Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING SILICONE 10'

Facility

$124.85

Hospital Charge Code	270600234
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

TUBING SILICONE 10'

Facility

$124.85

Hospital Charge Code	270600234
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$56.94
Rate for Payer: Aetna Commercial	$43.27
Rate for Payer: Aetna Medicare Advantage	$34.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.04
Rate for Payer: Cigna Commercial	$56.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.16
Rate for Payer: Oxford Commercial	$22.78
Rate for Payer: Qualcare PPO/HMO/WC	$17.08
Rate for Payer: UnitedHealthcare Commercial	$22.78
Rate for Payer: UnitedHealthcare Community & State	$2.74
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

TUBING SMOKE EVACUATION WAND S

Facility

$113.88

Hospital Charge Code	270677064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$17.08

TUBING SOLUSET BURETTE 150ml

Facility

$20.62

Hospital Charge Code	270649305
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

TUBING SOLUSET BURETTE 150ml

Facility

$20.62

Hospital Charge Code	270649305
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.31
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$4.12
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

TUBING STATLOCK MACRO BORE 6

Facility

$18.97

Hospital Charge Code	270649236
Hospital Revenue Code	272
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

TUBING STATLOCK MACRO BORE 6

Facility

$18.97

Hospital Charge Code	270649236
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.48
Rate for Payer: Aetna Commercial	$7.21
Rate for Payer: Aetna Medicare Advantage	$5.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.69
Rate for Payer: Oxford Commercial	$3.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$3.79
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

TUBING STATLOCK PICC PLUS

Facility

$21.12

Hospital Charge Code	270649237
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.56
Rate for Payer: Aetna Commercial	$8.03
Rate for Payer: Aetna Medicare Advantage	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.39
Rate for Payer: Cigna Commercial	$10.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.34
Rate for Payer: Oxford Commercial	$4.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$4.22
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

TUBING STATLOCK PICC PLUS

Facility

$21.12

Hospital Charge Code	270649237
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

TUBING STD SPIKE SET

Facility

$82.50

Hospital Charge Code	270677061
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$41.25
Rate for Payer: Aetna Commercial	$31.35
Rate for Payer: Aetna Medicare Advantage	$24.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.04
Rate for Payer: Cigna Commercial	$41.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.75
Rate for Payer: Oxford Commercial	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$12.38
Rate for Payer: UnitedHealthcare Commercial	$16.50
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

TUBING STD SPIKE SET

Facility

$82.50

Hospital Charge Code	270677061
Hospital Revenue Code	272
Min. Negotiated Rate	$12.38
Max. Negotiated Rate	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.38

TUBING STRAIGHTSHOT TO XPS

Facility

$185.00

Hospital Charge Code	270663278
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$70.30
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.50
Rate for Payer: Oxford Commercial	$37.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$37.00
Rate for Payer: UnitedHealthcare Community & State	$4.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.90

TUBING STRAIGHTSHOT TO XPS

Facility

$185.00

Hospital Charge Code	270663278
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

TUBING STRY ARTHRSC 350-202-00

Facility

$359.00

Hospital Charge Code	270620730
Hospital Revenue Code	270
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$179.50
Rate for Payer: Aetna Commercial	$136.42
Rate for Payer: Aetna Medicare Advantage	$107.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.55
Rate for Payer: Cigna Commercial	$179.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.70
Rate for Payer: Oxford Commercial	$71.80
Rate for Payer: Qualcare PPO/HMO/WC	$53.85
Rate for Payer: UnitedHealthcare Commercial	$71.80
Rate for Payer: UnitedHealthcare Community & State	$8.65
Rate for Payer: Wellpoint Medicaid Managed Care	$9.51

TUBING STRY ARTHRSC 350-202-00

Facility

$359.00

Hospital Charge Code	270620730
Hospital Revenue Code	270
Min. Negotiated Rate	$53.85
Max. Negotiated Rate	$53.85
Rate for Payer: Qualcare PPO/HMO/WC	$53.85

TUBING STRY FLO SUCT 250-70400

Facility

$326.77

Hospital Charge Code	270600269
Hospital Revenue Code	272
Min. Negotiated Rate	$49.02
Max. Negotiated Rate	$49.02
Rate for Payer: Qualcare PPO/HMO/WC	$49.02

TUBING STRY FLO SUCT 250-70400

Facility

$326.77

Hospital Charge Code	270600269
Hospital Revenue Code	272
Min. Negotiated Rate	$7.88
Max. Negotiated Rate	$163.38
Rate for Payer: Aetna Commercial	$124.17
Rate for Payer: Aetna Medicare Advantage	$98.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.33
Rate for Payer: Cigna Commercial	$163.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.03
Rate for Payer: Oxford Commercial	$65.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.02
Rate for Payer: UnitedHealthcare Commercial	$65.35
Rate for Payer: UnitedHealthcare Community & State	$7.88
Rate for Payer: Wellpoint Medicaid Managed Care	$8.66

TUBING STRY FLO SUCT 250-70410

Facility

$504.00

Hospital Charge Code	270611964
Hospital Revenue Code	272
Min. Negotiated Rate	$75.60
Max. Negotiated Rate	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$75.60

TUBING STRY FLO SUCT 250-70410

Facility

$504.00

Hospital Charge Code	270611964
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$252.00
Rate for Payer: Aetna Commercial	$191.52
Rate for Payer: Aetna Medicare Advantage	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.52
Rate for Payer: Cigna Commercial	$252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.20
Rate for Payer: Oxford Commercial	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$75.60
Rate for Payer: UnitedHealthcare Commercial	$100.80
Rate for Payer: UnitedHealthcare Community & State	$12.15
Rate for Payer: Wellpoint Medicaid Managed Care	$13.36

TUBING STRY IRRIG 260-901-50

Facility

$435.25

Hospital Charge Code	270610810
Hospital Revenue Code	272
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$165.40
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.57
Rate for Payer: Oxford Commercial	$87.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.29
Rate for Payer: UnitedHealthcare Commercial	$87.05
Rate for Payer: UnitedHealthcare Community & State	$10.49
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

TUBING STRY IRRIG 260-901-50

Facility

$435.25

Hospital Charge Code	270610810
Hospital Revenue Code	272
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$65.29
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

TUBING STRYKER S/I 25070400***

Facility

$248.00

Hospital Charge Code	1608108
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

TUBING STRYKER S/I 25070400***

Facility

$248.00

Hospital Charge Code	1608108
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

TUBING STRY LAPAROSC 620030301

Facility

$24.73

Hospital Charge Code	270622695
Hospital Revenue Code	272
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.71

Know your out-of-pocket cost for care.

All Charges