Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RESERVOIR BIOFLEX 9060KLC

Facility

$6,150.45

Hospital Charge Code	270633691
Hospital Revenue Code	272
Min. Negotiated Rate	$148.23
Max. Negotiated Rate	$3,075.22
Rate for Payer: Aetna Commercial	$2,337.17
Rate for Payer: Aetna Medicare Advantage	$1,845.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.36
Rate for Payer: Cigna Commercial	$3,075.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,845.13
Rate for Payer: Oxford Commercial	$1,230.09
Rate for Payer: Qualcare PPO/HMO/WC	$922.57
Rate for Payer: UnitedHealthcare Commercial	$1,230.09
Rate for Payer: UnitedHealthcare Community & State	$148.23
Rate for Payer: Wellpoint Medicaid Managed Care	$162.99

RESERVOIR BIOFLEX 9075KLOC

Facility

$6,150.45

Hospital Charge Code	270633680
Hospital Revenue Code	272
Min. Negotiated Rate	$148.23
Max. Negotiated Rate	$3,075.22
Rate for Payer: Aetna Commercial	$2,337.17
Rate for Payer: Aetna Medicare Advantage	$1,845.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.36
Rate for Payer: Cigna Commercial	$3,075.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,845.13
Rate for Payer: Oxford Commercial	$1,230.09
Rate for Payer: Qualcare PPO/HMO/WC	$922.57
Rate for Payer: UnitedHealthcare Commercial	$1,230.09
Rate for Payer: UnitedHealthcare Community & State	$148.23
Rate for Payer: Wellpoint Medicaid Managed Care	$162.99

RESERVOIR BIOFLEX 9075KLOC

Facility

$6,150.45

Hospital Charge Code	270633680
Hospital Revenue Code	272
Min. Negotiated Rate	$922.57
Max. Negotiated Rate	$922.57
Rate for Payer: Qualcare PPO/HMO/WC	$922.57

RESERVOIR BURRHLE DESGN

Facility

$1,396.00

Hospital Charge Code	270600409
Hospital Revenue Code	270
Min. Negotiated Rate	$33.64
Max. Negotiated Rate	$698.00
Rate for Payer: Aetna Commercial	$530.48
Rate for Payer: Aetna Medicare Advantage	$418.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.98
Rate for Payer: Cigna Commercial	$698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.80
Rate for Payer: Oxford Commercial	$279.20
Rate for Payer: Qualcare PPO/HMO/WC	$209.40
Rate for Payer: UnitedHealthcare Commercial	$279.20
Rate for Payer: UnitedHealthcare Community & State	$33.64
Rate for Payer: Wellpoint Medicaid Managed Care	$36.99

RESERVOIR BURRHLE DESGN

Facility

$1,396.00

Hospital Charge Code	270600409
Hospital Revenue Code	270
Min. Negotiated Rate	$209.40
Max. Negotiated Rate	$209.40
Rate for Payer: Qualcare PPO/HMO/WC	$209.40

RESERVOIR COLLEC CEL SV

Facility

$71.25

Hospital Charge Code	270601408
Hospital Revenue Code	279
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.38
Rate for Payer: Oxford Commercial	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$14.25
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

RESERVOIR COLLEC CEL SV

Facility

$71.25

Hospital Charge Code	270601408
Hospital Revenue Code	279
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

RESERVOIR COLLECT COBE ELE CTA

Facility

$322.50

Hospital Charge Code	207637901
Hospital Revenue Code	278
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$78.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

RESERVOIR COLLECT COBE ELE CTA

Facility

$322.50

Hospital Charge Code	207637901
Hospital Revenue Code	278
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$122.55
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

RESERVOIR COLLECTION COBE300

Facility

$396.85

Hospital Charge Code	270605813
Hospital Revenue Code	272
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$150.80
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.06
Rate for Payer: Oxford Commercial	$79.37
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$79.37
Rate for Payer: UnitedHealthcare Community & State	$9.56
Rate for Payer: Wellpoint Medicaid Managed Care	$10.52

RESERVOIR COLLECTION COBE300

Facility

$396.85

Hospital Charge Code	270605813
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

RESERVOIR COLLECTION HAE#200

Facility

$320.00

Hospital Charge Code	270605799
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

RESERVOIR COLLECTION HAE#200

Facility

$320.00

Hospital Charge Code	270605799
Hospital Revenue Code	272
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$121.60
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.00
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Commercial	$64.00
Rate for Payer: UnitedHealthcare Community & State	$7.71
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,874.71
Max. Negotiated Rate	$3,024.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,749.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71

