Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAVOPROST OPTHALM 0.0004% SOL

Facility

$174.45

Hospital Charge Code	60629907
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$87.22
Rate for Payer: Aetna Commercial	$66.29
Rate for Payer: Aetna Medicare Advantage	$52.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.48
Rate for Payer: Cigna Commercial	$87.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.34
Rate for Payer: Oxford Commercial	$34.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.17
Rate for Payer: UnitedHealthcare Commercial	$34.89
Rate for Payer: UnitedHealthcare Community & State	$4.20
Rate for Payer: Wellpoint Medicaid Managed Care	$4.62

TRAVOPROST OPTHALM 0.0004% SOL

Facility

$174.45

Hospital Charge Code	60629907
Hospital Revenue Code	250
Min. Negotiated Rate	$26.17
Max. Negotiated Rate	$26.17
Rate for Payer: Qualcare PPO/HMO/WC	$26.17

TRAXLTON SNARE HEXAGONAL

Facility

$125.00

Hospital Charge Code	270664465
Hospital Revenue Code	272
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

TRAXLTON SNARE HEXAGONAL

Facility

$125.00

Hospital Charge Code	270664465
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TRAY****

Facility

$49.80

Hospital Charge Code	270605692
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$18.92
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$9.96
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$9.96
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

TRAY****

Facility

$49.80

Hospital Charge Code	270605692
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$38.52
Max. Negotiated Rate	$38.52
Rate for Payer: Qualcare PPO/HMO/WC	$38.52

TRAY 14FR W/URINEMETER

Facility

$256.81

Hospital Charge Code	270649655
Hospital Revenue Code	270
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$128.41
Rate for Payer: Aetna Commercial	$97.59
Rate for Payer: Aetna Medicare Advantage	$77.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.49
Rate for Payer: Cigna Commercial	$128.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.04
Rate for Payer: Oxford Commercial	$51.36
Rate for Payer: Qualcare PPO/HMO/WC	$38.52
Rate for Payer: UnitedHealthcare Commercial	$51.36
Rate for Payer: UnitedHealthcare Community & State	$6.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

TRAY 16FR W/URINEMETER

Facility

$107.14

Hospital Charge Code	270649658
Hospital Revenue Code	270
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.57
Rate for Payer: Aetna Commercial	$40.71
Rate for Payer: Aetna Medicare Advantage	$32.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.32
Rate for Payer: Cigna Commercial	$53.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.14
Rate for Payer: Oxford Commercial	$21.43
Rate for Payer: Qualcare PPO/HMO/WC	$16.07
Rate for Payer: UnitedHealthcare Commercial	$21.43
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

TRAY 605695****

Facility

$49.80

Hospital Charge Code	270605695
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

TRAY 605695****

Facility

$49.80

Hospital Charge Code	270605695
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$18.92
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$9.96
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$9.96
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

TRAY 605696****

Facility

$33.04

Hospital Charge Code	270605696
Hospital Revenue Code	272
Min. Negotiated Rate	$4.96
Max. Negotiated Rate	$4.96
Rate for Payer: Qualcare PPO/HMO/WC	$4.96

TRAY 605696****

Facility

$33.04

Hospital Charge Code	270605696
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.52
Rate for Payer: Aetna Commercial	$12.56
Rate for Payer: Aetna Medicare Advantage	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.43
Rate for Payer: Cigna Commercial	$16.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.91
Rate for Payer: Oxford Commercial	$6.61
Rate for Payer: Qualcare PPO/HMO/WC	$4.96
Rate for Payer: UnitedHealthcare Commercial	$6.61
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$1,258.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

TRAY ADAPTER HUMERAL +0MM

Facility

$8,392.35

Hospital Charge Code	270668558
Hospital Revenue Code	272
Min. Negotiated Rate	$202.26
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$3,189.09
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,517.70
Rate for Payer: Oxford Commercial	$1,678.47
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85
Rate for Payer: UnitedHealthcare Commercial	$1,678.47
Rate for Payer: UnitedHealthcare Community & State	$202.26
Rate for Payer: Wellpoint Medicaid Managed Care	$222.40

TRAY AMINIOCENTESIS

Facility

$186.45

Hospital Charge Code	270600589
Hospital Revenue Code	272
Min. Negotiated Rate	$4.49
Max. Negotiated Rate	$93.22
Rate for Payer: Aetna Commercial	$70.85
Rate for Payer: Aetna Medicare Advantage	$55.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.54
Rate for Payer: Cigna Commercial	$93.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.94
Rate for Payer: Oxford Commercial	$37.29
Rate for Payer: Qualcare PPO/HMO/WC	$27.97
Rate for Payer: UnitedHealthcare Commercial	$37.29
Rate for Payer: UnitedHealthcare Community & State	$4.49
Rate for Payer: Wellpoint Medicaid Managed Care	$4.94

TRAY AMINIOCENTESIS

Facility

$186.45

Hospital Charge Code	270600589
Hospital Revenue Code	272
Min. Negotiated Rate	$27.97
Max. Negotiated Rate	$27.97
Rate for Payer: Qualcare PPO/HMO/WC	$27.97

TRAY AMNIO *********

Facility

$38.00

Hospital Charge Code	1800200
Hospital Revenue Code	279
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

TRAY AMNIO *********

Facility

$38.00

Hospital Charge Code	1800200
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
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

TRAY ANESTHESIA LOCAL

Facility

$44.00

Hospital Charge Code	270331216
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$35.80
Rate for Payer: Aetna Commercial	$27.20
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.26
Rate for Payer: Cigna Commercial	$35.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.48
Rate for Payer: Oxford Commercial	$14.32
Rate for Payer: Qualcare PPO/HMO/WC	$10.74
Rate for Payer: UnitedHealthcare Commercial	$14.32
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.90

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	2709002713
Hospital Revenue Code	272
Min. Negotiated Rate	$53.69
Max. Negotiated Rate	$53.69
Rate for Payer: Qualcare PPO/HMO/WC	$53.69

Know your out-of-pocket cost for care.

All Charges