Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBE WC FEEDING 20F FLOW20PUSH

Facility

$459.25

Hospital Charge Code	270623503
Hospital Revenue Code	272
Min. Negotiated Rate	$68.89
Max. Negotiated Rate	$68.89
Rate for Payer: Qualcare PPO/HMO/WC	$68.89

TUBE WC FEEDING 20F FLOW20PUSH

Facility

$459.25

Hospital Charge Code	270623503
Hospital Revenue Code	272
Min. Negotiated Rate	$11.07
Max. Negotiated Rate	$229.62
Rate for Payer: Aetna Commercial	$174.51
Rate for Payer: Aetna Medicare Advantage	$137.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.11
Rate for Payer: Cigna Commercial	$229.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.78
Rate for Payer: Oxford Commercial	$91.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.89
Rate for Payer: UnitedHealthcare Commercial	$91.85
Rate for Payer: UnitedHealthcare Community & State	$11.07
Rate for Payer: Wellpoint Medicaid Managed Care	$12.17

TUBE WCK SUCTION CAUT 50-7045

Facility

$713.65

Hospital Charge Code	270615467
Hospital Revenue Code	272
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$107.05
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

TUBE WCK SUCTION CAUT 50-7045

Facility

$713.65

Hospital Charge Code	270615467
Hospital Revenue Code	272
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$271.19
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.09
Rate for Payer: Oxford Commercial	$142.73
Rate for Payer: Qualcare PPO/HMO/WC	$107.05
Rate for Payer: UnitedHealthcare Commercial	$142.73
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.91

TUBEX INJECTOR UNIT

Facility

$0.65

Hospital Charge Code	60629267
Hospital Revenue Code	270
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$0.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.10

TUBEX INJECTOR UNIT

Facility

$0.65

Hospital Charge Code	60629267
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.33
Rate for Payer: Aetna Commercial	$0.25
Rate for Payer: Aetna Medicare Advantage	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.17
Rate for Payer: Cigna Commercial	$0.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.20
Rate for Payer: Oxford Commercial	$0.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.10
Rate for Payer: UnitedHealthcare Commercial	$0.13
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

TUBE ZIM EXCH 8MM 2255-17

Facility

$959.25

Hospital Charge Code	270619336
Hospital Revenue Code	272
Min. Negotiated Rate	$23.12
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$364.51
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.77
Rate for Payer: Oxford Commercial	$191.85
Rate for Payer: Qualcare PPO/HMO/WC	$143.89
Rate for Payer: UnitedHealthcare Commercial	$191.85
Rate for Payer: UnitedHealthcare Community & State	$23.12
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

TUBE ZIM EXCH 8MM 2255-17

Facility

$959.25

Hospital Charge Code	270619336
Hospital Revenue Code	272
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$143.89
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

TUBE ZIM EXCH FLARED 2255-17

Facility

$411.75

Hospital Charge Code	270620530
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$205.88
Rate for Payer: Aetna Commercial	$156.47
Rate for Payer: Aetna Medicare Advantage	$123.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.00
Rate for Payer: Cigna Commercial	$205.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.53
Rate for Payer: Oxford Commercial	$82.35
Rate for Payer: Qualcare PPO/HMO/WC	$61.76
Rate for Payer: UnitedHealthcare Commercial	$82.35
Rate for Payer: UnitedHealthcare Community & State	$9.92
Rate for Payer: Wellpoint Medicaid Managed Care	$10.91

TUBE ZIM EXCH FLARED 2255-17

Facility

$411.75

Hospital Charge Code	270620530
Hospital Revenue Code	272
Min. Negotiated Rate	$61.76
Max. Negotiated Rate	$61.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.76

TUBING ACCUP PMP ADDIV V8610**

Facility

$20.00

Hospital Charge Code	7000821
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$10.00
Rate for Payer: Aetna Commercial	$7.60
Rate for Payer: Aetna Medicare Advantage	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.10
Rate for Payer: Cigna Commercial	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.00
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$4.00
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

TUBING ACCUP PMP ADDIV V8610**

Facility

$20.00

Hospital Charge Code	7000821
Hospital Revenue Code	272
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

TUBING AIR/WATER/SUCTN/BIOPSY

Facility

$37.50

Hospital Charge Code	270677702
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

TUBING AIR/WATER/SUCTN/BIOPSY

Facility

$37.50

Hospital Charge Code	270677702
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$7.50
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

TUBING ARTERIAL BLOOD CASE

Facility

$91.25

Hospital Charge Code	27059775
Hospital Revenue Code	270
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$34.67
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

TUBING ARTERIAL BLOOD CASE

Facility

$91.25

Hospital Charge Code	27059775
Hospital Revenue Code	270
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

TUBING ARTERIAL BLOODLINE SET

Facility

$14.68

Hospital Charge Code	270649214
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.20

TUBING ARTERIAL BLOODLINE SET

Facility

$14.68

Hospital Charge Code	270649214
Hospital Revenue Code	272
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$7.34
Rate for Payer: Aetna Commercial	$5.58
Rate for Payer: Aetna Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.74
Rate for Payer: Cigna Commercial	$7.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.40
Rate for Payer: Oxford Commercial	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.20
Rate for Payer: UnitedHealthcare Commercial	$2.94
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

TUBING ARTERIAL PRESSURE 48**

Facility

$13.00

Hospital Charge Code	8003170
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

TUBING ARTERIAL PRESSURE 48**

Facility

$13.00

Hospital Charge Code	8003170
Hospital Revenue Code	279
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

TUBING ARTERIAL PRESSURE 6***

Facility

$9.00

Hospital Charge Code	8003162
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

TUBING ARTERIAL PRESSURE 6***

Facility

$9.00

Hospital Charge Code	8003162
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING ARTHROSCOPY 10K PUMP

Facility

$226.60

Hospital Charge Code	270677533
Hospital Revenue Code	272
Min. Negotiated Rate	$5.46
Max. Negotiated Rate	$113.30
Rate for Payer: Aetna Commercial	$86.11
Rate for Payer: Aetna Medicare Advantage	$67.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.78
Rate for Payer: Cigna Commercial	$113.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.98
Rate for Payer: Oxford Commercial	$45.32
Rate for Payer: Qualcare PPO/HMO/WC	$33.99
Rate for Payer: UnitedHealthcare Commercial	$45.32
Rate for Payer: UnitedHealthcare Community & State	$5.46
Rate for Payer: Wellpoint Medicaid Managed Care	$6.00

TUBING ARTHROSCOPY 10K PUMP

Facility

$226.60

Hospital Charge Code	270677533
Hospital Revenue Code	272
Min. Negotiated Rate	$33.99
Max. Negotiated Rate	$33.99
Rate for Payer: Qualcare PPO/HMO/WC	$33.99

TUBING ART PRESS 36IN 4236801

Facility

$17.65

Hospital Charge Code	270621785
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.82
Rate for Payer: Aetna Commercial	$6.71
Rate for Payer: Aetna Medicare Advantage	$5.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.50
Rate for Payer: Cigna Commercial	$8.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.29
Rate for Payer: Oxford Commercial	$3.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.65
Rate for Payer: UnitedHealthcare Commercial	$3.53
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

Know your out-of-pocket cost for care.

All Charges