Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BALLOON KIT 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
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 130X12MM

Facility

$500.00

Hospital Charge Code	270692298
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 BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$41.13
Max. Negotiated Rate	$41.13
Rate for Payer: Qualcare PPO/HMO/WC	$41.13

TROCAR BLADED 12MM STD FIX

Facility

$274.20

Hospital Charge Code	270696191
Hospital Revenue Code	272
Min. Negotiated Rate	$6.61
Max. Negotiated Rate	$137.10
Rate for Payer: Aetna Commercial	$104.20
Rate for Payer: Aetna Medicare Advantage	$82.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.92
Rate for Payer: Cigna Commercial	$137.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.26
Rate for Payer: Oxford Commercial	$54.84
Rate for Payer: Qualcare PPO/HMO/WC	$41.13
Rate for Payer: UnitedHealthcare Commercial	$54.84
Rate for Payer: UnitedHealthcare Community & State	$6.61
Rate for Payer: Wellpoint Medicaid Managed Care	$7.27

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TROCAR BLADELESS 10/11x100mm

Facility

$125.00

Hospital Charge Code	270646143
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$10.71
Max. Negotiated Rate	$10.71
Rate for Payer: Qualcare PPO/HMO/WC	$10.71

TROCAR BLADELESS 11MM STANDARD

Facility

$71.40

Hospital Charge Code	270654905
Hospital Revenue Code	272
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.70
Rate for Payer: Aetna Commercial	$27.13
Rate for Payer: Aetna Medicare Advantage	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.21
Rate for Payer: Cigna Commercial	$35.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.42
Rate for Payer: Oxford Commercial	$14.28
Rate for Payer: Qualcare PPO/HMO/WC	$10.71
Rate for Payer: UnitedHealthcare Commercial	$14.28
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$44.57
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.19
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.46
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.11

TROCAR BLADELESS 11MM STD

Facility

$117.30

Hospital Charge Code	270656292
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$23.25
Rate for Payer: Qualcare PPO/HMO/WC	$23.25

TROCAR BLADELESS 12MM

Facility

$155.00

Hospital Charge Code	270673457
Hospital Revenue Code	272
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.50
Rate for Payer: Aetna Commercial	$58.90
Rate for Payer: Aetna Medicare Advantage	$46.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.52
Rate for Payer: Cigna Commercial	$77.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.50
Rate for Payer: Oxford Commercial	$31.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.25
Rate for Payer: UnitedHealthcare Commercial	$31.00
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 12MM STANDARD

Facility

$117.30

Hospital Charge Code	270641729
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$44.57
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.19
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.46
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.11

TROCAR BLADELESS 12MM STD

Facility

$117.30

Hospital Charge Code	270656293
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$58.65
Rate for Payer: Aetna Commercial	$44.57
Rate for Payer: Aetna Medicare Advantage	$35.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.91
Rate for Payer: Cigna Commercial	$58.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.19
Rate for Payer: Oxford Commercial	$23.46
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.46
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.11

TROCAR BLADELESS 12MM STD

Facility

$117.30

Hospital Charge Code	270656293
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

TROCAR BLADELESS 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$192.78
Max. Negotiated Rate	$192.78
Rate for Payer: Qualcare PPO/HMO/WC	$192.78

TROCAR BLADELESS 15MM LONG

Facility

$1,285.20

Hospital Charge Code	270676285
Hospital Revenue Code	272
Min. Negotiated Rate	$30.97
Max. Negotiated Rate	$642.60
Rate for Payer: Aetna Commercial	$488.38
Rate for Payer: Aetna Medicare Advantage	$385.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.73
Rate for Payer: Cigna Commercial	$642.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$385.56
Rate for Payer: Oxford Commercial	$257.04
Rate for Payer: Qualcare PPO/HMO/WC	$192.78
Rate for Payer: UnitedHealthcare Commercial	$257.04
Rate for Payer: UnitedHealthcare Community & State	$30.97
Rate for Payer: Wellpoint Medicaid Managed Care	$34.06

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$32.13
Max. Negotiated Rate	$32.13
Rate for Payer: Qualcare PPO/HMO/WC	$32.13

TROCAR BLADELESS 15MM STANDARD

Facility

$214.20

Hospital Charge Code	270641727
Hospital Revenue Code	272
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$107.10
Rate for Payer: Aetna Commercial	$81.40
Rate for Payer: Aetna Medicare Advantage	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.62
Rate for Payer: Cigna Commercial	$107.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.26
Rate for Payer: Oxford Commercial	$42.84
Rate for Payer: Qualcare PPO/HMO/WC	$32.13
Rate for Payer: UnitedHealthcare Commercial	$42.84
Rate for Payer: UnitedHealthcare Community & State	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5.68

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.45
Rate for Payer: Aetna Commercial	$36.82
Rate for Payer: Aetna Medicare Advantage	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.71
Rate for Payer: Cigna Commercial	$48.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.07
Rate for Payer: Oxford Commercial	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$14.54
Rate for Payer: UnitedHealthcare Commercial	$19.38
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

TROCAR BLADELESS 5MM STANDARD

Facility

$96.90

Hospital Charge Code	270641728
Hospital Revenue Code	272
Min. Negotiated Rate	$14.54
Max. Negotiated Rate	$14.54
Rate for Payer: Qualcare PPO/HMO/WC	$14.54

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR BLADELESS 5x100MM STABI

Facility

$115.00

Hospital Charge Code	270671540
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.50
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

TROCAR BLADELESS 8MM ST W/FIX

Facility

$117.30

Hospital Charge Code	270669569
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

Know your out-of-pocket cost for care.

All Charges