Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634145
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VENTOLIN/2MG/TAB

Facility

$3.00

Hospital Charge Code	60634145
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

VENTOLIN/4MG/TAB

Facility

$3.00

Hospital Charge Code	60634144
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VENTOLIN/4MG/TAB

Facility

$3.00

Hospital Charge Code	60634144
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

VENTRALIGHT ST

Facility

$4,700.00

Service Code	HCPCS C1781
Hospital Charge Code	270685166
Hospital Revenue Code	278
Min. Negotiated Rate	$113.27
Max. Negotiated Rate	$2,350.00
Rate for Payer: Aetna Commercial	$1,786.00
Rate for Payer: Aetna Medicare Advantage	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,198.50
Rate for Payer: Cigna Commercial	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$705.00
Rate for Payer: UnitedHealthcare Community & State	$113.27
Rate for Payer: Wellpoint Medicaid Managed Care	$124.55

VENTRALIGHT ST

Facility

$4,700.00

Service Code	HCPCS C1781
Hospital Charge Code	270685166
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$1,137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

VENTRALIGHT ST MESH WECHO 2

Facility

$6,000.00

Service Code	HCPCS C1789
Hospital Charge Code	270686763
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

VENTRALIGHT ST MESH WECHO 2

Facility

$6,000.00

Service Code	HCPCS C1789
Hospital Charge Code	270686763
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

VENTRALIGHT ST MESH WITH ECHO

Facility

$8,750.00

Service Code	HCPCS C1781
Hospital Charge Code	270686899
Hospital Revenue Code	278
Min. Negotiated Rate	$210.88
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Community & State	$210.88
Rate for Payer: Wellpoint Medicaid Managed Care	$231.88

VENTRALIGHT ST MESH WITH ECHO

Facility

$8,750.00

Service Code	HCPCS C1781
Hospital Charge Code	270686899
Hospital Revenue Code	278
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$2,117.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,117.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,925.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

VENTRICULAR CATHETER 20CM

Facility

$165.00

Hospital Charge Code	270335583
Hospital Revenue Code	272
Min. Negotiated Rate	$3.98
Max. Negotiated Rate	$82.50
Rate for Payer: Aetna Commercial	$62.70
Rate for Payer: Aetna Medicare Advantage	$49.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.08
Rate for Payer: Cigna Commercial	$82.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.50
Rate for Payer: Oxford Commercial	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.75
Rate for Payer: UnitedHealthcare Commercial	$33.00
Rate for Payer: UnitedHealthcare Community & State	$3.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$32.10
Max. Negotiated Rate	$32.10
Rate for Payer: Qualcare PPO/HMO/WC	$32.10

VENTRICULAR CATHETER 23CM

Facility

$214.00

Hospital Charge Code	270335577
Hospital Revenue Code	272
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$107.00
Rate for Payer: Aetna Commercial	$81.32
Rate for Payer: Aetna Medicare Advantage	$64.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.57
Rate for Payer: Cigna Commercial	$107.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.20
Rate for Payer: Oxford Commercial	$42.80
Rate for Payer: Qualcare PPO/HMO/WC	$32.10
Rate for Payer: UnitedHealthcare Commercial	$42.80
Rate for Payer: UnitedHealthcare Community & State	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5.67

VENTRICULAR SHUNT PROCEDURES

Facility

$19,412.37

Service Code	APR-DRG 0222
Min. Negotiated Rate	$19,031.74
Max. Negotiated Rate	$19,412.37
Rate for Payer: UnitedHealthcare Community & State	$19,031.74
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,412.37
Rate for Payer: Wellpoint Medicaid Managed Care	$19,031.74

VENTRICULAR SHUNT PROCEDURES

Facility

$26,993.48

Service Code	APR-DRG 0223
Min. Negotiated Rate	$26,464.20
Max. Negotiated Rate	$26,993.48
Rate for Payer: UnitedHealthcare Community & State	$26,464.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,993.48
Rate for Payer: Wellpoint Medicaid Managed Care	$26,464.20

VENTRICULAR SHUNT PROCEDURES

Facility

$50,643.24

Service Code	APR-DRG 0224
Min. Negotiated Rate	$49,650.24
Max. Negotiated Rate	$50,643.24
Rate for Payer: UnitedHealthcare Community & State	$49,650.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$50,643.24
Rate for Payer: Wellpoint Medicaid Managed Care	$49,650.24

