Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE SET CYSTOMETRY

Facility

$28.50

Hospital Charge Code	270658601
Hospital Revenue Code	270
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.25
Rate for Payer: Aetna Commercial	$10.83
Rate for Payer: Aetna Medicare Advantage	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.27
Rate for Payer: Cigna Commercial	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.55
Rate for Payer: Oxford Commercial	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.28
Rate for Payer: UnitedHealthcare Commercial	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

TUBE SET SMOKE PNEUMCLEAR

Facility

$165.22

Hospital Charge Code	270686704
Hospital Revenue Code	272
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$82.61
Rate for Payer: Aetna Commercial	$62.78
Rate for Payer: Aetna Medicare Advantage	$49.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.13
Rate for Payer: Cigna Commercial	$82.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.57
Rate for Payer: Oxford Commercial	$33.04
Rate for Payer: Qualcare PPO/HMO/WC	$24.78
Rate for Payer: UnitedHealthcare Commercial	$33.04
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.38

TUBE SET SMOKE PNEUMCLEAR

Facility

$165.22

Hospital Charge Code	270686704
Hospital Revenue Code	272
Min. Negotiated Rate	$24.78
Max. Negotiated Rate	$24.78
Rate for Payer: Qualcare PPO/HMO/WC	$24.78

TUBE SHEPHARD TEFLON ******

Facility

$28.00

Hospital Charge Code	1600667
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBE SHEPHARD TEFLON ******

Facility

$28.00

Hospital Charge Code	1600667
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 SILASTIC .03 X .065 10FT

Facility

$104.00

Hospital Charge Code	270332020
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$39.52
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$20.80
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

TUBE SILASTIC .03 X .065 10FT

Facility

$104.00

Hospital Charge Code	270332020
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

TUBE SMN EXCH RUSL-TYLR 415113

Facility

$928.00

Hospital Charge Code	270621509
Hospital Revenue Code	270
Min. Negotiated Rate	$139.20
Max. Negotiated Rate	$139.20
Rate for Payer: Qualcare PPO/HMO/WC	$139.20

TUBE SMN EXCH RUSL-TYLR 415113

Facility

$928.00

Hospital Charge Code	270621509
Hospital Revenue Code	270
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$464.00
Rate for Payer: Aetna Commercial	$352.64
Rate for Payer: Aetna Medicare Advantage	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.64
Rate for Payer: Cigna Commercial	$464.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.40
Rate for Payer: Oxford Commercial	$185.60
Rate for Payer: Qualcare PPO/HMO/WC	$139.20
Rate for Payer: UnitedHealthcare Commercial	$185.60
Rate for Payer: UnitedHealthcare Community & State	$22.36
Rate for Payer: Wellpoint Medicaid Managed Care	$24.59

TUBE SPLIT FEUERSTEIN VENT

Facility

$61.80

Hospital Charge Code	270649941
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$30.90
Rate for Payer: Aetna Commercial	$23.48
Rate for Payer: Aetna Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.76
Rate for Payer: Cigna Commercial	$30.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.54
Rate for Payer: Oxford Commercial	$12.36
Rate for Payer: Qualcare PPO/HMO/WC	$9.27
Rate for Payer: UnitedHealthcare Commercial	$12.36
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

TUBE SPLIT FEUERSTEIN VENT

Facility

$61.80

Hospital Charge Code	270649941
Hospital Revenue Code	272
Min. Negotiated Rate	$9.27
Max. Negotiated Rate	$9.27
Rate for Payer: Qualcare PPO/HMO/WC	$9.27

TUBE SUCTION KAMVAC STD

Facility

$280.00

Hospital Charge Code	270676729
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

TUBE SUCTION KAMVAC STD

Facility

$280.00

Hospital Charge Code	270676729
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

TUBE SUCTION MULTIHOLE

Facility

$240.00

Hospital Charge Code	270667406
Hospital Revenue Code	272
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$48.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

