Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$129.25
Rate for Payer: Aetna Commercial	$98.23
Rate for Payer: Aetna Medicare Advantage	$77.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.92
Rate for Payer: Cigna Commercial	$129.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.55
Rate for Payer: Oxford Commercial	$51.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.77
Rate for Payer: UnitedHealthcare Commercial	$51.70
Rate for Payer: UnitedHealthcare Community & State	$6.23
Rate for Payer: Wellpoint Medicaid Managed Care	$6.85

TUBE BRONCH CATH L 37MM

Facility

$258.50

Hospital Charge Code	270605912
Hospital Revenue Code	272
Min. Negotiated Rate	$38.77
Max. Negotiated Rate	$38.77
Rate for Payer: Qualcare PPO/HMO/WC	$38.77

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$39.17
Max. Negotiated Rate	$39.17
Rate for Payer: Qualcare PPO/HMO/WC	$39.17

TUBE BRONCHO-CATH LEFT 35MM

Facility

$261.15

Hospital Charge Code	270609632
Hospital Revenue Code	272
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$130.57
Rate for Payer: Aetna Commercial	$99.24
Rate for Payer: Aetna Medicare Advantage	$78.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.59
Rate for Payer: Cigna Commercial	$130.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.34
Rate for Payer: Oxford Commercial	$52.23
Rate for Payer: Qualcare PPO/HMO/WC	$39.17
Rate for Payer: UnitedHealthcare Commercial	$52.23
Rate for Payer: UnitedHealthcare Community & State	$6.29
Rate for Payer: Wellpoint Medicaid Managed Care	$6.92

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE BRONCHO-CATH LEFT 39mm

Facility

$369.20

Hospital Charge Code	270600890
Hospital Revenue Code	272
Min. Negotiated Rate	$8.90
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$140.30
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.76
Rate for Payer: Oxford Commercial	$73.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$73.84
Rate for Payer: UnitedHealthcare Community & State	$8.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9.78

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$55.38
Rate for Payer: Qualcare PPO/HMO/WC	$55.38

TUBE BRONCHO-CATH LEFT 41mm

Facility

$369.20

Hospital Charge Code	270600891
Hospital Revenue Code	272
Min. Negotiated Rate	$8.90
Max. Negotiated Rate	$184.60
Rate for Payer: Aetna Commercial	$140.30
Rate for Payer: Aetna Medicare Advantage	$110.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.15
Rate for Payer: Cigna Commercial	$184.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.76
Rate for Payer: Oxford Commercial	$73.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.38
Rate for Payer: UnitedHealthcare Commercial	$73.84
Rate for Payer: UnitedHealthcare Community & State	$8.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9.78

TUBE BRONCHOCATH RT 41F 126041

Facility

$330.00

Hospital Charge Code	270641446
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

TUBE BRONCHOCATH RT 41F 126041

Facility

$330.00

Hospital Charge Code	270641446
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

TUBE CALIBRATION

Facility

$625.00

Service Code	HCPCS A4651
Hospital Charge Code	270667484
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

TUBE CANTOR

Facility

$114.00

Hospital Charge Code	8000283
Hospital Revenue Code	279
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$17.10
Rate for Payer: Qualcare PPO/HMO/WC	$17.10

TUBE CANTOR

Facility

$114.00

Hospital Charge Code	8000283
Hospital Revenue Code	279
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.00
Rate for Payer: Aetna Commercial	$43.32
Rate for Payer: Aetna Medicare Advantage	$34.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.07
Rate for Payer: Cigna Commercial	$57.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.20
Rate for Payer: Oxford Commercial	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$17.10
Rate for Payer: UnitedHealthcare Commercial	$22.80
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

TUBE CANTOR ADULT

Facility

$612.00

Hospital Charge Code	270302279
Hospital Revenue Code	272
Min. Negotiated Rate	$14.75
Max. Negotiated Rate	$306.00
Rate for Payer: Aetna Commercial	$232.56
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.60
Rate for Payer: Oxford Commercial	$122.40
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$122.40
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: Wellpoint Medicaid Managed Care	$16.22

TUBE CANTOR ADULT

Facility

$612.00

Hospital Charge Code	270302279
Hospital Revenue Code	272
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

TUBE CONNECT 14F W/STOP G02278

Facility

$70.00

Hospital Charge Code	270623768V
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

TUBE CONNECT 14F W/STOP G02278

Facility

$70.00

Hospital Charge Code	270623768V
Hospital Revenue Code	272
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$10.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

TUBE CONNECTING 18

Facility

$1.29

Hospital Charge Code	270649278
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$0.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.19

TUBE CONNECTING 18

Facility

$1.29

Hospital Charge Code	270649278
Hospital Revenue Code	270
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.65
Rate for Payer: Aetna Commercial	$0.49
Rate for Payer: Aetna Medicare Advantage	$0.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.33
Rate for Payer: Cigna Commercial	$0.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.39
Rate for Payer: Oxford Commercial	$0.26
Rate for Payer: Qualcare PPO/HMO/WC	$0.19
Rate for Payer: UnitedHealthcare Commercial	$0.26
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

TUBE CONNECTING CCTU140-30-ST

Facility

$99.25

Hospital Charge Code	270601473
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

TUBE CONNECTING CCTU140-30-ST

Facility

$99.25

Hospital Charge Code	270601473
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.81
Rate for Payer: Aetna Commercial	$2.14
Rate for Payer: Aetna Medicare Advantage	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.69
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.84
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$0.84
Rate for Payer: Qualcare PPO/HMO/WC	$0.84

TUBE CONNECTING NONCONDUCT 20'

Facility

$1.23

Hospital Charge Code	270649279N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.62
Rate for Payer: Aetna Commercial	$0.47
Rate for Payer: Aetna Medicare Advantage	$0.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.37
Rate for Payer: Oxford Commercial	$0.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.25
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

Know your out-of-pocket cost for care.

All Charges