Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$244.24
Max. Negotiated Rate	$5,067.15
Rate for Payer: Aetna Commercial	$3,851.03
Rate for Payer: Aetna Medicare Advantage	$3,040.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,584.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,584.25
Rate for Payer: Cigna Commercial	$5,067.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,040.29
Rate for Payer: Oxford Commercial	$2,026.86
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14
Rate for Payer: UnitedHealthcare Commercial	$2,026.86
Rate for Payer: UnitedHealthcare Community & State	$244.24
Rate for Payer: Wellpoint Medicaid Managed Care	$268.56

COLLET LARGE 3.0- 4.2 MM

Facility

$10,134.30

Hospital Charge Code	270688342
Hospital Revenue Code	272
Min. Negotiated Rate	$1,520.14
Max. Negotiated Rate	$1,520.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,520.14

COLLET REPLACEMENT HANDLE

Facility

$35.00

Hospital Charge Code	270667383
Hospital Revenue Code	270
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
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	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

COLLET REPLACEMENT HANDLE

Facility

$35.00

Hospital Charge Code	270667383
Hospital Revenue Code	270
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

COLL FEE VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	3008605
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

COLL FEE VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	3008605
Hospital Revenue Code	300
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.40
Rate for Payer: Aetna Medicare Advantage	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.71
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Medicare Advantage	$9.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

COLLODION FLEXIBLE LIQ 120ML

Facility

$64.00

Hospital Charge Code	6009526
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

COLLODION FLEXIBLE LIQ 120ML

Facility

$64.00

Hospital Charge Code	6009526
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

COLLODION SOL

Facility

$37.15

Hospital Charge Code	60628559
Hospital Revenue Code	250
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

COLLODION SOL

Facility

$37.15

Hospital Charge Code	60628559
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$14.12
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.14
Rate for Payer: Oxford Commercial	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$7.43
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

COLLODION SOL 120ML

Facility

$37.15

Hospital Charge Code	60628596
Hospital Revenue Code	250
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

COLLODION SOL 120ML

Facility

$37.15

Hospital Charge Code	60628596
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.57
Rate for Payer: Aetna Commercial	$14.12
Rate for Payer: Aetna Medicare Advantage	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.47
Rate for Payer: Cigna Commercial	$18.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.14
Rate for Payer: Oxford Commercial	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Commercial	$7.43
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

COLLOIDAL OATMEAL 100% SKIN PR

Facility

$4.00

Service Code	NDC 8137003662
Hospital Charge Code	6063943191
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

COLLOIDAL OATMEAL BATH THREAT

Facility

$52.85

Hospital Charge Code	60628442
Hospital Revenue Code	250
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

COLLOIDAL OATMEAL BATH THREAT

Facility

$52.85

Hospital Charge Code	60628442
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

COLLOIDAL OATMEAL MIN OIL BATH

Facility

$42.25

Hospital Charge Code	60628443
Hospital Revenue Code	250
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

COLLOIDAL OATMEAL MIN OIL BATH

Facility

$42.25

Hospital Charge Code	60628443
Hospital Revenue Code	250
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.68
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.45
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$1,312.76
Max. Negotiated Rate	$1,312.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76

COLNSCPY FLX W REM LES HBF/BPC

Facility

$8,751.70

Service Code	HCPCS 45384
Hospital Charge Code	16000747
Hospital Revenue Code	360
Min. Negotiated Rate	$210.92
Max. Negotiated Rate	$5,311.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,131.69
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.51
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$210.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$231.92

COLOGAN SHIELD

Facility

$1,698.65

Hospital Charge Code	270663604
Hospital Revenue Code	270
Min. Negotiated Rate	$254.80
Max. Negotiated Rate	$254.80
Rate for Payer: Qualcare PPO/HMO/WC	$254.80

COLOGAN SHIELD

Facility

$1,698.65

Hospital Charge Code	270663604
Hospital Revenue Code	270
Min. Negotiated Rate	$40.94
Max. Negotiated Rate	$849.33
Rate for Payer: Aetna Commercial	$645.49
Rate for Payer: Aetna Medicare Advantage	$509.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.16
Rate for Payer: Cigna Commercial	$849.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$509.60
Rate for Payer: Oxford Commercial	$339.73
Rate for Payer: Qualcare PPO/HMO/WC	$254.80
Rate for Payer: UnitedHealthcare Commercial	$339.73
Rate for Payer: UnitedHealthcare Community & State	$40.94
Rate for Payer: Wellpoint Medicaid Managed Care	$45.01

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$184.11
Max. Negotiated Rate	$3,819.65
Rate for Payer: Aetna Commercial	$2,902.93
Rate for Payer: Aetna Medicare Advantage	$2,291.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,948.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,948.02
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	$1,948.02
Rate for Payer: Cigna Commercial	$3,819.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,291.79
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89
Rate for Payer: UnitedHealthcare Community & State	$184.11
Rate for Payer: Wellpoint Medicaid Managed Care	$202.44

COLONO.DIAGN.VIA COLOST.W/WOBR

Facility

$7,639.30

Hospital Charge Code	16000150
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.89
Max. Negotiated Rate	$1,145.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,145.89

COLONOSCOPE SUBMUCOUS INJ

Facility

$8,751.70

Service Code	HCPCS 45381
Hospital Charge Code	16000367
Hospital Revenue Code	360
Min. Negotiated Rate	$210.92
Max. Negotiated Rate	$5,311.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,131.69
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.51
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.76
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$210.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$231.92

Know your out-of-pocket cost for care.

All Charges