Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CROSSOVER #6 1740.22.060

Facility

$5,877.65

Hospital Charge Code	270629835
Hospital Revenue Code	272
Min. Negotiated Rate	$141.65
Max. Negotiated Rate	$2,938.82
Rate for Payer: Aetna Commercial	$2,233.51
Rate for Payer: Aetna Medicare Advantage	$1,763.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,498.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,498.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,498.80
Rate for Payer: Cigna Commercial	$2,938.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,763.30
Rate for Payer: Oxford Commercial	$1,175.53
Rate for Payer: Qualcare PPO/HMO/WC	$881.65
Rate for Payer: UnitedHealthcare Commercial	$1,175.53
Rate for Payer: UnitedHealthcare Community & State	$141.65
Rate for Payer: Wellpoint Medicaid Managed Care	$155.76

CROSSPIN ATK ACL 50 905855

Facility

$2,018.75

Hospital Charge Code	270627984
Hospital Revenue Code	272
Min. Negotiated Rate	$48.65
Max. Negotiated Rate	$1,009.38
Rate for Payer: Aetna Commercial	$767.12
Rate for Payer: Aetna Medicare Advantage	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.78
Rate for Payer: Cigna Commercial	$1,009.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$605.62
Rate for Payer: Oxford Commercial	$403.75
Rate for Payer: Qualcare PPO/HMO/WC	$302.81
Rate for Payer: UnitedHealthcare Commercial	$403.75
Rate for Payer: UnitedHealthcare Community & State	$48.65
Rate for Payer: Wellpoint Medicaid Managed Care	$53.50

CROSSPIN ATK ACL 50 905855

Facility

$2,018.75

Hospital Charge Code	270627984
Hospital Revenue Code	272
Min. Negotiated Rate	$302.81
Max. Negotiated Rate	$302.81
Rate for Payer: Qualcare PPO/HMO/WC	$302.81

CROTAMITON 10% LOTION

Facility

$437.85

Hospital Charge Code	60628348
Hospital Revenue Code	250
Min. Negotiated Rate	$65.68
Max. Negotiated Rate	$65.68
Rate for Payer: Qualcare PPO/HMO/WC	$65.68

CROTAMITON 10% LOTION

Facility

$437.85

Hospital Charge Code	60628348
Hospital Revenue Code	250
Min. Negotiated Rate	$10.55
Max. Negotiated Rate	$218.93
Rate for Payer: Aetna Commercial	$166.38
Rate for Payer: Aetna Medicare Advantage	$131.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.65
Rate for Payer: Cigna Commercial	$218.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.35
Rate for Payer: Oxford Commercial	$87.57
Rate for Payer: Qualcare PPO/HMO/WC	$65.68
Rate for Payer: UnitedHealthcare Commercial	$87.57
Rate for Payer: UnitedHealthcare Community & State	$10.55
Rate for Payer: Wellpoint Medicaid Managed Care	$11.60

CROTAMITON TOP 10% 60ML

Facility

$82.60

Hospital Charge Code	6001440
Hospital Revenue Code	252
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$41.30
Rate for Payer: Aetna Commercial	$31.39
Rate for Payer: Aetna Medicare Advantage	$24.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.06
Rate for Payer: Cigna Commercial	$41.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.78
Rate for Payer: Oxford Commercial	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$12.39
Rate for Payer: UnitedHealthcare Commercial	$16.52
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

CROTAMITON TOP 10% 60ML

Facility

$82.60

Hospital Charge Code	6001440
Hospital Revenue Code	252
Min. Negotiated Rate	$12.39
Max. Negotiated Rate	$12.39
Rate for Payer: Qualcare PPO/HMO/WC	$12.39

CROUCH CORNEAL PROTECTOR

Facility

$77.00

Hospital Charge Code	270332125
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$38.50
Rate for Payer: Aetna Commercial	$29.26
Rate for Payer: Aetna Medicare Advantage	$23.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.64
Rate for Payer: Cigna Commercial	$38.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.10
Rate for Payer: Oxford Commercial	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.55
Rate for Payer: UnitedHealthcare Commercial	$15.40
Rate for Payer: UnitedHealthcare Community & State	$1.86
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

