Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VALVE MISHLER DU CH L P

Facility

$2,721.65

Hospital Charge Code	270600302
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 M P

Facility

$2,567.25

Hospital Charge Code	270600300
Hospital Revenue Code	270
Min. Negotiated Rate	$385.09
Max. Negotiated Rate	$385.09
Rate for Payer: Qualcare PPO/HMO/WC	$385.09

VALVE MISHLER DU CH M P

Facility

$3,594.45

Hospital Charge Code	270600303
Hospital Revenue Code	270
Min. Negotiated Rate	$539.17
Max. Negotiated Rate	$539.17
Rate for Payer: Qualcare PPO/HMO/WC	$539.17

VALVE MISHLER DU CH M P

Facility

$3,594.45

Hospital Charge Code	270600303
Hospital Revenue Code	270
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 M P

Facility

$2,567.25

Hospital Charge Code	270600300
Hospital Revenue Code	270
Min. Negotiated Rate	$61.87
Max. Negotiated Rate	$1,283.62
Rate for Payer: Aetna Commercial	$975.55
Rate for Payer: Aetna Medicare Advantage	$770.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$654.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$654.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$654.65
Rate for Payer: Cigna Commercial	$1,283.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$770.17
Rate for Payer: Oxford Commercial	$513.45
Rate for Payer: Qualcare PPO/HMO/WC	$385.09
Rate for Payer: UnitedHealthcare Commercial	$513.45
Rate for Payer: UnitedHealthcare Community & State	$61.87
Rate for Payer: Wellpoint Medicaid Managed Care	$68.03

VALVE MULTIPURPOSE H PR

Facility

$4,156.85

Hospital Charge Code	270600299
Hospital Revenue Code	270
Min. Negotiated Rate	$623.53
Max. Negotiated Rate	$623.53
Rate for Payer: Qualcare PPO/HMO/WC	$623.53

VALVE MULTIPURPOSE H PR

Facility

$4,156.85

Hospital Charge Code	270600299
Hospital Revenue Code	270
Min. Negotiated Rate	$100.18
Max. Negotiated Rate	$2,078.43
Rate for Payer: Aetna Commercial	$1,579.60
Rate for Payer: Aetna Medicare Advantage	$1,247.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,060.00
Rate for Payer: Cigna Commercial	$2,078.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,247.06
Rate for Payer: Oxford Commercial	$831.37
Rate for Payer: Qualcare PPO/HMO/WC	$623.53
Rate for Payer: UnitedHealthcare Commercial	$831.37
Rate for Payer: UnitedHealthcare Community & State	$100.18
Rate for Payer: Wellpoint Medicaid Managed Care	$110.16

VALVE MULTIPURPOSE M PR

Facility

$4,156.85

Hospital Charge Code	270600298
Hospital Revenue Code	270
Min. Negotiated Rate	$623.53
Max. Negotiated Rate	$623.53
Rate for Payer: Qualcare PPO/HMO/WC	$623.53

VALVE MULTIPURPOSE M PR

Facility

$4,156.85

Hospital Charge Code	270600298
Hospital Revenue Code	270
Min. Negotiated Rate	$100.18
Max. Negotiated Rate	$2,078.43
Rate for Payer: Aetna Commercial	$1,579.60
Rate for Payer: Aetna Medicare Advantage	$1,247.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,060.00
Rate for Payer: Cigna Commercial	$2,078.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,247.06
Rate for Payer: Oxford Commercial	$831.37
Rate for Payer: Qualcare PPO/HMO/WC	$623.53
Rate for Payer: UnitedHealthcare Commercial	$831.37
Rate for Payer: UnitedHealthcare Community & State	$100.18
Rate for Payer: Wellpoint Medicaid Managed Care	$110.16

VALVE PEEP

Facility

$21.05

Hospital Charge Code	270640413
Hospital Revenue Code	270
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.53
Rate for Payer: Aetna Commercial	$8.00
Rate for Payer: Aetna Medicare Advantage	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.37
Rate for Payer: Cigna Commercial	$10.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.32
Rate for Payer: Oxford Commercial	$4.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.16
Rate for Payer: UnitedHealthcare Commercial	$4.21
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