TUBE SUCTION MULTIHOLE

Facility

$240.00

Hospital Charge Code	270667406
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

TUBE SUCTION MULTIHOLE 5FR

Facility

$222.50

Hospital Charge Code	270667408
Hospital Revenue Code	272
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$33.38
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

TUBE SUCTION MULTIHOLE 5FR

Facility

$222.50

Hospital Charge Code	270667408
Hospital Revenue Code	272
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$111.25
Rate for Payer: Aetna Commercial	$84.55
Rate for Payer: Aetna Medicare Advantage	$66.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.74
Rate for Payer: Cigna Commercial	$111.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.75
Rate for Payer: Oxford Commercial	$44.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.38
Rate for Payer: UnitedHealthcare Commercial	$44.50
Rate for Payer: UnitedHealthcare Community & State	$5.36
Rate for Payer: Wellpoint Medicaid Managed Care	$5.90

TUBE SUMP LONG WEIGHTED 16FR

Facility

$374.00

Hospital Charge Code	270645121
Hospital Revenue Code	271
Min. Negotiated Rate	$9.01
Max. Negotiated Rate	$187.00
Rate for Payer: Aetna Commercial	$142.12
Rate for Payer: Aetna Medicare Advantage	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.37
Rate for Payer: Cigna Commercial	$187.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.20
Rate for Payer: Oxford Commercial	$74.80
Rate for Payer: Qualcare PPO/HMO/WC	$56.10
Rate for Payer: UnitedHealthcare Commercial	$74.80
Rate for Payer: UnitedHealthcare Community & State	$9.01
Rate for Payer: Wellpoint Medicaid Managed Care	$9.91

TUBE SUMP LONG WEIGHTED 16FR

Facility

$374.00

Hospital Charge Code	270645121
Hospital Revenue Code	271
Min. Negotiated Rate	$56.10
Max. Negotiated Rate	$56.10
Rate for Payer: Qualcare PPO/HMO/WC	$56.10

TUBE T #8 - 20 *******

Facility

$15.00

Hospital Charge Code	1600584
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

TUBE T #8 - 20 *******

Facility

$15.00

Hospital Charge Code	1600584
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

TUBE T CATTELL DRAIN 14 FR

Facility

$37.82

Hospital Charge Code	270659383
Hospital Revenue Code	270
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$5.67
Rate for Payer: Qualcare PPO/HMO/WC	$5.67

TUBE T CATTELL DRAIN 14 FR

Facility

$37.82

Hospital Charge Code	270659383
Hospital Revenue Code	270
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.91
Rate for Payer: Aetna Commercial	$14.37
Rate for Payer: Aetna Medicare Advantage	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.64
Rate for Payer: Cigna Commercial	$18.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Oxford Commercial	$7.56
Rate for Payer: Qualcare PPO/HMO/WC	$5.67
Rate for Payer: UnitedHealthcare Commercial	$7.56
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

TUBE T DEAVER 10FR

Facility

$123.25

Hospital Charge Code	270606964
Hospital Revenue Code	272
Min. Negotiated Rate	$18.49
Max. Negotiated Rate	$18.49
Rate for Payer: Qualcare PPO/HMO/WC	$18.49

TUBE T DEAVER 10FR

Facility

$123.25

Hospital Charge Code	270606964
Hospital Revenue Code	272
Min. Negotiated Rate	$2.97
Max. Negotiated Rate	$61.62
Rate for Payer: Aetna Commercial	$46.84
Rate for Payer: Aetna Medicare Advantage	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.43
Rate for Payer: Cigna Commercial	$61.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.98
Rate for Payer: Oxford Commercial	$24.65
Rate for Payer: Qualcare PPO/HMO/WC	$18.49
Rate for Payer: UnitedHealthcare Commercial	$24.65
Rate for Payer: UnitedHealthcare Community & State	$2.97
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

Know your out-of-pocket cost for care.

All Charges