Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CANNULABIO-MEDICUS 17FR EA

Facility

$1,894.00

Hospital Charge Code	2703110D
Hospital Revenue Code	272
Min. Negotiated Rate	$45.65
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.20
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$45.65
Rate for Payer: Wellpoint Medicaid Managed Care	$50.19

CANNULABIO-MEDICUS 19FR EA

Facility

$1,894.00

Hospital Charge Code	2703110E
Hospital Revenue Code	272
Min. Negotiated Rate	$45.65
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.20
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$45.65
Rate for Payer: Wellpoint Medicaid Managed Care	$50.19

CANNULABIO-MEDICUS 19FR EA

Facility

$1,894.00

Hospital Charge Code	2703110E
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULA, BIO-MEDICUS 21FR

Facility

$2,114.00

Hospital Charge Code	2703110K
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$1,057.00
Rate for Payer: Aetna Commercial	$803.32
Rate for Payer: Aetna Medicare Advantage	$634.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.07
Rate for Payer: Cigna Commercial	$1,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.20
Rate for Payer: Oxford Commercial	$422.80
Rate for Payer: Qualcare PPO/HMO/WC	$317.10
Rate for Payer: UnitedHealthcare Commercial	$422.80
Rate for Payer: UnitedHealthcare Community & State	$50.95
Rate for Payer: Wellpoint Medicaid Managed Care	$56.02

CANNULA, BIO-MEDICUS 21FR

Facility

$2,114.00

Hospital Charge Code	2703110K
Hospital Revenue Code	272
Min. Negotiated Rate	$317.10
Max. Negotiated Rate	$317.10
Rate for Payer: Qualcare PPO/HMO/WC	$317.10

CANNULABIO-MEDICUS 21FR EA

Facility

$1,894.00

Hospital Charge Code	2703110F
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULABIO-MEDICUS 21FR EA

Facility

$1,894.00

Hospital Charge Code	2703110F
Hospital Revenue Code	272
Min. Negotiated Rate	$45.65
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.20
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$45.65
Rate for Payer: Wellpoint Medicaid Managed Care	$50.19

CANNULA BIO-MEDICUS 23FR EA

Facility

$1,894.00

Hospital Charge Code	2703110G
Hospital Revenue Code	272
Min. Negotiated Rate	$45.65
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.20
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$45.65
Rate for Payer: Wellpoint Medicaid Managed Care	$50.19

CANNULA BIO-MEDICUS 23FR EA

Facility

$1,894.00

Hospital Charge Code	2703110G
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULA, BIO-MEDICUS 25FR

Facility

$2,114.00

Hospital Charge Code	2703110IL
Hospital Revenue Code	272
Min. Negotiated Rate	$50.95
Max. Negotiated Rate	$1,057.00
Rate for Payer: Aetna Commercial	$803.32
Rate for Payer: Aetna Medicare Advantage	$634.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.07
Rate for Payer: Cigna Commercial	$1,057.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.20
Rate for Payer: Oxford Commercial	$422.80
Rate for Payer: Qualcare PPO/HMO/WC	$317.10
Rate for Payer: UnitedHealthcare Commercial	$422.80
Rate for Payer: UnitedHealthcare Community & State	$50.95
Rate for Payer: Wellpoint Medicaid Managed Care	$56.02

CANNULA, BIO-MEDICUS 25FR

Facility

$2,114.00

Hospital Charge Code	2703110IL
Hospital Revenue Code	272
Min. Negotiated Rate	$317.10
Max. Negotiated Rate	$317.10
Rate for Payer: Qualcare PPO/HMO/WC	$317.10

CANNULA BIO-MEDICUS 25FR EA

Facility

$1,894.00

Hospital Charge Code	2703110H
Hospital Revenue Code	272
Min. Negotiated Rate	$45.65
Max. Negotiated Rate	$947.00
Rate for Payer: Aetna Commercial	$719.72
Rate for Payer: Aetna Medicare Advantage	$568.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$482.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$482.97
Rate for Payer: Cigna Commercial	$947.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$568.20
Rate for Payer: Oxford Commercial	$378.80
Rate for Payer: Qualcare PPO/HMO/WC	$284.10
Rate for Payer: UnitedHealthcare Commercial	$378.80
Rate for Payer: UnitedHealthcare Community & State	$45.65
Rate for Payer: Wellpoint Medicaid Managed Care	$50.19

