Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY FOLEY CATH 16FR

Facility

$81.82

Hospital Charge Code	270649268S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$31.09
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.55
Rate for Payer: Oxford Commercial	$16.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$16.36
Rate for Payer: UnitedHealthcare Community & State	$1.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

TRAY FOLEY CATH 18FR

Facility

$57.56

Hospital Charge Code	270649269
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.78
Rate for Payer: Aetna Commercial	$21.87
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.68
Rate for Payer: Cigna Commercial	$28.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.27
Rate for Payer: Oxford Commercial	$11.51
Rate for Payer: Qualcare PPO/HMO/WC	$8.63
Rate for Payer: UnitedHealthcare Commercial	$11.51
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

TRAY FOLEY CATH 18FR

Facility

$57.56

Hospital Charge Code	270649269
Hospital Revenue Code	272
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$8.63
Rate for Payer: Qualcare PPO/HMO/WC	$8.63

TRAY FOLEY CATHER 16FR

Facility

$62.22

Hospital Charge Code	270649268N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$31.11
Rate for Payer: Aetna Commercial	$23.64
Rate for Payer: Aetna Medicare Advantage	$18.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.87
Rate for Payer: Cigna Commercial	$31.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.67
Rate for Payer: Oxford Commercial	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.33
Rate for Payer: UnitedHealthcare Commercial	$12.44
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

TRAY FOLEY CATHER 16FR

Facility

$81.82

Hospital Charge Code	270649268
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$31.09
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.55
Rate for Payer: Oxford Commercial	$16.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$16.36
Rate for Payer: UnitedHealthcare Community & State	$1.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

TRAY FOLEY CATHER 16FR

Facility

$62.22

Hospital Charge Code	270649268N
Hospital Revenue Code	272
Min. Negotiated Rate	$9.33
Max. Negotiated Rate	$9.33
Rate for Payer: Qualcare PPO/HMO/WC	$9.33

TRAY FOLEY CATHER 16FR

Facility

$81.82

Hospital Charge Code	270649268
Hospital Revenue Code	272
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.27

TRAY FOLEY CATH INSERTION ****

Facility

$9.00

Hospital Charge Code	8000382
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAY FOLEY CATH INSERTION ****

Facility

$9.00

Hospital Charge Code	8000382
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TRAY FOLEY CATH W/2-WAY CATH**

Facility

$40.00

Hospital Charge Code	8000317
Hospital Revenue Code	279
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

TRAY FOLEY CATH W/2-WAY CATH**

Facility

$40.00

Hospital Charge Code	8000317
Hospital Revenue Code	279
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$8.00
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

TRAY FOLEY ERASE CAUTI SILV 16

Facility

$81.82

Hospital Charge Code	270646407
Hospital Revenue Code	272
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$40.91
Rate for Payer: Aetna Commercial	$31.09
Rate for Payer: Aetna Medicare Advantage	$24.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.86
Rate for Payer: Cigna Commercial	$40.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.55
Rate for Payer: Oxford Commercial	$16.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.27
Rate for Payer: UnitedHealthcare Commercial	$16.36
Rate for Payer: UnitedHealthcare Community & State	$1.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

TRAY FOLEY ERASE CAUTI SILV 16

Facility

$81.82

Hospital Charge Code	270646407
Hospital Revenue Code	272
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$12.27

TRAY FOLEY ERASE CAUTI SILV 18

Facility

$73.10

Hospital Charge Code	270646408
Hospital Revenue Code	271
Min. Negotiated Rate	$10.96
Max. Negotiated Rate	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$10.96

TRAY FOLEY ERASE CAUTI SILV 18

Facility

$73.10

Hospital Charge Code	270646408
Hospital Revenue Code	271
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.55
Rate for Payer: Aetna Commercial	$27.78
Rate for Payer: Aetna Medicare Advantage	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.64
Rate for Payer: Cigna Commercial	$36.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.93
Rate for Payer: Oxford Commercial	$14.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.96
Rate for Payer: UnitedHealthcare Commercial	$14.62
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.94

TRAY FOLEY PEDIATRIN URI 10FR

Facility

$106.90

Hospital Charge Code	270669765
Hospital Revenue Code	272
Min. Negotiated Rate	$16.04
Max. Negotiated Rate	$16.04
Rate for Payer: Qualcare PPO/HMO/WC	$16.04

TRAY FOLEY PEDIATRIN URI 10FR

Facility

$106.90

Hospital Charge Code	270669765
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.45
Rate for Payer: Aetna Commercial	$40.62
Rate for Payer: Aetna Medicare Advantage	$32.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.26
Rate for Payer: Cigna Commercial	$53.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.07
Rate for Payer: Oxford Commercial	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.04
Rate for Payer: UnitedHealthcare Commercial	$21.38
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.83

TRAY FOLEY PEDIATRIN URI 6FR

Facility

$113.10

Hospital Charge Code	270669766
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$56.55
Rate for Payer: Aetna Commercial	$42.98
Rate for Payer: Aetna Medicare Advantage	$33.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.84
Rate for Payer: Cigna Commercial	$56.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.93
Rate for Payer: Oxford Commercial	$22.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.96
Rate for Payer: UnitedHealthcare Commercial	$22.62
Rate for Payer: UnitedHealthcare Community & State	$2.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.00

TRAY FOLEY PEDIATRIN URI 6FR

Facility

$113.10

Hospital Charge Code	270669766
Hospital Revenue Code	272
Min. Negotiated Rate	$16.96
Max. Negotiated Rate	$16.96
Rate for Payer: Qualcare PPO/HMO/WC	$16.96

TRAY FOLEY PEDIATRIN URI 8FR

Facility

$106.90

Hospital Charge Code	270669764
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.45
Rate for Payer: Aetna Commercial	$40.62
Rate for Payer: Aetna Medicare Advantage	$32.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.26
Rate for Payer: Cigna Commercial	$53.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.07
Rate for Payer: Oxford Commercial	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$16.04
Rate for Payer: UnitedHealthcare Commercial	$21.38
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.83

TRAY FOLEY PEDIATRIN URI 8FR

Facility

$106.90

Hospital Charge Code	270669764
Hospital Revenue Code	272
Min. Negotiated Rate	$16.04
Max. Negotiated Rate	$16.04
Rate for Payer: Qualcare PPO/HMO/WC	$16.04

TRAY FOLEY TEMP SILVER IC 1

Facility

$128.50

Hospital Charge Code	270654036
Hospital Revenue Code	272
Min. Negotiated Rate	$19.27
Max. Negotiated Rate	$19.27
Rate for Payer: Qualcare PPO/HMO/WC	$19.27

TRAY FOLEY TEMP SILVER IC 1

Facility

$128.50

Hospital Charge Code	270654036
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.25
Rate for Payer: Aetna Commercial	$48.83
Rate for Payer: Aetna Medicare Advantage	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.77
Rate for Payer: Cigna Commercial	$64.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.55
Rate for Payer: Oxford Commercial	$25.70
Rate for Payer: Qualcare PPO/HMO/WC	$19.27
Rate for Payer: UnitedHealthcare Commercial	$25.70
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

TRAY FOLEY W/16FR CATH

Facility

$107.14

Hospital Charge Code	270302238
Hospital Revenue Code	272
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$16.07

TRAY FOLEY W/16FR CATH

Facility

$107.14

Hospital Charge Code	270302238
Hospital Revenue Code	272
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

Know your out-of-pocket cost for care.

All Charges