Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SNARE MCV CAPTOFLEX MICRO 6243

Facility

$124.85

Hospital Charge Code	270611333
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 MICRO 6243

Facility

$124.85

Hospital Charge Code	270611333
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SNARE MCV POLYPEC MM OVAL 6247

Facility

$124.85

Hospital Charge Code	270610581
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 POLYPEC MM OVAL 6247

Facility

$124.85

Hospital Charge Code	270610581
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SNARE MCV POLYPEC STD OV 6240

Facility

$124.85

Hospital Charge Code	270608226
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SNARE MCV POLYPEC STD OV 6240

Facility

$124.85

Hospital Charge Code	270608226
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 POLYPECT 240CM 60418

Facility

$139.25

Hospital Charge Code	270606569
Hospital Revenue Code	272
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SNARE MCV POLYPECT 240CM 60418

Facility

$139.25

Hospital Charge Code	270606569
Hospital Revenue Code	272
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.77
Rate for Payer: Oxford Commercial	$27.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$27.85
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SNARE MCV POLYPECT 60412

Facility

$139.25

Hospital Charge Code	270600927
Hospital Revenue Code	272
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$20.89
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SNARE MCV POLYPECT 60412

Facility

$139.25

Hospital Charge Code	270600927
Hospital Revenue Code	272
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.77
Rate for Payer: Oxford Commercial	$27.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Commercial	$27.85
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SNARE MCV ROTATABLE 20MM 6183

Facility

$193.65

Hospital Charge Code	270628381
Hospital Revenue Code	272
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$96.83
Rate for Payer: Aetna Commercial	$73.59
Rate for Payer: Aetna Medicare Advantage	$58.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.38
Rate for Payer: Cigna Commercial	$96.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.09
Rate for Payer: Oxford Commercial	$38.73
Rate for Payer: Qualcare PPO/HMO/WC	$29.05
Rate for Payer: UnitedHealthcare Commercial	$38.73
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5.13

SNARE MCV ROTATABLE 20MM 6183

Facility

$193.65

Hospital Charge Code	270628381
Hospital Revenue Code	272
Min. Negotiated Rate	$29.05
Max. Negotiated Rate	$29.05
Rate for Payer: Qualcare PPO/HMO/WC	$29.05

SNARE MCV SENSATION STD 626920

Facility

$124.85

Hospital Charge Code	270603904
Hospital Revenue Code	270
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 SENSATION STD 626920

Facility

$124.85

Hospital Charge Code	270603904
Hospital Revenue Code	270
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SNARE POLYPECT DISP *****

Facility

$169.40

Hospital Charge Code	2300705
Hospital Revenue Code	272
Min. Negotiated Rate	$25.41
Max. Negotiated Rate	$25.41
Rate for Payer: Qualcare PPO/HMO/WC	$25.41

SNARE POLYPECT DISP *****

Facility

$169.40

Hospital Charge Code	2300705
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$84.70
Rate for Payer: Aetna Commercial	$64.37
Rate for Payer: Aetna Medicare Advantage	$50.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.20
Rate for Payer: Cigna Commercial	$84.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.82
Rate for Payer: Oxford Commercial	$33.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.41
Rate for Payer: UnitedHealthcare Commercial	$33.88
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: Wellpoint Medicaid Managed Care	$4.49

SNARE POLYPECTOMY MICRO 6255

Facility

$193.50

Hospital Charge Code	270627930
Hospital Revenue Code	272
Min. Negotiated Rate	$4.66
Max. Negotiated Rate	$96.75
Rate for Payer: Aetna Commercial	$73.53
Rate for Payer: Aetna Medicare Advantage	$58.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.34
Rate for Payer: Cigna Commercial	$96.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.05
Rate for Payer: Oxford Commercial	$38.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.02
Rate for Payer: UnitedHealthcare Commercial	$38.70
Rate for Payer: UnitedHealthcare Community & State	$4.66
Rate for Payer: Wellpoint Medicaid Managed Care	$5.13

SNARE POLYPECTOMY MICRO 6255

Facility

$193.50

Hospital Charge Code	270627930
Hospital Revenue Code	272
Min. Negotiated Rate	$29.02
Max. Negotiated Rate	$29.02
Rate for Payer: Qualcare PPO/HMO/WC	$29.02

SNARE POLYPECTOMY SMALL 230CM

Facility

$33.00

Hospital Charge Code	270700614
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

SNARE POLYPECTOMY SMALL 230CM

Facility

$33.00

Hospital Charge Code	270700614
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

SNARE SENSATION 2.4X27MM240CM

Facility

$44.50

Hospital Charge Code	270675108
Hospital Revenue Code	272
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

SNARE SENSATION 2.4X27MM240CM

Facility

$44.50

Hospital Charge Code	270675108
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.35
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

SNARE SENSATION JUMBO

Facility

$64.44

Hospital Charge Code	270603905
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$32.22
Rate for Payer: Aetna Commercial	$24.49
Rate for Payer: Aetna Medicare Advantage	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.43
Rate for Payer: Cigna Commercial	$32.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.33
Rate for Payer: Oxford Commercial	$12.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.67
Rate for Payer: UnitedHealthcare Commercial	$12.89
Rate for Payer: UnitedHealthcare Community & State	$1.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1.71

SNARE SENSATION JUMBO

Facility

$64.44

Hospital Charge Code	270603905
Hospital Revenue Code	272
Min. Negotiated Rate	$9.67
Max. Negotiated Rate	$9.67
Rate for Payer: Qualcare PPO/HMO/WC	$9.67

SNARE SENSATION MICRO OVAL

Facility

$72.50

Hospital Charge Code	270654281
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.25
Rate for Payer: Aetna Commercial	$27.55
Rate for Payer: Aetna Medicare Advantage	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.75
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.50
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

Know your out-of-pocket cost for care.

All Charges