Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING NITRO PUMP 1772-01*****

Facility

$53.00

Hospital Charge Code	7000490
Hospital Revenue Code	279
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

TUBING NITRO PUMP 1772-01*****

Facility

$53.00

Hospital Charge Code	7000490
Hospital Revenue Code	279
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$20.14
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.90
Rate for Payer: Oxford Commercial	$10.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$10.60
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

TUBING NITRO SIEMENS IV PUMP

Facility

$29.00

Hospital Charge Code	7000763
Hospital Revenue Code	279
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.70
Rate for Payer: Oxford Commercial	$5.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$5.80
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

TUBING NITRO SIEMENS IV PUMP

Facility

$29.00

Hospital Charge Code	7000763
Hospital Revenue Code	279
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

TUBING NITRO/TAXDL SET V7450

Facility

$28.70

Hospital Charge Code	270040296
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$6.32
Max. Negotiated Rate	$131.18
Rate for Payer: Aetna Commercial	$99.69
Rate for Payer: Aetna Medicare Advantage	$78.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.90
Rate for Payer: Cigna Commercial	$131.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.70
Rate for Payer: Oxford Commercial	$52.47
Rate for Payer: Qualcare PPO/HMO/WC	$39.35
Rate for Payer: UnitedHealthcare Commercial	$52.47
Rate for Payer: UnitedHealthcare Community & State	$6.32
Rate for Payer: Wellpoint Medicaid Managed Care	$6.95

TUBING NORMATHERMIC ST

Facility

$262.35

Hospital Charge Code	270657963
Hospital Revenue Code	272
Min. Negotiated Rate	$39.35
Max. Negotiated Rate	$39.35
Rate for Payer: Qualcare PPO/HMO/WC	$39.35

TUBING OMNI-FLOW SECONDARY

Facility

$9.10

Hospital Charge Code	270649227
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.55
Rate for Payer: Aetna Commercial	$3.46
Rate for Payer: Aetna Medicare Advantage	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.32
Rate for Payer: Cigna Commercial	$4.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.73
Rate for Payer: Oxford Commercial	$1.82
Rate for Payer: Qualcare PPO/HMO/WC	$1.36
Rate for Payer: UnitedHealthcare Commercial	$1.82
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TUBING OMNI-FLOW SECONDARY

Facility

$9.10

Hospital Charge Code	270649227
Hospital Revenue Code	272
Min. Negotiated Rate	$1.36
Max. Negotiated Rate	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.36

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$40.50
Max. Negotiated Rate	$40.50
Rate for Payer: Qualcare PPO/HMO/WC	$40.50

TUBING OUTFLOW CASSETTE CROSSF

Facility

$270.00

Hospital Charge Code	270675487
Hospital Revenue Code	272
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$135.00
Rate for Payer: Aetna Commercial	$102.60
Rate for Payer: Aetna Medicare Advantage	$81.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.85
Rate for Payer: Cigna Commercial	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.00
Rate for Payer: Oxford Commercial	$54.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.50
Rate for Payer: UnitedHealthcare Commercial	$54.00
Rate for Payer: UnitedHealthcare Community & State	$6.51
Rate for Payer: Wellpoint Medicaid Managed Care	$7.16

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.58
Rate for Payer: Aetna Commercial	$4.24
Rate for Payer: Aetna Medicare Advantage	$3.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.84
Rate for Payer: Cigna Commercial	$5.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.35
Rate for Payer: Oxford Commercial	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.67
Rate for Payer: UnitedHealthcare Commercial	$2.23
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

TUBING PCA MINI-BORE W/

Facility

$11.15

Hospital Charge Code	270649705
Hospital Revenue Code	270
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.67

TUBING PCA PUMP *******

Facility

$16.00

Hospital Charge Code	7000730
Hospital Revenue Code	279
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

TUBING PCA PUMP *******

Facility

$16.00

Hospital Charge Code	7000730
Hospital Revenue Code	279
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.80
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$3.20
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

TUBING PCA PUMP 35590303

Facility

$23.63

Hospital Charge Code	270041125
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.81
Rate for Payer: Aetna Commercial	$8.98
Rate for Payer: Aetna Medicare Advantage	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.03
Rate for Payer: Cigna Commercial	$11.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.09
Rate for Payer: Oxford Commercial	$4.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.73
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

TUBING PCA PUMP SET

Facility

$10.68

Hospital Charge Code	270649228
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.60

TUBING PCA PUMP SET

Facility

$10.68

Hospital Charge Code	270649228
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.34
Rate for Payer: Aetna Commercial	$4.06
Rate for Payer: Aetna Medicare Advantage	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.72
Rate for Payer: Cigna Commercial	$5.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.20
Rate for Payer: Oxford Commercial	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.60
Rate for Payer: UnitedHealthcare Commercial	$2.14
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

TUBING PEND SUCTION PA2010

Facility

$82.25

Hospital Charge Code	270638391
Hospital Revenue Code	272
Min. Negotiated Rate	$12.34
Max. Negotiated Rate	$12.34
Rate for Payer: Qualcare PPO/HMO/WC	$12.34

TUBING PEND SUCTION PA2010

Facility

$82.25

Hospital Charge Code	270638391
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$41.12
Rate for Payer: Aetna Commercial	$31.25
Rate for Payer: Aetna Medicare Advantage	$24.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.97
Rate for Payer: Cigna Commercial	$41.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.68
Rate for Payer: Oxford Commercial	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$12.34
Rate for Payer: UnitedHealthcare Commercial	$16.45
Rate for Payer: UnitedHealthcare Community & State	$1.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.18

TUBING PLUM 4.0

Facility

$103.50

Hospital Charge Code	270662866
Hospital Revenue Code	272
Min. Negotiated Rate	$15.53
Max. Negotiated Rate	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$15.53

TUBING PLUM 4.0

Facility

$103.50

Hospital Charge Code	270662866
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.75
Rate for Payer: Aetna Commercial	$39.33
Rate for Payer: Aetna Medicare Advantage	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.39
Rate for Payer: Cigna Commercial	$51.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.05
Rate for Payer: Oxford Commercial	$20.70
Rate for Payer: Qualcare PPO/HMO/WC	$15.53
Rate for Payer: UnitedHealthcare Commercial	$20.70
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

TUBING PLUM BURRETTE MICRODRIP

Facility

$69.83

Hospital Charge Code	270649483
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.91
Rate for Payer: Aetna Commercial	$26.54
Rate for Payer: Aetna Medicare Advantage	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.81
Rate for Payer: Cigna Commercial	$34.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.95
Rate for Payer: Oxford Commercial	$13.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.47
Rate for Payer: UnitedHealthcare Commercial	$13.97
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

Know your out-of-pocket cost for care.

All Charges