Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY PERICARDIOCENTESIS

Facility

$172.14

Hospital Charge Code	270658313
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$86.07
Rate for Payer: Aetna Commercial	$65.41
Rate for Payer: Aetna Medicare Advantage	$51.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.90
Rate for Payer: Cigna Commercial	$86.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.64
Rate for Payer: Oxford Commercial	$34.43
Rate for Payer: Qualcare PPO/HMO/WC	$25.82
Rate for Payer: UnitedHealthcare Commercial	$34.43
Rate for Payer: UnitedHealthcare Community & State	$4.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.56

TRAY PERICARDIOCENTESIS

Facility

$827.60

Hospital Charge Code	2709003162
Hospital Revenue Code	272
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$413.80
Rate for Payer: Aetna Commercial	$314.49
Rate for Payer: Aetna Medicare Advantage	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$211.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$211.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$211.04
Rate for Payer: Cigna Commercial	$413.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.28
Rate for Payer: Oxford Commercial	$165.52
Rate for Payer: Qualcare PPO/HMO/WC	$124.14
Rate for Payer: UnitedHealthcare Commercial	$165.52
Rate for Payer: UnitedHealthcare Community & State	$19.95
Rate for Payer: Wellpoint Medicaid Managed Care	$21.93

TRAY PERICARDIOCENTESIS

Facility

$827.60

Hospital Charge Code	2709003162
Hospital Revenue Code	272
Min. Negotiated Rate	$124.14
Max. Negotiated Rate	$124.14
Rate for Payer: Qualcare PPO/HMO/WC	$124.14

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$24.77
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$390.53
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.31
Rate for Payer: Oxford Commercial	$205.54
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$205.54
Rate for Payer: UnitedHealthcare Community & State	$24.77
Rate for Payer: Wellpoint Medicaid Managed Care	$27.23

TRAY PERICARDIOCENTESIS

Facility

$172.14

Hospital Charge Code	270658313
Hospital Revenue Code	272
Min. Negotiated Rate	$25.82
Max. Negotiated Rate	$25.82
Rate for Payer: Qualcare PPO/HMO/WC	$25.82

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631N
Hospital Revenue Code	272
Min. Negotiated Rate	$154.16
Max. Negotiated Rate	$154.16
Rate for Payer: Qualcare PPO/HMO/WC	$154.16

TRAY PERICARDIOCENTESIS

Facility

$1,027.70

Hospital Charge Code	270661631
Hospital Revenue Code	272
Min. Negotiated Rate	$24.77
Max. Negotiated Rate	$513.85
Rate for Payer: Aetna Commercial	$390.53
Rate for Payer: Aetna Medicare Advantage	$308.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.06
Rate for Payer: Cigna Commercial	$513.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$308.31
Rate for Payer: Oxford Commercial	$205.54
Rate for Payer: Qualcare PPO/HMO/WC	$154.16
Rate for Payer: UnitedHealthcare Commercial	$205.54
Rate for Payer: UnitedHealthcare Community & State	$24.77
Rate for Payer: Wellpoint Medicaid Managed Care	$27.23

TRAY PERI GYN

Facility

$94.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$14.19
Max. Negotiated Rate	$14.19
Rate for Payer: Qualcare PPO/HMO/WC	$14.19

TRAY PERI GYN

Facility

$94.60

Hospital Charge Code	270654143
Hospital Revenue Code	270
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.30
Rate for Payer: Aetna Commercial	$35.95
Rate for Payer: Aetna Medicare Advantage	$28.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.12
Rate for Payer: Cigna Commercial	$47.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.38
Rate for Payer: Oxford Commercial	$18.92
Rate for Payer: Qualcare PPO/HMO/WC	$14.19
Rate for Payer: UnitedHealthcare Commercial	$18.92
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.51

TRAY PERIT DIALYSIS DRESS ****

Facility

$253.00

Hospital Charge Code	8002800
Hospital Revenue Code	279
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

TRAY PERIT DIALYSIS DRESS ****

Facility

$253.00

Hospital Charge Code	8002800
Hospital Revenue Code	279
Min. Negotiated Rate	$6.10
Max. Negotiated Rate	$126.50
Rate for Payer: Aetna Commercial	$96.14
Rate for Payer: Aetna Medicare Advantage	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.52
Rate for Payer: Cigna Commercial	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.90
Rate for Payer: Oxford Commercial	$50.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.95
Rate for Payer: UnitedHealthcare Commercial	$50.60
Rate for Payer: UnitedHealthcare Community & State	$6.10
Rate for Payer: Wellpoint Medicaid Managed Care	$6.70

TRAY PICC CENTRAL LINE

Facility

$233.04

Hospital Charge Code	270654142
Hospital Revenue Code	270
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$116.52
Rate for Payer: Aetna Commercial	$88.56
Rate for Payer: Aetna Medicare Advantage	$69.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.43
Rate for Payer: Cigna Commercial	$116.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.91
Rate for Payer: Oxford Commercial	$46.61
Rate for Payer: Qualcare PPO/HMO/WC	$34.96
Rate for Payer: UnitedHealthcare Commercial	$46.61
Rate for Payer: UnitedHealthcare Community & State	$5.62
Rate for Payer: Wellpoint Medicaid Managed Care	$6.18

TRAY PICC CENTRAL LINE

Facility

$233.04

Hospital Charge Code	270654142
Hospital Revenue Code	270
Min. Negotiated Rate	$34.96
Max. Negotiated Rate	$34.96
Rate for Payer: Qualcare PPO/HMO/WC	$34.96

