Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VALVE HEIMLICH 373460

Facility

$1,547.50

Hospital Charge Code	270648678
Hospital Revenue Code	272
Min. Negotiated Rate	$37.29
Max. Negotiated Rate	$773.75
Rate for Payer: Aetna Commercial	$588.05
Rate for Payer: Aetna Medicare Advantage	$464.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$394.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$394.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$394.61
Rate for Payer: Cigna Commercial	$773.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$464.25
Rate for Payer: Oxford Commercial	$309.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.12
Rate for Payer: UnitedHealthcare Commercial	$309.50
Rate for Payer: UnitedHealthcare Community & State	$37.29
Rate for Payer: Wellpoint Medicaid Managed Care	$41.01

VALVE HEIMLICH 373460

Facility

$1,547.50

Hospital Charge Code	270648678
Hospital Revenue Code	272
Min. Negotiated Rate	$232.12
Max. Negotiated Rate	$232.12
Rate for Payer: Qualcare PPO/HMO/WC	$232.12

VALVE HEIMLICK ******

Facility

$55.00

Hospital Charge Code	8000887
Hospital Revenue Code	279
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$20.90
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.50
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$11.00
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

VALVE HEIMLICK ******

Facility

$55.00

Hospital Charge Code	8000887
Hospital Revenue Code	279
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

VALVE HEMO LG BORE MBA MAP400

Facility

$135.00

Hospital Charge Code	270639504C
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

VALVE HEMO LG BORE MBA MAP400

Facility

$135.00

Hospital Charge Code	270639504C
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.00
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.00
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

VALVE HEMOSTASIS

Facility

$120.00

Hospital Charge Code	270676577N
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

VALVE LOW PROF HI PRESS

Facility

$3,026.45

Hospital Charge Code	270600297
Hospital Revenue Code	270
Min. Negotiated Rate	$72.94
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$1,150.05
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.93
Rate for Payer: Oxford Commercial	$605.29
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$605.29
Rate for Payer: UnitedHealthcare Community & State	$72.94
Rate for Payer: Wellpoint Medicaid Managed Care	$80.20

VALVE LOW PROF HI PRESS

Facility

$3,026.45

Hospital Charge Code	270600297
Hospital Revenue Code	270
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

VALVE MANIFOLD IMV***

Facility

$15.00

Hospital Charge Code	9501180
Hospital Revenue Code	279
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

VALVE MANIFOLD IMV***

Facility

$15.00

Hospital Charge Code	9501180
Hospital Revenue Code	279
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

VALVE MEDT DELTA LVL 1.5 42823

Facility

$2,944.00

Hospital Charge Code	270610691
Hospital Revenue Code	272
Min. Negotiated Rate	$70.95
Max. Negotiated Rate	$1,472.00
Rate for Payer: Aetna Commercial	$1,118.72
Rate for Payer: Aetna Medicare Advantage	$883.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$750.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$750.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$750.72
Rate for Payer: Cigna Commercial	$1,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$883.20
Rate for Payer: Oxford Commercial	$588.80
Rate for Payer: Qualcare PPO/HMO/WC	$441.60
Rate for Payer: UnitedHealthcare Commercial	$588.80
Rate for Payer: UnitedHealthcare Community & State	$70.95
Rate for Payer: Wellpoint Medicaid Managed Care	$78.02

VALVE MEDT DELTA LVL 1.5 42823

Facility

$2,944.00

Hospital Charge Code	270610691
Hospital Revenue Code	272
Min. Negotiated Rate	$441.60
Max. Negotiated Rate	$441.60
Rate for Payer: Qualcare PPO/HMO/WC	$441.60

VALVE MEDT STARTA ADJ 42865

Facility

$11,121.65

Hospital Charge Code	270628768
Hospital Revenue Code	272
Min. Negotiated Rate	$268.03
Max. Negotiated Rate	$5,560.82
Rate for Payer: Aetna Commercial	$4,226.23
Rate for Payer: Aetna Medicare Advantage	$3,336.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,836.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,836.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,836.02
Rate for Payer: Cigna Commercial	$5,560.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,336.49
Rate for Payer: Oxford Commercial	$2,224.33
Rate for Payer: Qualcare PPO/HMO/WC	$1,668.25
Rate for Payer: UnitedHealthcare Commercial	$2,224.33
Rate for Payer: UnitedHealthcare Community & State	$268.03
Rate for Payer: Wellpoint Medicaid Managed Care	$294.72

