Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE KANGAROO FEEDING

Facility

$55.27

Hospital Charge Code	270649938
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.64
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$16.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.09
Rate for Payer: Cigna Commercial	$27.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.58
Rate for Payer: Oxford Commercial	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.29
Rate for Payer: UnitedHealthcare Commercial	$11.05
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

TUBE LARYNGECTOMY SIZE 8

Facility

$388.00

Hospital Charge Code	270331345
Hospital Revenue Code	272
Min. Negotiated Rate	$9.35
Max. Negotiated Rate	$194.00
Rate for Payer: Aetna Commercial	$147.44
Rate for Payer: Aetna Medicare Advantage	$116.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.94
Rate for Payer: Cigna Commercial	$194.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$116.40
Rate for Payer: Oxford Commercial	$77.60
Rate for Payer: Qualcare PPO/HMO/WC	$58.20
Rate for Payer: UnitedHealthcare Commercial	$77.60
Rate for Payer: UnitedHealthcare Community & State	$9.35
Rate for Payer: Wellpoint Medicaid Managed Care	$10.28

TUBE LARYNGECTOMY SIZE 8

Facility

$388.00

Hospital Charge Code	270331345
Hospital Revenue Code	272
Min. Negotiated Rate	$58.20
Max. Negotiated Rate	$58.20
Rate for Payer: Qualcare PPO/HMO/WC	$58.20

TUBE LARYNGECTOMY SZ 10 12.0mm

Facility

$499.00

Hospital Charge Code	270643554
Hospital Revenue Code	272
Min. Negotiated Rate	$74.85
Max. Negotiated Rate	$74.85
Rate for Payer: Qualcare PPO/HMO/WC	$74.85

TUBE LARYNGECTOMY SZ 10 12.0mm

Facility

$499.00

Hospital Charge Code	270643554
Hospital Revenue Code	272
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$249.50
Rate for Payer: Aetna Commercial	$189.62
Rate for Payer: Aetna Medicare Advantage	$149.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.25
Rate for Payer: Cigna Commercial	$249.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.70
Rate for Payer: Oxford Commercial	$99.80
Rate for Payer: Qualcare PPO/HMO/WC	$74.85
Rate for Payer: UnitedHealthcare Commercial	$99.80
Rate for Payer: UnitedHealthcare Community & State	$12.03
Rate for Payer: Wellpoint Medicaid Managed Care	$13.22

TUBE LASER SHIELD 24 FR

Facility

$730.00

Hospital Charge Code	270600888
Hospital Revenue Code	272
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$109.50
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

TUBE LASER SHIELD 24 FR

Facility

$730.00

Hospital Charge Code	270600888
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$365.00
Rate for Payer: Aetna Commercial	$277.40
Rate for Payer: Aetna Medicare Advantage	$219.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.15
Rate for Payer: Cigna Commercial	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.00
Rate for Payer: Oxford Commercial	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.50
Rate for Payer: UnitedHealthcare Commercial	$146.00
Rate for Payer: UnitedHealthcare Community & State	$17.59
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

TUBE LASER SHIELD 4.5MM

Facility

$920.00

Hospital Charge Code	270605824
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

TUBE LASER SHIELD 4.5MM

Facility

$920.00

Hospital Charge Code	270605824
Hospital Revenue Code	272
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.00
Rate for Payer: Oxford Commercial	$184.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Commercial	$184.00
Rate for Payer: UnitedHealthcare Community & State	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$24.38

TUBE LASER SHIELD II 27F

Facility

$800.00

Hospital Charge Code	270601166
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

TUBE LASER SHIELD II 27F

Facility

$800.00

Hospital Charge Code	270601166
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 LASER SHIELD II 4.0/6.6

Facility

$945.65

Hospital Charge Code	270600889
Hospital Revenue Code	272
Min. Negotiated Rate	$22.79
Max. Negotiated Rate	$472.82
Rate for Payer: Aetna Commercial	$359.35
Rate for Payer: Aetna Medicare Advantage	$283.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.14
Rate for Payer: Cigna Commercial	$472.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.69
Rate for Payer: Oxford Commercial	$189.13
Rate for Payer: Qualcare PPO/HMO/WC	$141.85
Rate for Payer: UnitedHealthcare Commercial	$189.13
Rate for Payer: UnitedHealthcare Community & State	$22.79
Rate for Payer: Wellpoint Medicaid Managed Care	$25.06

TUBE LASER SHIELD II 4.0/6.6

Facility

$945.65

Hospital Charge Code	270600889
Hospital Revenue Code	272
Min. Negotiated Rate	$141.85
Max. Negotiated Rate	$141.85
Rate for Payer: Qualcare PPO/HMO/WC	$141.85

TUBE LASER SHIELD II 5.5MM

Facility

$873.65

Hospital Charge Code	270600887
Hospital Revenue Code	272
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.10
Rate for Payer: Oxford Commercial	$174.73
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Commercial	$174.73
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

TUBE LASER SHIELD II 5.5MM

Facility

$873.65

Hospital Charge Code	270600887
Hospital Revenue Code	272
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

TUBE LEVINE 12/16FR *******

Facility

$9.00

Hospital Charge Code	8000812
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
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	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TUBE LEVINE 12/16FR *******

Facility

$9.00

Hospital Charge Code	8000812
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBE LEVINE 12FR

Facility

$7.25

Hospital Charge Code	270302315
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE LEVINE 12FR

Facility

$7.25

Hospital Charge Code	270302315
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 LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
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 LEVINE 16FR

Facility

$7.25

Hospital Charge Code	270302325
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

TUBE LEVINE 18FR

Facility

$3.19

Hospital Charge Code	270649943
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

TUBE LEVINE 18FR

Facility

$3.19

Hospital Charge Code	270649943
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.59
Rate for Payer: Aetna Commercial	$1.21
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.81
Rate for Payer: Cigna Commercial	$1.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.96
Rate for Payer: Oxford Commercial	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$0.64
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE LIFE SAVING ADULT HUDSON

Facility

$28.00

Hospital Charge Code	270331356
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

Know your out-of-pocket cost for care.

All Charges