Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY BONE MARROW BIOPSY

Facility

$214.98

Hospital Charge Code	270658281
Hospital Revenue Code	272
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$107.49
Rate for Payer: Aetna Commercial	$81.69
Rate for Payer: Aetna Medicare Advantage	$64.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.82
Rate for Payer: Cigna Commercial	$107.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.49
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

TRAY CATH 2 LUMEN HEMODIALYSIS

Facility

$583.51

Hospital Charge Code	270649794
Hospital Revenue Code	272
Min. Negotiated Rate	$87.53
Max. Negotiated Rate	$87.53
Rate for Payer: Qualcare PPO/HMO/WC	$87.53

TRAY CATH 2 LUMEN HEMODIALYSIS

Facility

$583.51

Hospital Charge Code	270649794
Hospital Revenue Code	272
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$291.75
Rate for Payer: Aetna Commercial	$221.73
Rate for Payer: Aetna Medicare Advantage	$175.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.80
Rate for Payer: Cigna Commercial	$291.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.05
Rate for Payer: Oxford Commercial	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.53
Rate for Payer: UnitedHealthcare Commercial	$116.70
Rate for Payer: UnitedHealthcare Community & State	$14.06
Rate for Payer: Wellpoint Medicaid Managed Care	$15.46

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270605600
Hospital Revenue Code	278
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$203.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.63
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270302226
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270605600
Hospital Revenue Code	278
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$318.92
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.63
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Community & State	$20.23
Rate for Payer: Wellpoint Medicaid Managed Care	$22.24

TRAY CATH DUAL LM 6 DLC600TEC

Facility

$839.25

Hospital Charge Code	270302226
Hospital Revenue Code	272
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$318.92
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.78
Rate for Payer: Oxford Commercial	$167.85
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$167.85
Rate for Payer: UnitedHealthcare Community & State	$20.23
Rate for Payer: Wellpoint Medicaid Managed Care	$22.24

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270302227
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270302227
Hospital Revenue Code	272
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$318.92
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.78
Rate for Payer: Oxford Commercial	$167.85
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$167.85
Rate for Payer: UnitedHealthcare Community & State	$20.23
Rate for Payer: Wellpoint Medicaid Managed Care	$22.24

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270605602
Hospital Revenue Code	272
Min. Negotiated Rate	$20.23
Max. Negotiated Rate	$419.62
Rate for Payer: Aetna Commercial	$318.92
Rate for Payer: Aetna Medicare Advantage	$251.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.01
Rate for Payer: Cigna Commercial	$419.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.78
Rate for Payer: Oxford Commercial	$167.85
Rate for Payer: Qualcare PPO/HMO/WC	$125.89
Rate for Payer: UnitedHealthcare Commercial	$167.85
Rate for Payer: UnitedHealthcare Community & State	$20.23
Rate for Payer: Wellpoint Medicaid Managed Care	$22.24

TRAY CATH DUAL LM 8 DLC800TEC

Facility

$839.25

Hospital Charge Code	270605602
Hospital Revenue Code	272
Min. Negotiated Rate	$125.89
Max. Negotiated Rate	$125.89
Rate for Payer: Qualcare PPO/HMO/WC	$125.89

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$61.80
Max. Negotiated Rate	$61.80
Rate for Payer: Qualcare PPO/HMO/WC	$61.80

TRAY CATH FEMORAL 11.5FR

Facility

$412.00

Hospital Charge Code	270649890
Hospital Revenue Code	272
Min. Negotiated Rate	$9.93
Max. Negotiated Rate	$206.00
Rate for Payer: Aetna Commercial	$156.56
Rate for Payer: Aetna Medicare Advantage	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.06
Rate for Payer: Cigna Commercial	$206.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.60
Rate for Payer: Oxford Commercial	$82.40
Rate for Payer: Qualcare PPO/HMO/WC	$61.80
Rate for Payer: UnitedHealthcare Commercial	$82.40
Rate for Payer: UnitedHealthcare Community & State	$9.93
Rate for Payer: Wellpoint Medicaid Managed Care	$10.92

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$15.58
Max. Negotiated Rate	$323.17
Rate for Payer: Aetna Commercial	$245.61
Rate for Payer: Aetna Medicare Advantage	$193.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.81
Rate for Payer: Cigna Commercial	$323.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.90
Rate for Payer: Oxford Commercial	$129.27
Rate for Payer: Qualcare PPO/HMO/WC	$96.95
Rate for Payer: UnitedHealthcare Commercial	$129.27
Rate for Payer: UnitedHealthcare Community & State	$15.58
Rate for Payer: Wellpoint Medicaid Managed Care	$17.13

