Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VALVE CONT LOWLOWPRE CSF SHUNT

Facility

$5,635.00

Service Code	HCPCS L8699
Hospital Charge Code	270698772
Hospital Revenue Code	278
Min. Negotiated Rate	$845.25
Max. Negotiated Rate	$1,363.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,127.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,363.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,239.70
Rate for Payer: Qualcare PPO/HMO/WC	$845.25

VALVE COPILOT BLEEDBACK MAP300

Facility

$108.15

Hospital Charge Code	270660277
Hospital Revenue Code	272
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$16.22
Rate for Payer: Qualcare PPO/HMO/WC	$16.22

VALVE COPILOT BLEEDBACK MAP300

Facility

$108.15

Hospital Charge Code	270660277
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$54.08
Rate for Payer: Aetna Commercial	$41.10
Rate for Payer: Aetna Medicare Advantage	$32.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.58
Rate for Payer: Cigna Commercial	$54.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.45
Rate for Payer: Oxford Commercial	$21.63
Rate for Payer: Qualcare PPO/HMO/WC	$16.22
Rate for Payer: UnitedHealthcare Commercial	$21.63
Rate for Payer: UnitedHealthcare Community & State	$2.61
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

VALVE DELTA 1.0MM

Facility

$2,822.45

Hospital Charge Code	270603369
Hospital Revenue Code	278
Min. Negotiated Rate	$68.02
Max. Negotiated Rate	$1,411.22
Rate for Payer: Aetna Commercial	$1,072.53
Rate for Payer: Aetna Medicare Advantage	$846.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$719.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$719.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$564.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$719.72
Rate for Payer: Cigna Commercial	$1,411.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$683.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$620.94
Rate for Payer: Qualcare PPO/HMO/WC	$423.37
Rate for Payer: UnitedHealthcare Community & State	$68.02
Rate for Payer: Wellpoint Medicaid Managed Care	$74.79

VALVE DELTA 1.0MM

Facility

$2,822.45

Hospital Charge Code	270603369
Hospital Revenue Code	278
Min. Negotiated Rate	$423.37
Max. Negotiated Rate	$683.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$564.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$683.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$620.94
Rate for Payer: Qualcare PPO/HMO/WC	$423.37

VALVE DELTA 1.5MM

Facility

$16,262.45

Hospital Charge Code	270603368
Hospital Revenue Code	272
Min. Negotiated Rate	$391.93
Max. Negotiated Rate	$8,131.23
Rate for Payer: Aetna Commercial	$6,179.73
Rate for Payer: Aetna Medicare Advantage	$4,878.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,146.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,146.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,146.92
Rate for Payer: Cigna Commercial	$8,131.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,878.73
Rate for Payer: Oxford Commercial	$3,252.49
Rate for Payer: Qualcare PPO/HMO/WC	$2,439.37
Rate for Payer: UnitedHealthcare Commercial	$3,252.49
Rate for Payer: UnitedHealthcare Community & State	$391.93
Rate for Payer: Wellpoint Medicaid Managed Care	$430.95

VALVE DELTA 1.5MM

Facility

$16,262.45

Hospital Charge Code	270603368
Hospital Revenue Code	272
Min. Negotiated Rate	$2,439.37
Max. Negotiated Rate	$2,439.37
Rate for Payer: Qualcare PPO/HMO/WC	$2,439.37

VALVE DELTA 2.0MM

Facility

$2,822.45

Hospital Charge Code	270603370
Hospital Revenue Code	272
Min. Negotiated Rate	$68.02
Max. Negotiated Rate	$1,411.22
Rate for Payer: Aetna Commercial	$1,072.53
Rate for Payer: Aetna Medicare Advantage	$846.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$719.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$719.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$719.72
Rate for Payer: Cigna Commercial	$1,411.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$846.74
Rate for Payer: Oxford Commercial	$564.49
Rate for Payer: Qualcare PPO/HMO/WC	$423.37
Rate for Payer: UnitedHealthcare Commercial	$564.49
Rate for Payer: UnitedHealthcare Community & State	$68.02
Rate for Payer: Wellpoint Medicaid Managed Care	$74.79

VALVE DELTA 2.0MM

Facility

$2,822.45

Hospital Charge Code	270603370
Hospital Revenue Code	272
Min. Negotiated Rate	$423.37
Max. Negotiated Rate	$423.37
Rate for Payer: Qualcare PPO/HMO/WC	$423.37

VALVE DELTA REGCSFSHUNTLVL 1.5

Facility

$9,240.00

Service Code	HCPCS L8699
Hospital Charge Code	270698771
Hospital Revenue Code	278
Min. Negotiated Rate	$222.68
Max. Negotiated Rate	$4,620.00
Rate for Payer: Aetna Commercial	$3,511.20
Rate for Payer: Aetna Medicare Advantage	$2,772.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,356.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,356.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,848.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,356.20
Rate for Payer: Cigna Commercial	$4,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,032.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.00
Rate for Payer: UnitedHealthcare Community & State	$222.68
Rate for Payer: Wellpoint Medicaid Managed Care	$244.86

