Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$6.64
Max. Negotiated Rate	$137.69
Rate for Payer: Aetna Commercial	$104.65
Rate for Payer: Aetna Medicare Advantage	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.22
Rate for Payer: Cigna Commercial	$137.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.62
Rate for Payer: Oxford Commercial	$55.08
Rate for Payer: Qualcare PPO/HMO/WC	$41.31
Rate for Payer: UnitedHealthcare Commercial	$55.08
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$7.30

TRAY NEONATAL PICC PROCEDURE

Facility

$275.39

Hospital Charge Code	270689915
Hospital Revenue Code	272
Min. Negotiated Rate	$41.31
Max. Negotiated Rate	$41.31
Rate for Payer: Qualcare PPO/HMO/WC	$41.31

TRAY NERVE BLOCK

Facility

$72.81

Hospital Charge Code	270649895
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.41
Rate for Payer: Aetna Commercial	$27.67
Rate for Payer: Aetna Medicare Advantage	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.57
Rate for Payer: Cigna Commercial	$36.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.84
Rate for Payer: Oxford Commercial	$14.56
Rate for Payer: Qualcare PPO/HMO/WC	$10.92
Rate for Payer: UnitedHealthcare Commercial	$14.56
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

TRAY NERVE BLOCK

Facility

$72.81

Hospital Charge Code	270649895
Hospital Revenue Code	272
Min. Negotiated Rate	$10.92
Max. Negotiated Rate	$10.92
Rate for Payer: Qualcare PPO/HMO/WC	$10.92

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$17.75
Rate for Payer: Aetna Commercial	$13.49
Rate for Payer: Aetna Medicare Advantage	$10.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.06
Rate for Payer: Cigna Commercial	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.65
Rate for Payer: Oxford Commercial	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$7.10
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

TRAY NERVE BLOCK 332114

Facility

$35.51

Hospital Charge Code	270690777
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

TRAY NUR PIC EVOLN S/L 4.5F 40

Facility

$199.60

Hospital Charge Code	270648323
Hospital Revenue Code	272
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$75.85
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.88
Rate for Payer: Oxford Commercial	$39.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$39.92
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.29

TRAY NUR PIC EVOLN S/L 4.5F 40

Facility

$199.60

Hospital Charge Code	270648323
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 4.5F 50

Facility

$199.60

Hospital Charge Code	270648324
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 4.5F 50

Facility

$199.60

Hospital Charge Code	270648324
Hospital Revenue Code	272
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$75.85
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.88
Rate for Payer: Oxford Commercial	$39.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$39.92
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.29

TRAY NUR PIC EVOLN S/L 5.5F 40

Facility

$199.60

Hospital Charge Code	270648325
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 5.5F 40

Facility

$199.60

Hospital Charge Code	270648325
Hospital Revenue Code	272
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$75.85
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.88
Rate for Payer: Oxford Commercial	$39.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$39.92
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.29

TRAY NUR PIC EVOLN S/L 5.5F 50

Facility

$199.60

Hospital Charge Code	270648327
Hospital Revenue Code	272
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$29.94
Rate for Payer: Qualcare PPO/HMO/WC	$29.94

TRAY NUR PIC EVOLN S/L 5.5F 50

Facility

$199.60

Hospital Charge Code	270648327
Hospital Revenue Code	272
Min. Negotiated Rate	$4.81
Max. Negotiated Rate	$99.80
Rate for Payer: Aetna Commercial	$75.85
Rate for Payer: Aetna Medicare Advantage	$59.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.90
Rate for Payer: Cigna Commercial	$99.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.88
Rate for Payer: Oxford Commercial	$39.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.94
Rate for Payer: UnitedHealthcare Commercial	$39.92
Rate for Payer: UnitedHealthcare Community & State	$4.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.29

TRAY ON/OFF FOR PERITON

Facility

$151.25

Hospital Charge Code	270606377
Hospital Revenue Code	272
Min. Negotiated Rate	$3.65
Max. Negotiated Rate	$75.62
Rate for Payer: Aetna Commercial	$57.48
Rate for Payer: Aetna Medicare Advantage	$45.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.57
Rate for Payer: Cigna Commercial	$75.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.38
Rate for Payer: Oxford Commercial	$30.25
Rate for Payer: Qualcare PPO/HMO/WC	$22.69
Rate for Payer: UnitedHealthcare Commercial	$30.25
Rate for Payer: UnitedHealthcare Community & State	$3.65
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

