Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CHARGER KIT SENSA 2500

Facility

$5,000.00

Hospital Charge Code	270693285
Hospital Revenue Code	272
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

CHARGING SYSTEM

Facility

$6,000.00

Hospital Charge Code	270647770
Hospital Revenue Code	272
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) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,800.00
Rate for Payer: Oxford Commercial	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Commercial	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

CHARGING SYSTEM

Facility

$7,875.00

Hospital Charge Code	270675087
Hospital Revenue Code	272
Min. Negotiated Rate	$189.79
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,362.50
Rate for Payer: Oxford Commercial	$1,575.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Commercial	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$189.79
Rate for Payer: Wellpoint Medicaid Managed Care	$208.69

CHARGING SYSTEM

Facility

$7,875.00

Hospital Charge Code	270675087
Hospital Revenue Code	272
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,181.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CHARGING SYSTEM

Facility

$6,000.00

Hospital Charge Code	270647770
Hospital Revenue Code	272
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

CHARGING SYSTEM EON MINI LE

Facility

$7,875.00

Hospital Charge Code	270659616
Hospital Revenue Code	272
Min. Negotiated Rate	$189.79
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,362.50
Rate for Payer: Oxford Commercial	$1,575.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Commercial	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$189.79
Rate for Payer: Wellpoint Medicaid Managed Care	$208.69

CHARGING SYSTEM EON MINI LE

Facility

$7,875.00

Hospital Charge Code	270659616
Hospital Revenue Code	272
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,181.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CH ARGININE VASOPRESS

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	397073624
Hospital Revenue Code	301
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$38.55
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

CH ARGININE VASOPRESS

Facility

$257.00

Service Code	HCPCS 84588
Hospital Charge Code	397073624
Hospital Revenue Code	301
Min. Negotiated Rate	$6.81
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$92.32
Rate for Payer: Aetna Medicare Advantage	$109.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.51
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: Cigna Medicare Advantage	$33.94
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$27.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Medicare Advantage	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

CH ARSENIC, BLOOD

Facility

$802.00

Service Code	HCPCS 82175
Hospital Charge Code	397072030
Hospital Revenue Code	301
Min. Negotiated Rate	$120.30
Max. Negotiated Rate	$120.30
Rate for Payer: Qualcare PPO/HMO/WC	$120.30

CH ARSENIC, BLOOD

Facility

$802.00

Service Code	HCPCS 82175
Hospital Charge Code	397072030
Hospital Revenue Code	301
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$401.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.48
Rate for Payer: Cigna Commercial	$401.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$21.25

CH ARSENIC WHOLE BLOOD

Facility

$225.00

Service Code	HCPCS 82175
Hospital Charge Code	397073247
Hospital Revenue Code	301
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.48
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CH ARSENIC WHOLE BLOOD

Facility

$225.00

Service Code	HCPCS 82175
Hospital Charge Code	397073247
Hospital Revenue Code	301
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CH ARYLSULFATASE A BLOOD

Facility

$579.00

Service Code	HCPCS 82657
Hospital Charge Code	397071099
Hospital Revenue Code	301
Min. Negotiated Rate	$15.34
Max. Negotiated Rate	$289.50
Rate for Payer: Aetna Commercial	$60.30
Rate for Payer: Aetna Medicare Advantage	$71.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.03
Rate for Payer: Cigna Commercial	$289.50
Rate for Payer: Cigna Medicare Advantage	$22.17
Rate for Payer: Clover Medicare Advantage	$21.06
Rate for Payer: EmblemHealth Commercial	$66.51
Rate for Payer: Humana Medicare Advantage	$22.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$86.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.17
Rate for Payer: Wellcare Medicare Advantage	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$15.34

CH ARYLSULFATASE A BLOOD

Facility

$579.00

Service Code	HCPCS 82657
Hospital Charge Code	397071099
Hospital Revenue Code	301
Min. Negotiated Rate	$86.85
Max. Negotiated Rate	$86.85
Rate for Payer: Qualcare PPO/HMO/WC	$86.85

CH ARYLSULFATASE A RANDOM U

Facility

$594.00

Service Code	HCPCS 84311
Hospital Charge Code	397072031
Hospital Revenue Code	301
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$297.00
Rate for Payer: Aetna Commercial	$22.03
Rate for Payer: Aetna Medicare Advantage	$26.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.24
Rate for Payer: Cigna Commercial	$297.00
Rate for Payer: Cigna Medicare Advantage	$8.10
Rate for Payer: Clover Medicare Advantage	$7.70
Rate for Payer: EmblemHealth Commercial	$24.30
Rate for Payer: Humana Medicare Advantage	$8.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$89.10
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.10
Rate for Payer: Wellcare Medicare Advantage	$8.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.74

CH ARYLSULFATASE A RANDOM U

Facility

$594.00

Service Code	HCPCS 84311
Hospital Charge Code	397072031
Hospital Revenue Code	301
Min. Negotiated Rate	$89.10
Max. Negotiated Rate	$89.10
Rate for Payer: Qualcare PPO/HMO/WC	$89.10

CH ASCARIS (P1) IGE

Facility

$30.00

Service Code	HCPCS 86003
Hospital Charge Code	397071483
Hospital Revenue Code	305
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

CH ASCARIS (P1) IGE

Facility

$30.00

Service Code	HCPCS 86003
Hospital Charge Code	397071483
Hospital Revenue Code	305
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.84
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

CH ASO TITER

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	397041298
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CH ASO TITER

Facility

$390.00

Service Code	HCPCS 86060
Hospital Charge Code	397041298
Hospital Revenue Code	300
Min. Negotiated Rate	$5.84
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$19.86
Rate for Payer: Aetna Medicare Advantage	$23.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.35
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$7.30
Rate for Payer: Clover Medicare Advantage	$6.93
Rate for Payer: EmblemHealth Commercial	$21.90
Rate for Payer: Humana Medicare Advantage	$7.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.84
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.30
Rate for Payer: Wellcare Medicare Advantage	$7.30
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CH ASSAY OF VOLATILES

Facility

$116.00

Service Code	HCPCS 84600
Hospital Charge Code	397072164
Hospital Revenue Code	301
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

CH ASSAY OF VOLATILES

Facility

$116.00

Service Code	HCPCS 84600
Hospital Charge Code	397072164
Hospital Revenue Code	301
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$46.54
Rate for Payer: Aetna Medicare Advantage	$55.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.76
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$17.11
Rate for Payer: Clover Medicare Advantage	$16.25
Rate for Payer: EmblemHealth Commercial	$51.33
Rate for Payer: Humana Medicare Advantage	$17.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.11
Rate for Payer: Wellcare Medicare Advantage	$17.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

CH AST (SGOT)

Facility

$76.00

Service Code	HCPCS 84450
Hospital Charge Code	397071092
Hospital Revenue Code	301
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

CH AST (SGOT)

Facility

$76.00

Service Code	HCPCS 84450
Hospital Charge Code	397071092
Hospital Revenue Code	301
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

Know your out-of-pocket cost for care.

All Charges