Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CANNULA SILICONE TIP 27GA

Facility

$19.07

Hospital Charge Code	270657592
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.54
Rate for Payer: Aetna Commercial	$7.25
Rate for Payer: Aetna Medicare Advantage	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.86
Rate for Payer: Cigna Commercial	$9.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.72
Rate for Payer: Oxford Commercial	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.86
Rate for Payer: UnitedHealthcare Commercial	$3.81
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

CANNULA SIZE 10 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690819
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SIZE 10 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690819
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690815
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SIZE 7.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690815
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690814
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 7 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690814
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SIZE 8.5 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690817
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SIZE 8 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690816
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SIZE 9 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690818
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$395.25
Max. Negotiated Rate	$395.25
Rate for Payer: Qualcare PPO/HMO/WC	$395.25

CANNULA SLOTTED

Facility

$2,635.00

Hospital Charge Code	270649463
Hospital Revenue Code	272
Min. Negotiated Rate	$63.50
Max. Negotiated Rate	$1,317.50
Rate for Payer: Aetna Commercial	$1,001.30
Rate for Payer: Aetna Medicare Advantage	$790.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$671.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$671.92
Rate for Payer: Cigna Commercial	$1,317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$790.50
Rate for Payer: Oxford Commercial	$527.00
Rate for Payer: Qualcare PPO/HMO/WC	$395.25
Rate for Payer: UnitedHealthcare Commercial	$527.00
Rate for Payer: UnitedHealthcare Community & State	$63.50
Rate for Payer: Wellpoint Medicaid Managed Care	$69.83

CANNULA SMOOTH 7X75 214114

Facility

$640.00

Hospital Charge Code	270641923
Hospital Revenue Code	272
Min. Negotiated Rate	$96.00
Max. Negotiated Rate	$96.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00

CANNULA SMOOTH 7X75 214114

Facility

$640.00

Hospital Charge Code	270641923
Hospital Revenue Code	272
Min. Negotiated Rate	$15.42
Max. Negotiated Rate	$320.00
Rate for Payer: Aetna Commercial	$243.20
Rate for Payer: Aetna Medicare Advantage	$192.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.20
Rate for Payer: Cigna Commercial	$320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.00
Rate for Payer: Oxford Commercial	$128.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.00
Rate for Payer: UnitedHealthcare Commercial	$128.00
Rate for Payer: UnitedHealthcare Community & State	$15.42
Rate for Payer: Wellpoint Medicaid Managed Care	$16.96

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

CANNULA STAPLER 12 MM

Facility

$6,250.00

Hospital Charge Code	270691090
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.75
Rate for Payer: Aetna Commercial	$29.45
Rate for Payer: Aetna Medicare Advantage	$23.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.76
Rate for Payer: Cigna Commercial	$38.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.25
Rate for Payer: Oxford Commercial	$15.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.62
Rate for Payer: UnitedHealthcare Commercial	$15.50
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.05

CANNULA STR RF 5CM 2MM 21G

Facility

$77.50

Hospital Charge Code	270657280
Hospital Revenue Code	272
Min. Negotiated Rate	$11.62
Max. Negotiated Rate	$11.62
Rate for Payer: Qualcare PPO/HMO/WC	$11.62

CANNULA STRY 6.5 275900001

Facility

$99.25

Hospital Charge Code	270624902
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

CANNULA STRY 6.5 275900001

Facility

$99.25

Hospital Charge Code	270624902
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$43.63
Rate for Payer: Qualcare PPO/HMO/WC	$43.63

CANNULA SZ 6 INNER NON FEN

Facility

$290.85

Hospital Charge Code	270690813
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.43
Rate for Payer: Aetna Commercial	$110.52
Rate for Payer: Aetna Medicare Advantage	$87.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.17
Rate for Payer: Cigna Commercial	$145.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.25
Rate for Payer: Oxford Commercial	$58.17
Rate for Payer: Qualcare PPO/HMO/WC	$43.63
Rate for Payer: UnitedHealthcare Commercial	$58.17
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

Know your out-of-pocket cost for care.

All Charges