Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE FEEDING INFANT 8FR

Facility

$3.94

Hospital Charge Code	270649918
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 JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$46.65
Max. Negotiated Rate	$46.65
Rate for Payer: Qualcare PPO/HMO/WC	$46.65

TUBE, FEEDING JEJUNAL 12FR

Facility

$311.00

Hospital Charge Code	270330691
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$155.50
Rate for Payer: Aetna Commercial	$118.18
Rate for Payer: Aetna Medicare Advantage	$93.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.31
Rate for Payer: Cigna Commercial	$155.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.30
Rate for Payer: Oxford Commercial	$62.20
Rate for Payer: Qualcare PPO/HMO/WC	$46.65
Rate for Payer: UnitedHealthcare Commercial	$62.20
Rate for Payer: UnitedHealthcare Community & State	$7.50
Rate for Payer: Wellpoint Medicaid Managed Care	$8.24

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687772
Hospital Revenue Code	272
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687772
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687775
Hospital Revenue Code	272
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687775
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687774
Hospital Revenue Code	272
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

TUBE, FEEDING, JEJUNAL, ENFIT

Facility

$195.20

Hospital Charge Code	270687773
Hospital Revenue Code	272
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

TUBE FEED JEJU 24FR PEGJ1224

Facility

$460.00

Hospital Charge Code	270641311
Hospital Revenue Code	272
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

TUBE FEED JEJU 24FR PEGJ1224

Facility

$460.00

Hospital Charge Code	270641311
Hospital Revenue Code	272
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.00
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$92.00
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.19

TUBE FEUERSTEIN DRAIN MYRNG***

Facility

$28.00

Hospital Charge Code	1600659
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE FEUERSTEIN DRAIN MYRNG***

Facility

$28.00

Hospital Charge Code	1600659
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 FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$1,680.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00

TUBE FIXATOR LP CORETRAK 16x80

Facility

$11,200.00

Hospital Charge Code	270680472
Hospital Revenue Code	272
Min. Negotiated Rate	$269.92
Max. Negotiated Rate	$5,600.00
Rate for Payer: Aetna Commercial	$4,256.00
Rate for Payer: Aetna Medicare Advantage	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,856.00
Rate for Payer: Cigna Commercial	$5,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Oxford Commercial	$2,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00
Rate for Payer: UnitedHealthcare Commercial	$2,240.00
Rate for Payer: UnitedHealthcare Community & State	$269.92
Rate for Payer: Wellpoint Medicaid Managed Care	$296.80

TUBE FLATUS*****

Facility

$30.00

Hospital Charge Code	8000705
Hospital Revenue Code	279
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$6.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

TUBE FLATUS*****

Facility

$30.00

Hospital Charge Code	8000705
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

TUBE FLUORPLAST ARMSTRG 140242

Facility

$137.76

Hospital Charge Code	270620643
Hospital Revenue Code	272
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$68.88
Rate for Payer: Aetna Commercial	$52.35
Rate for Payer: Aetna Medicare Advantage	$41.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.13
Rate for Payer: Cigna Commercial	$68.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.33
Rate for Payer: Oxford Commercial	$27.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.66
Rate for Payer: UnitedHealthcare Commercial	$27.55
Rate for Payer: UnitedHealthcare Community & State	$3.32
Rate for Payer: Wellpoint Medicaid Managed Care	$3.65

TUBE FLUORPLAST ARMSTRG 140242

Facility

$137.76

Hospital Charge Code	270620643
Hospital Revenue Code	272
Min. Negotiated Rate	$20.66
Max. Negotiated Rate	$20.66
Rate for Payer: Qualcare PPO/HMO/WC	$20.66

TUBE FLUROPLASTIC .045 140035

Facility

$40.17

Hospital Charge Code	270605120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$20.09
Rate for Payer: Aetna Commercial	$15.26
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.24
Rate for Payer: Cigna Commercial	$20.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.05
Rate for Payer: Oxford Commercial	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.03
Rate for Payer: UnitedHealthcare Commercial	$8.03
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

TUBE FLUROPLASTIC .045 140035

Facility

$40.17

Hospital Charge Code	270605120
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$6.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.03

TUBE FRAZIER SUCT DISP 12FR

Facility

$8.97

Hospital Charge Code	270607601
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBE FRAZIER SUCT DISP 12FR

Facility

$8.97

Hospital Charge Code	270607601
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$3.41
Rate for Payer: Aetna Medicare Advantage	$2.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.69
Rate for Payer: Oxford Commercial	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.79
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

Know your out-of-pocket cost for care.

All Charges