VALVE DELTA REGCSFSHUNTLVL 1.5

Facility

$9,240.00

Service Code	HCPCS L8699
Hospital Charge Code	270698771
Hospital Revenue Code	278
Min. Negotiated Rate	$1,386.00
Max. Negotiated Rate	$2,236.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,848.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,236.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,032.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,386.00

VALVE DOUBLE Y LG BORE MAP220

Facility

$110.00

Hospital Charge Code	270638000C
Hospital Revenue Code	272
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.00
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$22.00
Rate for Payer: UnitedHealthcare Community & State	$2.65
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

VALVE DOUBLE Y LG BORE MAP220

Facility

$110.00

Hospital Charge Code	270638000C
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

VALVE FP-STRATA 2 REGULAR

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270657921
Hospital Revenue Code	278
Min. Negotiated Rate	$721.53
Max. Negotiated Rate	$14,969.50
Rate for Payer: Aetna Commercial	$11,376.82
Rate for Payer: Aetna Medicare Advantage	$8,981.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,634.44
Rate for Payer: Cigna Commercial	$14,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,586.58
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85
Rate for Payer: UnitedHealthcare Community & State	$721.53
Rate for Payer: Wellpoint Medicaid Managed Care	$793.38

VALVE FP-STRATA 2 REGULAR

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270657921
Hospital Revenue Code	278
Min. Negotiated Rate	$4,490.85
Max. Negotiated Rate	$7,245.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,586.58
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85

VALVE FP-STRATA 2 SMALL

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270694974
Hospital Revenue Code	278
Min. Negotiated Rate	$4,490.85
Max. Negotiated Rate	$7,245.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,586.58
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85

VALVE FP-STRATA 2 SMALL

Facility

$29,939.00

Service Code	HCPCS L8699
Hospital Charge Code	270694974
Hospital Revenue Code	278
Min. Negotiated Rate	$721.53
Max. Negotiated Rate	$14,969.50
Rate for Payer: Aetna Commercial	$11,376.82
Rate for Payer: Aetna Medicare Advantage	$8,981.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,634.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,987.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,634.44
Rate for Payer: Cigna Commercial	$14,969.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,245.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,586.58
Rate for Payer: Qualcare PPO/HMO/WC	$4,490.85
Rate for Payer: UnitedHealthcare Community & State	$721.53
Rate for Payer: Wellpoint Medicaid Managed Care	$793.38

VALVE FP-STRATA NSC REGULAR

Facility

$27,435.10

Service Code	HCPCS L8699
Hospital Charge Code	270695659
Hospital Revenue Code	278
Min. Negotiated Rate	$4,115.27
Max. Negotiated Rate	$6,639.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,487.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,639.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,035.72
Rate for Payer: Qualcare PPO/HMO/WC	$4,115.27

VALVE FP-STRATA NSC REGULAR

Facility

$27,435.10

Service Code	HCPCS L8699
Hospital Charge Code	270695659
Hospital Revenue Code	278
Min. Negotiated Rate	$661.19
Max. Negotiated Rate	$13,717.55
Rate for Payer: Aetna Commercial	$10,425.34
Rate for Payer: Aetna Medicare Advantage	$8,230.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,995.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,995.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,487.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,995.95
Rate for Payer: Cigna Commercial	$13,717.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,639.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,035.72
Rate for Payer: Qualcare PPO/HMO/WC	$4,115.27
Rate for Payer: UnitedHealthcare Community & State	$661.19
Rate for Payer: Wellpoint Medicaid Managed Care	$727.03

VALVE FP-STRATA NSC SMALL

Facility

$27,271.40

Service Code	HCPCS L8699
Hospital Charge Code	270695660
Hospital Revenue Code	278
Min. Negotiated Rate	$4,090.71
Max. Negotiated Rate	$6,599.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,454.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,599.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,999.71
Rate for Payer: Qualcare PPO/HMO/WC	$4,090.71

VALVE FP-STRATA NSC SMALL

Facility

$27,271.40

Service Code	HCPCS L8699
Hospital Charge Code	270695660
Hospital Revenue Code	278
Min. Negotiated Rate	$657.24
Max. Negotiated Rate	$13,635.70
Rate for Payer: Aetna Commercial	$10,363.13
Rate for Payer: Aetna Medicare Advantage	$8,181.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,954.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,454.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,954.21
Rate for Payer: Cigna Commercial	$13,635.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,599.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,999.71
Rate for Payer: Qualcare PPO/HMO/WC	$4,090.71
Rate for Payer: UnitedHealthcare Community & State	$657.24
Rate for Payer: Wellpoint Medicaid Managed Care	$722.69

VALVE HEIMLICH

Facility

$103.25

Hospital Charge Code	270303211
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

VALVE HEIMLICH

Facility

$103.25

Hospital Charge Code	270303211
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Oxford Commercial	$20.65
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$20.65
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

VALVE HEIMLICH *******

Facility

$48.00

Hospital Charge Code	8003329
Hospital Revenue Code	279
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.40
Rate for Payer: Oxford Commercial	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$9.60
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

VALVE HEIMLICH *******

Facility

$48.00

Hospital Charge Code	8003329
Hospital Revenue Code	279
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

Know your out-of-pocket cost for care.

All Charges