Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$5.76
Max. Negotiated Rate	$119.58
Rate for Payer: Aetna Commercial	$90.88
Rate for Payer: Aetna Medicare Advantage	$71.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.98
Rate for Payer: Cigna Commercial	$119.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.75
Rate for Payer: Oxford Commercial	$47.83
Rate for Payer: Qualcare PPO/HMO/WC	$35.87
Rate for Payer: UnitedHealthcare Commercial	$47.83
Rate for Payer: UnitedHealthcare Community & State	$5.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.34

TROCAR BLUNT TIP 10/12mm BALL

Facility

$239.15

Hospital Charge Code	270642081
Hospital Revenue Code	272
Min. Negotiated Rate	$35.87
Max. Negotiated Rate	$35.87
Rate for Payer: Qualcare PPO/HMO/WC	$35.87

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

TROCAR CK NEEDLE DTN-18-20

Facility

$70.00

Hospital Charge Code	270623767
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.00
Rate for Payer: Oxford Commercial	$14.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Commercial	$14.00
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

TROCAR DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 100x11MM

Facility

$115.00

Hospital Charge Code	270672162
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 DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 100x12MM

Facility

$115.00

Hospital Charge Code	270672163
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 DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$23.14
Max. Negotiated Rate	$23.14
Rate for Payer: Qualcare PPO/HMO/WC	$23.14

TROCAR DILATING TIP 10/11MM

Facility

$154.30

Hospital Charge Code	270654239
Hospital Revenue Code	272
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$77.15
Rate for Payer: Aetna Commercial	$58.63
Rate for Payer: Aetna Medicare Advantage	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.35
Rate for Payer: Cigna Commercial	$77.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.29
Rate for Payer: Oxford Commercial	$30.86
Rate for Payer: Qualcare PPO/HMO/WC	$23.14
Rate for Payer: UnitedHealthcare Commercial	$30.86
Rate for Payer: UnitedHealthcare Community & State	$3.72
Rate for Payer: Wellpoint Medicaid Managed Care	$4.09

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$23.76
Max. Negotiated Rate	$23.76
Rate for Payer: Qualcare PPO/HMO/WC	$23.76

TROCAR DILATING TIP 12x150MM

Facility

$158.40

Hospital Charge Code	270673272
Hospital Revenue Code	272
Min. Negotiated Rate	$3.82
Max. Negotiated Rate	$79.20
Rate for Payer: Aetna Commercial	$60.19
Rate for Payer: Aetna Medicare Advantage	$47.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.39
Rate for Payer: Cigna Commercial	$79.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.52
Rate for Payer: Oxford Commercial	$31.68
Rate for Payer: Qualcare PPO/HMO/WC	$23.76
Rate for Payer: UnitedHealthcare Commercial	$31.68
Rate for Payer: UnitedHealthcare Community & State	$3.82
Rate for Payer: Wellpoint Medicaid Managed Care	$4.20

TROCAR DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR DILATING TIP 5MM

Facility

$115.00

Hospital Charge Code	270656801
Hospital Revenue Code	270
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 DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$52.60
Max. Negotiated Rate	$52.60
Rate for Payer: Qualcare PPO/HMO/WC	$52.60

TROCAR DRAIN BLKE 15FR RD 3/16

Facility

$350.64

Hospital Charge Code	270669711
Hospital Revenue Code	272
Min. Negotiated Rate	$8.45
Max. Negotiated Rate	$175.32
Rate for Payer: Aetna Commercial	$133.24
Rate for Payer: Aetna Medicare Advantage	$105.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.41
Rate for Payer: Cigna Commercial	$175.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.19
Rate for Payer: Oxford Commercial	$70.13
Rate for Payer: Qualcare PPO/HMO/WC	$52.60
Rate for Payer: UnitedHealthcare Commercial	$70.13
Rate for Payer: UnitedHealthcare Community & State	$8.45
Rate for Payer: Wellpoint Medicaid Managed Care	$9.29

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$142.33
Rate for Payer: Aetna Commercial	$108.17
Rate for Payer: Aetna Medicare Advantage	$85.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.59
Rate for Payer: Cigna Commercial	$142.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.40
Rate for Payer: Oxford Commercial	$56.93
Rate for Payer: Qualcare PPO/HMO/WC	$42.70
Rate for Payer: UnitedHealthcare Commercial	$56.93
Rate for Payer: UnitedHealthcare Community & State	$6.86
Rate for Payer: Wellpoint Medicaid Managed Care	$7.54

TROCAR ENDO 11.5MM BLK NON CON

Facility

$284.66

Hospital Charge Code	270600066
Hospital Revenue Code	272
Min. Negotiated Rate	$42.70
Max. Negotiated Rate	$42.70
Rate for Payer: Qualcare PPO/HMO/WC	$42.70

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDO BLUNT TIP 12x100MM

Facility

$115.00

Hospital Charge Code	270671546
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 ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$207.15
Rate for Payer: Aetna Commercial	$157.43
Rate for Payer: Aetna Medicare Advantage	$124.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.65
Rate for Payer: Cigna Commercial	$207.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.29
Rate for Payer: Oxford Commercial	$82.86
Rate for Payer: Qualcare PPO/HMO/WC	$62.15
Rate for Payer: UnitedHealthcare Commercial	$82.86
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.98

TROCAR ENDO CLOSURE DEV 10MM

Facility

$414.30

Hospital Charge Code	270640346
Hospital Revenue Code	272
Min. Negotiated Rate	$62.15
Max. Negotiated Rate	$62.15
Rate for Payer: Qualcare PPO/HMO/WC	$62.15

TROCAR ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
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 ENDOPAT 12 X100

Facility

$115.00

Hospital Charge Code	270692140
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

TROCAR ENDOPATH BLADELESS 15M

Facility

$782.00

Hospital Charge Code	270669197
Hospital Revenue Code	272
Min. Negotiated Rate	$18.85
Max. Negotiated Rate	$391.00
Rate for Payer: Aetna Commercial	$297.16
Rate for Payer: Aetna Medicare Advantage	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.41
Rate for Payer: Cigna Commercial	$391.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.60
Rate for Payer: Oxford Commercial	$156.40
Rate for Payer: Qualcare PPO/HMO/WC	$117.30
Rate for Payer: UnitedHealthcare Commercial	$156.40
Rate for Payer: UnitedHealthcare Community & State	$18.85
Rate for Payer: Wellpoint Medicaid Managed Care	$20.72

Know your out-of-pocket cost for care.

All Charges