Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ARMSTRONG VENT *******

Facility

$28.00

Hospital Charge Code	1600675
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

TUBE ARMSTRONG VENT TUBE

Facility

$56.18

Hospital Charge Code	270660213
Hospital Revenue Code	272
Min. Negotiated Rate	$8.43
Max. Negotiated Rate	$8.43
Rate for Payer: Qualcare PPO/HMO/WC	$8.43

TUBE ARMSTRONG VENT TUBE

Facility

$56.18

Hospital Charge Code	270660213
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$28.09
Rate for Payer: Aetna Commercial	$21.35
Rate for Payer: Aetna Medicare Advantage	$16.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.33
Rate for Payer: Cigna Commercial	$28.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.85
Rate for Payer: Oxford Commercial	$11.24
Rate for Payer: Qualcare PPO/HMO/WC	$8.43
Rate for Payer: UnitedHealthcare Commercial	$11.24
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.49

TUBE ASPIRATING LUKI 6-1/4

Facility

$42.00

Hospital Charge Code	270331298
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

TUBE ASPIRATING LUKI 6-1/4

Facility

$42.00

Hospital Charge Code	270331298
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$21.00
Rate for Payer: Aetna Commercial	$15.96
Rate for Payer: Aetna Medicare Advantage	$12.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.71
Rate for Payer: Cigna Commercial	$21.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.60
Rate for Payer: Oxford Commercial	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$6.30
Rate for Payer: UnitedHealthcare Commercial	$8.40
Rate for Payer: UnitedHealthcare Community & State	$1.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

TUBE ASSEMBLY RIA

Facility

$1,746.00

Hospital Charge Code	270671813
Hospital Revenue Code	272
Min. Negotiated Rate	$42.08
Max. Negotiated Rate	$873.00
Rate for Payer: Aetna Commercial	$663.48
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.80
Rate for Payer: Oxford Commercial	$349.20
Rate for Payer: Qualcare PPO/HMO/WC	$261.90
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: UnitedHealthcare Community & State	$42.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.27

TUBE ASSEMBLY RIA

Facility

$1,746.00

Hospital Charge Code	270671813
Hospital Revenue Code	272
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

TUBE ASSEMBLY RIA MIN 360MM

Facility

$1,746.00

Hospital Charge Code	270675629
Hospital Revenue Code	272
Min. Negotiated Rate	$261.90
Max. Negotiated Rate	$261.90
Rate for Payer: Qualcare PPO/HMO/WC	$261.90

TUBE ASSEMBLY RIA MIN 360MM

Facility

$1,746.00

Hospital Charge Code	270675629
Hospital Revenue Code	272
Min. Negotiated Rate	$42.08
Max. Negotiated Rate	$873.00
Rate for Payer: Aetna Commercial	$663.48
Rate for Payer: Aetna Medicare Advantage	$523.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.23
Rate for Payer: Cigna Commercial	$873.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.80
Rate for Payer: Oxford Commercial	$349.20
Rate for Payer: Qualcare PPO/HMO/WC	$261.90
Rate for Payer: UnitedHealthcare Commercial	$349.20
Rate for Payer: UnitedHealthcare Community & State	$42.08
Rate for Payer: Wellpoint Medicaid Managed Care	$46.27

TUBE BAKER JEJUNOSY 16F 655316

Facility

$652.15

Hospital Charge Code	270641723
Hospital Revenue Code	272
Min. Negotiated Rate	$97.82
Max. Negotiated Rate	$97.82
Rate for Payer: Qualcare PPO/HMO/WC	$97.82

TUBE BAKER JEJUNOSY 16F 655316

Facility

$652.15

Hospital Charge Code	270641723
Hospital Revenue Code	272
Min. Negotiated Rate	$15.72
Max. Negotiated Rate	$326.07
Rate for Payer: Aetna Commercial	$247.82
Rate for Payer: Aetna Medicare Advantage	$195.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.30
Rate for Payer: Cigna Commercial	$326.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.65
Rate for Payer: Oxford Commercial	$130.43
Rate for Payer: Qualcare PPO/HMO/WC	$97.82
Rate for Payer: UnitedHealthcare Commercial	$130.43
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

TUBE BMT MEDULLAR ALIGN 469389

Facility

$295.00

Hospital Charge Code	270612312
Hospital Revenue Code	278
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$147.50
Rate for Payer: Aetna Commercial	$112.10
Rate for Payer: Aetna Medicare Advantage	$88.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.22
Rate for Payer: Cigna Commercial	$147.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25
Rate for Payer: UnitedHealthcare Community & State	$7.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