VENTRICULAR SHUNT PROCEDURES WITH CC

Facility

$71,011.48

Service Code	MSDRG 032
Min. Negotiated Rate	$21,622.09
Max. Negotiated Rate	$71,011.48
Rate for Payer: Aetna Medicare Advantage	$71,011.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,011.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,011.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,760.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,011.15
Rate for Payer: Cigna Commercial	$39,879.53
Rate for Payer: Cigna Medicare Advantage	$22,760.09
Rate for Payer: Clover Medicare Advantage	$21,622.09
Rate for Payer: EmblemHealth Commercial	$68,280.27
Rate for Payer: Humana Medicare Advantage	$23,442.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,760.09
Rate for Payer: Oxford Commercial	$28,661.95
Rate for Payer: UnitedHealthcare Commercial	$50,259.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,760.09
Rate for Payer: Wellcare Medicare Advantage	$22,760.09

VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility

$146,951.22

Service Code	MSDRG 031
Min. Negotiated Rate	$44,744.76
Max. Negotiated Rate	$146,951.22
Rate for Payer: Aetna Medicare Advantage	$146,951.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95,835.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95,835.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,099.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95,835.32
Rate for Payer: Cigna Commercial	$83,848.08
Rate for Payer: Cigna Medicare Advantage	$47,099.75
Rate for Payer: Clover Medicare Advantage	$44,744.76
Rate for Payer: EmblemHealth Commercial	$141,299.25
Rate for Payer: Humana Medicare Advantage	$48,512.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$47,099.75
Rate for Payer: Oxford Commercial	$60,262.72
Rate for Payer: UnitedHealthcare Commercial	$105,672.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,099.75
Rate for Payer: Wellcare Medicare Advantage	$47,099.75

VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

Facility

$55,881.76

Service Code	MSDRG 033
Min. Negotiated Rate	$17,015.28
Max. Negotiated Rate	$55,881.76
Rate for Payer: Aetna Medicare Advantage	$55,881.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,910.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,682.82
Rate for Payer: Cigna Commercial	$31,119.51
Rate for Payer: Cigna Medicare Advantage	$17,910.82
Rate for Payer: Clover Medicare Advantage	$17,015.28
Rate for Payer: EmblemHealth Commercial	$53,732.46
Rate for Payer: Humana Medicare Advantage	$18,448.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,910.82
Rate for Payer: Oxford Commercial	$22,366.01
Rate for Payer: UnitedHealthcare Commercial	$39,219.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,910.82
Rate for Payer: Wellcare Medicare Advantage	$17,910.82

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$96.90
Max. Negotiated Rate	$156.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$142.12
Rate for Payer: Qualcare PPO/HMO/WC	$96.90

VENTRICULOSTOMY KIT MEDTRONIC

Facility

$646.00

Hospital Charge Code	270335582
Hospital Revenue Code	278
Min. Negotiated Rate	$15.57
Max. Negotiated Rate	$323.00
Rate for Payer: Aetna Commercial	$245.48
Rate for Payer: Aetna Medicare Advantage	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.73
Rate for Payer: Cigna Commercial	$323.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$142.12
Rate for Payer: Qualcare PPO/HMO/WC	$96.90
Rate for Payer: UnitedHealthcare Community & State	$15.57
Rate for Payer: Wellpoint Medicaid Managed Care	$17.12

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$329.82
Rate for Payer: Aetna Commercial	$250.67
Rate for Payer: Aetna Medicare Advantage	$197.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.21
Rate for Payer: Cigna Commercial	$329.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.90
Rate for Payer: Oxford Commercial	$131.93
Rate for Payer: Qualcare PPO/HMO/WC	$98.95
Rate for Payer: UnitedHealthcare Commercial	$131.93
Rate for Payer: UnitedHealthcare Community & State	$15.90
Rate for Payer: Wellpoint Medicaid Managed Care	$17.48

VENTRICULOSTOMY NATUS CATH KIT

Facility

$659.65

Hospital Charge Code	270700238
Hospital Revenue Code	272
Min. Negotiated Rate	$98.95
Max. Negotiated Rate	$98.95
Rate for Payer: Qualcare PPO/HMO/WC	$98.95

VENTRLEX HERNIA PATCH (SM.)

Facility

$673.00

Hospital Charge Code	270335675
Hospital Revenue Code	278
Min. Negotiated Rate	$16.22
Max. Negotiated Rate	$336.50
Rate for Payer: Aetna Commercial	$255.74
Rate for Payer: Aetna Medicare Advantage	$201.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.62
Rate for Payer: Cigna Commercial	$336.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.06
Rate for Payer: Qualcare PPO/HMO/WC	$100.95
Rate for Payer: UnitedHealthcare Community & State	$16.22
Rate for Payer: Wellpoint Medicaid Managed Care	$17.83

Know your out-of-pocket cost for care.

All Charges