VALVE PEEP

Facility

$21.05

Hospital Charge Code	270640413
Hospital Revenue Code	270
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.16

VALVE PEEP BLUE CAP 0-20cm

Facility

$19.36

Hospital Charge Code	270651473
Hospital Revenue Code	270
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$2.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.90

VALVE PEEP BLUE CAP 0-20cm

Facility

$19.36

Hospital Charge Code	270651473
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.68
Rate for Payer: Aetna Commercial	$7.36
Rate for Payer: Aetna Medicare Advantage	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.81
Rate for Payer: Oxford Commercial	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.90
Rate for Payer: UnitedHealthcare Commercial	$3.87
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.50
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.50
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

VALVE ROTATING HEMOSTATIC

Facility

$115.00

Hospital Charge Code	270682470N
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

VALVE SM CONTOURED LO PRES IMP

Facility

$5,577.60

Service Code	HCPCS L8699
Hospital Charge Code	270696476
Hospital Revenue Code	278
Min. Negotiated Rate	$836.64
Max. Negotiated Rate	$1,349.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,227.07
Rate for Payer: Qualcare PPO/HMO/WC	$836.64

VALVE SM CONTOURED LO PRES IMP

Facility

$5,577.60

Service Code	HCPCS L8699
Hospital Charge Code	270696476
Hospital Revenue Code	278
Min. Negotiated Rate	$134.42
Max. Negotiated Rate	$2,788.80
Rate for Payer: Aetna Commercial	$2,119.49
Rate for Payer: Aetna Medicare Advantage	$1,673.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,422.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,422.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,422.29
Rate for Payer: Cigna Commercial	$2,788.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,227.07
Rate for Payer: Qualcare PPO/HMO/WC	$836.64
Rate for Payer: UnitedHealthcare Community & State	$134.42
Rate for Payer: Wellpoint Medicaid Managed Care	$147.81

VALVE SM CONTOUR HI PRESS IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696478
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,211.23
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SM CONTOUR HI PRESS IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696478
Hospital Revenue Code	278
Min. Negotiated Rate	$132.68
Max. Negotiated Rate	$2,752.80
Rate for Payer: Aetna Commercial	$2,092.13
Rate for Payer: Aetna Medicare Advantage	$1,651.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,403.93
Rate for Payer: Cigna Commercial	$2,752.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,211.23
Rate for Payer: Qualcare PPO/HMO/WC	$825.84
Rate for Payer: UnitedHealthcare Community & State	$132.68
Rate for Payer: Wellpoint Medicaid Managed Care	$145.90

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$132.68
Max. Negotiated Rate	$2,752.80
Rate for Payer: Aetna Commercial	$2,092.13
Rate for Payer: Aetna Medicare Advantage	$1,651.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,403.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,403.93
Rate for Payer: Cigna Commercial	$2,752.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,211.23
Rate for Payer: Qualcare PPO/HMO/WC	$825.84
Rate for Payer: UnitedHealthcare Community & State	$132.68
Rate for Payer: Wellpoint Medicaid Managed Care	$145.90

VALVE SM CONTOUR MED PRES IMP

Facility

$5,505.60

Service Code	HCPCS L8699
Hospital Charge Code	270696477
Hospital Revenue Code	278
Min. Negotiated Rate	$825.84
Max. Negotiated Rate	$1,332.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,101.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,332.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,211.23
Rate for Payer: Qualcare PPO/HMO/WC	$825.84

VALVE SPEAKING SHILEY P

Facility

$256.00

Hospital Charge Code	270600660
Hospital Revenue Code	272
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

VALVE SPEAKING SHILEY P

Facility

$256.00

Hospital Charge Code	270600660
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$97.28
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.80
Rate for Payer: Oxford Commercial	$51.20
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$51.20
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

Know your out-of-pocket cost for care.

All Charges