Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CREAT RAND URINE

Facility

$152.65

Service Code	HCPCS 82570
Hospital Charge Code	3032060B
Hospital Revenue Code	301
Min. Negotiated Rate	$22.90
Max. Negotiated Rate	$22.90
Rate for Payer: Qualcare PPO/HMO/WC	$22.90

CRE BALLOON PULM 18-20MM

Facility

$1,575.00

Hospital Charge Code	270638730
Hospital Revenue Code	278
Min. Negotiated Rate	$37.96
Max. Negotiated Rate	$787.50
Rate for Payer: Aetna Commercial	$598.50
Rate for Payer: Aetna Medicare Advantage	$472.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$401.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$401.62
Rate for Payer: Cigna Commercial	$787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25
Rate for Payer: UnitedHealthcare Community & State	$37.96
Rate for Payer: Wellpoint Medicaid Managed Care	$41.74

CRE BALLOON PULM 18-20MM

Facility

$1,575.00

Hospital Charge Code	270638730
Hospital Revenue Code	278
Min. Negotiated Rate	$236.25
Max. Negotiated Rate	$381.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$381.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$346.50
Rate for Payer: Qualcare PPO/HMO/WC	$236.25

CRE BALLOON WG 15-18MM/240CM

Facility

$1,070.00

Hospital Charge Code	270642454
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

CRE BALLOON WG 15-18MM/240CM

Facility

$1,070.00

Hospital Charge Code	270642454
Hospital Revenue Code	272
Min. Negotiated Rate	$25.79
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.00
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$25.79
Rate for Payer: Wellpoint Medicaid Managed Care	$28.36

C.R.E. ESOPHAGEAL BALLOON

Facility

$521.00

Hospital Charge Code	270325603
Hospital Revenue Code	272
Min. Negotiated Rate	$12.56
Max. Negotiated Rate	$260.50
Rate for Payer: Aetna Commercial	$197.98
Rate for Payer: Aetna Medicare Advantage	$156.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.85
Rate for Payer: Cigna Commercial	$260.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.30
Rate for Payer: Oxford Commercial	$104.20
Rate for Payer: Qualcare PPO/HMO/WC	$78.15
Rate for Payer: UnitedHealthcare Commercial	$104.20
Rate for Payer: UnitedHealthcare Community & State	$12.56
Rate for Payer: Wellpoint Medicaid Managed Care	$13.81

C.R.E. ESOPHAGEAL BALLOON

Facility

$521.00

Hospital Charge Code	270325603
Hospital Revenue Code	272
Min. Negotiated Rate	$78.15
Max. Negotiated Rate	$78.15
Rate for Payer: Qualcare PPO/HMO/WC	$78.15

CREO SCREW SELFDRIV 6.5X50MM

Facility

$5,870.00

Service Code	HCPCS C1713
Hospital Charge Code	270693235
Hospital Revenue Code	278
Min. Negotiated Rate	$141.47
Max. Negotiated Rate	$2,935.00
Rate for Payer: Aetna Commercial	$2,230.60
Rate for Payer: Aetna Medicare Advantage	$1,761.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,496.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,496.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,496.85
Rate for Payer: Cigna Commercial	$2,935.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,291.40
Rate for Payer: Qualcare PPO/HMO/WC	$880.50
Rate for Payer: UnitedHealthcare Community & State	$141.47
Rate for Payer: Wellpoint Medicaid Managed Care	$155.56

CREO SCREW SELFDRIV 6.5X50MM

Facility

$5,870.00

Service Code	HCPCS C1713
Hospital Charge Code	270693235
Hospital Revenue Code	278
Min. Negotiated Rate	$880.50
Max. Negotiated Rate	$1,420.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,420.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,291.40
Rate for Payer: Qualcare PPO/HMO/WC	$880.50

CREP F/G/H/F, 1-2.5CM

Facility

$2,591.60

Service Code	HCPCS 13131
Hospital Charge Code	1600000786
Hospital Revenue Code	360
Min. Negotiated Rate	$62.46
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
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	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$777.48
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$388.74
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$62.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$68.68

CREP F/G/H/F, 1-2.5CM

Facility

$2,591.60

Service Code	HCPCS 13131
Hospital Charge Code	1600000786
Hospital Revenue Code	360
Min. Negotiated Rate	$388.74
Max. Negotiated Rate	$388.74
Rate for Payer: Qualcare PPO/HMO/WC	$388.74

CREP F/G/H/F,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13132
Hospital Charge Code	1600000520
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

CREP F/G/H/F,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13132
Hospital Charge Code	1600000520
Hospital Revenue Code	360
Min. Negotiated Rate	$117.19
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.81
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$117.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1,037.98

CREP H/A/G/EXTR; EA ADD 5 CM/<

Facility

$2,929.20

Service Code	HCPCS 13133
Hospital Charge Code	16000531
Hospital Revenue Code	360
Min. Negotiated Rate	$70.59
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,113.10
Rate for Payer: Aetna Medicare Advantage	$878.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.95
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	$746.95
Rate for Payer: Cigna Commercial	$1,464.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.76
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$439.38
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$70.59

CREP H/A/G/EXTR; EA ADD 5 CM/<

Facility

$2,929.20

Service Code	HCPCS 13133
Hospital Charge Code	16000531
Hospital Revenue Code	360
Min. Negotiated Rate	$439.38
Max. Negotiated Rate	$439.38
Rate for Payer: Qualcare PPO/HMO/WC	$439.38

CREP S/A/L,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13121
Hospital Charge Code	160000237
Hospital Revenue Code	360
Min. Negotiated Rate	$117.19
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.81
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$117.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$128.86

CREP S/A/L,2.6-7.5CM

Facility

$4,862.70

Service Code	HCPCS 13121
Hospital Charge Code	160000237
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

C REP S/A/L,EA ADD 5 CM/<

Facility

$4,862.70

Service Code	HCPCS 13122
Hospital Charge Code	160000238
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

C REP S/A/L,EA ADD 5 CM/<

Facility

$4,862.70

Service Code	HCPCS 13122
Hospital Charge Code	160000238
Hospital Revenue Code	360
Min. Negotiated Rate	$117.19
Max. Negotiated Rate	$2,431.35
Rate for Payer: Aetna Commercial	$1,847.83
Rate for Payer: Aetna Medicare Advantage	$1,458.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,239.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,239.99
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	$1,239.99
Rate for Payer: Cigna Commercial	$2,431.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.81
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$117.19

CRESCENTIC BLADE 12MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674686
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENTIC BLADE 12MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674686
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 15MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674687
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 15MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674687
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENTIC BLADE 18MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674688
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 18MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674688
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

Know your out-of-pocket cost for care.

All Charges