Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR 10MM SECONDARY *****

Facility

$174.00

Hospital Charge Code	1605625
Hospital Revenue Code	272
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$26.10
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

TROCAR 10MM SECONDARY *****

Facility

$174.00

Hospital Charge Code	1605625
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$66.12
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.20
Rate for Payer: Oxford Commercial	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Commercial	$34.80
Rate for Payer: UnitedHealthcare Community & State	$4.19
Rate for Payer: Wellpoint Medicaid Managed Care	$4.61

TROCAR 12MM

Facility

$121.00

Hospital Charge Code	270338712
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

TROCAR 12MM

Facility

$121.00

Hospital Charge Code	270338712
Hospital Revenue Code	272
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

TROCAR 12MM LONG

Facility

$203.00

Hospital Charge Code	270338719
Hospital Revenue Code	272
Min. Negotiated Rate	$30.45
Max. Negotiated Rate	$30.45
Rate for Payer: Qualcare PPO/HMO/WC	$30.45

TROCAR 12MM LONG

Facility

$203.00

Hospital Charge Code	270338719
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$101.50
Rate for Payer: Aetna Commercial	$77.14
Rate for Payer: Aetna Medicare Advantage	$60.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.77
Rate for Payer: Cigna Commercial	$101.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.90
Rate for Payer: Oxford Commercial	$40.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.45
Rate for Payer: UnitedHealthcare Commercial	$40.60
Rate for Payer: UnitedHealthcare Community & State	$4.89
Rate for Payer: Wellpoint Medicaid Managed Care	$5.38

TROCAR 12x100 BLADED FIX CFB73

Facility

$132.50

Hospital Charge Code	270642088
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$19.88
Rate for Payer: Qualcare PPO/HMO/WC	$19.88

TROCAR 12x100 BLADED FIX CFB73

Facility

$132.50

Hospital Charge Code	270642088
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$66.25
Rate for Payer: Aetna Commercial	$50.35
Rate for Payer: Aetna Medicare Advantage	$39.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.79
Rate for Payer: Cigna Commercial	$66.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.75
Rate for Payer: Oxford Commercial	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.88
Rate for Payer: UnitedHealthcare Commercial	$26.50
Rate for Payer: UnitedHealthcare Community & State	$3.19
Rate for Payer: Wellpoint Medicaid Managed Care	$3.51

TROCAR 12x100 FIOS FIXAT CFF73

Facility

$1,105.50

Hospital Charge Code	270642089
Hospital Revenue Code	272
Min. Negotiated Rate	$165.82
Max. Negotiated Rate	$165.82
Rate for Payer: Qualcare PPO/HMO/WC	$165.82

TROCAR 12x100 FIOS FIXAT CFF73

Facility

$1,105.50

Hospital Charge Code	270642089
Hospital Revenue Code	272
Min. Negotiated Rate	$26.64
Max. Negotiated Rate	$552.75
Rate for Payer: Aetna Commercial	$420.09
Rate for Payer: Aetna Medicare Advantage	$331.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.90
Rate for Payer: Cigna Commercial	$552.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.65
Rate for Payer: Oxford Commercial	$221.10
Rate for Payer: Qualcare PPO/HMO/WC	$165.82
Rate for Payer: UnitedHealthcare Commercial	$221.10
Rate for Payer: UnitedHealthcare Community & State	$26.64
Rate for Payer: Wellpoint Medicaid Managed Care	$29.30

TROCAR 12x100mm FIOS 1ST CFI83

Facility

$184.25

Hospital Charge Code	270642085
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$92.12
Rate for Payer: Aetna Commercial	$70.02
Rate for Payer: Aetna Medicare Advantage	$55.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.98
Rate for Payer: Cigna Commercial	$92.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.27
Rate for Payer: Oxford Commercial	$36.85
Rate for Payer: Qualcare PPO/HMO/WC	$27.64
Rate for Payer: UnitedHealthcare Commercial	$36.85
Rate for Payer: UnitedHealthcare Community & State	$4.44
Rate for Payer: Wellpoint Medicaid Managed Care	$4.88

TROCAR 12x100mm FIOS 1ST CFI83

Facility

$184.25

Hospital Charge Code	270642085
Hospital Revenue Code	272
Min. Negotiated Rate	$27.64
Max. Negotiated Rate	$27.64
Rate for Payer: Qualcare PPO/HMO/WC	$27.64

TROCAR 12 X 150 MM

Facility

$500.00

Hospital Charge Code	270692071
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

TROCAR 12 X 150 MM

Facility

$500.00

Hospital Charge Code	270692071
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR 15x100mm OPTICAL THREA

Facility

$280.00

Hospital Charge Code	270642090
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

TROCAR 15x100mm OPTICAL THREA

Facility

$280.00

Hospital Charge Code	270642090
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

TROCAR 15 X 150 MM

Facility

$450.00

Hospital Charge Code	270692072
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR 15 X 150 MM

Facility

$450.00

Hospital Charge Code	270692072
Hospital Revenue Code	272
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

TROCAR 18 FR

Facility

$170.00

Hospital Charge Code	270335723
Hospital Revenue Code	272
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.00
Rate for Payer: Oxford Commercial	$34.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$34.00
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

TROCAR 18 FR

Facility

$170.00

Hospital Charge Code	270335723
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

TROCAR 2.7 MM

Facility

$652.00

Hospital Charge Code	270689116
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.60
Rate for Payer: Oxford Commercial	$130.40
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Commercial	$130.40
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

TROCAR 2.7 MM

Facility

$652.00

Hospital Charge Code	270689116
Hospital Revenue Code	272
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$97.80
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

TROCAR 2.8MM

Facility

$324.00

Hospital Charge Code	270658920
Hospital Revenue Code	272
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

TROCAR 2.8MM

Facility

$324.00

Hospital Charge Code	270658920
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$123.12
Rate for Payer: Aetna Medicare Advantage	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: Oxford Commercial	$64.80
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$64.80
Rate for Payer: UnitedHealthcare Community & State	$7.81
Rate for Payer: Wellpoint Medicaid Managed Care	$8.59

TROCAR 3.2MM

Facility

$1,855.85

Hospital Charge Code	270691212
Hospital Revenue Code	272
Min. Negotiated Rate	$278.38
Max. Negotiated Rate	$278.38
Rate for Payer: Qualcare PPO/HMO/WC	$278.38

Know your out-of-pocket cost for care.

All Charges