Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CESAREAN SECTION WITH STERILIZATION WITH CC

Facility

$36,398.23

Service Code	MSDRG 784
Min. Negotiated Rate	$11,082.80
Max. Negotiated Rate	$36,398.23
Rate for Payer: Aetna Commercial	$25,267.08
Rate for Payer: Aetna Medicare Advantage	$36,398.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,726.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,726.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,666.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,726.22
Rate for Payer: Cigna Commercial	$19,838.71
Rate for Payer: Cigna Medicare Advantage	$11,666.10
Rate for Payer: Clover Medicare Advantage	$11,082.80
Rate for Payer: EmblemHealth Commercial	$34,998.30
Rate for Payer: Humana Medicare Advantage	$12,016.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,666.10
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,666.10
Rate for Payer: Wellcare Medicare Advantage	$11,666.10

CESAREAN SECTION WITH STERILIZATION WITH MCC

Facility

$81,486.97

Service Code	MSDRG 783
Min. Negotiated Rate	$20,185.00
Max. Negotiated Rate	$81,486.97
Rate for Payer: Aetna Commercial	$56,248.16
Rate for Payer: Aetna Medicare Advantage	$81,486.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,171.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,171.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,117.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,171.97
Rate for Payer: Cigna Commercial	$45,944.74
Rate for Payer: Cigna Medicare Advantage	$26,117.62
Rate for Payer: Clover Medicare Advantage	$24,811.74
Rate for Payer: EmblemHealth Commercial	$78,352.86
Rate for Payer: Humana Medicare Advantage	$26,901.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,117.62
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,117.62
Rate for Payer: Wellcare Medicare Advantage	$26,117.62

CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

Facility

$35,393.00

Service Code	MSDRG 785
Min. Negotiated Rate	$10,076.02
Max. Negotiated Rate	$35,393.00
Rate for Payer: Aetna Commercial	$22,995.15
Rate for Payer: Aetna Medicare Advantage	$33,091.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,237.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,237.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,606.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,237.07
Rate for Payer: Cigna Commercial	$17,924.27
Rate for Payer: Cigna Medicare Advantage	$10,606.34
Rate for Payer: Clover Medicare Advantage	$10,076.02
Rate for Payer: EmblemHealth Commercial	$31,819.02
Rate for Payer: Humana Medicare Advantage	$10,924.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,606.34
Rate for Payer: Oxford Commercial	$20,185.00
Rate for Payer: UnitedHealthcare Commercial	$35,393.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,606.34
Rate for Payer: Wellcare Medicare Advantage	$10,606.34

CESSJ THERAPY CATH REMOVAL

Facility

$10,333.93

Service Code	HCPCS 37214
Hospital Charge Code	7411507
Hospital Revenue Code	361
Min. Negotiated Rate	$249.05
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.18
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,550.09
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$249.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$273.85

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	5600232
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	321037214
Hospital Revenue Code	361
Min. Negotiated Rate	$960.63
Max. Negotiated Rate	$960.63
Rate for Payer: Qualcare PPO/HMO/WC	$960.63

CESSJ THERAPY CATH REMOVAL

Facility

$10,333.93

Service Code	HCPCS 37214
Hospital Charge Code	7411507
Hospital Revenue Code	361
Min. Negotiated Rate	$1,550.09
Max. Negotiated Rate	$1,550.09
Rate for Payer: Qualcare PPO/HMO/WC	$1,550.09

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	321037214
Hospital Revenue Code	361
Min. Negotiated Rate	$154.34
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,921.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$154.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$169.71

CESSJ THERAPY CATH REMOVAL

Facility

$13,241.04

Service Code	HCPCS 37214
Hospital Charge Code	2692245
Hospital Revenue Code	361
Min. Negotiated Rate	$319.11
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,972.31
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,986.16
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$319.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$350.89

CESSJ THERAPY CATH REMOVAL

Facility

$6,404.20

Service Code	HCPCS 37214
Hospital Charge Code	5600232
Hospital Revenue Code	361
Min. Negotiated Rate	$154.34
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,921.26
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$960.63
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$154.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$169.71

CESSJ THERAPY CATH REMOVAL

Facility

$13,241.04

Service Code	HCPCS 37214
Hospital Charge Code	2692245
Hospital Revenue Code	361
Min. Negotiated Rate	$1,986.16
Max. Negotiated Rate	$1,986.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,986.16

