Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$19.44
Max. Negotiated Rate	$403.23
Rate for Payer: Aetna Commercial	$306.45
Rate for Payer: Aetna Medicare Advantage	$241.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.64
Rate for Payer: Cigna Commercial	$403.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.94
Rate for Payer: Oxford Commercial	$161.29
Rate for Payer: Qualcare PPO/HMO/WC	$120.97
Rate for Payer: UnitedHealthcare Commercial	$161.29
Rate for Payer: UnitedHealthcare Community & State	$19.44
Rate for Payer: Wellpoint Medicaid Managed Care	$21.37

RELOAD ECHELON 60MM GOLD

Facility

$806.45

Hospital Charge Code	270670861
Hospital Revenue Code	272
Min. Negotiated Rate	$120.97
Max. Negotiated Rate	$120.97
Rate for Payer: Qualcare PPO/HMO/WC	$120.97

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$22.92
Max. Negotiated Rate	$475.48
Rate for Payer: Aetna Commercial	$361.36
Rate for Payer: Aetna Medicare Advantage	$285.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.49
Rate for Payer: Cigna Commercial	$475.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.29
Rate for Payer: Oxford Commercial	$190.19
Rate for Payer: Qualcare PPO/HMO/WC	$142.64
Rate for Payer: UnitedHealthcare Commercial	$190.19
Rate for Payer: UnitedHealthcare Community & State	$22.92
Rate for Payer: Wellpoint Medicaid Managed Care	$25.20

RELOAD ECHELON 60MM GREEN

Facility

$950.95

Hospital Charge Code	270670863
Hospital Revenue Code	272
Min. Negotiated Rate	$142.64
Max. Negotiated Rate	$142.64
Rate for Payer: Qualcare PPO/HMO/WC	$142.64

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$6.76
Max. Negotiated Rate	$140.19
Rate for Payer: Aetna Commercial	$106.54
Rate for Payer: Aetna Medicare Advantage	$84.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.50
Rate for Payer: Cigna Commercial	$140.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.11
Rate for Payer: Oxford Commercial	$56.08
Rate for Payer: Qualcare PPO/HMO/WC	$42.06
Rate for Payer: UnitedHealthcare Commercial	$56.08
Rate for Payer: UnitedHealthcare Community & State	$6.76
Rate for Payer: Wellpoint Medicaid Managed Care	$7.43

RELOAD ECHELON 60MM WHITE

Facility

$280.38

Hospital Charge Code	270608751
Hospital Revenue Code	272
Min. Negotiated Rate	$42.06
Max. Negotiated Rate	$42.06
Rate for Payer: Qualcare PPO/HMO/WC	$42.06

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$62.66
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$520.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$520.00
Rate for Payer: UnitedHealthcare Community & State	$62.66
Rate for Payer: Wellpoint Medicaid Managed Care	$68.90

RELOAD EGIA VASC MED 30MM

Facility

$2,600.00

Hospital Charge Code	270662691
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$33.90
Rate for Payer: Qualcare PPO/HMO/WC	$33.90

RELOAD ENDO 45MM

Facility

$226.00

Hospital Charge Code	270338732
Hospital Revenue Code	272
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$113.00
Rate for Payer: Aetna Commercial	$85.88
Rate for Payer: Aetna Medicare Advantage	$67.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.63
Rate for Payer: Cigna Commercial	$113.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.80
Rate for Payer: Oxford Commercial	$45.20
Rate for Payer: Qualcare PPO/HMO/WC	$33.90
Rate for Payer: UnitedHealthcare Commercial	$45.20
Rate for Payer: UnitedHealthcare Community & State	$5.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5.99

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$259.98
Rate for Payer: Aetna Commercial	$197.58
Rate for Payer: Aetna Medicare Advantage	$155.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.59
Rate for Payer: Cigna Commercial	$259.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.99
Rate for Payer: Oxford Commercial	$103.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99
Rate for Payer: UnitedHealthcare Commercial	$103.99
Rate for Payer: UnitedHealthcare Community & State	$12.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

RELOAD ENDOPATH CUTTER BLUE

Facility

$519.95

Hospital Charge Code	270608383
Hospital Revenue Code	272
Min. Negotiated Rate	$77.99
Max. Negotiated Rate	$77.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.20
Rate for Payer: Oxford Commercial	$30.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Commercial	$30.80
Rate for Payer: UnitedHealthcare Community & State	$3.71
Rate for Payer: Wellpoint Medicaid Managed Care	$4.08

RELOAD ENDO VASCULAR 35MM

Facility

$154.00

Hospital Charge Code	270338710
Hospital Revenue Code	272
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$23.10
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$97.83
Max. Negotiated Rate	$97.83
Rate for Payer: Qualcare PPO/HMO/WC	$97.83

RELOAD ETH CUTTER VASC TR45W

Facility

$652.21

Hospital Charge Code	270625421
Hospital Revenue Code	272
Min. Negotiated Rate	$15.72
Max. Negotiated Rate	$326.11
Rate for Payer: Aetna Commercial	$247.84
Rate for Payer: Aetna Medicare Advantage	$195.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.31
Rate for Payer: Cigna Commercial	$326.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.66
Rate for Payer: Oxford Commercial	$130.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.83
Rate for Payer: UnitedHealthcare Commercial	$130.44
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

RELOADING UNIT FOR TCM20

Facility

$180.00

Hospital Charge Code	270334678
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$15.39
Max. Negotiated Rate	$319.29
Rate for Payer: Aetna Commercial	$242.66
Rate for Payer: Aetna Medicare Advantage	$191.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.84
Rate for Payer: Cigna Commercial	$319.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.57
Rate for Payer: Oxford Commercial	$127.72
Rate for Payer: Qualcare PPO/HMO/WC	$95.79
Rate for Payer: UnitedHealthcare Commercial	$127.72
Rate for Payer: UnitedHealthcare Community & State	$15.39
Rate for Payer: Wellpoint Medicaid Managed Care	$16.92

RELOAD LINEAR CUTTER 45MM BLUE

Facility

$638.58

Hospital Charge Code	270625729
Hospital Revenue Code	272
Min. Negotiated Rate	$95.79
Max. Negotiated Rate	$95.79
Rate for Payer: Qualcare PPO/HMO/WC	$95.79

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$120.93
Rate for Payer: Aetna Commercial	$91.91
Rate for Payer: Aetna Medicare Advantage	$72.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.67
Rate for Payer: Cigna Commercial	$120.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.56
Rate for Payer: Oxford Commercial	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$36.28
Rate for Payer: UnitedHealthcare Commercial	$48.37
Rate for Payer: UnitedHealthcare Community & State	$5.83
Rate for Payer: Wellpoint Medicaid Managed Care	$6.41

RELOAD LINEAR CUTTER 55MM GRN

Facility

$241.86

Hospital Charge Code	270658383
Hospital Revenue Code	272
Min. Negotiated Rate	$36.28
Max. Negotiated Rate	$36.28
Rate for Payer: Qualcare PPO/HMO/WC	$36.28

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

RELOAD LINEAR CUTTER 75MM

Facility

$94.00

Hospital Charge Code	270338708
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.20
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

RELOAD LINEAR CUTTER STAP 55MM

Facility

$94.00

Hospital Charge Code	270338691
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

Know your out-of-pocket cost for care.

All Charges