Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUTTING LOOP FOR RESECTOSCOPE

Facility

$626.00

Hospital Charge Code	270332325
Hospital Revenue Code	272
Min. Negotiated Rate	$93.90
Max. Negotiated Rate	$93.90
Rate for Payer: Qualcare PPO/HMO/WC	$93.90

CUTTING WHEEL

Facility

$351.00

Hospital Charge Code	270335566
Hospital Revenue Code	270
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

CUTTING WHEEL

Facility

$351.00

Hospital Charge Code	270335566
Hospital Revenue Code	270
Min. Negotiated Rate	$8.46
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$133.38
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$70.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$70.20
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.57
Rate for Payer: Oxford Commercial	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

CUVETTE CLOTTING TIME TEST

Facility

$19.74

Hospital Charge Code	270632189N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.96

CUVETTE CLOTTING TIME TEST

Facility

$19.74

Hospital Charge Code	270632189N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$9.87
Rate for Payer: Aetna Commercial	$7.50
Rate for Payer: Aetna Medicare Advantage	$5.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.03
Rate for Payer: Cigna Commercial	$9.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.92
Rate for Payer: Oxford Commercial	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$2.96
Rate for Payer: UnitedHealthcare Commercial	$3.95
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.28
Rate for Payer: Aetna Commercial	$7.05
Rate for Payer: Aetna Medicare Advantage	$5.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.73
Rate for Payer: Cigna Commercial	$9.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.57
Rate for Payer: Oxford Commercial	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$2.78
Rate for Payer: UnitedHealthcare Commercial	$3.71
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

CUVETTE CLOTTING TIME TEST

Facility

$18.56

Hospital Charge Code	270632189S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$2.78
Rate for Payer: Qualcare PPO/HMO/WC	$2.78

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423S
Hospital Revenue Code	270
Min. Negotiated Rate	$293.25
Max. Negotiated Rate	$293.25
Rate for Payer: Qualcare PPO/HMO/WC	$293.25

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423
Hospital Revenue Code	270
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$977.50
Rate for Payer: Aetna Commercial	$742.90
Rate for Payer: Aetna Medicare Advantage	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.52
Rate for Payer: Cigna Commercial	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.50
Rate for Payer: Oxford Commercial	$391.00
Rate for Payer: Qualcare PPO/HMO/WC	$293.25
Rate for Payer: UnitedHealthcare Commercial	$391.00
Rate for Payer: UnitedHealthcare Community & State	$47.12
Rate for Payer: Wellpoint Medicaid Managed Care	$51.81

CUVETTES

Facility

$169.06

Hospital Charge Code	270655423N
Hospital Revenue Code	270
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$84.53
Rate for Payer: Aetna Commercial	$64.24
Rate for Payer: Aetna Medicare Advantage	$50.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.11
Rate for Payer: Cigna Commercial	$84.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.72
Rate for Payer: Oxford Commercial	$33.81
Rate for Payer: Qualcare PPO/HMO/WC	$25.36
Rate for Payer: UnitedHealthcare Commercial	$33.81
Rate for Payer: UnitedHealthcare Community & State	$4.07
Rate for Payer: Wellpoint Medicaid Managed Care	$4.48

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423S
Hospital Revenue Code	270
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$977.50
Rate for Payer: Aetna Commercial	$742.90
Rate for Payer: Aetna Medicare Advantage	$586.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.52
Rate for Payer: Cigna Commercial	$977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.50
Rate for Payer: Oxford Commercial	$391.00
Rate for Payer: Qualcare PPO/HMO/WC	$293.25
Rate for Payer: UnitedHealthcare Commercial	$391.00
Rate for Payer: UnitedHealthcare Community & State	$47.12
Rate for Payer: Wellpoint Medicaid Managed Care	$51.81

CUVETTES

Facility

$845.30

Hospital Charge Code	2707500012
Hospital Revenue Code	272
Min. Negotiated Rate	$20.37
Max. Negotiated Rate	$422.65
Rate for Payer: Aetna Commercial	$321.21
Rate for Payer: Aetna Medicare Advantage	$253.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.55
Rate for Payer: Cigna Commercial	$422.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$253.59
Rate for Payer: Oxford Commercial	$169.06
Rate for Payer: Qualcare PPO/HMO/WC	$126.80
Rate for Payer: UnitedHealthcare Commercial	$169.06
Rate for Payer: UnitedHealthcare Community & State	$20.37
Rate for Payer: Wellpoint Medicaid Managed Care	$22.40

CUVETTES

Facility

$845.30

Hospital Charge Code	2707500012
Hospital Revenue Code	272
Min. Negotiated Rate	$126.80
Max. Negotiated Rate	$126.80
Rate for Payer: Qualcare PPO/HMO/WC	$126.80

CUVETTES

Facility

$169.06

Hospital Charge Code	270655423N
Hospital Revenue Code	270
Min. Negotiated Rate	$25.36
Max. Negotiated Rate	$25.36
Rate for Payer: Qualcare PPO/HMO/WC	$25.36

CUVETTES

Facility

$1,955.00

Hospital Charge Code	270655423
Hospital Revenue Code	270
Min. Negotiated Rate	$293.25
Max. Negotiated Rate	$293.25
Rate for Payer: Qualcare PPO/HMO/WC	$293.25

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$9,664.66

Service Code	APR-DRG 0451
Min. Negotiated Rate	$9,475.16
Max. Negotiated Rate	$9,664.66
Rate for Payer: UnitedHealthcare Community & State	$9,475.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,664.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9,475.16

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$24,742.63

Service Code	APR-DRG 0454
Min. Negotiated Rate	$24,257.48
Max. Negotiated Rate	$24,742.63
Rate for Payer: UnitedHealthcare Community & State	$24,257.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,742.63
Rate for Payer: Wellpoint Medicaid Managed Care	$24,257.48

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$11,997.24

Service Code	APR-DRG 0452
Min. Negotiated Rate	$11,762.00
Max. Negotiated Rate	$11,997.24
Rate for Payer: UnitedHealthcare Community & State	$11,762.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,997.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11,762.00

CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION

Facility

$16,113.33

Service Code	APR-DRG 0453
Min. Negotiated Rate	$15,797.38
Max. Negotiated Rate	$16,113.33
Rate for Payer: UnitedHealthcare Community & State	$15,797.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,113.33
Rate for Payer: Wellpoint Medicaid Managed Care	$15,797.38

CVP INTRAFUSOR ********

Facility

$41.00

Hospital Charge Code	7000573
Hospital Revenue Code	279
Min. Negotiated Rate	$6.15
Max. Negotiated Rate	$6.15
Rate for Payer: Qualcare PPO/HMO/WC	$6.15

CVP INTRAFUSOR ********

Facility

$41.00

Hospital Charge Code	7000573
Hospital Revenue Code	279
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$20.50
Rate for Payer: Aetna Commercial	$15.58
Rate for Payer: Aetna Medicare Advantage	$12.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.46
Rate for Payer: Cigna Commercial	$20.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.30
Rate for Payer: Oxford Commercial	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$6.15
Rate for Payer: UnitedHealthcare Commercial	$8.20
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

CVP MONITOR *******

Facility

$33.00

Hospital Charge Code	7000607
Hospital Revenue Code	279
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

CVP MONITOR *******

Facility

$33.00

Hospital Charge Code	7000607
Hospital Revenue Code	279
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

Know your out-of-pocket cost for care.

All Charges