Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TIP SET OPEN SUCTION 11

Facility

$94.00

Hospital Charge Code	270331365
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

TIP SET OPEN SUCTION 11

Facility

$94.00

Hospital Charge Code	270331365
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.20
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

TIP SHARP VAC NEXUS

Facility

$4,068.75

Hospital Charge Code	270696884
Hospital Revenue Code	272
Min. Negotiated Rate	$610.31
Max. Negotiated Rate	$610.31
Rate for Payer: Qualcare PPO/HMO/WC	$610.31

TIP SHARP VAC NEXUS

Facility

$4,068.75

Hospital Charge Code	270696884
Hospital Revenue Code	272
Min. Negotiated Rate	$98.06
Max. Negotiated Rate	$2,034.38
Rate for Payer: Aetna Commercial	$1,546.12
Rate for Payer: Aetna Medicare Advantage	$1,220.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,037.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,037.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,037.53
Rate for Payer: Cigna Commercial	$2,034.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,220.62
Rate for Payer: Oxford Commercial	$813.75
Rate for Payer: Qualcare PPO/HMO/WC	$610.31
Rate for Payer: UnitedHealthcare Commercial	$813.75
Rate for Payer: UnitedHealthcare Community & State	$98.06
Rate for Payer: Wellpoint Medicaid Managed Care	$107.82

TIP SIMPULSE FEMORAL

Facility

$123.25

Hospital Charge Code	270600333
Hospital Revenue Code	272
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$61.62
Rate for Payer: Aetna Commercial	$46.84
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.98
Rate for Payer: Oxford Commercial	$24.65
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$24.65
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

TIP SIMPULSE FEMORAL

Facility

$123.25

Hospital Charge Code	270600333
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

TIP SIMPULSE SHOWERHEAD

Facility

$128.00

Hospital Charge Code	270600332
Hospital Revenue Code	272
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

TIP SIMPULSE SHOWERHEAD

Facility

$128.00

Hospital Charge Code	270600332
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$64.00
Rate for Payer: Aetna Commercial	$48.64
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$25.60
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$25.60
Rate for Payer: UnitedHealthcare Community & State	$3.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

TIP SUCTION DEPUY KAMVAC******

Facility

$94.00

Hospital Charge Code	1606078
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.20
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

TIP SUCTION DEPUY KAMVAC******

Facility

$94.00

Hospital Charge Code	1606078
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

TIP SUCTION DIVIDER 67810

Facility

$204.00

Hospital Charge Code	270609361
Hospital Revenue Code	270
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

TIP SUCTION DIVIDER 67810

Facility

$204.00

Hospital Charge Code	270609361
Hospital Revenue Code	270
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.20
Rate for Payer: Oxford Commercial	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$40.80
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

TIP SUCTION INSTRUMENT FRAZIER

Facility

$9.37

Hospital Charge Code	270650803
Hospital Revenue Code	270
Min. Negotiated Rate	$1.41
Max. Negotiated Rate	$1.41
Rate for Payer: Qualcare PPO/HMO/WC	$1.41

TIP SUCTION INSTRUMENT FRAZIER

Facility

$9.37

Hospital Charge Code	270650803
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.68
Rate for Payer: Aetna Commercial	$3.56
Rate for Payer: Aetna Medicare Advantage	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.39
Rate for Payer: Cigna Commercial	$4.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.81
Rate for Payer: Oxford Commercial	$1.87
Rate for Payer: Qualcare PPO/HMO/WC	$1.41
Rate for Payer: UnitedHealthcare Commercial	$1.87
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

TIP SUCTION INSTRUMENT FRAZIER

Facility

$8.57

Hospital Charge Code	270655501
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.29
Rate for Payer: Aetna Commercial	$3.26
Rate for Payer: Aetna Medicare Advantage	$2.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.19
Rate for Payer: Cigna Commercial	$4.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.57
Rate for Payer: Oxford Commercial	$1.71
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.71
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

TIP SUCTION INSTRUMENT FRAZIER

Facility

$8.57

Hospital Charge Code	270655501
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

TIP SUCTION POOLE

Facility

$27.25

Hospital Charge Code	270061380
Hospital Revenue Code	272
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$4.09

TIP SUCTION POOLE

Facility

$27.25

Hospital Charge Code	270061380
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$10.36
Rate for Payer: Aetna Medicare Advantage	$8.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.95
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.18
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.09
Rate for Payer: UnitedHealthcare Commercial	$5.45
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

TIP SUCTION YANKAUER ******

Facility

$4.00

Hospital Charge Code	8002925
Hospital Revenue Code	279
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TIP SUCTION YANKAUER ******

Facility

$4.00

Hospital Charge Code	8002925
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TIP TRANSDUCER INTRAUTERINE

Facility

$288.00

Hospital Charge Code	270600594
Hospital Revenue Code	272
Min. Negotiated Rate	$6.94
Max. Negotiated Rate	$144.00
Rate for Payer: Aetna Commercial	$109.44
Rate for Payer: Aetna Medicare Advantage	$86.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.44
Rate for Payer: Cigna Commercial	$144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.40
Rate for Payer: Oxford Commercial	$57.60
Rate for Payer: Qualcare PPO/HMO/WC	$43.20
Rate for Payer: UnitedHealthcare Commercial	$57.60
Rate for Payer: UnitedHealthcare Community & State	$6.94
Rate for Payer: Wellpoint Medicaid Managed Care	$7.63

TIP TRANSDUCER INTRAUTERINE

Facility

$288.00

Hospital Charge Code	270600594
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

TIP VITAL VIEW DISP

Facility

$925.65

Hospital Charge Code	270600595
Hospital Revenue Code	272
Min. Negotiated Rate	$22.31
Max. Negotiated Rate	$462.82
Rate for Payer: Aetna Commercial	$351.75
Rate for Payer: Aetna Medicare Advantage	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.04
Rate for Payer: Cigna Commercial	$462.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.69
Rate for Payer: Oxford Commercial	$185.13
Rate for Payer: Qualcare PPO/HMO/WC	$138.85
Rate for Payer: UnitedHealthcare Commercial	$185.13
Rate for Payer: UnitedHealthcare Community & State	$22.31
Rate for Payer: Wellpoint Medicaid Managed Care	$24.53

TIP VITAL VIEW DISP

Facility

$925.65

Hospital Charge Code	270600595
Hospital Revenue Code	272
Min. Negotiated Rate	$138.85
Max. Negotiated Rate	$138.85
Rate for Payer: Qualcare PPO/HMO/WC	$138.85

TIP VITAL VUE DISP 8281-06

Facility

$856.85

Hospital Charge Code	270600270
Hospital Revenue Code	272
Min. Negotiated Rate	$128.53
Max. Negotiated Rate	$128.53
Rate for Payer: Qualcare PPO/HMO/WC	$128.53

Know your out-of-pocket cost for care.

All Charges