VALVE MEDT STARTA ADJ 42865

Facility

$11,121.65

Hospital Charge Code	270628768
Hospital Revenue Code	272
Min. Negotiated Rate	$1,668.25
Max. Negotiated Rate	$1,668.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,668.25

VALVE MISHLER DL ANT NL8500314

Facility

$4,493.85

Hospital Charge Code	270625565
Hospital Revenue Code	272
Min. Negotiated Rate	$674.08
Max. Negotiated Rate	$674.08
Rate for Payer: Qualcare PPO/HMO/WC	$674.08

VALVE MISHLER DL ANT NL8500314

Facility

$4,493.85

Hospital Charge Code	270625565
Hospital Revenue Code	272
Min. Negotiated Rate	$108.30
Max. Negotiated Rate	$2,246.93
Rate for Payer: Aetna Commercial	$1,707.66
Rate for Payer: Aetna Medicare Advantage	$1,348.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,145.93
Rate for Payer: Cigna Commercial	$2,246.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,348.15
Rate for Payer: Oxford Commercial	$898.77
Rate for Payer: Qualcare PPO/HMO/WC	$674.08
Rate for Payer: UnitedHealthcare Commercial	$898.77
Rate for Payer: UnitedHealthcare Community & State	$108.30
Rate for Payer: Wellpoint Medicaid Managed Care	$119.09

VALVE MISHLER DU CH H P

Facility

$3,594.45

Hospital Charge Code	270600304
Hospital Revenue Code	272
Min. Negotiated Rate	$539.17
Max. Negotiated Rate	$539.17
Rate for Payer: Qualcare PPO/HMO/WC	$539.17

VALVE MISHLER DU CH H P

Facility

$2,721.65

Hospital Charge Code	270600301
Hospital Revenue Code	270
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$1,360.83
Rate for Payer: Aetna Commercial	$1,034.23
Rate for Payer: Aetna Medicare Advantage	$816.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.02
Rate for Payer: Cigna Commercial	$1,360.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.50
Rate for Payer: Oxford Commercial	$544.33
Rate for Payer: Qualcare PPO/HMO/WC	$408.25
Rate for Payer: UnitedHealthcare Commercial	$544.33
Rate for Payer: UnitedHealthcare Community & State	$65.59
Rate for Payer: Wellpoint Medicaid Managed Care	$72.12

VALVE MISHLER DU CH H P

Facility

$2,721.65

Hospital Charge Code	270600301
Hospital Revenue Code	270
Min. Negotiated Rate	$408.25
Max. Negotiated Rate	$408.25
Rate for Payer: Qualcare PPO/HMO/WC	$408.25

VALVE MISHLER DU CH H P

Facility

$3,594.45

Hospital Charge Code	270600304
Hospital Revenue Code	272
Min. Negotiated Rate	$86.63
Max. Negotiated Rate	$1,797.22
Rate for Payer: Aetna Commercial	$1,365.89
Rate for Payer: Aetna Medicare Advantage	$1,078.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$916.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$916.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$916.58
Rate for Payer: Cigna Commercial	$1,797.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,078.34
Rate for Payer: Oxford Commercial	$718.89
Rate for Payer: Qualcare PPO/HMO/WC	$539.17
Rate for Payer: UnitedHealthcare Commercial	$718.89
Rate for Payer: UnitedHealthcare Community & State	$86.63
Rate for Payer: Wellpoint Medicaid Managed Care	$95.25

VALVE MISHLER DU CH L P

Facility

$2,721.65

Hospital Charge Code	270600302
Hospital Revenue Code	270
Min. Negotiated Rate	$65.59
Max. Negotiated Rate	$1,360.83
Rate for Payer: Aetna Commercial	$1,034.23
Rate for Payer: Aetna Medicare Advantage	$816.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.02
Rate for Payer: Cigna Commercial	$1,360.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.50
Rate for Payer: Oxford Commercial	$544.33
Rate for Payer: Qualcare PPO/HMO/WC	$408.25
Rate for Payer: UnitedHealthcare Commercial	$544.33
Rate for Payer: UnitedHealthcare Community & State	$65.59
Rate for Payer: Wellpoint Medicaid Managed Care	$72.12

Know your out-of-pocket cost for care.

All Charges