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$127.53
Rate for Payer: Aetna Commercial	$96.92
Rate for Payer: Aetna Medicare Advantage	$76.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.04
Rate for Payer: Cigna Commercial	$127.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.52
Rate for Payer: Oxford Commercial	$51.01
Rate for Payer: Qualcare PPO/HMO/WC	$38.26
Rate for Payer: UnitedHealthcare Commercial	$51.01
Rate for Payer: UnitedHealthcare Community & State	$6.15
Rate for Payer: Wellpoint Medicaid Managed Care	$6.76

TRAY PICC CENTRAL LINE 751

Facility

$255.05

Hospital Charge Code	270655988
Hospital Revenue Code	272
Min. Negotiated Rate	$38.26
Max. Negotiated Rate	$38.26
Rate for Payer: Qualcare PPO/HMO/WC	$38.26

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$101.40
Max. Negotiated Rate	$101.40
Rate for Payer: Qualcare PPO/HMO/WC	$101.40

TRAY PICC LINES PER-Q-CATH

Facility

$676.00

Hospital Charge Code	270305000
Hospital Revenue Code	272
Min. Negotiated Rate	$16.29
Max. Negotiated Rate	$338.00
Rate for Payer: Aetna Commercial	$256.88
Rate for Payer: Aetna Medicare Advantage	$202.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.38
Rate for Payer: Cigna Commercial	$338.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.80
Rate for Payer: Oxford Commercial	$135.20
Rate for Payer: Qualcare PPO/HMO/WC	$101.40
Rate for Payer: UnitedHealthcare Commercial	$135.20
Rate for Payer: UnitedHealthcare Community & State	$16.29
Rate for Payer: Wellpoint Medicaid Managed Care	$17.91

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$105.85
Rate for Payer: Aetna Commercial	$80.45
Rate for Payer: Aetna Medicare Advantage	$63.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.98
Rate for Payer: Cigna Commercial	$105.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.51
Rate for Payer: Oxford Commercial	$42.34
Rate for Payer: Qualcare PPO/HMO/WC	$31.75
Rate for Payer: UnitedHealthcare Commercial	$42.34
Rate for Payer: UnitedHealthcare Community & State	$5.10
Rate for Payer: Wellpoint Medicaid Managed Care	$5.61

TRAY PK CUST ARTH AVIBMBM01209

Facility

$211.70

Hospital Charge Code	270642245
Hospital Revenue Code	272
Min. Negotiated Rate	$31.75
Max. Negotiated Rate	$31.75
Rate for Payer: Qualcare PPO/HMO/WC	$31.75

TRAY PNEUMOTHORAX

Facility

$705.65

Hospital Charge Code	270302237
Hospital Revenue Code	272
Min. Negotiated Rate	$17.01
Max. Negotiated Rate	$352.82
Rate for Payer: Aetna Commercial	$268.15
Rate for Payer: Aetna Medicare Advantage	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.94
Rate for Payer: Cigna Commercial	$352.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.69
Rate for Payer: Oxford Commercial	$141.13
Rate for Payer: Qualcare PPO/HMO/WC	$105.85
Rate for Payer: UnitedHealthcare Commercial	$141.13
Rate for Payer: UnitedHealthcare Community & State	$17.01
Rate for Payer: Wellpoint Medicaid Managed Care	$18.70

TRAY PNEUMOTHORAX

Facility

$705.65

Hospital Charge Code	270302237
Hospital Revenue Code	272
Min. Negotiated Rate	$105.85
Max. Negotiated Rate	$105.85
Rate for Payer: Qualcare PPO/HMO/WC	$105.85

TRAY PNEUMOTHORAX W/HEIMLCH

Facility

$426.91

Hospital Charge Code	270649735
Hospital Revenue Code	272
Min. Negotiated Rate	$64.04
Max. Negotiated Rate	$64.04
Rate for Payer: Qualcare PPO/HMO/WC	$64.04

TRAY PNEUMOTHORAX W/HEIMLCH

Facility

$426.91

Hospital Charge Code	270649735
Hospital Revenue Code	272
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$213.46
Rate for Payer: Aetna Commercial	$162.23
Rate for Payer: Aetna Medicare Advantage	$128.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.86
Rate for Payer: Cigna Commercial	$213.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.07
Rate for Payer: Oxford Commercial	$85.38
Rate for Payer: Qualcare PPO/HMO/WC	$64.04
Rate for Payer: UnitedHealthcare Commercial	$85.38
Rate for Payer: UnitedHealthcare Community & State	$10.29
Rate for Payer: Wellpoint Medicaid Managed Care	$11.31

TRAY PONSKI PULL PEG 20F 00330

Facility

$607.25

Hospital Charge Code	270616766
Hospital Revenue Code	272
Min. Negotiated Rate	$14.63
Max. Negotiated Rate	$303.62
Rate for Payer: Aetna Commercial	$230.75
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.18
Rate for Payer: Oxford Commercial	$121.45
Rate for Payer: Qualcare PPO/HMO/WC	$91.09
Rate for Payer: UnitedHealthcare Commercial	$121.45
Rate for Payer: UnitedHealthcare Community & State	$14.63
Rate for Payer: Wellpoint Medicaid Managed Care	$16.09

Know your out-of-pocket cost for care.

All Charges