Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SYRINGE EPI PULSATOR PLASTIC

Facility

$731.05

Hospital Charge Code	270665061
Hospital Revenue Code	270
Min. Negotiated Rate	$17.62
Max. Negotiated Rate	$365.52
Rate for Payer: Aetna Commercial	$277.80
Rate for Payer: Aetna Medicare Advantage	$219.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.42
Rate for Payer: Cigna Commercial	$365.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.31
Rate for Payer: Oxford Commercial	$146.21
Rate for Payer: Qualcare PPO/HMO/WC	$109.66
Rate for Payer: UnitedHealthcare Commercial	$146.21
Rate for Payer: UnitedHealthcare Community & State	$17.62
Rate for Payer: Wellpoint Medicaid Managed Care	$19.37

SYRINGE EZM ANGIO 4830

Facility

$29.65

Hospital Charge Code	270601318
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$4.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.45

SYRINGE EZM ANGIO 4830

Facility

$29.65

Hospital Charge Code	270601318
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$14.82
Rate for Payer: Aetna Commercial	$11.27
Rate for Payer: Aetna Medicare Advantage	$8.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.56
Rate for Payer: Cigna Commercial	$14.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.89
Rate for Payer: Oxford Commercial	$5.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.45
Rate for Payer: UnitedHealthcare Commercial	$5.93
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.79

SYRINGE FAST TURN W/QUICK FILL

Facility

$15.53

Hospital Charge Code	270639011
Hospital Revenue Code	272
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

SYRINGE FAST TURN W/QUICK FILL

Facility

$15.53

Hospital Charge Code	270639011
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$7.76
Rate for Payer: Aetna Commercial	$5.90
Rate for Payer: Aetna Medicare Advantage	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.96
Rate for Payer: Cigna Commercial	$7.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.66
Rate for Payer: Oxford Commercial	$3.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$3.11
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.48
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880S
Hospital Revenue Code	271
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

SYRINGE FASTURN 150ML W/QUICK

Facility

$21.40

Hospital Charge Code	270657880N
Hospital Revenue Code	271
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SYRINGE FASTURN 150ML W/QUICK

Facility

$22.40

Hospital Charge Code	270657880
Hospital Revenue Code	271
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.72
Rate for Payer: Oxford Commercial	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Commercial	$4.48
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

SYRINGE FLUSH IV SALINE 5ML

Facility

$1.02

Hospital Charge Code	270649080
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.51
Rate for Payer: Aetna Commercial	$0.39
Rate for Payer: Aetna Medicare Advantage	$0.31
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) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.31
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

SYRINGE FLUSH IV SALINE 5ML

Facility

$1.02

Hospital Charge Code	270649080
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

SYRINGE INJECTOR

Facility

$67.00

Hospital Charge Code	270633923
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.50
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$20.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.09
Rate for Payer: Cigna Commercial	$33.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.10
Rate for Payer: Oxford Commercial	$13.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.05
Rate for Payer: UnitedHealthcare Commercial	$13.40
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

SYRINGE INJECTOR

Facility

$67.00

Hospital Charge Code	270633923
Hospital Revenue Code	272
Min. Negotiated Rate	$10.05
Max. Negotiated Rate	$10.05
Rate for Payer: Qualcare PPO/HMO/WC	$10.05

SYRINGE INLAT KYPHX XPAND A08A

Facility

$565.50

Hospital Charge Code	270631257
Hospital Revenue Code	272
Min. Negotiated Rate	$84.83
Max. Negotiated Rate	$84.83
Rate for Payer: Qualcare PPO/HMO/WC	$84.83

SYRINGE INLAT KYPHX XPAND A08A

Facility

$565.50

Hospital Charge Code	270631257
Hospital Revenue Code	272
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$282.75
Rate for Payer: Aetna Commercial	$214.89
Rate for Payer: Aetna Medicare Advantage	$169.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.20
Rate for Payer: Cigna Commercial	$282.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.65
Rate for Payer: Oxford Commercial	$113.10
Rate for Payer: Qualcare PPO/HMO/WC	$84.83
Rate for Payer: UnitedHealthcare Commercial	$113.10
Rate for Payer: UnitedHealthcare Community & State	$13.63
Rate for Payer: Wellpoint Medicaid Managed Care	$14.99

SYRINGE INTRO 5C RAUL AI14703

Facility

$32.40

Hospital Charge Code	270629903
Hospital Revenue Code	272
Min. Negotiated Rate	$4.86
Max. Negotiated Rate	$4.86
Rate for Payer: Qualcare PPO/HMO/WC	$4.86

SYRINGE INTRO 5C RAUL AI14703

Facility

$32.40

Hospital Charge Code	270629903
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$16.20
Rate for Payer: Aetna Commercial	$12.31
Rate for Payer: Aetna Medicare Advantage	$9.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.26
Rate for Payer: Cigna Commercial	$16.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.72
Rate for Payer: Oxford Commercial	$6.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.86
Rate for Payer: UnitedHealthcare Commercial	$6.48
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

SYRINGE IRRIGATION ONE HAND SI

Facility

$560.00

Hospital Charge Code	270335216
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.00
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

SYRINGE IRRIGATION ONE HAND SI

Facility

$560.00

Hospital Charge Code	270335216
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

SYRINGE LOR GLASS 4904

Facility

$70.45

Hospital Charge Code	270627281
Hospital Revenue Code	272
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$35.23
Rate for Payer: Aetna Commercial	$26.77
Rate for Payer: Aetna Medicare Advantage	$21.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.96
Rate for Payer: Cigna Commercial	$35.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.14
Rate for Payer: Oxford Commercial	$14.09
Rate for Payer: Qualcare PPO/HMO/WC	$10.57
Rate for Payer: UnitedHealthcare Commercial	$14.09
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

SYRINGE LOR GLASS 4904

Facility

$70.45

Hospital Charge Code	270627281
Hospital Revenue Code	272
Min. Negotiated Rate	$10.57
Max. Negotiated Rate	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$10.57

SYRINGE LUER LOCK TIP 60CC

Facility

$1.57

Hospital Charge Code	270652897
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

SYRINGE LUER LOCK TIP 60CC

Facility

$1.57

Hospital Charge Code	270652897
Hospital Revenue Code	272
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.79
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.40
Rate for Payer: Cigna Commercial	$0.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.47
Rate for Payer: Oxford Commercial	$0.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.31
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

Know your out-of-pocket cost for care.

All Charges