TUBE BMT MEDULLAR ALIGN 469389

Facility

$295.00

Hospital Charge Code	270612312
Hospital Revenue Code	278
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$71.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$64.90
Rate for Payer: Qualcare PPO/HMO/WC	$44.25

TUBE BMT MEDULLAR ALIGN 469391

Facility

$226.45

Hospital Charge Code	270607865
Hospital Revenue Code	272
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

TUBE BMT MEDULLAR ALIGN 469391

Facility

$226.45

Hospital Charge Code	270607865
Hospital Revenue Code	272
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$113.22
Rate for Payer: Aetna Commercial	$86.05
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.94
Rate for Payer: Oxford Commercial	$45.29
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$45.29
Rate for Payer: UnitedHealthcare Community & State	$5.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6.00

TUBE BMT MEDULLAR ALIGN 469395

Facility

$226.45

Hospital Charge Code	270610878
Hospital Revenue Code	272
Min. Negotiated Rate	$33.97
Max. Negotiated Rate	$33.97
Rate for Payer: Qualcare PPO/HMO/WC	$33.97

TUBE BMT MEDULLAR ALIGN 469395

Facility

$226.45

Hospital Charge Code	270610878
Hospital Revenue Code	272
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$113.22
Rate for Payer: Aetna Commercial	$86.05
Rate for Payer: Aetna Medicare Advantage	$67.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.74
Rate for Payer: Cigna Commercial	$113.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.94
Rate for Payer: Oxford Commercial	$45.29
Rate for Payer: Qualcare PPO/HMO/WC	$33.97
Rate for Payer: UnitedHealthcare Commercial	$45.29
Rate for Payer: UnitedHealthcare Community & State	$5.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6.00

TUBE BRNC-CATH RT 39M 43161139

Facility

$251.15

Hospital Charge Code	270624527
Hospital Revenue Code	272
Min. Negotiated Rate	$37.67
Max. Negotiated Rate	$37.67
Rate for Payer: Qualcare PPO/HMO/WC	$37.67

TUBE BRNC-CATH RT 39M 43161139

Facility

$251.15

Hospital Charge Code	270624527
Hospital Revenue Code	272
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$125.58
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$75.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.04
Rate for Payer: Cigna Commercial	$125.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.34
Rate for Payer: Oxford Commercial	$50.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.67
Rate for Payer: UnitedHealthcare Commercial	$50.23
Rate for Payer: UnitedHealthcare Community & State	$6.05
Rate for Payer: Wellpoint Medicaid Managed Care	$6.66

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$64.99
Max. Negotiated Rate	$64.99
Rate for Payer: Qualcare PPO/HMO/WC	$64.99

TUBE BRONCCATH RT 35F 43161135

Facility

$433.25

Hospital Charge Code	270615503
Hospital Revenue Code	272
Min. Negotiated Rate	$10.44
Max. Negotiated Rate	$216.62
Rate for Payer: Aetna Commercial	$164.63
Rate for Payer: Aetna Medicare Advantage	$129.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.48
Rate for Payer: Cigna Commercial	$216.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.97
Rate for Payer: Oxford Commercial	$86.65
Rate for Payer: Qualcare PPO/HMO/WC	$64.99
Rate for Payer: UnitedHealthcare Commercial	$86.65
Rate for Payer: UnitedHealthcare Community & State	$10.44
Rate for Payer: Wellpoint Medicaid Managed Care	$11.48

TUBE BRONC-CATH RT 37 43161137

Facility

$450.95

Hospital Charge Code	270624525
Hospital Revenue Code	272
Min. Negotiated Rate	$10.87
Max. Negotiated Rate	$225.47
Rate for Payer: Aetna Commercial	$171.36
Rate for Payer: Aetna Medicare Advantage	$135.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.99
Rate for Payer: Cigna Commercial	$225.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.28
Rate for Payer: Oxford Commercial	$90.19
Rate for Payer: Qualcare PPO/HMO/WC	$67.64
Rate for Payer: UnitedHealthcare Commercial	$90.19
Rate for Payer: UnitedHealthcare Community & State	$10.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11.95

TUBE BRONC-CATH RT 37 43161137

Facility

$450.95

Hospital Charge Code	270624525
Hospital Revenue Code	272
Min. Negotiated Rate	$67.64
Max. Negotiated Rate	$67.64
Rate for Payer: Qualcare PPO/HMO/WC	$67.64

TUBE BRONCH CATH L 35MM

Facility

$64.00

Hospital Charge Code	270601632
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

TUBE BRONCH CATH L 35MM

Facility

$64.00

Hospital Charge Code	270601632
Hospital Revenue Code	272
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

Know your out-of-pocket cost for care.

All Charges