Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TUBING WITH SPONGE GUARD 7/8IN

Facility

$65.91

Hospital Charge Code	270677063
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$32.95
Rate for Payer: Aetna Commercial	$25.05
Rate for Payer: Aetna Medicare Advantage	$19.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.81
Rate for Payer: Cigna Commercial	$32.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.77
Rate for Payer: Oxford Commercial	$13.18
Rate for Payer: Qualcare PPO/HMO/WC	$9.89
Rate for Payer: UnitedHealthcare Commercial	$13.18
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

TUBING WITH SPONGE GUARD 7/8IN

Facility

$65.91

Hospital Charge Code	270677063
Hospital Revenue Code	272
Min. Negotiated Rate	$9.89
Max. Negotiated Rate	$9.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.89

TUBING Y-FILL QUIK TO QUIK

Facility

$185.25

Hospital Charge Code	270676434
Hospital Revenue Code	272
Min. Negotiated Rate	$27.79
Max. Negotiated Rate	$27.79
Rate for Payer: Qualcare PPO/HMO/WC	$27.79

TUBING Y-FILL QUIK TO QUIK

Facility

$185.25

Hospital Charge Code	270676434
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$92.62
Rate for Payer: Aetna Commercial	$70.39
Rate for Payer: Aetna Medicare Advantage	$55.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.24
Rate for Payer: Cigna Commercial	$92.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.58
Rate for Payer: Oxford Commercial	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$27.79
Rate for Payer: UnitedHealthcare Commercial	$37.05
Rate for Payer: UnitedHealthcare Community & State	$4.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.91

TUBING Y-SITE EXT*****

Facility

$9.00

Hospital Charge Code	7000466
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TUBING Y-SITE EXT*****

Facility

$9.00

Hospital Charge Code	7000466
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TUBING Y TYPE BLD ADMNV2500***

Facility

$8.00

Hospital Charge Code	7000839
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$1.60
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

TUBING Y TYPE BLD ADMNV2500***

Facility

$8.00

Hospital Charge Code	7000839
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

TUBING Y TYPE TUR IR OR

Facility

$43.25

Hospital Charge Code	270040330
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

TUBING Y TYPE TUR IR OR

Facility

$43.25

Hospital Charge Code	270040330
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.97
Rate for Payer: Oxford Commercial	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$8.65
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

TUBOCURARINE CHLORIDE/3MG

Facility

$61.00

Hospital Charge Code	60634096
Hospital Revenue Code	250
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

TUBOCURARINE CHLORIDE/3MG

Facility

$61.00

Hospital Charge Code	60634096
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

TUBOCURARINE INJ 3MG/ML 10ML

Facility

$74.90

Hospital Charge Code	6005573
Hospital Revenue Code	250
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.45
Rate for Payer: Aetna Commercial	$28.46
Rate for Payer: Aetna Medicare Advantage	$22.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.47
Rate for Payer: Oxford Commercial	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$11.23
Rate for Payer: UnitedHealthcare Commercial	$14.98
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

TUBOCURARINE INJ 3MG/ML 10ML

Facility

$74.90

Hospital Charge Code	6005573
Hospital Revenue Code	250
Min. Negotiated Rate	$11.23
Max. Negotiated Rate	$11.23
Rate for Payer: Qualcare PPO/HMO/WC	$11.23

TUCKS

Facility

$4.00

Service Code	NDC 30014010299
Hospital Charge Code	6063943260
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

TUCKS

Facility

$4.00

Service Code	NDC 30014010299
Hospital Charge Code	6063943260
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

TUCKS *******

Facility

$44.00

Hospital Charge Code	8001786
Hospital Revenue Code	279
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

TUCKS *******

Facility

$44.00

Hospital Charge Code	8001786
Hospital Revenue Code	279
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

TULAREMIA AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38472903
Hospital Revenue Code	305
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.99
Rate for Payer: Aetna Medicare Advantage	$22.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.20
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$6.98
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Medicare Advantage	$6.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

TULAREMIA AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38472903
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

TULIP CREO MIS REDUCTION 30MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270698437
Hospital Revenue Code	278
Min. Negotiated Rate	$600.00
Max. Negotiated Rate	$968.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$880.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00

TULIP CREO MIS REDUCTION 30MM

Facility

$4,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270698437
Hospital Revenue Code	278
Min. Negotiated Rate	$96.40
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$968.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$880.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Community & State	$96.40
Rate for Payer: Wellpoint Medicaid Managed Care	$106.00

TULIP MAS PLIF

Facility

$6,155.00

Hospital Charge Code	270663767
Hospital Revenue Code	270
Min. Negotiated Rate	$923.25
Max. Negotiated Rate	$923.25
Rate for Payer: Qualcare PPO/HMO/WC	$923.25

TULIP MAS PLIF

Facility

$6,155.00

Hospital Charge Code	270663767
Hospital Revenue Code	270
Min. Negotiated Rate	$148.34
Max. Negotiated Rate	$3,077.50
Rate for Payer: Aetna Commercial	$2,338.90
Rate for Payer: Aetna Medicare Advantage	$1,846.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.53
Rate for Payer: Cigna Commercial	$3,077.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,846.50
Rate for Payer: Oxford Commercial	$1,231.00
Rate for Payer: Qualcare PPO/HMO/WC	$923.25
Rate for Payer: UnitedHealthcare Commercial	$1,231.00
Rate for Payer: UnitedHealthcare Community & State	$148.34
Rate for Payer: Wellpoint Medicaid Managed Care	$163.11

TULIP MOD POLY REDUCTION 10 MM

Facility

$3,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270694880
Hospital Revenue Code	278
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$907.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$825.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

Know your out-of-pocket cost for care.

All Charges