Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE BULB IRR60C STR DC3528

Facility

$2.30

Hospital Charge Code	270100781
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.15
Rate for Payer: Aetna Commercial	$0.87
Rate for Payer: Aetna Medicare Advantage	$0.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.59
Rate for Payer: Cigna Commercial	$1.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.69
Rate for Payer: Oxford Commercial	$0.46
Rate for Payer: Qualcare PPO/HMO/WC	$0.35
Rate for Payer: UnitedHealthcare Commercial	$0.46
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

SYRINGE BULB IRRIGATION 60cc

Facility

$0.46

Hospital Charge Code	270649112
Hospital Revenue Code	271
Min. Negotiated Rate	$0.01
Max. Negotiated Rate	$0.23
Rate for Payer: Aetna Commercial	$0.17
Rate for Payer: Aetna Medicare Advantage	$0.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.12
Rate for Payer: Cigna Commercial	$0.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.14
Rate for Payer: Oxford Commercial	$0.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.07
Rate for Payer: UnitedHealthcare Commercial	$0.09
Rate for Payer: UnitedHealthcare Community & State	$0.01
Rate for Payer: Wellpoint Medicaid Managed Care	$0.01

SYRINGE BULB IRRIGATION 60cc

Facility

$0.46

Hospital Charge Code	270649112
Hospital Revenue Code	271
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$0.07
Rate for Payer: Qualcare PPO/HMO/WC	$0.07

SYRINGE CATH TIP *******

Facility

$11.00

Hospital Charge Code	8000465
Hospital Revenue Code	279
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.30
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SYRINGE CATH TIP *******

Facility

$11.00

Hospital Charge Code	8000465
Hospital Revenue Code	279
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SYRINGE CONTIGEN TREATM

Facility

$3,014.45

Hospital Charge Code	270604260
Hospital Revenue Code	272
Min. Negotiated Rate	$72.65
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$1,145.49
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$904.34
Rate for Payer: Oxford Commercial	$602.89
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$602.89
Rate for Payer: UnitedHealthcare Community & State	$72.65
Rate for Payer: Wellpoint Medicaid Managed Care	$79.88

SYRINGE CONTIGEN TREATM

Facility

$3,014.45

Hospital Charge Code	270604260
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

SYRINGE CONTIGEN TREATM *****

Facility

$1,180.00

Hospital Charge Code	270504260
Hospital Revenue Code	272
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.00
Rate for Payer: Oxford Commercial	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$236.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

SYRINGE CONTIGEN TREATM *****

Facility

$1,180.00

Hospital Charge Code	270504260
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

SYRINGE CONTROL 10cc W/LUERLOK

Facility

$3.95

Hospital Charge Code	270621577
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

SYRINGE CONTROL 10cc W/LUERLOK

Facility

$3.95

Hospital Charge Code	270621577
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$1.98
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.01
Rate for Payer: Cigna Commercial	$1.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.19
Rate for Payer: Oxford Commercial	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$0.79
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

SYRINGE CONTROL 12ML CCS600

Facility

$26.45

Hospital Charge Code	270624016
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

SYRINGE CONTROL 12ML CCS600

Facility

$26.45

Hospital Charge Code	270624016
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

SYRINGE CRD 407101

Facility

$32.00

Hospital Charge Code	270601495
Hospital Revenue Code	272
Min. Negotiated Rate	$4.80
Max. Negotiated Rate	$4.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.80

SYRINGE CRD 407101

Facility

$32.00

Hospital Charge Code	270601495
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$16.00
Rate for Payer: Aetna Commercial	$12.16
Rate for Payer: Aetna Medicare Advantage	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.16
Rate for Payer: Cigna Commercial	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.60
Rate for Payer: Oxford Commercial	$6.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.80
Rate for Payer: UnitedHealthcare Commercial	$6.40
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

SYRINGE DAVOL EAR & ULCER ****

Facility

$31.45

Hospital Charge Code	1600865
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$15.72
Rate for Payer: Aetna Commercial	$11.95
Rate for Payer: Aetna Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.02
Rate for Payer: Cigna Commercial	$15.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.44
Rate for Payer: Oxford Commercial	$6.29
Rate for Payer: Qualcare PPO/HMO/WC	$4.72
Rate for Payer: UnitedHealthcare Commercial	$6.29
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

SYRINGE DAVOL EAR & ULCER ****

Facility

$31.45

Hospital Charge Code	1600865
Hospital Revenue Code	272
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$4.72

SYRINGE DIGIFLATOR INFLATIO

Facility

$158.00

Hospital Charge Code	270650911
Hospital Revenue Code	272
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

SYRINGE DIGIFLATOR INFLATIO

Facility

$158.00

Hospital Charge Code	270650911
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$79.00
Rate for Payer: Aetna Commercial	$60.04
Rate for Payer: Aetna Medicare Advantage	$47.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.29
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.40
Rate for Payer: Oxford Commercial	$31.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$31.60
Rate for Payer: UnitedHealthcare Community & State	$3.81
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

SYRINGE EAR IRRIGATING ******

Facility

$52.00

Hospital Charge Code	8002248
Hospital Revenue Code	279
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SYRINGE EAR IRRIGATING ******

Facility

$52.00

Hospital Charge Code	8002248
Hospital Revenue Code	279
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

SYRINGE EAR & ULCER

Facility

$12.85

Hospital Charge Code	270302100
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

SYRINGE EAR & ULCER

Facility

$12.85

Hospital Charge Code	270302100
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$4.88
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.57
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

SYRINGE EMBO BLUE300-500 2.0ML

Facility

$1,265.00

Hospital Charge Code	2709003374
Hospital Revenue Code	272
Min. Negotiated Rate	$189.75
Max. Negotiated Rate	$189.75
Rate for Payer: Qualcare PPO/HMO/WC	$189.75

SYRINGE EMBO BLUE300-500 2.0ML

Facility

$1,265.00

Hospital Charge Code	2709003374
Hospital Revenue Code	272
Min. Negotiated Rate	$30.49
Max. Negotiated Rate	$632.50
Rate for Payer: Aetna Commercial	$480.70
Rate for Payer: Aetna Medicare Advantage	$379.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$322.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$322.57
Rate for Payer: Cigna Commercial	$632.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$379.50
Rate for Payer: Oxford Commercial	$253.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.75
Rate for Payer: UnitedHealthcare Commercial	$253.00
Rate for Payer: UnitedHealthcare Community & State	$30.49
Rate for Payer: Wellpoint Medicaid Managed Care	$33.52

Know your out-of-pocket cost for care.

All Charges