Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$41.42
Rate for Payer: Aetna Commercial	$31.48
Rate for Payer: Aetna Medicare Advantage	$24.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.13
Rate for Payer: Cigna Commercial	$41.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.86
Rate for Payer: Oxford Commercial	$16.57
Rate for Payer: Qualcare PPO/HMO/WC	$12.43
Rate for Payer: UnitedHealthcare Commercial	$16.57
Rate for Payer: UnitedHealthcare Community & State	$2.00
Rate for Payer: Wellpoint Medicaid Managed Care	$2.20

TROCAR THORACIC 10/12MM

Facility

$82.85

Hospital Charge Code	270661493
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.43

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.80

TROCAR VERSA BLADELESS 5MM

Facility

$98.65

Service Code	HCPCS A4649
Hospital Charge Code	270696227
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$49.33
Rate for Payer: Aetna Commercial	$37.49
Rate for Payer: Aetna Medicare Advantage	$29.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.16
Rate for Payer: Cigna Commercial	$49.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.59
Rate for Payer: Oxford Commercial	$19.73
Rate for Payer: Qualcare PPO/HMO/WC	$14.80
Rate for Payer: UnitedHealthcare Commercial	$19.73
Rate for Payer: UnitedHealthcare Community & State	$2.38
Rate for Payer: Wellpoint Medicaid Managed Care	$2.61

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.23

TROCAR VERSAONE 8X10MM

Facility

$181.50

Hospital Charge Code	270696188
Hospital Revenue Code	272
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$90.75
Rate for Payer: Aetna Commercial	$68.97
Rate for Payer: Aetna Medicare Advantage	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.28
Rate for Payer: Cigna Commercial	$90.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: Oxford Commercial	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$27.23
Rate for Payer: UnitedHealthcare Commercial	$36.30
Rate for Payer: UnitedHealthcare Community & State	$4.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.81

TROCAR VERSAPORT 5 70MM 179068

Facility

$688.85

Hospital Charge Code	270600147
Hospital Revenue Code	272
Min. Negotiated Rate	$16.60
Max. Negotiated Rate	$344.43
Rate for Payer: Aetna Commercial	$261.76
Rate for Payer: Aetna Medicare Advantage	$206.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.66
Rate for Payer: Cigna Commercial	$344.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.66
Rate for Payer: Oxford Commercial	$137.77
Rate for Payer: Qualcare PPO/HMO/WC	$103.33
Rate for Payer: UnitedHealthcare Commercial	$137.77
Rate for Payer: UnitedHealthcare Community & State	$16.60
Rate for Payer: Wellpoint Medicaid Managed Care	$18.25

TROCAR VERSAPORT 5 70MM 179068

Facility

$688.85

Hospital Charge Code	270600147
Hospital Revenue Code	272
Min. Negotiated Rate	$103.33
Max. Negotiated Rate	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$103.33

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$4.09
Max. Negotiated Rate	$84.90
Rate for Payer: Aetna Commercial	$64.52
Rate for Payer: Aetna Medicare Advantage	$50.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.30
Rate for Payer: Cigna Commercial	$84.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.94
Rate for Payer: Oxford Commercial	$33.96
Rate for Payer: Qualcare PPO/HMO/WC	$25.47
Rate for Payer: UnitedHealthcare Commercial	$33.96
Rate for Payer: UnitedHealthcare Community & State	$4.09
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

TROCAR VERSAPORT PLUS V2 11MM

Facility

$169.80

Hospital Charge Code	270656294
Hospital Revenue Code	271
Min. Negotiated Rate	$25.47
Max. Negotiated Rate	$25.47
Rate for Payer: Qualcare PPO/HMO/WC	$25.47

TROCAR VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
Min. Negotiated Rate	$19.10
Max. Negotiated Rate	$19.10
Rate for Payer: Qualcare PPO/HMO/WC	$19.10

TROCAR VERSAPORT PLUS V2 12MM

Facility

$127.35

Hospital Charge Code	270656295
Hospital Revenue Code	271
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 VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$21.71
Rate for Payer: Qualcare PPO/HMO/WC	$21.71

