Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE FDG ENDOVIV 12FR TTP PIGT

Facility

$682.20

Hospital Charge Code	270686529
Hospital Revenue Code	272
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$259.24
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.66
Rate for Payer: Oxford Commercial	$136.44
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$136.44
Rate for Payer: UnitedHealthcare Community & State	$16.44
Rate for Payer: Wellpoint Medicaid Managed Care	$18.08

TUBE FDG ENDOVIV 12FR TTP PIGT

Facility

$682.20

Hospital Charge Code	270686529
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FDNG ENDOVIV 12FR TTP BNT

Facility

$682.20

Hospital Charge Code	270686528
Hospital Revenue Code	272
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$259.24
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.66
Rate for Payer: Oxford Commercial	$136.44
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$136.44
Rate for Payer: UnitedHealthcare Community & State	$16.44
Rate for Payer: Wellpoint Medicaid Managed Care	$18.08

TUBE FEEDING 10FR

Facility

$13.65

Hospital Charge Code	270302305
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$2.05

TUBE FEEDING 10FR

Facility

$13.65

Hospital Charge Code	270302305
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.83
Rate for Payer: Aetna Commercial	$5.19
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.48
Rate for Payer: Cigna Commercial	$6.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.05
Rate for Payer: UnitedHealthcare Commercial	$2.73
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$170.24
Max. Negotiated Rate	$170.24
Rate for Payer: Qualcare PPO/HMO/WC	$170.24

TUBE FEEDING 18FR TRANSG/JEJUN

Facility

$1,134.90

Hospital Charge Code	270644695
Hospital Revenue Code	272
Min. Negotiated Rate	$27.35
Max. Negotiated Rate	$567.45
Rate for Payer: Aetna Commercial	$431.26
Rate for Payer: Aetna Medicare Advantage	$340.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.40
Rate for Payer: Cigna Commercial	$567.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.47
Rate for Payer: Oxford Commercial	$226.98
Rate for Payer: Qualcare PPO/HMO/WC	$170.24
Rate for Payer: UnitedHealthcare Commercial	$226.98
Rate for Payer: UnitedHealthcare Community & State	$27.35
Rate for Payer: Wellpoint Medicaid Managed Care	$30.07

TUBE FEEDING 3.5FR

Facility

$16.85

Hospital Charge Code	270302290
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

TUBE FEEDING 3.5FR

Facility

$16.85

Hospital Charge Code	270302290
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

TUBE FEEDING 5FR

Facility

$7.25

Hospital Charge Code	270302295
Hospital Revenue Code	272
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	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
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	$1.09
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 FEEDING 5FR

Facility

$7.25

Hospital Charge Code	270302295
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE FEEDING 8FR

Facility

$9.65

Hospital Charge Code	270302300
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBE FEEDING 8FR

Facility

$9.65

Hospital Charge Code	270302300
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

TUBE FEEDING 8FR *******

Facility

$4.00

Hospital Charge Code	8000820
Hospital Revenue Code	279
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TUBE FEEDING 8FR *******

Facility

$4.00

Hospital Charge Code	8000820
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$102.33
Max. Negotiated Rate	$102.33
Rate for Payer: Qualcare PPO/HMO/WC	$102.33

TUBE FEEDING ENDOVIVE 12 FR

Facility

$682.20

Hospital Charge Code	270689189
Hospital Revenue Code	272
Min. Negotiated Rate	$16.44
Max. Negotiated Rate	$341.10
Rate for Payer: Aetna Commercial	$259.24
Rate for Payer: Aetna Medicare Advantage	$204.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.96
Rate for Payer: Cigna Commercial	$341.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.66
Rate for Payer: Oxford Commercial	$136.44
Rate for Payer: Qualcare PPO/HMO/WC	$102.33
Rate for Payer: UnitedHealthcare Commercial	$136.44
Rate for Payer: UnitedHealthcare Community & State	$16.44
Rate for Payer: Wellpoint Medicaid Managed Care	$18.08

TUBE FEEDING FLOW 20SSK G31542

Facility

$482.50

Hospital Charge Code	270642117
Hospital Revenue Code	272
Min. Negotiated Rate	$72.38
Max. Negotiated Rate	$72.38
Rate for Payer: Qualcare PPO/HMO/WC	$72.38

TUBE FEEDING FLOW 20SSK G31542

Facility

$482.50

Hospital Charge Code	270642117
Hospital Revenue Code	272
Min. Negotiated Rate	$11.63
Max. Negotiated Rate	$241.25
Rate for Payer: Aetna Commercial	$183.35
Rate for Payer: Aetna Medicare Advantage	$144.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.04
Rate for Payer: Cigna Commercial	$241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.75
Rate for Payer: Oxford Commercial	$96.50
Rate for Payer: Qualcare PPO/HMO/WC	$72.38
Rate for Payer: UnitedHealthcare Commercial	$96.50
Rate for Payer: UnitedHealthcare Community & State	$11.63
Rate for Payer: Wellpoint Medicaid Managed Care	$12.79

TUBE FEEDING FLOW 20SSK G31545

Facility

$482.50

Hospital Charge Code	270642118
Hospital Revenue Code	272
Min. Negotiated Rate	$72.38
Max. Negotiated Rate	$72.38
Rate for Payer: Qualcare PPO/HMO/WC	$72.38

TUBE FEEDING FLOW 20SSK G31545

Facility

$482.50

Hospital Charge Code	270642118
Hospital Revenue Code	272
Min. Negotiated Rate	$11.63
Max. Negotiated Rate	$241.25
Rate for Payer: Aetna Commercial	$183.35
Rate for Payer: Aetna Medicare Advantage	$144.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.04
Rate for Payer: Cigna Commercial	$241.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.75
Rate for Payer: Oxford Commercial	$96.50
Rate for Payer: Qualcare PPO/HMO/WC	$72.38
Rate for Payer: UnitedHealthcare Commercial	$96.50
Rate for Payer: UnitedHealthcare Community & State	$11.63
Rate for Payer: Wellpoint Medicaid Managed Care	$12.79

TUBE FEEDING INFANT 5FR

Facility

$3.94

Hospital Charge Code	270649917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$0.59
Rate for Payer: Qualcare PPO/HMO/WC	$0.59

TUBE FEEDING INFANT 5FR

Facility

$3.94

Hospital Charge Code	270649917
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.97
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.00
Rate for Payer: Cigna Commercial	$1.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.18
Rate for Payer: Oxford Commercial	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$0.79
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

TUBE FEEDING INFANT 8FR

Facility

$3.94

Hospital Charge Code	270649918
Hospital Revenue Code	272
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.97
Rate for Payer: Aetna Commercial	$1.50
Rate for Payer: Aetna Medicare Advantage	$1.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.00
Rate for Payer: Cigna Commercial	$1.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.18
Rate for Payer: Oxford Commercial	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.59
Rate for Payer: UnitedHealthcare Commercial	$0.79
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

Know your out-of-pocket cost for care.

All Charges