Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING EXT STERILE 20 462002

Facility

$2.50

Hospital Charge Code	270641933
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.25
Rate for Payer: Aetna Commercial	$0.95
Rate for Payer: Aetna Medicare Advantage	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.64
Rate for Payer: Cigna Commercial	$1.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.75
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.38
Rate for Payer: UnitedHealthcare Commercial	$0.50
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

TUBING EXT STERILE 20 462002

Facility

$2.50

Hospital Charge Code	270641933
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.38

TUBING EXT THRASEAL 8884714200

Facility

$34.35

Hospital Charge Code	270630859
Hospital Revenue Code	272
Min. Negotiated Rate	$5.15
Max. Negotiated Rate	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$5.15

TUBING EXT THRASEAL 8884714200

Facility

$34.35

Hospital Charge Code	270630859
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.18
Rate for Payer: Aetna Commercial	$13.05
Rate for Payer: Aetna Medicare Advantage	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.76
Rate for Payer: Cigna Commercial	$17.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.30
Rate for Payer: Oxford Commercial	$6.87
Rate for Payer: Qualcare PPO/HMO/WC	$5.15
Rate for Payer: UnitedHealthcare Commercial	$6.87
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

TUBING FAT EMULSION SET V8390

Facility

$36.00

Hospital Charge Code	7000714
Hospital Revenue Code	279
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$13.68
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.80
Rate for Payer: Oxford Commercial	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$7.20
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

TUBING FAT EMULSION SET V8390

Facility

$36.00

Hospital Charge Code	7000714
Hospital Revenue Code	279
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

TUBING FAT SET V7430

Facility

$52.85

Hospital Charge Code	270040267
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

TUBING FAT SET V7430

Facility

$52.85

Hospital Charge Code	270040267
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

TUBING FEEDING FLEXI FLO 8FR

Facility

$45.75

Hospital Charge Code	270649703
Hospital Revenue Code	270
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$22.88
Rate for Payer: Aetna Commercial	$17.39
Rate for Payer: Aetna Medicare Advantage	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.67
Rate for Payer: Cigna Commercial	$22.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.72
Rate for Payer: Oxford Commercial	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.86
Rate for Payer: UnitedHealthcare Commercial	$9.15
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

TUBING FEEDING FLEXI FLO 8FR

Facility

$45.75

Hospital Charge Code	270649703
Hospital Revenue Code	270
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.86

TUBING FLUID ADMIN SET 4.8MM

Facility

$11.50

Hospital Charge Code	270660198
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

TUBING FLUID ADMIN SET 4.8MM

Facility

$11.50

Hospital Charge Code	270660198
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.75
Rate for Payer: Aetna Commercial	$4.37
Rate for Payer: Aetna Medicare Advantage	$3.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.93
Rate for Payer: Cigna Commercial	$5.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.45
Rate for Payer: Oxford Commercial	$2.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.30
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

TUBING F/PARACENT DR K080270

Facility

$44.80

Hospital Charge Code	270658410S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$6.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.72

TUBING F/PARACENT DR K080270

Facility

$43.80

Hospital Charge Code	270658410
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$21.90
Rate for Payer: Aetna Commercial	$16.64
Rate for Payer: Aetna Medicare Advantage	$13.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.17
Rate for Payer: Cigna Commercial	$21.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.14
Rate for Payer: Oxford Commercial	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.57
Rate for Payer: UnitedHealthcare Commercial	$8.76
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

TUBING F/PARACENT DR K080270

Facility

$43.80

Hospital Charge Code	270658410
Hospital Revenue Code	272
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$6.57

TUBING F/PARACENT DR K080270

Facility

$44.80

Hospital Charge Code	270658410S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.40
Rate for Payer: Aetna Commercial	$17.02
Rate for Payer: Aetna Medicare Advantage	$13.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.42
Rate for Payer: Cigna Commercial	$22.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.44
Rate for Payer: Oxford Commercial	$8.96
Rate for Payer: Qualcare PPO/HMO/WC	$6.72
Rate for Payer: UnitedHealthcare Commercial	$8.96
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

TUBING FRAZIER CONNECTING 2

Facility

$8.28

Hospital Charge Code	270659083
Hospital Revenue Code	270
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$1.24

TUBING FRAZIER CONNECTING 2

Facility

$8.28

Hospital Charge Code	270659083
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.14
Rate for Payer: Aetna Commercial	$3.15
Rate for Payer: Aetna Medicare Advantage	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.11
Rate for Payer: Cigna Commercial	$4.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.24
Rate for Payer: UnitedHealthcare Commercial	$1.66
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

TUBING GU IRRIGATION

Facility

$26.67

Hospital Charge Code	270040325
Hospital Revenue Code	272
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.00

TUBING GU IRRIGATION

Facility

$26.67

Hospital Charge Code	270040325
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.34
Rate for Payer: Aetna Commercial	$10.13
Rate for Payer: Aetna Medicare Advantage	$8.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.80
Rate for Payer: Cigna Commercial	$13.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.00
Rate for Payer: Oxford Commercial	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$4.00
Rate for Payer: UnitedHealthcare Commercial	$5.33
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

TUBING HEMA Y-TYPE BLOOD SET

Facility

$43.63

Hospital Charge Code	270649225
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

TUBING HEMA Y-TYPE BLOOD SET

Facility

$43.63

Hospital Charge Code	270649225
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.82
Rate for Payer: Aetna Commercial	$16.58
Rate for Payer: Aetna Medicare Advantage	$13.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.13
Rate for Payer: Cigna Commercial	$21.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.09
Rate for Payer: Oxford Commercial	$8.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

TUBING HEMOVAC WOUND LG

Facility

$136.85

Hospital Charge Code	270061435
Hospital Revenue Code	272
Min. Negotiated Rate	$20.53
Max. Negotiated Rate	$20.53
Rate for Payer: Qualcare PPO/HMO/WC	$20.53

TUBING HEMOVAC WOUND LG

Facility

$136.85

Hospital Charge Code	270061435
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$68.42
Rate for Payer: Aetna Commercial	$52.00
Rate for Payer: Aetna Medicare Advantage	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.90
Rate for Payer: Cigna Commercial	$68.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.05
Rate for Payer: Oxford Commercial	$27.37
Rate for Payer: Qualcare PPO/HMO/WC	$20.53
Rate for Payer: UnitedHealthcare Commercial	$27.37
Rate for Payer: UnitedHealthcare Community & State	$3.30
Rate for Payer: Wellpoint Medicaid Managed Care	$3.63

TUBING HIGH PRESS 72in HPF720E

Facility

$30.90

Hospital Charge Code	270628012
Hospital Revenue Code	272
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$4.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.63

Know your out-of-pocket cost for care.

All Charges