Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE CONNECTING NONCONDUCT 20'

Facility

$1.23

Hospital Charge Code	270649279N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$0.18
Rate for Payer: Qualcare PPO/HMO/WC	$0.18

TUBE CONNECTING NONCONDUCT 20'

Facility

$5.63

Hospital Charge Code	270649279
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

$5.63

Hospital Charge Code	270649279S
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 CONNECTNG 14FR W/STOPCOCK

Facility

$63.75

Hospital Charge Code	270623768
Hospital Revenue Code	272
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$9.56
Rate for Payer: Qualcare PPO/HMO/WC	$9.56

TUBE CONNECTNG 14FR W/STOPCOCK

Facility

$63.75

Hospital Charge Code	270623768
Hospital Revenue Code	272
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$31.88
Rate for Payer: Aetna Commercial	$24.23
Rate for Payer: Aetna Medicare Advantage	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.26
Rate for Payer: Cigna Commercial	$31.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.12
Rate for Payer: Oxford Commercial	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.56
Rate for Payer: UnitedHealthcare Commercial	$12.75
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

TUBE, CULTURE 13X 100MM

Facility

$74.42

Hospital Charge Code	270654388
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$37.21
Rate for Payer: Aetna Commercial	$28.28
Rate for Payer: Aetna Medicare Advantage	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.98
Rate for Payer: Cigna Commercial	$37.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.33
Rate for Payer: Oxford Commercial	$14.88
Rate for Payer: Qualcare PPO/HMO/WC	$11.16
Rate for Payer: UnitedHealthcare Commercial	$14.88
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

TUBE, CULTURE 13X 100MM

Facility

$74.42

Hospital Charge Code	270654388
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$11.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.16

TUBE DOBBHOFF

Facility

$56.88

Hospital Charge Code	270302285
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$8.53
Rate for Payer: Qualcare PPO/HMO/WC	$8.53

TUBE DOBBHOFF

Facility

$56.88

Hospital Charge Code	270302285
Hospital Revenue Code	272
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$28.44
Rate for Payer: Aetna Commercial	$21.61
Rate for Payer: Aetna Medicare Advantage	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.50
Rate for Payer: Cigna Commercial	$28.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.06
Rate for Payer: Oxford Commercial	$11.38
Rate for Payer: Qualcare PPO/HMO/WC	$8.53
Rate for Payer: UnitedHealthcare Commercial	$11.38
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

TUBE DOBHOFF*****

Facility

$81.00

Hospital Charge Code	8000770
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

TUBE DOBHOFF*****

Facility

$81.00

Hospital Charge Code	8000770
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

TUBE DRAIN BLAKE SI HBLS

Facility

$274.66

Hospital Charge Code	270689560
Hospital Revenue Code	272
Min. Negotiated Rate	$41.20
Max. Negotiated Rate	$41.20
Rate for Payer: Qualcare PPO/HMO/WC	$41.20

TUBE DRAIN BLAKE SI HBLS

Facility

$274.66

Hospital Charge Code	270689560
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$137.33
Rate for Payer: Aetna Commercial	$104.37
Rate for Payer: Aetna Medicare Advantage	$82.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.04
Rate for Payer: Cigna Commercial	$137.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.40
Rate for Payer: Oxford Commercial	$54.93
Rate for Payer: Qualcare PPO/HMO/WC	$41.20
Rate for Payer: UnitedHealthcare Commercial	$54.93
Rate for Payer: UnitedHealthcare Community & State	$6.62
Rate for Payer: Wellpoint Medicaid Managed Care	$7.28

TUBE ELECTROSURG COAG SUCT****

Facility

$35.00

Hospital Charge Code	1600683
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

TUBE ELECTROSURG COAG SUCT****

Facility

$35.00

Hospital Charge Code	1600683
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

TUBE ELECTROSURG COAGUL 809600

Facility

$77.65

Hospital Charge Code	270061405
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$15.53
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

TUBE ELECTROSURG COAGUL 809600

Facility

$77.65

Hospital Charge Code	270061405
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

TUBE ENDOBRONCHIAL 41FR

Facility

$268.33

Hospital Charge Code	270660609
Hospital Revenue Code	272
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$40.25
Rate for Payer: Qualcare PPO/HMO/WC	$40.25

TUBE ENDOBRONCHIAL 41FR

Facility

$268.33

Hospital Charge Code	270660609
Hospital Revenue Code	272
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$134.16
Rate for Payer: Aetna Commercial	$101.97
Rate for Payer: Aetna Medicare Advantage	$80.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.42
Rate for Payer: Cigna Commercial	$134.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.50
Rate for Payer: Oxford Commercial	$53.67
Rate for Payer: Qualcare PPO/HMO/WC	$40.25
Rate for Payer: UnitedHealthcare Commercial	$53.67
Rate for Payer: UnitedHealthcare Community & State	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$7.11

TUBE ENDOBRONCIAL 39FR RIGHT

Facility

$800.00

Hospital Charge Code	270657422
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

TUBE ENDOBRONCIAL 39FR RIGHT

Facility

$800.00

Hospital Charge Code	270657422
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

TUBE ENDO CUFFED 10.0mm

Facility

$10.95

Hospital Charge Code	270649296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.47
Rate for Payer: Aetna Commercial	$4.16
Rate for Payer: Aetna Medicare Advantage	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.79
Rate for Payer: Cigna Commercial	$5.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.29
Rate for Payer: Oxford Commercial	$2.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$2.19
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

TUBE ENDO CUFFED 10.0mm

Facility

$10.95

Hospital Charge Code	270649296
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

TUBE ENDO CUFFED 3.0mm

Facility

$7.82

Hospital Charge Code	270649280
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.91
Rate for Payer: Aetna Commercial	$2.97
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.99
Rate for Payer: Cigna Commercial	$3.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.35
Rate for Payer: Oxford Commercial	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.17
Rate for Payer: UnitedHealthcare Commercial	$1.56
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

TUBE ENDO CUFFED 3.0mm

Facility

$7.82

Hospital Charge Code	270649280
Hospital Revenue Code	272
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$1.17

Know your out-of-pocket cost for care.

All Charges