TRAY CATH MAHURKAR 11.5FR 16cm

Facility

$646.33

Hospital Charge Code	270649133
Hospital Revenue Code	272
Min. Negotiated Rate	$96.95
Max. Negotiated Rate	$96.95
Rate for Payer: Qualcare PPO/HMO/WC	$96.95

TRAY CATH RAUL 11.5 MCDLT116IJ

Facility

$760.00

Hospital Charge Code	270302230
Hospital Revenue Code	272
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.00
Rate for Payer: Oxford Commercial	$152.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$152.00
Rate for Payer: UnitedHealthcare Community & State	$18.32
Rate for Payer: Wellpoint Medicaid Managed Care	$20.14

TRAY CATH RAUL 11.5 MCDLT116IJ

Facility

$760.00

Hospital Charge Code	270302230
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

TRAY CATH RAULERSON 11.5FR 6

Facility

$480.00

Service Code	HCPCS C1751
Hospital Charge Code	270615117
Hospital Revenue Code	278
Min. Negotiated Rate	$11.57
Max. Negotiated Rate	$240.00
Rate for Payer: Aetna Commercial	$182.40
Rate for Payer: Aetna Medicare Advantage	$144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.40
Rate for Payer: Cigna Commercial	$240.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$105.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.00
Rate for Payer: UnitedHealthcare Community & State	$11.57
Rate for Payer: Wellpoint Medicaid Managed Care	$12.72

TRAY CATH RAULERSON 11.5FR 6

Facility

$480.00

Service Code	HCPCS C1751
Hospital Charge Code	270615117
Hospital Revenue Code	278
Min. Negotiated Rate	$72.00
Max. Negotiated Rate	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$105.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.00

TRAY CATH TRIPLE LUMEN LG BORE

Facility

$323.82

Service Code	HCPCS C1751
Hospital Charge Code	270650277
Hospital Revenue Code	278
Min. Negotiated Rate	$48.57
Max. Negotiated Rate	$78.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.24
Rate for Payer: Qualcare PPO/HMO/WC	$48.57

TRAY CATH TRIPLE LUMEN LG BORE

Facility

$323.82

Service Code	HCPCS C1751
Hospital Charge Code	270650277
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$161.91
Rate for Payer: Aetna Commercial	$123.05
Rate for Payer: Aetna Medicare Advantage	$97.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$64.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.57
Rate for Payer: Cigna Commercial	$161.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.24
Rate for Payer: Qualcare PPO/HMO/WC	$48.57
Rate for Payer: UnitedHealthcare Community & State	$7.80
Rate for Payer: Wellpoint Medicaid Managed Care	$8.58

TRAY CAUTI SILVER 14FR

Facility

$89.48

Hospital Charge Code	270649648
Hospital Revenue Code	270
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$44.74
Rate for Payer: Aetna Commercial	$34.00
Rate for Payer: Aetna Medicare Advantage	$26.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.82
Rate for Payer: Cigna Commercial	$44.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.84
Rate for Payer: Oxford Commercial	$17.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.42
Rate for Payer: UnitedHealthcare Commercial	$17.90
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.37

TRAY CAUTI SILVER 14FR

Facility

$89.48

Hospital Charge Code	270649648
Hospital Revenue Code	270
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$13.42
Rate for Payer: Qualcare PPO/HMO/WC	$13.42

TRAY CHEST TUBE

Facility

$327.53

Hospital Charge Code	270693051
Hospital Revenue Code	272
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$163.76
Rate for Payer: Aetna Commercial	$124.46
Rate for Payer: Aetna Medicare Advantage	$98.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.52
Rate for Payer: Cigna Commercial	$163.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.26
Rate for Payer: Oxford Commercial	$65.51
Rate for Payer: Qualcare PPO/HMO/WC	$49.13
Rate for Payer: UnitedHealthcare Commercial	$65.51
Rate for Payer: UnitedHealthcare Community & State	$7.89
Rate for Payer: Wellpoint Medicaid Managed Care	$8.68

TRAY CHEST TUBE

Facility

$327.53

Hospital Charge Code	270693051
Hospital Revenue Code	272
Min. Negotiated Rate	$49.13
Max. Negotiated Rate	$49.13
Rate for Payer: Qualcare PPO/HMO/WC	$49.13

Know your out-of-pocket cost for care.

All Charges