Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CIRCUIT VENTILATOR***

Facility

$19.00

Hospital Charge Code	9501149
Hospital Revenue Code	279
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$7.22
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.70
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$3.80
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

CIRCUIT VENTILATOR***

Facility

$19.00

Hospital Charge Code	9501149
Hospital Revenue Code	279
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

CIRCUIT VENTILATOR ADULT WIRE

Facility

$128.66

Hospital Charge Code	270655447
Hospital Revenue Code	270
Min. Negotiated Rate	$19.30
Max. Negotiated Rate	$19.30
Rate for Payer: Qualcare PPO/HMO/WC	$19.30

CIRCUIT VENTILATOR ADULT WIRE

Facility

$128.66

Hospital Charge Code	270655447
Hospital Revenue Code	270
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.33
Rate for Payer: Aetna Commercial	$48.89
Rate for Payer: Aetna Medicare Advantage	$38.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.81
Rate for Payer: Cigna Commercial	$64.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.60
Rate for Payer: Oxford Commercial	$25.73
Rate for Payer: Qualcare PPO/HMO/WC	$19.30
Rate for Payer: UnitedHealthcare Commercial	$25.73
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

CIRCUIT VENTILATOR BIPAP

Facility

$33.45

Hospital Charge Code	270655449
Hospital Revenue Code	270
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.73
Rate for Payer: Aetna Commercial	$12.71
Rate for Payer: Aetna Medicare Advantage	$10.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.53
Rate for Payer: Cigna Commercial	$16.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.04
Rate for Payer: Oxford Commercial	$6.69
Rate for Payer: Qualcare PPO/HMO/WC	$5.02
Rate for Payer: UnitedHealthcare Commercial	$6.69
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

CIRCUIT VENTILATOR BIPAP

Facility

$33.45

Hospital Charge Code	270655449
Hospital Revenue Code	270
Min. Negotiated Rate	$5.02
Max. Negotiated Rate	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$5.02

CIRCUIT VENTILATOR PEDIATRIC

Facility

$41.13

Hospital Charge Code	270643263
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$20.57
Rate for Payer: Aetna Commercial	$15.63
Rate for Payer: Aetna Medicare Advantage	$12.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.49
Rate for Payer: Cigna Commercial	$20.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.34
Rate for Payer: Oxford Commercial	$8.23
Rate for Payer: Qualcare PPO/HMO/WC	$6.17
Rate for Payer: UnitedHealthcare Commercial	$8.23
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

CIRCUIT VENTILATOR PEDIATRIC

Facility

$41.13

Hospital Charge Code	270643263
Hospital Revenue Code	270
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$6.17
Rate for Payer: Qualcare PPO/HMO/WC	$6.17

CIRCUIT VENTILATOR PORT 003764

Facility

$267.90

Hospital Charge Code	270636549
Hospital Revenue Code	272
Min. Negotiated Rate	$40.19
Max. Negotiated Rate	$40.19
Rate for Payer: Qualcare PPO/HMO/WC	$40.19

CIRCUIT VENTILATOR PORT 003764

Facility

$267.90

Hospital Charge Code	270636549
Hospital Revenue Code	272
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$133.95
Rate for Payer: Aetna Commercial	$101.80
Rate for Payer: Aetna Medicare Advantage	$80.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.31
Rate for Payer: Cigna Commercial	$133.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.37
Rate for Payer: Oxford Commercial	$53.58
Rate for Payer: Qualcare PPO/HMO/WC	$40.19
Rate for Payer: UnitedHealthcare Commercial	$53.58
Rate for Payer: UnitedHealthcare Community & State	$6.46
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

CIRCUIT VENTILATOR SET-UP

Facility

$11.87

Hospital Charge Code	270604475
Hospital Revenue Code	270
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.93
Rate for Payer: Aetna Commercial	$4.51
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.56
Rate for Payer: Oxford Commercial	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$2.37
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

CIRCUIT VENTILATOR SET-UP

Facility

$11.87

Hospital Charge Code	270604475
Hospital Revenue Code	270
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

CIRCUIT VENT MRI 20FT DISPOSE

Facility

$396.85

Hospital Charge Code	270636410
Hospital Revenue Code	272
Min. Negotiated Rate	$9.56
Max. Negotiated Rate	$198.43
Rate for Payer: Aetna Commercial	$150.80
Rate for Payer: Aetna Medicare Advantage	$119.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.20
Rate for Payer: Cigna Commercial	$198.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.06
Rate for Payer: Oxford Commercial	$79.37
Rate for Payer: Qualcare PPO/HMO/WC	$59.53
Rate for Payer: UnitedHealthcare Commercial	$79.37
Rate for Payer: UnitedHealthcare Community & State	$9.56
Rate for Payer: Wellpoint Medicaid Managed Care	$10.52

CIRCUIT VENT MRI 20FT DISPOSE

Facility

$396.85

Hospital Charge Code	270636410
Hospital Revenue Code	272
Min. Negotiated Rate	$59.53
Max. Negotiated Rate	$59.53
Rate for Payer: Qualcare PPO/HMO/WC	$59.53

CIRCUIT VENT PEDS DISPOSABLE

Facility

$52.15

Hospital Charge Code	270636411
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

