Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR 3.2MM

Facility

$1,855.85

Hospital Charge Code	270691212
Hospital Revenue Code	272
Min. Negotiated Rate	$44.73
Max. Negotiated Rate	$927.92
Rate for Payer: Aetna Commercial	$705.22
Rate for Payer: Aetna Medicare Advantage	$556.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$473.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$473.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$473.24
Rate for Payer: Cigna Commercial	$927.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.75
Rate for Payer: Oxford Commercial	$371.17
Rate for Payer: Qualcare PPO/HMO/WC	$278.38
Rate for Payer: UnitedHealthcare Commercial	$371.17
Rate for Payer: UnitedHealthcare Community & State	$44.73
Rate for Payer: Wellpoint Medicaid Managed Care	$49.18

TROCAR 3.8 MM

Facility

$846.00

Hospital Charge Code	270688275
Hospital Revenue Code	272
Min. Negotiated Rate	$20.39
Max. Negotiated Rate	$423.00
Rate for Payer: Aetna Commercial	$321.48
Rate for Payer: Aetna Medicare Advantage	$253.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.73
Rate for Payer: Cigna Commercial	$423.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.80
Rate for Payer: Oxford Commercial	$169.20
Rate for Payer: Qualcare PPO/HMO/WC	$126.90
Rate for Payer: UnitedHealthcare Commercial	$169.20
Rate for Payer: UnitedHealthcare Community & State	$20.39
Rate for Payer: Wellpoint Medicaid Managed Care	$22.42

TROCAR 3.8 MM

Facility

$846.00

Hospital Charge Code	270688275
Hospital Revenue Code	272
Min. Negotiated Rate	$126.90
Max. Negotiated Rate	$126.90
Rate for Payer: Qualcare PPO/HMO/WC	$126.90

TROCAR 5/70MM SHT ORNG 355SD

Facility

$920.00

Hospital Charge Code	270608753
Hospital Revenue Code	272
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.00
Rate for Payer: Oxford Commercial	$184.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$184.00
Rate for Payer: UnitedHealthcare Community & State	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$24.38

TROCAR 5/70MM SHT ORNG 355SD

Facility

$920.00

Hospital Charge Code	270608753
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

TROCAR 5MM

Facility

$141.00

Hospital Charge Code	270338717
Hospital Revenue Code	272
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$21.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.15

TROCAR 5MM

Facility

$141.00

Hospital Charge Code	270338717
Hospital Revenue Code	272
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$70.50
Rate for Payer: Aetna Commercial	$53.58
Rate for Payer: Aetna Medicare Advantage	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.95
Rate for Payer: Cigna Commercial	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.30
Rate for Payer: Oxford Commercial	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$21.15
Rate for Payer: UnitedHealthcare Commercial	$28.20
Rate for Payer: UnitedHealthcare Community & State	$3.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

TROCAR 5MM 150MM

Facility

$450.00

Hospital Charge Code	270692070
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR 5MM 150MM

Facility

$450.00

Hospital Charge Code	270692070
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 5MM DILATING LTIP

Facility

$127.35

Hospital Charge Code	270654240
Hospital Revenue Code	272
Min. Negotiated Rate	$19.10
Max. Negotiated Rate	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$19.10

TROCAR 5MM DILATING LTIP

Facility

$127.35

Hospital Charge Code	270654240
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$63.67
Rate for Payer: Aetna Commercial	$48.39
Rate for Payer: Aetna Medicare Advantage	$38.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.47
Rate for Payer: Cigna Commercial	$63.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.20
Rate for Payer: Oxford Commercial	$25.47
Rate for Payer: Qualcare PPO/HMO/WC	$19.10
Rate for Payer: UnitedHealthcare Commercial	$25.47
Rate for Payer: UnitedHealthcare Community & State	$3.07
Rate for Payer: Wellpoint Medicaid Managed Care	$3.37

TROCAR 5MM ORNG ENDOPATH 355LD

Facility

$920.00

Hospital Charge Code	270608752
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

TROCAR 5MM ORNG ENDOPATH 355LD

Facility

$920.00

Hospital Charge Code	270608752
Hospital Revenue Code	272
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.00
Rate for Payer: Oxford Commercial	$184.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$184.00
Rate for Payer: UnitedHealthcare Community & State	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$24.38

TROCAR 5MM X 150 MM

Facility

$450.00

Hospital Charge Code	270692394
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

TROCAR 5MM X 150 MM

Facility

$450.00

Hospital Charge Code	270692394
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 5 X 100 KIL FIOS Z-THD

Facility

$130.00

Hospital Charge Code	270662867
Hospital Revenue Code	270
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

TROCAR 5 X 100 KIL FIOS Z-THD

Facility

$130.00

Hospital Charge Code	270662867
Hospital Revenue Code	270
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

TROCAR 5x100m BLADED FIX CFB03

Facility

$102.50

Hospital Charge Code	270642086
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$51.25
Rate for Payer: Aetna Commercial	$38.95
Rate for Payer: Aetna Medicare Advantage	$30.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.14
Rate for Payer: Cigna Commercial	$51.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.75
Rate for Payer: Oxford Commercial	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$15.38
Rate for Payer: UnitedHealthcare Commercial	$20.50
Rate for Payer: UnitedHealthcare Community & State	$2.47
Rate for Payer: Wellpoint Medicaid Managed Care	$2.72

TROCAR 5x100m BLADED FIX CFB03

Facility

$102.50

Hospital Charge Code	270642086
Hospital Revenue Code	272
Min. Negotiated Rate	$15.38
Max. Negotiated Rate	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$15.38

TROCAR 5x100 W/INSUF NED CF113

Facility

$150.00

Hospital Charge Code	270642071
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.00
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$30.00
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

TROCAR 5x100 W/INSUF NED CF113

Facility

$150.00

Hospital Charge Code	270642071
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

TROCAR 8MM

Facility

$3,600.00

Hospital Charge Code	270692633
Hospital Revenue Code	272
Min. Negotiated Rate	$86.76
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.00
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$720.00
Rate for Payer: UnitedHealthcare Community & State	$86.76
Rate for Payer: Wellpoint Medicaid Managed Care	$95.40

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

TROCAR BALLOON KIT 100X12MM

Facility

$500.00

Hospital Charge Code	270692299
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

Know your out-of-pocket cost for care.

All Charges