CANNULA BIO-MEDICUS 25FR EA

Facility

$1,894.00

Hospital Charge Code	2703110H
Hospital Revenue Code	272
Min. Negotiated Rate	$284.10
Max. Negotiated Rate	$284.10
Rate for Payer: Qualcare PPO/HMO/WC	$284.10

CANNULA BLADELESS 7/8 MM

Facility

$693.06

Hospital Charge Code	270692851
Hospital Revenue Code	272
Min. Negotiated Rate	$16.70
Max. Negotiated Rate	$346.53
Rate for Payer: Aetna Commercial	$263.36
Rate for Payer: Aetna Medicare Advantage	$207.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.73
Rate for Payer: Cigna Commercial	$346.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.92
Rate for Payer: Oxford Commercial	$138.61
Rate for Payer: Qualcare PPO/HMO/WC	$103.96
Rate for Payer: UnitedHealthcare Commercial	$138.61
Rate for Payer: UnitedHealthcare Community & State	$16.70
Rate for Payer: Wellpoint Medicaid Managed Care	$18.37

CANNULA BLADELESS 7/8 MM

Facility

$693.06

Hospital Charge Code	270692851
Hospital Revenue Code	272
Min. Negotiated Rate	$103.96
Max. Negotiated Rate	$103.96
Rate for Payer: Qualcare PPO/HMO/WC	$103.96

CANNULA CAPS LOCK 70MMX8.6MM

Facility

$162.50

Hospital Charge Code	270669993
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$81.25
Rate for Payer: Aetna Commercial	$61.75
Rate for Payer: Aetna Medicare Advantage	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.44
Rate for Payer: Cigna Commercial	$81.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.38
Rate for Payer: UnitedHealthcare Commercial	$32.50
Rate for Payer: UnitedHealthcare Community & State	$3.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4.31

CANNULA CAPS LOCK 70MMX8.6MM

Facility

$162.50

Hospital Charge Code	270669993
Hospital Revenue Code	272
Min. Negotiated Rate	$24.38
Max. Negotiated Rate	$24.38
Rate for Payer: Qualcare PPO/HMO/WC	$24.38

CANNULA CONTOUR ERCP****

Facility

$106.00

Hospital Charge Code	279600936
Hospital Revenue Code	279
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CANNULA CONTOUR ERCP****

Facility

$106.00

Hospital Charge Code	279600936
Hospital Revenue Code	279
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$53.00
Rate for Payer: Aetna Commercial	$40.28
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.80
Rate for Payer: Oxford Commercial	$21.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$21.20
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

CANNULA CRYSTAL

Facility

$180.00

Hospital Charge Code	270690874
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

CANNULA CRYSTAL

Facility

$180.00

Hospital Charge Code	270690874
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

CANNULA CURVED FLAIR TIP W/7

Facility

$77.80

Hospital Charge Code	270651733
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.90
Rate for Payer: Aetna Commercial	$29.56
Rate for Payer: Aetna Medicare Advantage	$23.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.84
Rate for Payer: Cigna Commercial	$38.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.34
Rate for Payer: Oxford Commercial	$15.56
Rate for Payer: Qualcare PPO/HMO/WC	$11.67
Rate for Payer: UnitedHealthcare Commercial	$15.56
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

CANNULA CURVED FLAIR TIP W/7

Facility

$77.80

Hospital Charge Code	270651733
Hospital Revenue Code	272
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$11.67
Rate for Payer: Qualcare PPO/HMO/WC	$11.67

CANNULA CURVED W/7IN FLAIRTIP

Facility

$77.80

Hospital Charge Code	270657354
Hospital Revenue Code	278
Min. Negotiated Rate	$11.67
Max. Negotiated Rate	$18.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.67

CANNULA CURVED W/7IN FLAIRTIP

Facility

$77.80

Hospital Charge Code	270657354
Hospital Revenue Code	278
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.90
Rate for Payer: Aetna Commercial	$29.56
Rate for Payer: Aetna Medicare Advantage	$23.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.84
Rate for Payer: Cigna Commercial	$38.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.12
Rate for Payer: Qualcare PPO/HMO/WC	$11.67
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

Know your out-of-pocket cost for care.

All Charges