CROUCH CORNEAL PROTECTOR

Facility

$77.00

Hospital Charge Code	270332125
Hospital Revenue Code	272
Min. Negotiated Rate	$11.55
Max. Negotiated Rate	$11.55
Rate for Payer: Qualcare PPO/HMO/WC	$11.55

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$14.18
Max. Negotiated Rate	$14.18
Rate for Payer: Qualcare PPO/HMO/WC	$14.18

CROUPETTE

Facility

$94.54

Hospital Charge Code	270655477
Hospital Revenue Code	270
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.27
Rate for Payer: Aetna Commercial	$35.93
Rate for Payer: Aetna Medicare Advantage	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.11
Rate for Payer: Cigna Commercial	$47.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.36
Rate for Payer: Oxford Commercial	$18.91
Rate for Payer: Qualcare PPO/HMO/WC	$14.18
Rate for Payer: UnitedHealthcare Commercial	$18.91
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.51

CRP CARD

Facility

$33.65

Service Code	HCPCS 86141
Hospital Charge Code	3004729
Hospital Revenue Code	302
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

CRP CARD

Facility

$33.65

Service Code	HCPCS 86141
Hospital Charge Code	3004729
Hospital Revenue Code	302
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.75
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.75
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.46

CRP,CARDIO,HIGH-SENSITIVE

Facility

$93.00

Service Code	HCPCS 86141
Hospital Charge Code	38476300
Hospital Revenue Code	302
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810185
Hospital Revenue Code	914
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$282.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810150
Hospital Revenue Code	914
Min. Negotiated Rate	$45.31
Max. Negotiated Rate	$939.99
Rate for Payer: Aetna Commercial	$714.39
Rate for Payer: Aetna Medicare Advantage	$563.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.39
Rate for Payer: Cigna Commercial	$939.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.99
Rate for Payer: Qualcare PPO/HMO/WC	$282.00
Rate for Payer: UnitedHealthcare Community & State	$45.31
Rate for Payer: Wellpoint Medicaid Managed Care	$49.82

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810150
Hospital Revenue Code	914
Min. Negotiated Rate	$282.00
Max. Negotiated Rate	$282.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.00

CRSIS PSYCH EACH ADD 30MIN

Facility

$1,879.97

Service Code	HCPCS 90840
Hospital Charge Code	94810185
Hospital Revenue Code	914
Min. Negotiated Rate	$45.31
Max. Negotiated Rate	$939.99
Rate for Payer: Aetna Commercial	$714.39
Rate for Payer: Aetna Medicare Advantage	$563.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.39
Rate for Payer: Cigna Commercial	$939.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.99
Rate for Payer: Qualcare PPO/HMO/WC	$282.00
Rate for Payer: UnitedHealthcare Community & State	$45.31
Rate for Payer: Wellpoint Medicaid Managed Care	$49.82

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$217.02
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$3,421.90
Rate for Payer: Aetna Medicare Advantage	$2,701.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,296.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,296.28
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	$2,296.28
Rate for Payer: Cigna Commercial	$4,502.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,701.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$217.02
Rate for Payer: Wellpoint Medicaid Managed Care	$238.63

CRT PECARDIAL WNDW/PARTL RESEC

Facility

$9,005.00

Service Code	HCPCS 33025
Hospital Charge Code	16000934
Hospital Revenue Code	360
Min. Negotiated Rate	$1,350.75
Max. Negotiated Rate	$1,350.75
Rate for Payer: Qualcare PPO/HMO/WC	$1,350.75

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$1,658.38
Max. Negotiated Rate	$2,675.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,432.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38

CRUCIATE RETAIN FEMORAL SZ4 RT

Facility

$11,055.90

Service Code	HCPCS C1776
Hospital Charge Code	270690856
Hospital Revenue Code	278
Min. Negotiated Rate	$266.45
Max. Negotiated Rate	$5,527.95
Rate for Payer: Aetna Commercial	$4,201.24
Rate for Payer: Aetna Medicare Advantage	$3,316.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,819.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,211.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,819.25
Rate for Payer: Cigna Commercial	$5,527.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,675.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,432.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,658.38
Rate for Payer: UnitedHealthcare Community & State	$266.45
Rate for Payer: Wellpoint Medicaid Managed Care	$292.98

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

CRUSH MIX 1CC

Facility

$1,975.00

Service Code	HCPCS C1765
Hospital Charge Code	270704511
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

Know your out-of-pocket cost for care.

All Charges