Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE FOGARTY BILIARY BALLOON

Facility

$272.60

Hospital Charge Code	270650735
Hospital Revenue Code	271
Min. Negotiated Rate	$40.89
Max. Negotiated Rate	$40.89
Rate for Payer: Qualcare PPO/HMO/WC	$40.89

PROBE GOLD 10fr

Facility

$720.00

Hospital Charge Code	270644319
Hospital Revenue Code	272
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 GOLD 10fr

Facility

$720.00

Hospital Charge Code	270644319
Hospital Revenue Code	272
Min. Negotiated Rate	$108.00
Max. Negotiated Rate	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.00

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$310.77
Rate for Payer: Aetna Commercial	$236.19
Rate for Payer: Aetna Medicare Advantage	$186.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.50
Rate for Payer: Cigna Commercial	$310.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.47
Rate for Payer: Oxford Commercial	$124.31
Rate for Payer: Qualcare PPO/HMO/WC	$93.23
Rate for Payer: UnitedHealthcare Commercial	$124.31
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

PROBE GOLD 7FR

Facility

$621.55

Hospital Charge Code	270603144
Hospital Revenue Code	272
Min. Negotiated Rate	$93.23
Max. Negotiated Rate	$93.23
Rate for Payer: Qualcare PPO/HMO/WC	$93.23

PROBE GOLD 7FR 10

Facility

$3,024.00

Hospital Charge Code	270603909
Hospital Revenue Code	272
Min. Negotiated Rate	$72.88
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$1,149.12
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.20
Rate for Payer: Oxford Commercial	$604.80
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$604.80
Rate for Payer: UnitedHealthcare Community & State	$72.88
Rate for Payer: Wellpoint Medicaid Managed Care	$80.14

PROBE GOLD 7FR 10

Facility

$3,024.00

Hospital Charge Code	270603909
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 12

Facility

$3,024.00

Hospital Charge Code	270603910
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 12

Facility

$3,024.00

Hospital Charge Code	270603910
Hospital Revenue Code	272
Min. Negotiated Rate	$72.88
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$1,149.12
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.20
Rate for Payer: Oxford Commercial	$604.80
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$604.80
Rate for Payer: UnitedHealthcare Community & State	$72.88
Rate for Payer: Wellpoint Medicaid Managed Care	$80.14

PROBE GOLD 7FR 13

Facility

$3,024.00

Hospital Charge Code	270603911
Hospital Revenue Code	272
Min. Negotiated Rate	$453.60
Max. Negotiated Rate	$453.60
Rate for Payer: Qualcare PPO/HMO/WC	$453.60

PROBE GOLD 7FR 13

Facility

$3,024.00

Hospital Charge Code	270603911
Hospital Revenue Code	272
Min. Negotiated Rate	$72.88
Max. Negotiated Rate	$1,512.00
Rate for Payer: Aetna Commercial	$1,149.12
Rate for Payer: Aetna Medicare Advantage	$907.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.12
Rate for Payer: Cigna Commercial	$1,512.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.20
Rate for Payer: Oxford Commercial	$604.80
Rate for Payer: Qualcare PPO/HMO/WC	$453.60
Rate for Payer: UnitedHealthcare Commercial	$604.80
Rate for Payer: UnitedHealthcare Community & State	$72.88
Rate for Payer: Wellpoint Medicaid Managed Care	$80.14

PROBE HEMOSTASIS 7FR

Facility

$1,724.85

Hospital Charge Code	270607096
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$655.44
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.46
Rate for Payer: Oxford Commercial	$344.97
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Commercial	$344.97
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

PROBE HEMOSTASIS 7FR

Facility

$1,724.85

Hospital Charge Code	270607096
Hospital Revenue Code	272
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$258.73
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$29.08
Max. Negotiated Rate	$603.40
Rate for Payer: Aetna Commercial	$458.58
Rate for Payer: Aetna Medicare Advantage	$362.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.73
Rate for Payer: Cigna Commercial	$603.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$362.04
Rate for Payer: Oxford Commercial	$241.36
Rate for Payer: Qualcare PPO/HMO/WC	$181.02
Rate for Payer: UnitedHealthcare Commercial	$241.36
Rate for Payer: UnitedHealthcare Community & State	$29.08
Rate for Payer: Wellpoint Medicaid Managed Care	$31.98

PROBE HIP WAND SERFAS XL 90-S-

Facility

$1,206.80

Hospital Charge Code	270683008
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE HYPOTERM DISP

Facility

$156.85

Hospital Charge Code	270600064
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$78.42
Rate for Payer: Aetna Commercial	$59.60
Rate for Payer: Aetna Medicare Advantage	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.00
Rate for Payer: Cigna Commercial	$78.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.05
Rate for Payer: Oxford Commercial	$31.37
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$31.37
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.16

PROBE HYPOTERM DISP

Facility

$156.85

Hospital Charge Code	270600064
Hospital Revenue Code	272
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

PROBE INCUTEMP I 503-0110

Facility

$63.25

Hospital Charge Code	270609430
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

PROBE INCUTEMP I 503-0110

Facility

$63.25

Hospital Charge Code	270609430
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

PROBE INCUTEMP II 503-0111

Facility

$32.00

Hospital Charge Code	270609682
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$12.16
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.60
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$6.40
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

PROBE INCUTEMP II 503-0111

Facility

$32.00

Hospital Charge Code	270609682
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

PROBE INCUTEMP III 503-0112

Facility

$29.65

Hospital Charge Code	270609683
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

PROBE INCUTEMP III 503-0112

Facility

$29.65

Hospital Charge Code	270609683
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$11.27
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.89
Rate for Payer: Oxford Commercial	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$5.93
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.79

PROBE INJECTION GOLD 6

Facility

$1,801.65

Hospital Charge Code	270603941
Hospital Revenue Code	272
Min. Negotiated Rate	$270.25
Max. Negotiated Rate	$270.25
Rate for Payer: Qualcare PPO/HMO/WC	$270.25

PROBE INJECTION GOLD 6

Facility

$1,801.65

Hospital Charge Code	270603941
Hospital Revenue Code	272
Min. Negotiated Rate	$43.42
Max. Negotiated Rate	$900.83
Rate for Payer: Aetna Commercial	$684.63
Rate for Payer: Aetna Medicare Advantage	$540.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.42
Rate for Payer: Cigna Commercial	$900.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.50
Rate for Payer: Oxford Commercial	$360.33
Rate for Payer: Qualcare PPO/HMO/WC	$270.25
Rate for Payer: UnitedHealthcare Commercial	$360.33
Rate for Payer: UnitedHealthcare Community & State	$43.42
Rate for Payer: Wellpoint Medicaid Managed Care	$47.74

Know your out-of-pocket cost for care.

All Charges