Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.62
Rate for Payer: Aetna Commercial	$19.47
Rate for Payer: Aetna Medicare Advantage	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.07
Rate for Payer: Cigna Commercial	$25.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.37
Rate for Payer: Oxford Commercial	$10.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.69
Rate for Payer: UnitedHealthcare Commercial	$10.25
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.36

VALVE SUCTION SINGLE USE

Facility

$51.24

Hospital Charge Code	270650784
Hospital Revenue Code	272
Min. Negotiated Rate	$7.69
Max. Negotiated Rate	$7.69
Rate for Payer: Qualcare PPO/HMO/WC	$7.69

VALVE SWAL & SPEAK TRA PMV2000

Facility

$290.00

Hospital Charge Code	270637549
Hospital Revenue Code	272
Min. Negotiated Rate	$43.50
Max. Negotiated Rate	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$43.50

VALVE SWAL & SPEAK TRA PMV2000

Facility

$290.00

Hospital Charge Code	270637549
Hospital Revenue Code	272
Min. Negotiated Rate	$6.99
Max. Negotiated Rate	$145.00
Rate for Payer: Aetna Commercial	$110.20
Rate for Payer: Aetna Medicare Advantage	$87.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.95
Rate for Payer: Cigna Commercial	$145.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.00
Rate for Payer: Oxford Commercial	$58.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.50
Rate for Payer: UnitedHealthcare Commercial	$58.00
Rate for Payer: UnitedHealthcare Community & State	$6.99
Rate for Payer: Wellpoint Medicaid Managed Care	$7.68

VALVE TRACH PASSY-MUIR

Facility

$959.25

Hospital Charge Code	270613698
Hospital Revenue Code	272
Min. Negotiated Rate	$143.89
Max. Negotiated Rate	$143.89
Rate for Payer: Qualcare PPO/HMO/WC	$143.89

VALVE TRACH PASSY-MUIR

Facility

$959.25

Hospital Charge Code	270613698
Hospital Revenue Code	272
Min. Negotiated Rate	$23.12
Max. Negotiated Rate	$479.62
Rate for Payer: Aetna Commercial	$364.51
Rate for Payer: Aetna Medicare Advantage	$287.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.61
Rate for Payer: Cigna Commercial	$479.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.77
Rate for Payer: Oxford Commercial	$191.85
Rate for Payer: Qualcare PPO/HMO/WC	$143.89
Rate for Payer: UnitedHealthcare Commercial	$191.85
Rate for Payer: UnitedHealthcare Community & State	$23.12
Rate for Payer: Wellpoint Medicaid Managed Care	$25.42

VALVOLOTOME ANGIO 2.5MM 80CM

Facility

$1,348.75

Hospital Charge Code	270656118
Hospital Revenue Code	270
Min. Negotiated Rate	$202.31
Max. Negotiated Rate	$202.31
Rate for Payer: Qualcare PPO/HMO/WC	$202.31

VALVOLOTOME ANGIO 2.5MM 80CM

Facility

$1,348.75

Hospital Charge Code	270656118
Hospital Revenue Code	270
Min. Negotiated Rate	$32.50
Max. Negotiated Rate	$674.38
Rate for Payer: Aetna Commercial	$512.52
Rate for Payer: Aetna Medicare Advantage	$404.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$343.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$343.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$343.93
Rate for Payer: Cigna Commercial	$674.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$404.62
Rate for Payer: Oxford Commercial	$269.75
Rate for Payer: Qualcare PPO/HMO/WC	$202.31
Rate for Payer: UnitedHealthcare Commercial	$269.75
Rate for Payer: UnitedHealthcare Community & State	$32.50
Rate for Payer: Wellpoint Medicaid Managed Care	$35.74

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

VALVULOTOME 7

Facility

$470.00

Hospital Charge Code	270665871
Hospital Revenue Code	272
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.00
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

VALVULOTOME LEMAITRE 1000-80

Facility

$3,410.45

Hospital Charge Code	270617167
Hospital Revenue Code	272
Min. Negotiated Rate	$511.57
Max. Negotiated Rate	$511.57
Rate for Payer: Qualcare PPO/HMO/WC	$511.57

VALVULOTOME LEMAITRE 1000-80

Facility

$3,410.45

Hospital Charge Code	270617167
Hospital Revenue Code	272
Min. Negotiated Rate	$82.19
Max. Negotiated Rate	$1,705.22
Rate for Payer: Aetna Commercial	$1,295.97
Rate for Payer: Aetna Medicare Advantage	$1,023.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$869.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$869.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$869.66
Rate for Payer: Cigna Commercial	$1,705.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.13
Rate for Payer: Oxford Commercial	$682.09
Rate for Payer: Qualcare PPO/HMO/WC	$511.57
Rate for Payer: UnitedHealthcare Commercial	$682.09
Rate for Payer: UnitedHealthcare Community & State	$82.19
Rate for Payer: Wellpoint Medicaid Managed Care	$90.38

VANCENASE NASAL/16.8GM

Facility

$131.00

Hospital Charge Code	60634116
Hospital Revenue Code	250
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$19.65
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

VANCENASE NASAL/16.8GM

Facility

$131.00

Hospital Charge Code	60634116
Hospital Revenue Code	250
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$49.78
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.30
Rate for Payer: Oxford Commercial	$26.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Commercial	$26.20
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

VANCERIL INHALER/16.8G

Facility

$141.00

Hospital Charge Code	60634600
Hospital Revenue Code	250
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$70.50
Rate for Payer: Aetna Commercial	$53.58
Rate for Payer: Aetna Medicare Advantage	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.95
Rate for Payer: Cigna Commercial	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.30
Rate for Payer: Oxford Commercial	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$21.15
Rate for Payer: UnitedHealthcare Commercial	$28.20
Rate for Payer: UnitedHealthcare Community & State	$3.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

VANCERIL INHALER/16.8G

Facility

$141.00

Hospital Charge Code	60634600
Hospital Revenue Code	250
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$21.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.15

VANCO10MG EPI 0.4ML

Facility

$23.00

Hospital Charge Code	60635606
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

VANCO10MG EPI 0.4ML

Facility

$23.00

Hospital Charge Code	60635606
Hospital Revenue Code	250
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

VANCO10MGGENT4MG EPI0.4ML

Facility

$35.00

Hospital Charge Code	60635605
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

VANCO10MGGENT4MG EPI0.4ML

Facility

$35.00

Hospital Charge Code	60635605
Hospital Revenue Code	250
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

VANCOCIN/10GM

Facility

$92.00

Hospital Charge Code	60634117
Hospital Revenue Code	250
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

VANCOCIN/10GM

Facility

$92.00

Hospital Charge Code	60634117
Hospital Revenue Code	250
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

VANCOCIN/125MG/CAP

Facility

$28.00

Hospital Charge Code	60634118
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

VANCOCIN/125MG/CAP

Facility

$28.00

Hospital Charge Code	60634118
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

VANCOCIN/1GM

Facility

$65.00

Hospital Charge Code	60634119
Hospital Revenue Code	250
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$9.75
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

Know your out-of-pocket cost for care.

All Charges