Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE TRACH ORAL CUFF 6.5

Facility

$63.25

Hospital Charge Code	270600895
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

TUBE TRACH ORAL CUFF 6.6

Facility

$63.25

Hospital Charge Code	270600894
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

TUBE TRACH ORAL CUFF 6.6

Facility

$63.25

Hospital Charge Code	270600894
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

TUBE TRACH ORAL CUFF 7.0

Facility

$97.65

Hospital Charge Code	270600892
Hospital Revenue Code	272
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$14.65
Rate for Payer: Qualcare PPO/HMO/WC	$14.65

TUBE TRACH ORAL CUFF 7.0

Facility

$97.65

Hospital Charge Code	270600892
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$48.83
Rate for Payer: Aetna Commercial	$37.11
Rate for Payer: Aetna Medicare Advantage	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.90
Rate for Payer: Cigna Commercial	$48.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.30
Rate for Payer: Oxford Commercial	$19.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.65
Rate for Payer: UnitedHealthcare Commercial	$19.53
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

TUBE TRACH ORAL CUFF 7.5MM

Facility

$97.65

Hospital Charge Code	270606933
Hospital Revenue Code	272
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$14.65
Rate for Payer: Qualcare PPO/HMO/WC	$14.65

TUBE TRACH ORAL CUFF 7.5MM

Facility

$97.65

Hospital Charge Code	270606933
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$48.83
Rate for Payer: Aetna Commercial	$37.11
Rate for Payer: Aetna Medicare Advantage	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.90
Rate for Payer: Cigna Commercial	$48.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.30
Rate for Payer: Oxford Commercial	$19.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.65
Rate for Payer: UnitedHealthcare Commercial	$19.53
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

TUBE TRACH ORAL CUFF 8.0

Facility

$97.65

Hospital Charge Code	270600893
Hospital Revenue Code	272
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$14.65
Rate for Payer: Qualcare PPO/HMO/WC	$14.65

TUBE TRACH ORAL CUFF 8.0

Facility

$97.65

Hospital Charge Code	270600893
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$48.83
Rate for Payer: Aetna Commercial	$37.11
Rate for Payer: Aetna Medicare Advantage	$29.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.90
Rate for Payer: Cigna Commercial	$48.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.30
Rate for Payer: Oxford Commercial	$19.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.65
Rate for Payer: UnitedHealthcare Commercial	$19.53
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.59

TUBE TRACH ORAL CUFF 8.5

Facility

$805.65

Hospital Charge Code	270600896
Hospital Revenue Code	272
Min. Negotiated Rate	$19.42
Max. Negotiated Rate	$402.82
Rate for Payer: Aetna Commercial	$306.15
Rate for Payer: Aetna Medicare Advantage	$241.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.44
Rate for Payer: Cigna Commercial	$402.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.69
Rate for Payer: Oxford Commercial	$161.13
Rate for Payer: Qualcare PPO/HMO/WC	$120.85
Rate for Payer: UnitedHealthcare Commercial	$161.13
Rate for Payer: UnitedHealthcare Community & State	$19.42
Rate for Payer: Wellpoint Medicaid Managed Care	$21.35

TUBE TRACH ORAL CUFF 8.5

Facility

$805.65

Hospital Charge Code	270600896
Hospital Revenue Code	272
Min. Negotiated Rate	$120.85
Max. Negotiated Rate	$120.85
Rate for Payer: Qualcare PPO/HMO/WC	$120.85

TUBE TRACH ORAL RAY 6.5 CUFF

Facility

$25.65

Hospital Charge Code	270666793
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.82
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.54
Rate for Payer: Cigna Commercial	$12.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.70
Rate for Payer: Oxford Commercial	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.85
Rate for Payer: UnitedHealthcare Commercial	$5.13
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

TUBE TRACH ORAL RAY 6.5 CUFF

Facility

$25.65

Hospital Charge Code	270666793
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.85

TUBE TRACH ORAL RAY 7.0 CUFF

Facility

$25.65

Hospital Charge Code	270666794
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.85

TUBE TRACH ORAL RAY 7.0 CUFF

Facility

$25.65

Hospital Charge Code	270666794
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.82
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.54
Rate for Payer: Cigna Commercial	$12.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.70
Rate for Payer: Oxford Commercial	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.85
Rate for Payer: UnitedHealthcare Commercial	$5.13
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

TUBE TRACH ORAL RAY 7.5 CUFF

Facility

$25.65

Hospital Charge Code	270666795
Hospital Revenue Code	272
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$3.85

TUBE TRACH ORAL RAY 7.5 CUFF

Facility

$25.65

Hospital Charge Code	270666795
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.82
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.54
Rate for Payer: Cigna Commercial	$12.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.70
Rate for Payer: Oxford Commercial	$5.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.85
Rate for Payer: UnitedHealthcare Commercial	$5.13
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

TUBE TRACH SGL CANN 10.0 10SCT

Facility

$147.20

Hospital Charge Code	270632649
Hospital Revenue Code	272
Min. Negotiated Rate	$22.08
Max. Negotiated Rate	$22.08
Rate for Payer: Qualcare PPO/HMO/WC	$22.08

TUBE TRACH SGL CANN 10.0 10SCT

Facility

$147.20

Hospital Charge Code	270632649
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$73.60
Rate for Payer: Aetna Commercial	$55.94
Rate for Payer: Aetna Medicare Advantage	$44.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.54
Rate for Payer: Cigna Commercial	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.16
Rate for Payer: Oxford Commercial	$29.44
Rate for Payer: Qualcare PPO/HMO/WC	$22.08
Rate for Payer: UnitedHealthcare Commercial	$29.44
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.08
Rate for Payer: Aetna Commercial	$48.70
Rate for Payer: Aetna Medicare Advantage	$38.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.68
Rate for Payer: Cigna Commercial	$64.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.45
Rate for Payer: Oxford Commercial	$25.63
Rate for Payer: Qualcare PPO/HMO/WC	$19.22
Rate for Payer: UnitedHealthcare Commercial	$25.63
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

TUBE TRACH SGL CANNL 8.0 8SCT

Facility

$128.15

Hospital Charge Code	270625559
Hospital Revenue Code	272
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$19.22
Rate for Payer: Qualcare PPO/HMO/WC	$19.22

TUBE TRACH SGL CANNULA 6 6SCT

Facility

$119.10

Hospital Charge Code	270632777
Hospital Revenue Code	272
Min. Negotiated Rate	$17.86
Max. Negotiated Rate	$17.86
Rate for Payer: Qualcare PPO/HMO/WC	$17.86

TUBE TRACH SGL CANNULA 6 6SCT

Facility

$119.10

Hospital Charge Code	270632777
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$59.55
Rate for Payer: Aetna Commercial	$45.26
Rate for Payer: Aetna Medicare Advantage	$35.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.37
Rate for Payer: Cigna Commercial	$59.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.73
Rate for Payer: Oxford Commercial	$23.82
Rate for Payer: Qualcare PPO/HMO/WC	$17.86
Rate for Payer: UnitedHealthcare Commercial	$23.82
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

TUBE TRACH SGLE CANN 9.0 9SCT

Facility

$175.25

Hospital Charge Code	270632648
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.58
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

Know your out-of-pocket cost for care.

All Charges