Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE SERF 90 W/SUCT 278510500

Facility

$813.65

Hospital Charge Code	270629736
Hospital Revenue Code	272
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.09
Rate for Payer: Oxford Commercial	$162.73
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Commercial	$162.73
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$16.60
Max. Negotiated Rate	$344.48
Rate for Payer: Aetna Commercial	$261.80
Rate for Payer: Aetna Medicare Advantage	$206.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.68
Rate for Payer: Cigna Commercial	$344.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.69
Rate for Payer: Oxford Commercial	$137.79
Rate for Payer: Qualcare PPO/HMO/WC	$103.34
Rate for Payer: UnitedHealthcare Commercial	$137.79
Rate for Payer: UnitedHealthcare Community & State	$16.60
Rate for Payer: Wellpoint Medicaid Managed Care	$18.26

PROBE SERFAS ENERGY ARD 2.5MM

Facility

$688.95

Hospital Charge Code	270683176
Hospital Revenue Code	272
Min. Negotiated Rate	$103.34
Max. Negotiated Rate	$103.34
Rate for Payer: Qualcare PPO/HMO/WC	$103.34

PROBE SERF CONTR 3.5 278530350

Facility

$736.65

Hospital Charge Code	270622134
Hospital Revenue Code	272
Min. Negotiated Rate	$110.50
Max. Negotiated Rate	$110.50
Rate for Payer: Qualcare PPO/HMO/WC	$110.50

PROBE SERF CONTR 3.5 278530350

Facility

$736.65

Hospital Charge Code	270622134
Hospital Revenue Code	272
Min. Negotiated Rate	$17.75
Max. Negotiated Rate	$368.32
Rate for Payer: Aetna Commercial	$279.93
Rate for Payer: Aetna Medicare Advantage	$221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.85
Rate for Payer: Cigna Commercial	$368.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.00
Rate for Payer: Oxford Commercial	$147.33
Rate for Payer: Qualcare PPO/HMO/WC	$110.50
Rate for Payer: UnitedHealthcare Commercial	$147.33
Rate for Payer: UnitedHealthcare Community & State	$17.75
Rate for Payer: Wellpoint Medicaid Managed Care	$19.52

PROBE SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
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 SERPAS 50S SWEEP XL

Facility

$1,206.80

Hospital Charge Code	270685909
Hospital Revenue Code	272
Min. Negotiated Rate	$181.02
Max. Negotiated Rate	$181.02
Rate for Payer: Qualcare PPO/HMO/WC	$181.02

PROBE SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
Hospital Revenue Code	272
Min. Negotiated Rate	$45.20
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$712.69
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Oxford Commercial	$375.10
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$375.10
Rate for Payer: UnitedHealthcare Community & State	$45.20
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

PROBE SMALL 30 DEGREE ASSY

Facility

$1,875.50

Hospital Charge Code	270689120
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$136.88
Max. Negotiated Rate	$136.88
Rate for Payer: Qualcare PPO/HMO/WC	$136.88

PROBE SPO2 REUSABLE

Facility

$912.50

Hospital Charge Code	270668475
Hospital Revenue Code	272
Min. Negotiated Rate	$21.99
Max. Negotiated Rate	$456.25
Rate for Payer: Aetna Commercial	$346.75
Rate for Payer: Aetna Medicare Advantage	$273.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.69
Rate for Payer: Cigna Commercial	$456.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.75
Rate for Payer: Oxford Commercial	$182.50
Rate for Payer: Qualcare PPO/HMO/WC	$136.88
Rate for Payer: UnitedHealthcare Commercial	$182.50
Rate for Payer: UnitedHealthcare Community & State	$21.99
Rate for Payer: Wellpoint Medicaid Managed Care	$24.18

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
Hospital Revenue Code	272
Min. Negotiated Rate	$45.20
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$712.69
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Oxford Commercial	$375.10
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$375.10
Rate for Payer: UnitedHealthcare Community & State	$45.20
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

PROBE STRAIGHT ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689118
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

PROBE STRYK 90 DEG 278-500-350

Facility

$750.00

Hospital Charge Code	270620233
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.57
Rate for Payer: Oxford Commercial	$207.05
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Commercial	$207.05
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

PROBE STRYK SERFO 278-520-350

Facility

$1,035.25

Hospital Charge Code	270620098
Hospital Revenue Code	272
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$155.29
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

PROBE TEMPERATURE AIR LIFE***

Facility

$8.00

Hospital Charge Code	9501123
Hospital Revenue Code	279
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$1.60
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

PROBE TEMPERATURE AIR LIFE***

Facility

$8.00

Hospital Charge Code	9501123
Hospital Revenue Code	279
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

PROBE TEMP HYPOTHERM DISP

Facility

$113.65

Hospital Charge Code	270600068
Hospital Revenue Code	272
Min. Negotiated Rate	$17.05
Max. Negotiated Rate	$17.05
Rate for Payer: Qualcare PPO/HMO/WC	$17.05

PROBE TEMP HYPOTHERM DISP

Facility

$113.65

Hospital Charge Code	270600068
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$56.83
Rate for Payer: Aetna Commercial	$43.19
Rate for Payer: Aetna Medicare Advantage	$34.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.98
Rate for Payer: Cigna Commercial	$56.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.09
Rate for Payer: Oxford Commercial	$22.73
Rate for Payer: Qualcare PPO/HMO/WC	$17.05
Rate for Payer: UnitedHealthcare Commercial	$22.73
Rate for Payer: UnitedHealthcare Community & State	$2.74
Rate for Payer: Wellpoint Medicaid Managed Care	$3.01

PROBE THERMOMETER F/PRO200

Facility

$933.50

Hospital Charge Code	270647235
Hospital Revenue Code	271
Min. Negotiated Rate	$140.03
Max. Negotiated Rate	$140.03
Rate for Payer: Qualcare PPO/HMO/WC	$140.03

PROBE THERMOMETER F/PRO200

Facility

$933.50

Hospital Charge Code	270647235
Hospital Revenue Code	271
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$466.75
Rate for Payer: Aetna Commercial	$354.73
Rate for Payer: Aetna Medicare Advantage	$280.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.04
Rate for Payer: Cigna Commercial	$466.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.05
Rate for Payer: Oxford Commercial	$186.70
Rate for Payer: Qualcare PPO/HMO/WC	$140.03
Rate for Payer: UnitedHealthcare Commercial	$186.70
Rate for Payer: UnitedHealthcare Community & State	$22.50
Rate for Payer: Wellpoint Medicaid Managed Care	$24.74

PROBE TRIPLANE

Facility

$1,690.00

Hospital Charge Code	270700037
Hospital Revenue Code	272
Min. Negotiated Rate	$253.50
Max. Negotiated Rate	$253.50
Rate for Payer: Qualcare PPO/HMO/WC	$253.50

PROBE TRIPLANE

Facility

$1,690.00

Hospital Charge Code	270700037
Hospital Revenue Code	272
Min. Negotiated Rate	$40.73
Max. Negotiated Rate	$845.00
Rate for Payer: Aetna Commercial	$642.20
Rate for Payer: Aetna Medicare Advantage	$507.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$430.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$430.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$430.95
Rate for Payer: Cigna Commercial	$845.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.00
Rate for Payer: Oxford Commercial	$338.00
Rate for Payer: Qualcare PPO/HMO/WC	$253.50
Rate for Payer: UnitedHealthcare Commercial	$338.00
Rate for Payer: UnitedHealthcare Community & State	$40.73
Rate for Payer: Wellpoint Medicaid Managed Care	$44.78

Know your out-of-pocket cost for care.

All Charges