

Facility

$1,296.00

Hospital Charge Code	270600289
Hospital Revenue Code	272
Min. Negotiated Rate	$31.23
Max. Negotiated Rate	$648.00
Rate for Payer: Aetna Commercial	$492.48
Rate for Payer: Aetna Medicare Advantage	$388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$330.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$330.48
Rate for Payer: Cigna Commercial	$648.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$388.80
Rate for Payer: Oxford Commercial	$259.20
Rate for Payer: Qualcare PPO/HMO/WC	$194.40
Rate for Payer: UnitedHealthcare Commercial	$259.20
Rate for Payer: UnitedHealthcare Community & State	$31.23
Rate for Payer: Wellpoint Medicaid Managed Care	$34.34

PROBE ELECTROHYDRAUL 7.0F

Facility

$1,437.50

Hospital Charge Code	270600291
Hospital Revenue Code	272
Min. Negotiated Rate	$34.64
Max. Negotiated Rate	$718.75
Rate for Payer: Aetna Commercial	$546.25
Rate for Payer: Aetna Medicare Advantage	$431.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$366.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$366.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$366.56
Rate for Payer: Cigna Commercial	$718.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.25
Rate for Payer: Oxford Commercial	$287.50
Rate for Payer: Qualcare PPO/HMO/WC	$215.62
Rate for Payer: UnitedHealthcare Commercial	$287.50
Rate for Payer: UnitedHealthcare Community & State	$34.64
Rate for Payer: Wellpoint Medicaid Managed Care	$38.09

PROBE ELECTROHYDRAUL 7.0F

Facility

$1,437.50

Hospital Charge Code	270600291
Hospital Revenue Code	272
Min. Negotiated Rate	$215.62
Max. Negotiated Rate	$215.62
Rate for Payer: Qualcare PPO/HMO/WC	$215.62

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$78.33
Max. Negotiated Rate	$1,625.00
Rate for Payer: Aetna Commercial	$1,235.00
Rate for Payer: Aetna Medicare Advantage	$975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$828.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$828.75
Rate for Payer: Cigna Commercial	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$975.00
Rate for Payer: Oxford Commercial	$650.00
Rate for Payer: Qualcare PPO/HMO/WC	$487.50
Rate for Payer: UnitedHealthcare Commercial	$650.00
Rate for Payer: UnitedHealthcare Community & State	$78.33
Rate for Payer: Wellpoint Medicaid Managed Care	$86.12

PROBE ELECTROHYDRAULIC LITHO-

Facility

$3,250.00

Hospital Charge Code	270658471
Hospital Revenue Code	272
Min. Negotiated Rate	$487.50
Max. Negotiated Rate	$487.50
Rate for Payer: Qualcare PPO/HMO/WC	$487.50

Know your out-of-pocket cost for care.

All Charges