Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA MCV CONTOUR 9 3089

Facility

$433.65

Hospital Charge Code	270604752
Hospital Revenue Code	272
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.09
Rate for Payer: Oxford Commercial	$86.73
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$86.73
Rate for Payer: UnitedHealthcare Community & State	$10.45
Rate for Payer: Wellpoint Medicaid Managed Care	$11.49

CANNULA MCV CONTOUR ERCP 5528

Facility

$544.85

Hospital Charge Code	270600936
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

CANNULA MCV CONTOUR ERCP 5528

Facility

$544.85

Hospital Charge Code	270600936
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$207.04
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.46
Rate for Payer: Oxford Commercial	$108.97
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$108.97
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

CANNULA MCV CONTOUR TPR 308610

Facility

$365.65

Hospital Charge Code	270610582
Hospital Revenue Code	272
Min. Negotiated Rate	$8.81
Max. Negotiated Rate	$182.82
Rate for Payer: Aetna Commercial	$138.95
Rate for Payer: Aetna Medicare Advantage	$109.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.24
Rate for Payer: Cigna Commercial	$182.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.69
Rate for Payer: Oxford Commercial	$73.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.85
Rate for Payer: UnitedHealthcare Commercial	$73.13
Rate for Payer: UnitedHealthcare Community & State	$8.81
Rate for Payer: Wellpoint Medicaid Managed Care	$9.69

CANNULA MCV CONTOUR TPR 308610

Facility

$365.65

Hospital Charge Code	270610582
Hospital Revenue Code	272
Min. Negotiated Rate	$54.85
Max. Negotiated Rate	$54.85
Rate for Payer: Qualcare PPO/HMO/WC	$54.85

CANNULA MCV CONTOUR U-TPR

Facility

$326.45

Hospital Charge Code	270608076
Hospital Revenue Code	272
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$163.22
Rate for Payer: Aetna Commercial	$124.05
Rate for Payer: Aetna Medicare Advantage	$97.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.24
Rate for Payer: Cigna Commercial	$163.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.94
Rate for Payer: Oxford Commercial	$65.29
Rate for Payer: Qualcare PPO/HMO/WC	$48.97
Rate for Payer: UnitedHealthcare Commercial	$65.29
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8.65

CANNULA MCV CONTOUR U-TPR

Facility

$326.45

Hospital Charge Code	270608076
Hospital Revenue Code	272
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$48.97
Rate for Payer: Qualcare PPO/HMO/WC	$48.97

CANNULA MCV FLUORO TIP 3096

Facility

$352.00

Hospital Charge Code	270604741
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.60
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$8.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9.33

CANNULA MCV FLUORO TIP 3096

Facility

$352.00

Hospital Charge Code	270604741
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP 3097

Facility

$352.00

Hospital Charge Code	270604742
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.60
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$8.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9.33

CANNULA MCV FLUORO TIP 3097

Facility

$352.00

Hospital Charge Code	270604742
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP 3098

Facility

$352.00

Hospital Charge Code	270604743
Hospital Revenue Code	272
Min. Negotiated Rate	$8.48
Max. Negotiated Rate	$176.00
Rate for Payer: Aetna Commercial	$133.76
Rate for Payer: Aetna Medicare Advantage	$105.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.76
Rate for Payer: Cigna Commercial	$176.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.60
Rate for Payer: Oxford Commercial	$70.40
Rate for Payer: Qualcare PPO/HMO/WC	$52.80
Rate for Payer: UnitedHealthcare Commercial	$70.40
Rate for Payer: UnitedHealthcare Community & State	$8.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9.33

CANNULA MCV FLUORO TIP 3098

Facility

$352.00

Hospital Charge Code	270604743
Hospital Revenue Code	272
Min. Negotiated Rate	$52.80
Max. Negotiated Rate	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$52.80

CANNULA MCV FLUORO TIP ERCP

Facility

$192.00

Hospital Charge Code	270600938
Hospital Revenue Code	279
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

CANNULA MCV FLUORO TIP ERCP

Facility

$192.00

Hospital Charge Code	270600938
Hospital Revenue Code	279
Min. Negotiated Rate	$4.63
Max. Negotiated Rate	$96.00
Rate for Payer: Aetna Commercial	$72.96
Rate for Payer: Aetna Medicare Advantage	$57.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.96
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.60
Rate for Payer: Oxford Commercial	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$38.40
Rate for Payer: UnitedHealthcare Community & State	$4.63
Rate for Payer: Wellpoint Medicaid Managed Care	$5.09

CANNULA NASAL *******

Facility

$11.00

Hospital Charge Code	1600899
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.30
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

CANNULA NASAL *******

Facility

$11.00

Hospital Charge Code	1600899
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

CANNULA NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$0.73
Rate for Payer: Qualcare PPO/HMO/WC	$0.73

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

CANNULA NASAL ADULT 001310

Facility

$9.65

Hospital Charge Code	270200055
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

CANNULA NASAL ADULT 001310

Facility

$4.85

Hospital Charge Code	270600619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.42
Rate for Payer: Aetna Commercial	$1.84
Rate for Payer: Aetna Medicare Advantage	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.24
Rate for Payer: Cigna Commercial	$2.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.46
Rate for Payer: Oxford Commercial	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.73
Rate for Payer: UnitedHealthcare Commercial	$0.97
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CANNULA NASAL ADULT O2 ETCO2

Facility

$50.00

Hospital Charge Code	270626115
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$10.00
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CANNULA NASAL CPAP INFANT SZ3

Facility

$447.65

Hospital Charge Code	270651735
Hospital Revenue Code	272
Min. Negotiated Rate	$67.15
Max. Negotiated Rate	$67.15
Rate for Payer: Qualcare PPO/HMO/WC	$67.15

CANNULA NASAL CPAP INFANT SZ3

Facility

$447.65

Hospital Charge Code	270651735
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$223.82
Rate for Payer: Aetna Commercial	$170.11
Rate for Payer: Aetna Medicare Advantage	$134.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.15
Rate for Payer: Cigna Commercial	$223.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.29
Rate for Payer: Oxford Commercial	$89.53
Rate for Payer: Qualcare PPO/HMO/WC	$67.15
Rate for Payer: UnitedHealthcare Commercial	$89.53
Rate for Payer: UnitedHealthcare Community & State	$10.79
Rate for Payer: Wellpoint Medicaid Managed Care	$11.86

Know your out-of-pocket cost for care.

All Charges