CIRCUIT VENT PEDS DISPOSABLE

Facility

$52.15

Hospital Charge Code	270636411
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$26.07
Rate for Payer: Aetna Commercial	$19.82
Rate for Payer: Aetna Medicare Advantage	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.30
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.64
Rate for Payer: Oxford Commercial	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CIRCULATING ANTICOAGULANT

Facility

$268.00

Service Code	HCPCS 85300
Hospital Charge Code	38478072
Hospital Revenue Code	305
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$134.00
Rate for Payer: Aetna Commercial	$32.23
Rate for Payer: Aetna Medicare Advantage	$38.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.77
Rate for Payer: Cigna Commercial	$134.00
Rate for Payer: Cigna Medicare Advantage	$11.85
Rate for Payer: Clover Medicare Advantage	$11.26
Rate for Payer: EmblemHealth Commercial	$35.55
Rate for Payer: Humana Medicare Advantage	$12.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.85
Rate for Payer: Wellcare Medicare Advantage	$11.85
Rate for Payer: Wellpoint Medicaid Managed Care	$7.10

CIRCULATING ANTICOAGULANT

Facility

$268.00

Service Code	HCPCS 85300
Hospital Charge Code	38478072
Hospital Revenue Code	305
Min. Negotiated Rate	$40.20
Max. Negotiated Rate	$40.20
Rate for Payer: Qualcare PPO/HMO/WC	$40.20

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$73,655.43

Service Code	MSDRG 286
Min. Negotiated Rate	$22,427.13
Max. Negotiated Rate	$73,655.43
Rate for Payer: Aetna Commercial	$50,867.01
Rate for Payer: Aetna Medicare Advantage	$73,655.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,243.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,243.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,607.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,243.76
Rate for Payer: Cigna Commercial	$41,410.34
Rate for Payer: Cigna Medicare Advantage	$23,607.51
Rate for Payer: Clover Medicare Advantage	$22,427.13
Rate for Payer: EmblemHealth Commercial	$70,822.53
Rate for Payer: Humana Medicare Advantage	$24,315.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,607.51
Rate for Payer: Oxford Commercial	$29,762.16
Rate for Payer: UnitedHealthcare Commercial	$52,188.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,607.51
Rate for Payer: Wellcare Medicare Advantage	$23,607.51

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC

Facility

$36,721.46

Service Code	MSDRG 287
Min. Negotiated Rate	$11,181.22
Max. Negotiated Rate	$36,721.46
Rate for Payer: Aetna Commercial	$25,489.17
Rate for Payer: Aetna Medicare Advantage	$36,721.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,121.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,121.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,769.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,121.88
Rate for Payer: Cigna Commercial	$20,025.85
Rate for Payer: Cigna Medicare Advantage	$11,769.70
Rate for Payer: Clover Medicare Advantage	$11,181.22
Rate for Payer: EmblemHealth Commercial	$35,309.10
Rate for Payer: Humana Medicare Advantage	$12,122.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,769.70
Rate for Payer: Oxford Commercial	$14,392.84
Rate for Payer: UnitedHealthcare Commercial	$25,238.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,769.70
Rate for Payer: Wellcare Medicare Advantage	$11,769.70

CIRCUMCISION

Facility

$160.00

Hospital Charge Code	1800028
Hospital Revenue Code	361
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CIRCUMCISION

Facility

$160.00

Hospital Charge Code	1800028
Hospital Revenue Code	361
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
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	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

CIRCUMCISION BY CLAMP

Facility

$9,810.16

Service Code	HCPCS 54150
Hospital Charge Code	83091010
Hospital Revenue Code	723
Min. Negotiated Rate	$116.16
Max. Negotiated Rate	$8,964.44
Rate for Payer: Aetna Commercial	$6,754.93
Rate for Payer: Aetna Medicare Advantage	$8,046.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,964.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2,483.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,964.44
Rate for Payer: Cigna Commercial	$4,978.04
Rate for Payer: Cigna Medicare Advantage	$2,483.43
Rate for Payer: Clover Medicare Advantage	$2,359.26
Rate for Payer: EmblemHealth Commercial	$7,450.29
Rate for Payer: Humana Medicare Advantage	$2,557.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2,483.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,943.05
Rate for Payer: Oxford Commercial	$1,962.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,471.52
Rate for Payer: UnitedHealthcare Commercial	$1,962.03
Rate for Payer: UnitedHealthcare Community & State	$236.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,483.43
Rate for Payer: Wellcare Medicare Advantage	$2,483.43
Rate for Payer: Wellpoint Medicaid Managed Care	$259.97

CIRCUMCISION BY CLAMP

Facility

$9,810.16

Service Code	HCPCS 54150
Hospital Charge Code	83091010
Hospital Revenue Code	723
Min. Negotiated Rate	$1,471.52
Max. Negotiated Rate	$1,471.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,471.52

CIRCUMCISION-BY CLAMP

Facility

$9,810.16

Service Code	HCPCS 54150
Hospital Charge Code	83080015
Hospital Revenue Code	361
Min. Negotiated Rate	$1,471.52
Max. Negotiated Rate	$1,471.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,471.52

Know your out-of-pocket cost for care.

All Charges