Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VACCINE ADMIN PNEUMO

Facility

$41.00

Service Code	HCPCS 90471
Hospital Charge Code	84206165
Hospital Revenue Code	771
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$308.77
Rate for Payer: Aetna Commercial	$232.67
Rate for Payer: Aetna Medicare Advantage	$277.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.77
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: Cigna Medicare Advantage	$85.54
Rate for Payer: Clover Medicare Advantage	$81.26
Rate for Payer: EmblemHealth Commercial	$256.62
Rate for Payer: Humana Medicare Advantage	$88.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$85.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.30
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.15
Rate for Payer: UnitedHealthcare Commercial	$159.00
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.54
Rate for Payer: Wellcare Medicare Advantage	$85.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

VACCINE ADMIN PNEUMO

Facility

$41.00

Service Code	HCPCS 90471
Hospital Charge Code	84206165
Hospital Revenue Code	771
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

VACCUM QUICK CONNECT 18 NPT MA

Facility

$172.50

Hospital Charge Code	270664117
Hospital Revenue Code	270
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$25.88
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

VACCUM QUICK CONNECT 18 NPT MA

Facility

$172.50

Hospital Charge Code	270664117
Hospital Revenue Code	270
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$65.55
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.75
Rate for Payer: Oxford Commercial	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Commercial	$34.50
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.57

VAC PULSA PLUS FOR SPRING KIT

Facility

$203.05

Hospital Charge Code	270654993
Hospital Revenue Code	270
Min. Negotiated Rate	$30.46
Max. Negotiated Rate	$30.46
Rate for Payer: Qualcare PPO/HMO/WC	$30.46

VAC PULSA PLUS FOR SPRING KIT

Facility

$203.05

Hospital Charge Code	270654993
Hospital Revenue Code	270
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$101.53
Rate for Payer: Aetna Commercial	$77.16
Rate for Payer: Aetna Medicare Advantage	$60.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.78
Rate for Payer: Cigna Commercial	$101.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.91
Rate for Payer: Oxford Commercial	$40.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.46
Rate for Payer: UnitedHealthcare Commercial	$40.61
Rate for Payer: UnitedHealthcare Community & State	$4.89
Rate for Payer: Wellpoint Medicaid Managed Care	$5.38

VACU PEN PLUME COLLECTOR

Facility

$411.25

Hospital Charge Code	270658072
Hospital Revenue Code	270
Min. Negotiated Rate	$61.69
Max. Negotiated Rate	$61.69
Rate for Payer: Qualcare PPO/HMO/WC	$61.69

VACU PEN PLUME COLLECTOR

Facility

$411.25

Hospital Charge Code	270658072
Hospital Revenue Code	270
Min. Negotiated Rate	$9.91
Max. Negotiated Rate	$205.62
Rate for Payer: Aetna Commercial	$156.28
Rate for Payer: Aetna Medicare Advantage	$123.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.87
Rate for Payer: Cigna Commercial	$205.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.38
Rate for Payer: Oxford Commercial	$82.25
Rate for Payer: Qualcare PPO/HMO/WC	$61.69
Rate for Payer: UnitedHealthcare Commercial	$82.25
Rate for Payer: UnitedHealthcare Community & State	$9.91
Rate for Payer: Wellpoint Medicaid Managed Care	$10.90

VACURETTE CANNULAS CURVED 12MM

Facility

$225.00

Hospital Charge Code	270655605
Hospital Revenue Code	270
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

VACURETTE CANNULAS CURVED 12MM

Facility

$225.00

Hospital Charge Code	270655605
Hospital Revenue Code	270
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

VACURETTE CANNULAS F-TIP 8MM

Facility

$221.45

Hospital Charge Code	270655607
Hospital Revenue Code	270
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$110.72
Rate for Payer: Aetna Commercial	$84.15
Rate for Payer: Aetna Medicare Advantage	$66.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.47
Rate for Payer: Cigna Commercial	$110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.44
Rate for Payer: Oxford Commercial	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$33.22
Rate for Payer: UnitedHealthcare Commercial	$44.29
Rate for Payer: UnitedHealthcare Community & State	$5.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.87

VACURETTE CANNULAS F-TIP 8MM

Facility

$221.45

Hospital Charge Code	270655607
Hospital Revenue Code	270
Min. Negotiated Rate	$33.22
Max. Negotiated Rate	$33.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.22

VACURETTE CRVD TIP 10mm

Facility

$10.42

Hospital Charge Code	270649246
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.21
Rate for Payer: Aetna Commercial	$3.96
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.56
Rate for Payer: UnitedHealthcare Commercial	$2.08
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

VACURETTE CRVD TIP 10mm

Facility

$10.42

Hospital Charge Code	270649246
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$1.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.56

VACURETTE CRVD TIP 11mm

Facility

$25.00

Hospital Charge Code	270650483
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.50
Rate for Payer: Aetna Commercial	$9.50
Rate for Payer: Aetna Medicare Advantage	$7.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.38
Rate for Payer: Cigna Commercial	$12.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.50
Rate for Payer: Oxford Commercial	$5.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.75
Rate for Payer: UnitedHealthcare Commercial	$5.00
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

VACURETTE CRVD TIP 11mm

Facility

$25.00

Hospital Charge Code	270650483
Hospital Revenue Code	272
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

VACURETTE CRVD TIP 7mm

Facility

$23.08

Hospital Charge Code	270649248
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$11.54
Rate for Payer: Aetna Commercial	$8.77
Rate for Payer: Aetna Medicare Advantage	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.89
Rate for Payer: Cigna Commercial	$11.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: Oxford Commercial	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$3.46
Rate for Payer: UnitedHealthcare Commercial	$4.62
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

VACURETTE CRVD TIP 7mm

Facility

$23.08

Hospital Charge Code	270649248
Hospital Revenue Code	272
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$3.46
Rate for Payer: Qualcare PPO/HMO/WC	$3.46

VACURETTE CRVD TIP 8mm

Facility

$21.83

Hospital Charge Code	270649249
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$10.91
Rate for Payer: Aetna Commercial	$8.30
Rate for Payer: Aetna Medicare Advantage	$6.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.57
Rate for Payer: Cigna Commercial	$10.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.55
Rate for Payer: Oxford Commercial	$4.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.27
Rate for Payer: UnitedHealthcare Commercial	$4.37
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

VACURETTE CRVD TIP 8mm

Facility

$21.83

Hospital Charge Code	270649249
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.27

VACURETTE CRVD TIP 9mm

Facility

$6.15

Hospital Charge Code	270649250
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.08
Rate for Payer: Aetna Commercial	$2.34
Rate for Payer: Aetna Medicare Advantage	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.57
Rate for Payer: Cigna Commercial	$3.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.84
Rate for Payer: Oxford Commercial	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$0.92
Rate for Payer: UnitedHealthcare Commercial	$1.23
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

VACURETTE CRVD TIP 9mm

Facility

$6.15

Hospital Charge Code	270649250
Hospital Revenue Code	272
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$0.92
Rate for Payer: Qualcare PPO/HMO/WC	$0.92

VACURETTE CURVED TIP 5FR

Facility

$35.00

Hospital Charge Code	270330814
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

VACURETTE CURVED TIP 5FR

Facility

$35.00

Hospital Charge Code	270330814
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

VACURETTE FLEX TIP 5mm

Facility

$24.50

Hospital Charge Code	270649252
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.67

Know your out-of-pocket cost for care.

All Charges