TRAY ON/OFF FOR PERITON

Facility

$151.25

Hospital Charge Code	270606377
Hospital Revenue Code	272
Min. Negotiated Rate	$22.69
Max. Negotiated Rate	$22.69
Rate for Payer: Qualcare PPO/HMO/WC	$22.69

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$9.06
Max. Negotiated Rate	$188.00
Rate for Payer: Aetna Commercial	$142.88
Rate for Payer: Aetna Medicare Advantage	$112.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.88
Rate for Payer: Cigna Commercial	$188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.80
Rate for Payer: Oxford Commercial	$75.20
Rate for Payer: Qualcare PPO/HMO/WC	$56.40
Rate for Payer: UnitedHealthcare Commercial	$75.20
Rate for Payer: UnitedHealthcare Community & State	$9.06
Rate for Payer: Wellpoint Medicaid Managed Care	$9.96

TRAY ON-Q T-BLOC CONTINUOUS

Facility

$376.00

Hospital Charge Code	270678113
Hospital Revenue Code	272
Min. Negotiated Rate	$56.40
Max. Negotiated Rate	$56.40
Rate for Payer: Qualcare PPO/HMO/WC	$56.40

TRAY ORTHOPEDIC USAGE 2.0/2.4

Facility

$1,250.00

Hospital Charge Code	270658656
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

TRAY ORTHOPEDIC USAGE 2.0/2.4

Facility

$1,250.00

Hospital Charge Code	270658656
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

TRAY PAIN MGMT TRAX TUN L XL

Facility

$951.25

Hospital Charge Code	270600885
Hospital Revenue Code	272
Min. Negotiated Rate	$142.69
Max. Negotiated Rate	$142.69
Rate for Payer: Qualcare PPO/HMO/WC	$142.69

TRAY PAIN MGMT TRAX TUN L XL

Facility

$951.25

Hospital Charge Code	270600885
Hospital Revenue Code	272
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$475.62
Rate for Payer: Aetna Commercial	$361.48
Rate for Payer: Aetna Medicare Advantage	$285.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.57
Rate for Payer: Cigna Commercial	$475.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.38
Rate for Payer: Oxford Commercial	$190.25
Rate for Payer: Qualcare PPO/HMO/WC	$142.69
Rate for Payer: UnitedHealthcare Commercial	$190.25
Rate for Payer: UnitedHealthcare Community & State	$22.93
Rate for Payer: Wellpoint Medicaid Managed Care	$25.21

TRAY PARACENTESIS

Facility

$305.08

Hospital Charge Code	270302240
Hospital Revenue Code	270
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.54
Rate for Payer: Aetna Commercial	$115.93
Rate for Payer: Aetna Medicare Advantage	$91.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.80
Rate for Payer: Cigna Commercial	$152.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.52
Rate for Payer: Oxford Commercial	$61.02
Rate for Payer: Qualcare PPO/HMO/WC	$45.76
Rate for Payer: UnitedHealthcare Commercial	$61.02
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

TRAY PARACENTESIS

Facility

$305.08

Hospital Charge Code	270302240
Hospital Revenue Code	270
Min. Negotiated Rate	$45.76
Max. Negotiated Rate	$45.76
Rate for Payer: Qualcare PPO/HMO/WC	$45.76

TRAY PARACENTESIS

Facility

$305.75

Hospital Charge Code	270650090
Hospital Revenue Code	271
Min. Negotiated Rate	$7.37
Max. Negotiated Rate	$152.88
Rate for Payer: Aetna Commercial	$116.19
Rate for Payer: Aetna Medicare Advantage	$91.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.97
Rate for Payer: Cigna Commercial	$152.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.72
Rate for Payer: Oxford Commercial	$61.15
Rate for Payer: Qualcare PPO/HMO/WC	$45.86
Rate for Payer: UnitedHealthcare Commercial	$61.15
Rate for Payer: UnitedHealthcare Community & State	$7.37
Rate for Payer: Wellpoint Medicaid Managed Care	$8.10

Know your out-of-pocket cost for care.

All Charges