Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING LVT OSTEO IRRG 5038-600

Facility

$212.85

Hospital Charge Code	270621436
Hospital Revenue Code	270
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$106.42
Rate for Payer: Aetna Commercial	$80.88
Rate for Payer: Aetna Medicare Advantage	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.28
Rate for Payer: Cigna Commercial	$106.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.85
Rate for Payer: Oxford Commercial	$42.57
Rate for Payer: Qualcare PPO/HMO/WC	$31.93
Rate for Payer: UnitedHealthcare Commercial	$42.57
Rate for Payer: UnitedHealthcare Community & State	$5.13
Rate for Payer: Wellpoint Medicaid Managed Care	$5.64

TUBING MEDULLARY VENT 4044-19

Facility

$28.00

Hospital Charge Code	270600337
Hospital Revenue Code	272
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 MEDULLARY VENT 4044-19

Facility

$28.00

Hospital Charge Code	270600337
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

TUBING METRST MINIDROP *****

Facility

$21.00

Hospital Charge Code	7000425
Hospital Revenue Code	264
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

TUBING METRST MINIDROP *****

Facility

$21.00

Hospital Charge Code	7000425
Hospital Revenue Code	264
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.78
Rate for Payer: Aetna Commercial	$4.39
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.95
Rate for Payer: Cigna Commercial	$5.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

TUBING MICROBORE EXT W/T PP

Facility

$11.55

Hospital Charge Code	270649860
Hospital Revenue Code	270
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$0.42
Max. Negotiated Rate	$8.68
Rate for Payer: Aetna Commercial	$6.59
Rate for Payer: Aetna Medicare Advantage	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.42
Rate for Payer: Cigna Commercial	$8.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.21
Rate for Payer: Oxford Commercial	$3.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.60
Rate for Payer: UnitedHealthcare Commercial	$3.47
Rate for Payer: UnitedHealthcare Community & State	$0.42
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

TUBING MINI ADM S V1425

Facility

$17.35

Hospital Charge Code	270040245
Hospital Revenue Code	272
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.60

TUBING MINICAP PD TRANSFER

Facility

$286.67

Hospital Charge Code	270649945
Hospital Revenue Code	272
Min. Negotiated Rate	$43.00
Max. Negotiated Rate	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.00

TUBING MINICAP PD TRANSFER

Facility

$286.67

Hospital Charge Code	270649945
Hospital Revenue Code	272
Min. Negotiated Rate	$6.91
Max. Negotiated Rate	$143.34
Rate for Payer: Aetna Commercial	$108.93
Rate for Payer: Aetna Medicare Advantage	$86.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.10
Rate for Payer: Cigna Commercial	$143.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.00
Rate for Payer: Oxford Commercial	$57.33
Rate for Payer: Qualcare PPO/HMO/WC	$43.00
Rate for Payer: UnitedHealthcare Commercial	$57.33
Rate for Payer: UnitedHealthcare Community & State	$6.91
Rate for Payer: Wellpoint Medicaid Managed Care	$7.60

TUBING MINI GH 95LONG

Facility

$12.85

Hospital Charge Code	270600546
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

TUBING MINI GH 95LONG

Facility

$12.85

Hospital Charge Code	270600546
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$4.88
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.57
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

TUBING MINI MCGAW IV PUMP***

Facility

$20.00

Hospital Charge Code	7000698
Hospital Revenue Code	279
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 MINI MCGAW IV PUMP***

Facility

$20.00

Hospital Charge Code	7000698
Hospital Revenue Code	279
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$51.04
Rate for Payer: Aetna Commercial	$38.79
Rate for Payer: Aetna Medicare Advantage	$30.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.03
Rate for Payer: Cigna Commercial	$51.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.62
Rate for Payer: Oxford Commercial	$20.42
Rate for Payer: Qualcare PPO/HMO/WC	$15.31
Rate for Payer: UnitedHealthcare Commercial	$20.42
Rate for Payer: UnitedHealthcare Community & State	$2.46
Rate for Payer: Wellpoint Medicaid Managed Care	$2.71

TUBING MIT ARTHRO INT 1102USA

Facility

$102.08

Hospital Charge Code	270638955
Hospital Revenue Code	272
Min. Negotiated Rate	$15.31
Max. Negotiated Rate	$15.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.31

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

TUBING MIT ARTHRO IRRI 4503USA

Facility

$188.67

Hospital Charge Code	270638957
Hospital Revenue Code	272
Min. Negotiated Rate	$4.55
Max. Negotiated Rate	$94.33
Rate for Payer: Aetna Commercial	$71.69
Rate for Payer: Aetna Medicare Advantage	$56.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.11
Rate for Payer: Cigna Commercial	$94.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.60
Rate for Payer: Oxford Commercial	$37.73
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$37.73
Rate for Payer: UnitedHealthcare Community & State	$4.55
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

TUBING MITY-VAC & CUP

Facility

$184.85

Hospital Charge Code	270604799
Hospital Revenue Code	272
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$27.73
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

TUBING MITY-VAC & CUP

Facility

$184.85

Hospital Charge Code	270604799
Hospital Revenue Code	272
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$92.42
Rate for Payer: Aetna Commercial	$70.24
Rate for Payer: Aetna Medicare Advantage	$55.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.14
Rate for Payer: Cigna Commercial	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.45
Rate for Payer: Oxford Commercial	$36.97
Rate for Payer: Qualcare PPO/HMO/WC	$27.73
Rate for Payer: UnitedHealthcare Commercial	$36.97
Rate for Payer: UnitedHealthcare Community & State	$4.45
Rate for Payer: Wellpoint Medicaid Managed Care	$4.90

TUBING NEZHAT DORSEY SMK

Facility

$573.65

Hospital Charge Code	270600267
Hospital Revenue Code	270
Min. Negotiated Rate	$86.05
Max. Negotiated Rate	$86.05
Rate for Payer: Qualcare PPO/HMO/WC	$86.05

TUBING NEZHAT DORSEY SMK

Facility

$573.65

Hospital Charge Code	270600267
Hospital Revenue Code	270
Min. Negotiated Rate	$13.82
Max. Negotiated Rate	$286.82
Rate for Payer: Aetna Commercial	$217.99
Rate for Payer: Aetna Medicare Advantage	$172.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.28
Rate for Payer: Cigna Commercial	$286.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.09
Rate for Payer: Oxford Commercial	$114.73
Rate for Payer: Qualcare PPO/HMO/WC	$86.05
Rate for Payer: UnitedHealthcare Commercial	$114.73
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: Wellpoint Medicaid Managed Care	$15.20

TUBING NITROGLYCERIN ******

Facility

$61.00

Hospital Charge Code	8003865
Hospital Revenue Code	279
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

TUBING NITROGLYCERIN ******

Facility

$61.00

Hospital Charge Code	8003865
Hospital Revenue Code	279
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$23.18
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.30
Rate for Payer: Oxford Commercial	$12.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$12.20
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

Know your out-of-pocket cost for care.

All Charges