Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING HYSTEROSCOPY

Facility

$410.55

Hospital Charge Code	270650772
Hospital Revenue Code	272
Min. Negotiated Rate	$9.89
Max. Negotiated Rate	$205.28
Rate for Payer: Aetna Commercial	$156.01
Rate for Payer: Aetna Medicare Advantage	$123.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.69
Rate for Payer: Cigna Commercial	$205.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.17
Rate for Payer: Oxford Commercial	$82.11
Rate for Payer: Qualcare PPO/HMO/WC	$61.58
Rate for Payer: UnitedHealthcare Commercial	$82.11
Rate for Payer: UnitedHealthcare Community & State	$9.89
Rate for Payer: Wellpoint Medicaid Managed Care	$10.88

TUBING HYSTEROSCOPY

Facility

$410.55

Hospital Charge Code	270650772
Hospital Revenue Code	272
Min. Negotiated Rate	$61.58
Max. Negotiated Rate	$61.58
Rate for Payer: Qualcare PPO/HMO/WC	$61.58

TUBING INFLOW CASSETTE CROSSFL

Facility

$242.50

Hospital Charge Code	270673137
Hospital Revenue Code	272
Min. Negotiated Rate	$36.38
Max. Negotiated Rate	$36.38
Rate for Payer: Qualcare PPO/HMO/WC	$36.38

TUBING INFLOW CASSETTE CROSSFL

Facility

$242.50

Hospital Charge Code	270673137
Hospital Revenue Code	272
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$121.25
Rate for Payer: Aetna Commercial	$92.15
Rate for Payer: Aetna Medicare Advantage	$72.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.84
Rate for Payer: Cigna Commercial	$121.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.75
Rate for Payer: Oxford Commercial	$48.50
Rate for Payer: Qualcare PPO/HMO/WC	$36.38
Rate for Payer: UnitedHealthcare Commercial	$48.50
Rate for Payer: UnitedHealthcare Community & State	$5.84
Rate for Payer: Wellpoint Medicaid Managed Care	$6.43

TUBING INJECTOR ANGIO HI PRESS

Facility

$25.75

Hospital Charge Code	270699058
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$3.86
Rate for Payer: Qualcare PPO/HMO/WC	$3.86

TUBING INJECTOR ANGIO HI PRESS

Facility

$25.75

Hospital Charge Code	270699058
Hospital Revenue Code	272
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.88
Rate for Payer: Aetna Commercial	$9.79
Rate for Payer: Aetna Medicare Advantage	$7.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.57
Rate for Payer: Cigna Commercial	$12.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.72
Rate for Payer: Oxford Commercial	$5.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.86
Rate for Payer: UnitedHealthcare Commercial	$5.15
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

TUBING INSUFFLATION 20L

Facility

$51.60

Hospital Charge Code	270657496
Hospital Revenue Code	270
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$7.74
Rate for Payer: Qualcare PPO/HMO/WC	$7.74

TUBING INSUFFLATION 20L

Facility

$51.60

Hospital Charge Code	270657496
Hospital Revenue Code	270
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$25.80
Rate for Payer: Aetna Commercial	$19.61
Rate for Payer: Aetna Medicare Advantage	$15.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.16
Rate for Payer: Cigna Commercial	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.48
Rate for Payer: Oxford Commercial	$10.32
Rate for Payer: Qualcare PPO/HMO/WC	$7.74
Rate for Payer: UnitedHealthcare Commercial	$10.32
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.37

TUBING INSUFFLATION W/FILTER**

Facility

$90.00

Hospital Charge Code	8003725
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

TUBING INSUFFLATION W/FILTER**

Facility

$90.00

Hospital Charge Code	8003725
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

TUBING INTRAFLO II A-LINE****

Facility

$215.00

Hospital Charge Code	8003147
Hospital Revenue Code	279
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

TUBING INTRAFLO II A-LINE****

Facility

$215.00

Hospital Charge Code	8003147
Hospital Revenue Code	279
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

TUBING IRRIG SET LG BORE Y-TYP

Facility

$31.56

Hospital Charge Code	270649226
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$15.78
Rate for Payer: Aetna Commercial	$11.99
Rate for Payer: Aetna Medicare Advantage	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.05
Rate for Payer: Cigna Commercial	$15.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.47
Rate for Payer: Oxford Commercial	$6.31
Rate for Payer: Qualcare PPO/HMO/WC	$4.73
Rate for Payer: UnitedHealthcare Commercial	$6.31
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

TUBING IRRIG SET LG BORE Y-TYP

Facility

$31.56

Hospital Charge Code	270649226
Hospital Revenue Code	272
Min. Negotiated Rate	$4.73
Max. Negotiated Rate	$4.73
Rate for Payer: Qualcare PPO/HMO/WC	$4.73

TUBING IV ABBOTT BLOOD

Facility

$33.00

Hospital Charge Code	7000748
Hospital Revenue Code	279
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

TUBING IV ABBOTT BLOOD

Facility

$33.00

Hospital Charge Code	7000748
Hospital Revenue Code	279
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

TUBING IV ADM UNIV SAFELE 1585

Facility

$9.70

Hospital Charge Code	270645820
Hospital Revenue Code	272
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

TUBING IV ADM UNIV SAFELE 1585

Facility

$9.70

Hospital Charge Code	270645820
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.85
Rate for Payer: Aetna Commercial	$3.69
Rate for Payer: Aetna Medicare Advantage	$2.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.47
Rate for Payer: Cigna Commercial	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.91
Rate for Payer: Oxford Commercial	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$1.94
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBING IV PUMP BLD ADMIN SET**

Facility

$28.00

Hospital Charge Code	7000706
Hospital Revenue Code	279
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

TUBING IV PUMP BLD ADMIN SET**

Facility

$28.00

Hospital Charge Code	7000706
Hospital Revenue Code	279
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBING LNG VASPRSS 120 VP510L

Facility

$125.00

Hospital Charge Code	270655227
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

TUBING LNG VASPRSS 120 VP510L

Facility

$125.00

Hospital Charge Code	270655227
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

TUBING LO PRESSURE CONTRST 48

Facility

$9.99

Hospital Charge Code	270625797
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$5.00
Rate for Payer: Aetna Commercial	$3.80
Rate for Payer: Aetna Medicare Advantage	$3.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.55
Rate for Payer: Cigna Commercial	$5.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.00
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$2.00
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

TUBING LVT OSTEO IRRG 5038-600

Facility

$212.85

Hospital Charge Code	270621436
Hospital Revenue Code	270
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$31.93

Know your out-of-pocket cost for care.

All Charges