RESERVOIR CONCEALED

Facility

$12,498.05

Service Code	HCPCS C1813
Hospital Charge Code	270659252
Hospital Revenue Code	278
Min. Negotiated Rate	$301.20
Max. Negotiated Rate	$6,249.02
Rate for Payer: Aetna Commercial	$4,749.26
Rate for Payer: Aetna Medicare Advantage	$3,749.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,499.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.00
Rate for Payer: Cigna Commercial	$6,249.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,024.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,749.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,874.71
Rate for Payer: UnitedHealthcare Community & State	$301.20
Rate for Payer: Wellpoint Medicaid Managed Care	$331.20

RESERVOIR CONVERT OMMAYA

Facility

$1,455.25

Hospital Charge Code	270600408
Hospital Revenue Code	270
Min. Negotiated Rate	$218.29
Max. Negotiated Rate	$218.29
Rate for Payer: Qualcare PPO/HMO/WC	$218.29

RESERVOIR CONVERT OMMAYA

Facility

$1,455.25

Hospital Charge Code	270600408
Hospital Revenue Code	270
Min. Negotiated Rate	$35.07
Max. Negotiated Rate	$727.62
Rate for Payer: Aetna Commercial	$553.00
Rate for Payer: Aetna Medicare Advantage	$436.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.09
Rate for Payer: Cigna Commercial	$727.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.57
Rate for Payer: Oxford Commercial	$291.05
Rate for Payer: Qualcare PPO/HMO/WC	$218.29
Rate for Payer: UnitedHealthcare Commercial	$291.05
Rate for Payer: UnitedHealthcare Community & State	$35.07
Rate for Payer: Wellpoint Medicaid Managed Care	$38.56

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$282.24
Max. Negotiated Rate	$455.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.95
Rate for Payer: Qualcare PPO/HMO/WC	$282.24

RESERVOIR JACKSON PRATT

Facility

$1,881.60

Hospital Charge Code	270657780
Hospital Revenue Code	278
Min. Negotiated Rate	$45.35
Max. Negotiated Rate	$940.80
Rate for Payer: Aetna Commercial	$715.01
Rate for Payer: Aetna Medicare Advantage	$564.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.81
Rate for Payer: Cigna Commercial	$940.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.95
Rate for Payer: Qualcare PPO/HMO/WC	$282.24
Rate for Payer: UnitedHealthcare Community & State	$45.35
Rate for Payer: Wellpoint Medicaid Managed Care	$49.86

RESERVOIR JACKSON PRATT ******

Facility

$103.00

Hospital Charge Code	1601210
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$51.50
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$30.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.27
Rate for Payer: Cigna Commercial	$51.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.90
Rate for Payer: Oxford Commercial	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.45
Rate for Payer: UnitedHealthcare Commercial	$20.60
Rate for Payer: UnitedHealthcare Community & State	$2.48
Rate for Payer: Wellpoint Medicaid Managed Care	$2.73

RESERVOIR JACKSON PRATT ******

Facility

$103.00

Hospital Charge Code	1601210
Hospital Revenue Code	272
Min. Negotiated Rate	$15.45
Max. Negotiated Rate	$15.45
Rate for Payer: Qualcare PPO/HMO/WC	$15.45

RESERVOIR JACKSON PRATT ******

Facility

$48.00

Hospital Charge Code	1800176
Hospital Revenue Code	279
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.40
Rate for Payer: Oxford Commercial	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$9.60
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

RESERVOIR JACKSON PRATT ******

Facility

$48.00

Hospital Charge Code	1800176
Hospital Revenue Code	279
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$92.14
Rate for Payer: Aetna Commercial	$70.02
Rate for Payer: Aetna Medicare Advantage	$55.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.99
Rate for Payer: Cigna Commercial	$92.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.28
Rate for Payer: Oxford Commercial	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$27.64
Rate for Payer: UnitedHealthcare Commercial	$36.85
Rate for Payer: UnitedHealthcare Community & State	$4.44
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

RESERVOIR JVAC 100cc

Facility

$184.27

Hospital Charge Code	270658635
Hospital Revenue Code	270
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$27.64
Rate for Payer: Qualcare PPO/HMO/WC	$27.64

Know your out-of-pocket cost for care.

All Charges