Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING BLOODLINES

Facility

$13.75

Hospital Charge Code	270617000
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$5.22
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$2.75
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

TUBING BLOODLINES

Facility

$13.75

Hospital Charge Code	270617000
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

TUBING BLOOD PUMP 2C7613

Facility

$67.50

Hospital Charge Code	270605803
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

TUBING BLOOD PUMP 2C7613

Facility

$67.50

Hospital Charge Code	270605803
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$33.75
Rate for Payer: Aetna Commercial	$25.65
Rate for Payer: Aetna Medicare Advantage	$20.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.21
Rate for Payer: Cigna Commercial	$33.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.25
Rate for Payer: Oxford Commercial	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.12
Rate for Payer: UnitedHealthcare Commercial	$13.50
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.79

TUBING BLOOD SECONDARY PUMP

Facility

$11.95

Hospital Charge Code	270650120
Hospital Revenue Code	270
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.97
Rate for Payer: Aetna Commercial	$4.54
Rate for Payer: Aetna Medicare Advantage	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.05
Rate for Payer: Cigna Commercial	$5.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.58
Rate for Payer: Oxford Commercial	$2.39
Rate for Payer: Qualcare PPO/HMO/WC	$1.79
Rate for Payer: UnitedHealthcare Commercial	$2.39
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

TUBING BLOOD SECONDARY PUMP

Facility

$11.95

Hospital Charge Code	270650120
Hospital Revenue Code	270
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.79

TUBING BLOOD SET RENAL D39690

Facility

$26.45

Hospital Charge Code	270608387
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

TUBING BLOOD SET RENAL D39690

Facility

$26.45

Hospital Charge Code	270608387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

TUBING BLOOD SET V7490

Facility

$36.08

Hospital Charge Code	270040297
Hospital Revenue Code	272
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

TUBING BLOOD SET V7490

Facility

$36.08

Hospital Charge Code	270040297
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.04
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna Medicare Advantage	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.20
Rate for Payer: Cigna Commercial	$18.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$7.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.41
Rate for Payer: UnitedHealthcare Commercial	$7.22
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.96

TUBING BLOOD TUBING SET******

Facility

$13.28

Hospital Charge Code	270604507
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.64
Rate for Payer: Aetna Commercial	$5.05
Rate for Payer: Aetna Medicare Advantage	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.39
Rate for Payer: Cigna Commercial	$6.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.98
Rate for Payer: Oxford Commercial	$2.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.99
Rate for Payer: UnitedHealthcare Commercial	$2.66
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

TUBING BLOOD TUBING SET******

Facility

$13.28

Hospital Charge Code	270604507
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.99

TUBING BLOOD Y-TYPE SET W/PUMP

Facility

$14.90

Hospital Charge Code	270650123
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.45
Rate for Payer: Aetna Commercial	$5.66
Rate for Payer: Aetna Medicare Advantage	$4.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.80
Rate for Payer: Cigna Commercial	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.47
Rate for Payer: Oxford Commercial	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.23
Rate for Payer: UnitedHealthcare Commercial	$2.98
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

TUBING BLOOD Y-TYPE SET W/PUMP

Facility

$14.90

Hospital Charge Code	270650123
Hospital Revenue Code	270
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.23

TUBING BMT ASSEMBLY IRR 423824

Facility

$544.85

Hospital Charge Code	270615811
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

TUBING BMT ASSEMBLY IRR 423824

Facility

$544.85

Hospital Charge Code	270615811
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$207.04
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.46
Rate for Payer: Oxford Commercial	$108.97
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$108.97
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

TUBING BURETT MINIDRIP NF3115

Facility

$83.25

Hospital Charge Code	270040241
Hospital Revenue Code	272
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

TUBING BURETT MINIDRIP NF3115

Facility

$83.25

Hospital Charge Code	270040241
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$31.64
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.98
Rate for Payer: Oxford Commercial	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$16.65
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

TUBING CANNULA 02 NASAL W/34

Facility

$1.57

Hospital Charge Code	270649217
Hospital Revenue Code	270
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.24

TUBING CANNULA 02 NASAL W/34

Facility

$1.57

Hospital Charge Code	270649217
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.79
Rate for Payer: Aetna Commercial	$0.60
Rate for Payer: Aetna Medicare Advantage	$0.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.40
Rate for Payer: Cigna Commercial	$0.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.47
Rate for Payer: Oxford Commercial	$0.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.24
Rate for Payer: UnitedHealthcare Commercial	$0.31
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

TUBING CANNULA NASAL HUDSON

Facility

$1.53

Hospital Charge Code	270649215
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$0.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.23

TUBING CANNULA NASAL HUDSON

Facility

$1.53

Hospital Charge Code	270649215
Hospital Revenue Code	270
Min. Negotiated Rate	$0.04
Max. Negotiated Rate	$0.77
Rate for Payer: Aetna Commercial	$0.58
Rate for Payer: Aetna Medicare Advantage	$0.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.39
Rate for Payer: Cigna Commercial	$0.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.46
Rate for Payer: Oxford Commercial	$0.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.23
Rate for Payer: UnitedHealthcare Commercial	$0.31
Rate for Payer: UnitedHealthcare Community & State	$0.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

TUBING CLRLINK DUO-VENT NITRO

Facility

$36.33

Hospital Charge Code	270649218
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.16
Rate for Payer: Aetna Commercial	$13.81
Rate for Payer: Aetna Medicare Advantage	$10.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.26
Rate for Payer: Cigna Commercial	$18.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.90
Rate for Payer: Oxford Commercial	$7.27
Rate for Payer: Qualcare PPO/HMO/WC	$5.45
Rate for Payer: UnitedHealthcare Commercial	$7.27
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.96

TUBING CLRLINK DUO-VENT NITRO

Facility

$36.33

Hospital Charge Code	270649218
Hospital Revenue Code	272
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$5.45

TUBING CLRLNK Y-TYPE BLOOD

Facility

$35.80

Hospital Charge Code	270649220
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$17.90
Rate for Payer: Aetna Commercial	$13.60
Rate for Payer: Aetna Medicare Advantage	$10.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.13
Rate for Payer: Cigna Commercial	$17.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.74
Rate for Payer: Oxford Commercial	$7.16
Rate for Payer: Qualcare PPO/HMO/WC	$5.37
Rate for Payer: UnitedHealthcare Commercial	$7.16
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

Know your out-of-pocket cost for care.

All Charges