Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE ENDOTRACHEAL 6.5MM

Facility

$48.00

Hospital Charge Code	270331312
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.40
Rate for Payer: Oxford Commercial	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$9.60
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

TUBE ENDOTRACHEAL 7.0mm

Facility

$7.23

Hospital Charge Code	270649824
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.84
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

TUBE ENDOTRACHEAL 7.0mm

Facility

$7.23

Hospital Charge Code	270649824
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

TUBE ENDOTRACHEAL 7.0mm CUFFED

Facility

$89.69

Hospital Charge Code	270655733
Hospital Revenue Code	271
Min. Negotiated Rate	$13.45
Max. Negotiated Rate	$13.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.45

TUBE ENDOTRACHEAL 7.0mm CUFFED

Facility

$89.69

Hospital Charge Code	270655733
Hospital Revenue Code	271
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$44.84
Rate for Payer: Aetna Commercial	$34.08
Rate for Payer: Aetna Medicare Advantage	$26.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.87
Rate for Payer: Cigna Commercial	$44.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.91
Rate for Payer: Oxford Commercial	$17.94
Rate for Payer: Qualcare PPO/HMO/WC	$13.45
Rate for Payer: UnitedHealthcare Commercial	$17.94
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

TUBE ENDOTRACHEAL 7.5mm

Facility

$7.23

Hospital Charge Code	270649825
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

TUBE ENDOTRACHEAL 7.5mm

Facility

$7.23

Hospital Charge Code	270649825
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.84
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

TUBE ENDOTRACHEAL 7.5mm CUFFED

Facility

$99.54

Hospital Charge Code	270655737
Hospital Revenue Code	271
Min. Negotiated Rate	$14.93
Max. Negotiated Rate	$14.93
Rate for Payer: Qualcare PPO/HMO/WC	$14.93

TUBE ENDOTRACHEAL 7.5mm CUFFED

Facility

$99.54

Hospital Charge Code	270655737
Hospital Revenue Code	271
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$49.77
Rate for Payer: Aetna Commercial	$37.83
Rate for Payer: Aetna Medicare Advantage	$29.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.38
Rate for Payer: Cigna Commercial	$49.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.86
Rate for Payer: Oxford Commercial	$19.91
Rate for Payer: Qualcare PPO/HMO/WC	$14.93
Rate for Payer: UnitedHealthcare Commercial	$19.91
Rate for Payer: UnitedHealthcare Community & State	$2.40
Rate for Payer: Wellpoint Medicaid Managed Care	$2.64

TUBE ENDOTRACHEAL 7MM

Facility

$72.00

Hospital Charge Code	270331092
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

TUBE ENDOTRACHEAL 7MM

Facility

$72.00

Hospital Charge Code	270331092
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.60
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$14.40
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

TUBE ENDOTRACHEAL 8.0mm

Facility

$7.23

Hospital Charge Code	270649827
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

TUBE ENDOTRACHEAL 8.0mm

Facility

$7.23

Hospital Charge Code	270649827
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.84
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

TUBE ENDOTRACHEAL 8.5MM

Facility

$7.02

Hospital Charge Code	270649828
Hospital Revenue Code	270
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

TUBE ENDOTRACHEAL 8.5MM

Facility

$689.00

Hospital Charge Code	270332466
Hospital Revenue Code	272
Min. Negotiated Rate	$16.60
Max. Negotiated Rate	$344.50
Rate for Payer: Aetna Commercial	$261.82
Rate for Payer: Aetna Medicare Advantage	$206.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.69
Rate for Payer: Cigna Commercial	$344.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.70
Rate for Payer: Oxford Commercial	$137.80
Rate for Payer: Qualcare PPO/HMO/WC	$103.35
Rate for Payer: UnitedHealthcare Commercial	$137.80
Rate for Payer: UnitedHealthcare Community & State	$16.60
Rate for Payer: Wellpoint Medicaid Managed Care	$18.26

TUBE ENDOTRACHEAL 8.5MM

Facility

$7.02

Hospital Charge Code	270649828
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.51
Rate for Payer: Aetna Commercial	$2.67
Rate for Payer: Aetna Medicare Advantage	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.79
Rate for Payer: Cigna Commercial	$3.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.11
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

TUBE ENDOTRACHEAL 8.5MM

Facility

$689.00

Hospital Charge Code	270332466
Hospital Revenue Code	272
Min. Negotiated Rate	$103.35
Max. Negotiated Rate	$103.35
Rate for Payer: Qualcare PPO/HMO/WC	$103.35

TUBE ENDOTRACHEAL 8.5MM 34FR

Facility

$71.00

Hospital Charge Code	270330898
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

TUBE ENDOTRACHEAL 8.5MM 34FR

Facility

$71.00

Hospital Charge Code	270330898
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

TUBE ENDOTRACHEAL 8MM

Facility

$72.00

Hospital Charge Code	270331093
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.00
Rate for Payer: Aetna Commercial	$27.36
Rate for Payer: Aetna Medicare Advantage	$21.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.36
Rate for Payer: Cigna Commercial	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.60
Rate for Payer: Oxford Commercial	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Commercial	$14.40
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

TUBE ENDOTRACHEAL 8MM

Facility

$72.00

Hospital Charge Code	270331093
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.80

TUBE ENDOTRACHEAL 9.0mm

Facility

$7.18

Hospital Charge Code	270649829
Hospital Revenue Code	270
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

TUBE ENDOTRACHEAL 9.0mm

Facility

$7.18

Hospital Charge Code	270649829
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.59
Rate for Payer: Aetna Commercial	$2.73
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.15
Rate for Payer: Oxford Commercial	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.44
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

TUBE ENDOTRACHEAL 9.5MM 38FR

Facility

$71.00

Hospital Charge Code	270330906
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

TUBE ENDOTRACHEAL 9.5MM 38FR

Facility

$71.00

Hospital Charge Code	270330906
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

Know your out-of-pocket cost for care.

All Charges