Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	73662007
Hospital Revenue Code	361
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.06
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.53
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.52

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	321736592
Hospital Revenue Code	361
Min. Negotiated Rate	$15.03
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.06
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.53
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$15.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.52

COLLECT BLOOD CVL/PICC

Facility

$623.55

Service Code	HCPCS 36592
Hospital Charge Code	73662007
Hospital Revenue Code	361
Min. Negotiated Rate	$93.53
Max. Negotiated Rate	$93.53
Rate for Payer: Qualcare PPO/HMO/WC	$93.53

Collect Blood From Picc or CVC

Facility

$335.40

Service Code	HCPCS 36592
Hospital Charge Code	5600136
Hospital Revenue Code	361
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.62
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.31
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$8.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$8.89

Collect Blood From Picc or CVC

Facility

$335.40

Service Code	HCPCS 36592
Hospital Charge Code	5600136
Hospital Revenue Code	361
Min. Negotiated Rate	$50.31
Max. Negotiated Rate	$50.31
Rate for Payer: Qualcare PPO/HMO/WC	$50.31

COLLECT BLOOD FROM PICC OR CVC

Facility

$335.40

Service Code	HCPCS 36592
Hospital Charge Code	7411473
Hospital Revenue Code	361
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
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	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.62
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.31
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$8.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$8.89

COLLECT BLOOD FROM PICC OR CVC

Facility

$335.40

Service Code	HCPCS 36592
Hospital Charge Code	7411473
Hospital Revenue Code	361
Min. Negotiated Rate	$50.31
Max. Negotiated Rate	$50.31
Rate for Payer: Qualcare PPO/HMO/WC	$50.31

COLLECTION BLOODSTREAM CP210

Facility

$450.45

Hospital Charge Code	270610534
Hospital Revenue Code	270
Min. Negotiated Rate	$10.86
Max. Negotiated Rate	$225.22
Rate for Payer: Aetna Commercial	$171.17
Rate for Payer: Aetna Medicare Advantage	$135.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.86
Rate for Payer: Cigna Commercial	$225.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.13
Rate for Payer: Oxford Commercial	$90.09
Rate for Payer: Qualcare PPO/HMO/WC	$67.57
Rate for Payer: UnitedHealthcare Commercial	$90.09
Rate for Payer: UnitedHealthcare Community & State	$10.86
Rate for Payer: Wellpoint Medicaid Managed Care	$11.94

COLLECTION BLOODSTREAM CP210

Facility

$450.45

Hospital Charge Code	270610534
Hospital Revenue Code	270
Min. Negotiated Rate	$67.57
Max. Negotiated Rate	$67.57
Rate for Payer: Qualcare PPO/HMO/WC	$67.57

COLLECTION BONE DUST BONE VAC

Facility

$6,420.00

Hospital Charge Code	270691627
Hospital Revenue Code	272
Min. Negotiated Rate	$963.00
Max. Negotiated Rate	$963.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00

COLLECTION BONE DUST BONE VAC

Facility

$6,420.00

Hospital Charge Code	270691627
Hospital Revenue Code	272
Min. Negotiated Rate	$154.72
Max. Negotiated Rate	$3,210.00
Rate for Payer: Aetna Commercial	$2,439.60
Rate for Payer: Aetna Medicare Advantage	$1,926.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,637.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,637.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,637.10
Rate for Payer: Cigna Commercial	$3,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,926.00
Rate for Payer: Oxford Commercial	$1,284.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00
Rate for Payer: UnitedHealthcare Commercial	$1,284.00
Rate for Payer: UnitedHealthcare Community & State	$154.72
Rate for Payer: Wellpoint Medicaid Managed Care	$170.13

COLLECTION BOTTLE CAPS

Facility

$27.00

Hospital Charge Code	270653359
Hospital Revenue Code	270
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.10
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

COLLECTION BOTTLE CAPS

Facility

$27.00

Hospital Charge Code	270653359
Hospital Revenue Code	270
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

COLLECTION CAP BLOOD SPECIMEN

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	980833
Hospital Revenue Code	300
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

COLLECTION CAP BLOOD SPECIMEN

Facility

$390.00

Service Code	HCPCS 36416
Hospital Charge Code	980833
Hospital Revenue Code	300
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

COLLECTION REPLACEMENT ZIM****

Facility

$144.00

Hospital Charge Code	1606367
Hospital Revenue Code	279
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$72.00
Rate for Payer: Aetna Commercial	$54.72
Rate for Payer: Aetna Medicare Advantage	$43.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.72
Rate for Payer: Cigna Commercial	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.20
Rate for Payer: Oxford Commercial	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$21.60
Rate for Payer: UnitedHealthcare Commercial	$28.80
Rate for Payer: UnitedHealthcare Community & State	$3.47
Rate for Payer: Wellpoint Medicaid Managed Care	$3.82

COLLECTION REPLACEMENT ZIM****

Facility

$144.00

Hospital Charge Code	1606367
Hospital Revenue Code	279
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$21.60

COLLECTION RESERVOIR SOR300

Facility

$328.75

Hospital Charge Code	270616335
Hospital Revenue Code	272
Min. Negotiated Rate	$49.31
Max. Negotiated Rate	$49.31
Rate for Payer: Qualcare PPO/HMO/WC	$49.31

COLLECTION RESERVOIR SOR300

Facility

$328.75

Hospital Charge Code	270616335
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$164.38
Rate for Payer: Aetna Commercial	$124.92
Rate for Payer: Aetna Medicare Advantage	$98.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.83
Rate for Payer: Cigna Commercial	$164.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.62
Rate for Payer: Oxford Commercial	$65.75
Rate for Payer: Qualcare PPO/HMO/WC	$49.31
Rate for Payer: UnitedHealthcare Commercial	$65.75
Rate for Payer: UnitedHealthcare Community & State	$7.92
Rate for Payer: Wellpoint Medicaid Managed Care	$8.71

COLLECTION SYSTEM SAFETOUCH BE

Facility

$1,001.85

Hospital Charge Code	270664262
Hospital Revenue Code	270
Min. Negotiated Rate	$150.28
Max. Negotiated Rate	$150.28
Rate for Payer: Qualcare PPO/HMO/WC	$150.28

COLLECTION SYSTEM SAFETOUCH BE

Facility

$1,001.85

Hospital Charge Code	270664262
Hospital Revenue Code	270
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$500.93
Rate for Payer: Aetna Commercial	$380.70
Rate for Payer: Aetna Medicare Advantage	$300.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.47
Rate for Payer: Cigna Commercial	$500.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.56
Rate for Payer: Oxford Commercial	$200.37
Rate for Payer: Qualcare PPO/HMO/WC	$150.28
Rate for Payer: UnitedHealthcare Commercial	$200.37
Rate for Payer: UnitedHealthcare Community & State	$24.14
Rate for Payer: Wellpoint Medicaid Managed Care	$26.55

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
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

COLLECTOR SHARPS 7.5 QTS.

Facility

$28.00

Hospital Charge Code	270331166
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
Hospital Revenue Code	270
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

COLLECTOR URINE MID-STREAM

Facility

$5.83

Hospital Charge Code	270301890
Hospital Revenue Code	270
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

Know your out-of-pocket cost for care.

All Charges