Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

SNARE COLD CAPTIVATOR

Facility

$85.00

Hospital Charge Code	270687105
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

SNARE DISPOSABLE ELECT SURG

Facility

$44.00

Hospital Charge Code	270334802
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$47.76
Max. Negotiated Rate	$990.90
Rate for Payer: Aetna Commercial	$753.08
Rate for Payer: Aetna Medicare Advantage	$594.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$505.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$505.36
Rate for Payer: Cigna Commercial	$990.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.54
Rate for Payer: Oxford Commercial	$396.36
Rate for Payer: Qualcare PPO/HMO/WC	$297.27
Rate for Payer: UnitedHealthcare Commercial	$396.36
Rate for Payer: UnitedHealthcare Community & State	$47.76
Rate for Payer: Wellpoint Medicaid Managed Care	$52.52

SNARE ELECTROSURG 2.0mm

Facility

$1,981.80

Hospital Charge Code	270678681
Hospital Revenue Code	272
Min. Negotiated Rate	$297.27
Max. Negotiated Rate	$297.27
Rate for Payer: Qualcare PPO/HMO/WC	$297.27

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,750.00

Hospital Charge Code	270658276N
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,648.00

Hospital Charge Code	270658276
Hospital Revenue Code	272
Min. Negotiated Rate	$39.72
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.40
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$39.72
Rate for Payer: Wellpoint Medicaid Managed Care	$43.67

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,750.00

Hospital Charge Code	270658276N
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SNARE EN SYSTEM 6FR 6-10MM

Facility

$1,648.00

Hospital Charge Code	270658276
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,648.00

Hospital Charge Code	270658292
Hospital Revenue Code	272
Min. Negotiated Rate	$39.72
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.40
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$39.72
Rate for Payer: Wellpoint Medicaid Managed Care	$43.67

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,750.00

Hospital Charge Code	270658292N
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,648.00

Hospital Charge Code	270658292
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE EN SYSTEM 6FR 9-15MM

Facility

$1,750.00

Hospital Charge Code	270658292N
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

SNARE EXACTO COLD 00711115

Facility

$60.00

Hospital Charge Code	270663453
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

SNARE EXACTO COLD 00711115

Facility

$60.00

Hospital Charge Code	270663453
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

SNARE HEXAGONAL SMAL 13MM

Facility

$65.75

Hospital Charge Code	270676499
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.88
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$19.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.77
Rate for Payer: Cigna Commercial	$32.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.73
Rate for Payer: Oxford Commercial	$13.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.86
Rate for Payer: UnitedHealthcare Commercial	$13.15
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SNARE HEXAGONAL SMAL 13MM

Facility

$65.75

Hospital Charge Code	270676499
Hospital Revenue Code	272
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$9.86

SNARE HEXAGONAL TRX BX00711113

Facility

$125.00

Hospital Charge Code	270645644
Hospital Revenue Code	270
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

SNARE HEXAGONAL TRX BX00711113

Facility

$125.00

Hospital Charge Code	270645644
Hospital Revenue Code	270
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

SNARE MCV CAPTIFLEX 6240-6248

Facility

$274.45

Hospital Charge Code	270603902
Hospital Revenue Code	272
Min. Negotiated Rate	$6.61
Max. Negotiated Rate	$137.22
Rate for Payer: Aetna Commercial	$104.29
Rate for Payer: Aetna Medicare Advantage	$82.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.98
Rate for Payer: Cigna Commercial	$137.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.33
Rate for Payer: Oxford Commercial	$54.89
Rate for Payer: Qualcare PPO/HMO/WC	$41.17
Rate for Payer: UnitedHealthcare Commercial	$54.89
Rate for Payer: UnitedHealthcare Community & State	$6.61
Rate for Payer: Wellpoint Medicaid Managed Care	$7.27

SNARE MCV CAPTIFLEX 6240-6248

Facility

$274.45

Hospital Charge Code	270603902
Hospital Revenue Code	272
Min. Negotiated Rate	$41.17
Max. Negotiated Rate	$41.17
Rate for Payer: Qualcare PPO/HMO/WC	$41.17

SNARE MCV CAPTOFLEX 6242

Facility

$124.85

Hospital Charge Code	270603143
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

SNARE MCV CAPTOFLEX 6242

Facility

$124.85

Hospital Charge Code	270603143
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

Know your out-of-pocket cost for care.

All Charges