Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$191.90
Max. Negotiated Rate	$191.90
Rate for Payer: Qualcare PPO/HMO/WC	$191.90

PROBE ELECTRO SPATULA TIP 5 MM

Facility

$1,279.30

Hospital Charge Code	270683002
Hospital Revenue Code	272
Min. Negotiated Rate	$30.83
Max. Negotiated Rate	$639.65
Rate for Payer: Aetna Commercial	$486.13
Rate for Payer: Aetna Medicare Advantage	$383.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.22
Rate for Payer: Cigna Commercial	$639.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.79
Rate for Payer: Oxford Commercial	$255.86
Rate for Payer: Qualcare PPO/HMO/WC	$191.90
Rate for Payer: UnitedHealthcare Commercial	$255.86
Rate for Payer: UnitedHealthcare Community & State	$30.83
Rate for Payer: Wellpoint Medicaid Managed Care	$33.90

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PROBE ERBE SIDE FIRE 20132148

Facility

$1,025.00

Hospital Charge Code	270625515
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$2.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.83

PROBE ESOPHAGEAL W/TEMP.

Facility

$18.90

Hospital Charge Code	270684723
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.45
Rate for Payer: Aetna Commercial	$7.18
Rate for Payer: Aetna Medicare Advantage	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.82
Rate for Payer: Cigna Commercial	$9.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.67
Rate for Payer: Oxford Commercial	$3.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.83
Rate for Payer: UnitedHealthcare Commercial	$3.78
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.56
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$28.00
Rate for Payer: Wellpoint Medicaid Managed Care	$30.79

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.56
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$28.00
Rate for Payer: Wellpoint Medicaid Managed Care	$30.79

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	675349
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.56
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$28.00
Rate for Payer: Wellpoint Medicaid Managed Care	$30.79

PROBE EVIVA 9G PETITE

Facility

$1,161.88

Hospital Charge Code	270675349
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$32.14
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$506.82
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.12
Rate for Payer: Oxford Commercial	$266.75
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: UnitedHealthcare Community & State	$32.14
Rate for Payer: Wellpoint Medicaid Managed Care	$35.34

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$32.14
Max. Negotiated Rate	$666.88
Rate for Payer: Aetna Commercial	$506.82
Rate for Payer: Aetna Medicare Advantage	$400.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.11
Rate for Payer: Cigna Commercial	$666.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.12
Rate for Payer: Oxford Commercial	$266.75
Rate for Payer: Qualcare PPO/HMO/WC	$200.06
Rate for Payer: UnitedHealthcare Commercial	$266.75
Rate for Payer: UnitedHealthcare Community & State	$32.14
Rate for Payer: Wellpoint Medicaid Managed Care	$35.34

PROBE EVIVA 9G STD

Facility

$1,333.75

Hospital Charge Code	270642614R
Hospital Revenue Code	272
Min. Negotiated Rate	$200.06
Max. Negotiated Rate	$200.06
Rate for Payer: Qualcare PPO/HMO/WC	$200.06

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
Hospital Revenue Code	272
Min. Negotiated Rate	$174.28
Max. Negotiated Rate	$174.28
Rate for Payer: Qualcare PPO/HMO/WC	$174.28

PROBE EVIVA 9G STD

Facility

$1,161.88

Hospital Charge Code	270642614N
Hospital Revenue Code	272
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$580.94
Rate for Payer: Aetna Commercial	$441.51
Rate for Payer: Aetna Medicare Advantage	$348.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.28
Rate for Payer: Cigna Commercial	$580.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.56
Rate for Payer: Oxford Commercial	$232.38
Rate for Payer: Qualcare PPO/HMO/WC	$174.28
Rate for Payer: UnitedHealthcare Commercial	$232.38
Rate for Payer: UnitedHealthcare Community & State	$28.00
Rate for Payer: Wellpoint Medicaid Managed Care	$30.79

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.38
Rate for Payer: Aetna Commercial	$427.40
Rate for Payer: Aetna Medicare Advantage	$337.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.81
Rate for Payer: Cigna Commercial	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.43
Rate for Payer: Oxford Commercial	$224.95
Rate for Payer: Qualcare PPO/HMO/WC	$168.71
Rate for Payer: UnitedHealthcare Commercial	$224.95
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

PROBE FIAPC CIR 2.3MM 20132218

Facility

$1,124.75

Hospital Charge Code	270638543
Hospital Revenue Code	272
Min. Negotiated Rate	$168.71
Max. Negotiated Rate	$168.71
Rate for Payer: Qualcare PPO/HMO/WC	$168.71

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$184.46
Max. Negotiated Rate	$184.46
Rate for Payer: Qualcare PPO/HMO/WC	$184.46

PROBE FIAPC STR 2.3MM 9FT

Facility

$1,229.75

Hospital Charge Code	270677696
Hospital Revenue Code	272
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$614.88
Rate for Payer: Aetna Commercial	$467.31
Rate for Payer: Aetna Medicare Advantage	$368.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.59
Rate for Payer: Cigna Commercial	$614.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.93
Rate for Payer: Oxford Commercial	$245.95
Rate for Payer: Qualcare PPO/HMO/WC	$184.46
Rate for Payer: UnitedHealthcare Commercial	$245.95
Rate for Payer: UnitedHealthcare Community & State	$29.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32.59

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$160.24
Max. Negotiated Rate	$160.24
Rate for Payer: Qualcare PPO/HMO/WC	$160.24

PROBE FIAP ST 2 3X6 9 20132214

Facility

$1,068.25

Hospital Charge Code	270638542
Hospital Revenue Code	272
Min. Negotiated Rate	$25.74
Max. Negotiated Rate	$534.12
Rate for Payer: Aetna Commercial	$405.94
Rate for Payer: Aetna Medicare Advantage	$320.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.40
Rate for Payer: Cigna Commercial	$534.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.48
Rate for Payer: Oxford Commercial	$213.65
Rate for Payer: Qualcare PPO/HMO/WC	$160.24
Rate for Payer: UnitedHealthcare Commercial	$213.65
Rate for Payer: UnitedHealthcare Community & State	$25.74
Rate for Payer: Wellpoint Medicaid Managed Care	$28.31

PROBE FOGARTY BILIARY BALLOON

Facility

$272.60

Hospital Charge Code	270650735
Hospital Revenue Code	271
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$136.30
Rate for Payer: Aetna Commercial	$103.59
Rate for Payer: Aetna Medicare Advantage	$81.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.51
Rate for Payer: Cigna Commercial	$136.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.78
Rate for Payer: Oxford Commercial	$54.52
Rate for Payer: Qualcare PPO/HMO/WC	$40.89
Rate for Payer: UnitedHealthcare Commercial	$54.52
Rate for Payer: UnitedHealthcare Community & State	$6.57
Rate for Payer: Wellpoint Medicaid Managed Care	$7.22

Know your out-of-pocket cost for care.

All Charges