CETACAINE/56ML

Facility

$123.00

Hospital Charge Code	60632671
Hospital Revenue Code	250
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.45

CETACAINE/56ML

Facility

$123.00

Hospital Charge Code	60632671
Hospital Revenue Code	250
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$61.50
Rate for Payer: Aetna Commercial	$46.74
Rate for Payer: Aetna Medicare Advantage	$36.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.36
Rate for Payer: Cigna Commercial	$61.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.90
Rate for Payer: Oxford Commercial	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.45
Rate for Payer: UnitedHealthcare Commercial	$24.60
Rate for Payer: UnitedHealthcare Community & State	$2.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

CETACAINE SPRAY 56 G

Facility

$209.15

Hospital Charge Code	60628409W
Hospital Revenue Code	250
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$104.58
Rate for Payer: Aetna Commercial	$79.48
Rate for Payer: Aetna Medicare Advantage	$62.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.33
Rate for Payer: Cigna Commercial	$104.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.74
Rate for Payer: Oxford Commercial	$41.83
Rate for Payer: Qualcare PPO/HMO/WC	$31.37
Rate for Payer: UnitedHealthcare Commercial	$41.83
Rate for Payer: UnitedHealthcare Community & State	$5.04
Rate for Payer: Wellpoint Medicaid Managed Care	$5.54

CETACAINE SPRAY 56 G

Facility

$209.15

Hospital Charge Code	60628409W
Hospital Revenue Code	250
Min. Negotiated Rate	$31.37
Max. Negotiated Rate	$31.37
Rate for Payer: Qualcare PPO/HMO/WC	$31.37

CETACAINE SPRAY 56 GM

Facility

$185.00

Hospital Charge Code	6014021
Hospital Revenue Code	251
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

CETACAINE SPRAY 56 GM

Facility

$185.00

Hospital Charge Code	6014021
Hospital Revenue Code	251
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$70.30
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.50
Rate for Payer: Oxford Commercial	$37.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$37.00
Rate for Payer: UnitedHealthcare Community & State	$4.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.90

CETAPHIL/240ML

Facility

$28.00

Hospital Charge Code	60632672
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

CETAPHIL/240ML

Facility

$28.00

Hospital Charge Code	60632672
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

CETIRIZINE HCL TAB 10MG

Facility

$13.45

Hospital Charge Code	6027130
Hospital Revenue Code	252
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

CETIRIZINE HCL TAB 10MG

Facility

$13.45

Hospital Charge Code	6027130
Hospital Revenue Code	252
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$5.11
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$2.69
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

CETUXIMAB 100 MG/50 ML

Facility

$3,216.00

Service Code	HCPCS J9055
Hospital Charge Code	60629340
Hospital Revenue Code	636
Min. Negotiated Rate	$76.44
Max. Negotiated Rate	$778.27
Rate for Payer: Aetna Commercial	$218.85
Rate for Payer: Aetna Medicare Advantage	$260.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$80.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.44
Rate for Payer: Cigna Medicare Advantage	$80.46
Rate for Payer: Clover Medicare Advantage	$76.44
Rate for Payer: EmblemHealth Commercial	$241.38
Rate for Payer: Humana Medicare Advantage	$82.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$80.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.27
Rate for Payer: Qualcare PPO/HMO/WC	$482.40
Rate for Payer: UnitedHealthcare Community & State	$77.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$80.46
Rate for Payer: Wellcare Medicare Advantage	$80.46
Rate for Payer: Wellpoint Medicaid Managed Care	$85.22

CETUXIMAB 100 MG/50 ML

Facility

$3,216.00

Service Code	HCPCS J9055
Hospital Charge Code	60629340
Hospital Revenue Code	636
Min. Negotiated Rate	$482.40
Max. Negotiated Rate	$778.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$778.27
Rate for Payer: Qualcare PPO/HMO/WC	$482.40

CEVALIN/500MG/1ML

Facility

$13.00

Hospital Charge Code	60632673
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

CEVALIN/500MG/1ML

Facility

$13.00

Hospital Charge Code	60632673
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

Know your out-of-pocket cost for care.

All Charges