Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING CONTINU-FLO SET

Facility

$19.65

Hospital Charge Code	270649223
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.82
Rate for Payer: Aetna Commercial	$7.47
Rate for Payer: Aetna Medicare Advantage	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.01
Rate for Payer: Cigna Commercial	$9.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.89
Rate for Payer: Oxford Commercial	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.95
Rate for Payer: UnitedHealthcare Commercial	$3.93
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

TUBING CONTINU-FLO SET

Facility

$19.65

Hospital Charge Code	270649223
Hospital Revenue Code	272
Min. Negotiated Rate	$2.95
Max. Negotiated Rate	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.95

TUBING CONTINUOUS BLADDER

Facility

$9.00

Hospital Charge Code	7000235
Hospital Revenue Code	258
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 CONTINUOUS BLADDER

Facility

$9.00

Hospital Charge Code	7000235
Hospital Revenue Code	258
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING CORRUGATED

Facility

$16.85

Hospital Charge Code	270600603
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

TUBING CORRUGATED

Facility

$16.85

Hospital Charge Code	270600603
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

TUBING CORRUGATED PRE-CUT 6'

Facility

$4.00

Hospital Charge Code	270623583
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TUBING CORRUGATED PRE-CUT 6'

Facility

$4.00

Hospital Charge Code	270623583
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUBING CRITERION PRESSURE

Facility

$71.35

Hospital Charge Code	270651929
Hospital Revenue Code	270
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$10.70

TUBING CRITERION PRESSURE

Facility

$71.35

Hospital Charge Code	270651929
Hospital Revenue Code	270
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.67
Rate for Payer: Aetna Commercial	$27.11
Rate for Payer: Aetna Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.19
Rate for Payer: Cigna Commercial	$35.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.41
Rate for Payer: Oxford Commercial	$14.27
Rate for Payer: Qualcare PPO/HMO/WC	$10.70
Rate for Payer: UnitedHealthcare Commercial	$14.27
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.97
Rate for Payer: Oxford Commercial	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$8.65
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

TUBING CYSTO IRRIGATION

Facility

$43.25

Hospital Charge Code	270061480
Hospital Revenue Code	270
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.65
Rate for Payer: Aetna Commercial	$8.09
Rate for Payer: Aetna Medicare Advantage	$6.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.43
Rate for Payer: Cigna Commercial	$10.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.39
Rate for Payer: Oxford Commercial	$4.26
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$4.26
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

TUBING CYSTOSCOPY/IRRIGATION

Facility

$21.30

Hospital Charge Code	270650079
Hospital Revenue Code	270
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

TUBING CYSTO TUR

Facility

$54.98

Hospital Charge Code	270679182
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.49
Rate for Payer: Aetna Commercial	$20.89
Rate for Payer: Aetna Medicare Advantage	$16.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.02
Rate for Payer: Cigna Commercial	$27.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.49
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$11.00
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$119.13
Rate for Payer: Aetna Commercial	$90.54
Rate for Payer: Aetna Medicare Advantage	$71.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.76
Rate for Payer: Cigna Commercial	$119.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.48
Rate for Payer: Oxford Commercial	$47.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.74
Rate for Payer: UnitedHealthcare Commercial	$47.65
Rate for Payer: UnitedHealthcare Community & State	$5.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.31

TUBING DAVOL HYDROSURG 26010

Facility

$238.26

Hospital Charge Code	270611817
Hospital Revenue Code	272
Min. Negotiated Rate	$35.74
Max. Negotiated Rate	$35.74
Rate for Payer: Qualcare PPO/HMO/WC	$35.74

TUBING DIAL-A-FLOW EXT****

Facility

$25.00

Hospital Charge Code	7000623
Hospital Revenue Code	279
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

TUBING DIAL-A-FLOW EXT****

Facility

$25.00

Hospital Charge Code	7000623
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.83
Rate for Payer: Aetna Commercial	$5.95
Rate for Payer: Aetna Medicare Advantage	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.70
Rate for Payer: Oxford Commercial	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$3.13
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

TUBING DIAL-FLOW EXT 16710202

Facility

$15.67

Hospital Charge Code	270041120
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

TUBING DIEGO 70338003

Facility

$92.25

Hospital Charge Code	270627898
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.12
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$27.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.52
Rate for Payer: Cigna Commercial	$46.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.68
Rate for Payer: Oxford Commercial	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.84
Rate for Payer: UnitedHealthcare Commercial	$18.45
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

TUBING DIEGO 70338003

Facility

$92.25

Hospital Charge Code	270627898
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$13.84
Rate for Payer: Qualcare PPO/HMO/WC	$13.84

TUBING DYE INJ 900617

Facility

$25.00

Hospital Charge Code	270637278
Hospital Revenue Code	270
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

Know your out-of-pocket cost for care.

All Charges