TROCAR VERSAPORT V2 5MM SMOOTH

Facility

$144.73

Hospital Charge Code	270659229
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.36
Rate for Payer: Aetna Commercial	$55.00
Rate for Payer: Aetna Medicare Advantage	$43.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.91
Rate for Payer: Cigna Commercial	$72.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.42
Rate for Payer: Oxford Commercial	$28.95
Rate for Payer: Qualcare PPO/HMO/WC	$21.71
Rate for Payer: UnitedHealthcare Commercial	$28.95
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$167.03
Rate for Payer: Aetna Commercial	$126.94
Rate for Payer: Aetna Medicare Advantage	$100.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.18
Rate for Payer: Cigna Commercial	$167.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.22
Rate for Payer: Oxford Commercial	$66.81
Rate for Payer: Qualcare PPO/HMO/WC	$50.11
Rate for Payer: UnitedHealthcare Commercial	$66.81
Rate for Payer: UnitedHealthcare Community & State	$8.05
Rate for Payer: Wellpoint Medicaid Managed Care	$8.85

TROCAR VERSASTEP 12MM EXP

Facility

$334.05

Hospital Charge Code	270690812
Hospital Revenue Code	272
Min. Negotiated Rate	$50.11
Max. Negotiated Rate	$50.11
Rate for Payer: Qualcare PPO/HMO/WC	$50.11

TROCAR VISIPORT #176671 *****

Facility

$424.00

Hospital Charge Code	1606128
Hospital Revenue Code	272
Min. Negotiated Rate	$63.60
Max. Negotiated Rate	$63.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.60

TROCAR VISIPORT #176671 *****

Facility

$424.00

Hospital Charge Code	1606128
Hospital Revenue Code	272
Min. Negotiated Rate	$10.22
Max. Negotiated Rate	$212.00
Rate for Payer: Aetna Commercial	$161.12
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.12
Rate for Payer: Cigna Commercial	$212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.20
Rate for Payer: Oxford Commercial	$84.80
Rate for Payer: Qualcare PPO/HMO/WC	$63.60
Rate for Payer: UnitedHealthcare Commercial	$84.80
Rate for Payer: UnitedHealthcare Community & State	$10.22
Rate for Payer: Wellpoint Medicaid Managed Care	$11.24

TROCAR W/O RIBS IN SLEEVE 511S

Facility

$4,983.25

Hospital Charge Code	270609778
Hospital Revenue Code	272
Min. Negotiated Rate	$120.10
Max. Negotiated Rate	$2,491.62
Rate for Payer: Aetna Commercial	$1,893.63
Rate for Payer: Aetna Medicare Advantage	$1,494.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,270.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,270.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,270.73
Rate for Payer: Cigna Commercial	$2,491.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,494.97
Rate for Payer: Oxford Commercial	$996.65
Rate for Payer: Qualcare PPO/HMO/WC	$747.49
Rate for Payer: UnitedHealthcare Commercial	$996.65
Rate for Payer: UnitedHealthcare Community & State	$120.10
Rate for Payer: Wellpoint Medicaid Managed Care	$132.06

TROCAR W/O RIBS IN SLEEVE 511S

Facility

$4,983.25

Hospital Charge Code	270609778
Hospital Revenue Code	272
Min. Negotiated Rate	$747.49
Max. Negotiated Rate	$747.49
Rate for Payer: Qualcare PPO/HMO/WC	$747.49

TROCAR XCEL BLADELESS 15MM

Facility

$67.25

Service Code	HCPCS C1726
Hospital Charge Code	270630134
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

TROCAR XCEL BLADELESS 15MM

Facility

$220.00

Hospital Charge Code	270641080
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

TROCAR XCEL BLADELESS 15MM

Facility

$67.25

Service Code	HCPCS C1726
Hospital Charge Code	270630134
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

TROCAR XCEL BLADELESS 15MM

Facility

$220.00

Hospital Charge Code	270641080
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.00
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

TROCAR XCEL BLADELESS 5-11mm

Facility

$115.00

Hospital Charge Code	270635613
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

Know your out-of-pocket cost for care.

All Charges