Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.15
Rate for Payer: Aetna Commercial	$13.03
Rate for Payer: Aetna Medicare Advantage	$10.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.75
Rate for Payer: Cigna Commercial	$17.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.29
Rate for Payer: Oxford Commercial	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$5.14
Rate for Payer: UnitedHealthcare Commercial	$6.86
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

SLEEVE SWAN GANZ

Facility

$34.30

Hospital Charge Code	270661619S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$5.14
Rate for Payer: Qualcare PPO/HMO/WC	$5.14

SLEEVE SYN LOCK 120DEG 456012S

Facility

$1,349.65

Hospital Charge Code	270611966
Hospital Revenue Code	272
Min. Negotiated Rate	$32.53
Max. Negotiated Rate	$674.83
Rate for Payer: Aetna Commercial	$512.87
Rate for Payer: Aetna Medicare Advantage	$404.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.16
Rate for Payer: Cigna Commercial	$674.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$404.89
Rate for Payer: Oxford Commercial	$269.93
Rate for Payer: Qualcare PPO/HMO/WC	$202.45
Rate for Payer: UnitedHealthcare Commercial	$269.93
Rate for Payer: UnitedHealthcare Community & State	$32.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35.77

SLEEVE SYN LOCK 120DEG 456012S

Facility

$1,349.65

Hospital Charge Code	270611966
Hospital Revenue Code	272
Min. Negotiated Rate	$202.45
Max. Negotiated Rate	$202.45
Rate for Payer: Qualcare PPO/HMO/WC	$202.45

SLEEVE TIBIA MOD PROX OSS 30

Facility

$19,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270697009
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.00
Max. Negotiated Rate	$4,719.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00

SLEEVE TIBIA MOD PROX OSS 30

Facility

$19,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270697009
Hospital Revenue Code	278
Min. Negotiated Rate	$469.95
Max. Negotiated Rate	$9,750.00
Rate for Payer: Aetna Commercial	$7,410.00
Rate for Payer: Aetna Medicare Advantage	$5,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,972.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,972.50
Rate for Payer: Cigna Commercial	$9,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,719.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.00
Rate for Payer: UnitedHealthcare Community & State	$469.95
Rate for Payer: Wellpoint Medicaid Managed Care	$516.75

SLEEVE TROCAR 5 VERSAPT 177092

Facility

$49.65

Hospital Charge Code	270635098
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.89
Rate for Payer: Oxford Commercial	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$9.93
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

SLEEVE TROCAR 5 VERSAPT 177092

Facility

$49.65

Hospital Charge Code	270635098
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

SLEEVE TROCAR XCEL STABIL 12MM

Facility

$90.00

Hospital Charge Code	270641082
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

SLEEVE TROCAR XCEL STABIL 12MM

Facility

$90.00

Hospital Charge Code	270641082
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

SLEEVE UNIPOLAR L-SERIES +0MM

Facility

$1,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270677229
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SLEEVE UNIPOLAR L-SERIES +0MM

Facility

$1,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270677229
Hospital Revenue Code	278
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

SLEEVE USSC VERASTEP VS101000

Facility

$262.45

Hospital Charge Code	270624150
Hospital Revenue Code	272
Min. Negotiated Rate	$39.37
Max. Negotiated Rate	$39.37
Rate for Payer: Qualcare PPO/HMO/WC	$39.37

SLEEVE USSC VERASTEP VS101000

Facility

$262.45

Hospital Charge Code	270624150
Hospital Revenue Code	272
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$131.22
Rate for Payer: Aetna Commercial	$99.73
Rate for Payer: Aetna Medicare Advantage	$78.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.92
Rate for Payer: Cigna Commercial	$131.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.73
Rate for Payer: Oxford Commercial	$52.49
Rate for Payer: Qualcare PPO/HMO/WC	$39.37
Rate for Payer: UnitedHealthcare Commercial	$52.49
Rate for Payer: UnitedHealthcare Community & State	$6.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6.95

SLEEVE VENODYNE STANDARD

Facility

$202.96

Hospital Charge Code	270653362
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$101.48
Rate for Payer: Aetna Commercial	$77.12
Rate for Payer: Aetna Medicare Advantage	$60.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.75
Rate for Payer: Cigna Commercial	$101.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.89
Rate for Payer: Oxford Commercial	$40.59
Rate for Payer: Qualcare PPO/HMO/WC	$30.44
Rate for Payer: UnitedHealthcare Commercial	$40.59
Rate for Payer: UnitedHealthcare Community & State	$4.89
Rate for Payer: Wellpoint Medicaid Managed Care	$5.38

SLEEVE VENODYNE STANDARD

Facility

$202.96

Hospital Charge Code	270653362
Hospital Revenue Code	272
Min. Negotiated Rate	$30.44
Max. Negotiated Rate	$30.44
Rate for Payer: Qualcare PPO/HMO/WC	$30.44

SLENDER GLIDESHEALTH 5FR 10x4C

Facility

$2,600.00

Hospital Charge Code	270705457
Hospital Revenue Code	279
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

SLENDER GLIDESHEALTH 5FR 10x4C

Facility

$2,600.00

Hospital Charge Code	270705457
Hospital Revenue Code	279
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

SLIMLINE FIBER LUMENIS 365

Facility

$2,018.75

Hospital Charge Code	270659482
Hospital Revenue Code	270
Min. Negotiated Rate	$48.65
Max. Negotiated Rate	$1,009.38
Rate for Payer: Aetna Commercial	$767.12
Rate for Payer: Aetna Medicare Advantage	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.78
Rate for Payer: Cigna Commercial	$1,009.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.62
Rate for Payer: Oxford Commercial	$403.75
Rate for Payer: Qualcare PPO/HMO/WC	$302.81
Rate for Payer: UnitedHealthcare Commercial	$403.75
Rate for Payer: UnitedHealthcare Community & State	$48.65
Rate for Payer: Wellpoint Medicaid Managed Care	$53.50

SLIMLINE FIBER LUMENIS 365

Facility

$2,018.75

Hospital Charge Code	270659482
Hospital Revenue Code	270
Min. Negotiated Rate	$302.81
Max. Negotiated Rate	$302.81
Rate for Payer: Qualcare PPO/HMO/WC	$302.81

SLIMLINE LASER FIBER LEMENIS

Facility

$4,462.50

Hospital Charge Code	270659488
Hospital Revenue Code	270
Min. Negotiated Rate	$669.38
Max. Negotiated Rate	$669.38
Rate for Payer: Qualcare PPO/HMO/WC	$669.38

SLIMLINE LASER FIBER LEMENIS

Facility

$4,462.50

Hospital Charge Code	270659488
Hospital Revenue Code	270
Min. Negotiated Rate	$107.55
Max. Negotiated Rate	$2,231.25
Rate for Payer: Aetna Commercial	$1,695.75
Rate for Payer: Aetna Medicare Advantage	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.94
Rate for Payer: Cigna Commercial	$2,231.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,338.75
Rate for Payer: Oxford Commercial	$892.50
Rate for Payer: Qualcare PPO/HMO/WC	$669.38
Rate for Payer: UnitedHealthcare Commercial	$892.50
Rate for Payer: UnitedHealthcare Community & State	$107.55
Rate for Payer: Wellpoint Medicaid Managed Care	$118.26

SLIMPORT LO PROFILE W/6FR CATH

Facility

$1.00

Hospital Charge Code	270644686
Hospital Revenue Code	278
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SLIMPORT LO PROFILE W/6FR CATH

Facility

$1.00

Hospital Charge Code	270644686
Hospital Revenue Code	278
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

Know your out-of-pocket cost for care.

All Charges