Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CHOLINE MAG SALIC TAB 750MG

Facility

$10.45

Hospital Charge Code	60627679
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.97
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$2.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.09
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

CHOLINESTERASE

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3035071A
Hospital Revenue Code	301
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$34.83
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.45
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

CHOLINESTERASE

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3035071A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CHOLINESTERASE

Facility

$390.00

Service Code	HCPCS 82480
Hospital Charge Code	39900470
Hospital Revenue Code	301
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
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	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CHOLINESTERASE, BLOOD

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3030046
Hospital Revenue Code	301
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$34.83
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.45
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

CHOLINESTERASE, BLOOD

Facility

$69.65

Service Code	HCPCS 82480
Hospital Charge Code	3030046
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

CHOLINESTERASE, RBC

Facility

$63.25

Service Code	HCPCS 82482
Hospital Charge Code	3030053
Hospital Revenue Code	301
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

CHOLINESTERASE, RBC

Facility

$63.25

Service Code	HCPCS 82482
Hospital Charge Code	3030053
Hospital Revenue Code	301
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$26.68
Rate for Payer: Aetna Medicare Advantage	$31.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.41
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: Cigna Medicare Advantage	$9.81
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Medicare Advantage	$9.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE,RBC (ACETYL-CHO

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38472198
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$26.68
Rate for Payer: Aetna Medicare Advantage	$31.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.41
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: Cigna Medicare Advantage	$9.81
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Medicare Advantage	$9.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$26.68
Rate for Payer: Aetna Medicare Advantage	$31.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.41
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: Cigna Medicare Advantage	$9.81
Rate for Payer: Clover Medicare Advantage	$9.32
Rate for Payer: EmblemHealth Commercial	$29.43
Rate for Payer: Humana Medicare Advantage	$10.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.81
Rate for Payer: Wellcare Medicare Advantage	$9.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

CHOLINESTERASE RBC,PL

Facility

$215.00

Service Code	HCPCS 82482
Hospital Charge Code	38479077
Hospital Revenue Code	301
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CHOLINESTERASE (SERUM)***

Facility

$35.00

Hospital Charge Code	3010790
Hospital Revenue Code	309
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

CHOLINESTERASE (SERUM)***

Facility

$35.00

Hospital Charge Code	3010790
Hospital Revenue Code	309
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

CHOLINESTERASE (SERUM)***

Facility

$38.00

Service Code	HCPCS 82480
Hospital Charge Code	3000791
Hospital Revenue Code	301
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

CHOLINESTERASE (SERUM)***

Facility

$38.00

Service Code	HCPCS 82480
Hospital Charge Code	3000791
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.41
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.41
Rate for Payer: Cigna Commercial	$73.50
Rate for Payer: Cigna Medicare Advantage	$7.87
Rate for Payer: Clover Medicare Advantage	$7.48
Rate for Payer: EmblemHealth Commercial	$23.61
Rate for Payer: Humana Medicare Advantage	$8.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.87
Rate for Payer: Wellcare Medicare Advantage	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

CHOLINESTERASE,SERUM

Facility

$147.00

Service Code	HCPCS 82480
Hospital Charge Code	38472199
Hospital Revenue Code	301
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$22.05
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$28,200.00
Max. Negotiated Rate	$45,496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00

CHONDROCYTES AUTOLOGOUS CULTRD

Facility

$188,000.00

Service Code	HCPCS J7330
Hospital Charge Code	270669117
Hospital Revenue Code	636
Min. Negotiated Rate	$4,530.80
Max. Negotiated Rate	$94,000.00
Rate for Payer: Aetna Commercial	$71,440.00
Rate for Payer: Aetna Medicare Advantage	$56,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,940.00
Rate for Payer: Cigna Commercial	$94,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45,496.00
Rate for Payer: Qualcare PPO/HMO/WC	$28,200.00
Rate for Payer: UnitedHealthcare Community & State	$4,530.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4,982.00

CHONDROFIX OC GRAFT, 11MM

Facility

$18,415.00

Hospital Charge Code	270665050
Hospital Revenue Code	270
Min. Negotiated Rate	$443.80
Max. Negotiated Rate	$9,207.50
Rate for Payer: Aetna Commercial	$6,997.70
Rate for Payer: Aetna Medicare Advantage	$5,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,695.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,695.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,695.82
Rate for Payer: Cigna Commercial	$9,207.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,524.50
Rate for Payer: Oxford Commercial	$3,683.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,762.25
Rate for Payer: UnitedHealthcare Commercial	$3,683.00
Rate for Payer: UnitedHealthcare Community & State	$443.80
Rate for Payer: Wellpoint Medicaid Managed Care	$488.00

CHONDROFIX OC GRAFT, 11MM

Facility

$18,415.00

Hospital Charge Code	270665050
Hospital Revenue Code	270
Min. Negotiated Rate	$2,762.25
Max. Negotiated Rate	$2,762.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,762.25

CHONDROITIN SOD HYALURNTE INJ

Facility

$1,010.96

Service Code	NDC 8065183905
Hospital Charge Code	60628087
Hospital Revenue Code	250
Min. Negotiated Rate	$24.36
Max. Negotiated Rate	$505.48
Rate for Payer: Aetna Commercial	$384.16
Rate for Payer: Aetna Medicare Advantage	$303.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.79
Rate for Payer: Cigna Commercial	$505.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.29
Rate for Payer: Oxford Commercial	$202.19
Rate for Payer: Qualcare PPO/HMO/WC	$151.64
Rate for Payer: UnitedHealthcare Commercial	$202.19
Rate for Payer: UnitedHealthcare Community & State	$24.36
Rate for Payer: Wellpoint Medicaid Managed Care	$26.79

CHONDROITIN SOD HYALURNTE INJ

Facility

$1,010.96

Service Code	NDC 8065183905
Hospital Charge Code	60628087
Hospital Revenue Code	250
Min. Negotiated Rate	$151.64
Max. Negotiated Rate	$151.64
Rate for Payer: Qualcare PPO/HMO/WC	$151.64

Know your out-of-pocket cost for care.

All Charges