Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DETECTOR ETCO2 ADULT EASICAP

Facility

$76.85

Hospital Charge Code	270608071
Hospital Revenue Code	272
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$29.20
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.05
Rate for Payer: Oxford Commercial	$15.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$15.37
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

DETECTOR ETCO2 ADULT EASICAP

Facility

$76.85

Hospital Charge Code	270608071
Hospital Revenue Code	272
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

DETERGENT ENZYMATIC PROLYSTICA

Facility

$224.99

Hospital Charge Code	270644807
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

DETERGENT ENZYMATIC PROLYSTICA

Facility

$224.99

Hospital Charge Code	270644807
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.37
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

DETER HISTO/CYTOCHEM ID ENZYME

Facility

$217.00

Service Code	HCPCS 88319
Hospital Charge Code	38477184
Hospital Revenue Code	312
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$3,455.10
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,455.10
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.55
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$111.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$5.75

DETER HISTO/CYTOCHEM ID ENZYME

Facility

$217.00

Service Code	HCPCS 88319
Hospital Charge Code	38477184
Hospital Revenue Code	312
Min. Negotiated Rate	$32.55
Max. Negotiated Rate	$32.55
Rate for Payer: Qualcare PPO/HMO/WC	$32.55

DETET BY IMMUN OPTICAL OBV INF

Facility

$77.95

Service Code	HCPCS 87804
Hospital Charge Code	38477099
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

DETET BY IMMUN OPTICAL OBV INF

Facility

$77.95

Service Code	HCPCS 87804
Hospital Charge Code	38477099
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$45.02
Rate for Payer: Aetna Medicare Advantage	$53.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.74
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$16.55
Rate for Payer: Clover Medicare Advantage	$15.72
Rate for Payer: EmblemHealth Commercial	$49.65
Rate for Payer: Humana Medicare Advantage	$17.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.55
Rate for Payer: Wellcare Medicare Advantage	$16.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

DET IMMUNASSY OPTICAL OBV RSV

Facility

$77.95

Service Code	HCPCS 87807
Hospital Charge Code	38477100
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.63
Rate for Payer: Aetna Medicare Advantage	$42.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.29
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$13.10
Rate for Payer: Clover Medicare Advantage	$12.45
Rate for Payer: EmblemHealth Commercial	$39.30
Rate for Payer: Humana Medicare Advantage	$13.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.10
Rate for Payer: Wellcare Medicare Advantage	$13.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

DET IMMUNASSY OPTICAL OBV RSV

Facility

$77.95

Service Code	HCPCS 87807
Hospital Charge Code	38477100
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

DET NUC ACD MYCOBACT AVIUM INT

Facility

$141.99

Service Code	HCPCS 87560
Hospital Charge Code	38477163
Hospital Revenue Code	306
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$74.23
Rate for Payer: Aetna Medicare Advantage	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.51
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: Cigna Medicare Advantage	$27.29
Rate for Payer: Clover Medicare Advantage	$25.93
Rate for Payer: EmblemHealth Commercial	$81.87
Rate for Payer: Humana Medicare Advantage	$28.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$21.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.29
Rate for Payer: Wellcare Medicare Advantage	$27.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.76

DET NUC ACD MYCOBACT AVIUM INT

Facility

$141.99

Service Code	HCPCS 87560
Hospital Charge Code	38477163
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DET NUC ACD NEISSERIA GONORRHO

Facility

$141.99

Service Code	HCPCS 87590
Hospital Charge Code	38477164
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DET NUC ACD NEISSERIA GONORRHO

Facility

$141.99

Service Code	HCPCS 87590
Hospital Charge Code	38477164
Hospital Revenue Code	306
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$73.11
Rate for Payer: Aetna Medicare Advantage	$87.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.03
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: Cigna Medicare Advantage	$26.88
Rate for Payer: Clover Medicare Advantage	$25.54
Rate for Payer: EmblemHealth Commercial	$80.64
Rate for Payer: Humana Medicare Advantage	$27.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$21.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.88
Rate for Payer: Wellcare Medicare Advantage	$26.88
Rate for Payer: Wellpoint Medicaid Managed Care	$3.76

DET NUC ACD NOS DIRECT PROBE

Facility

$141.99

Service Code	HCPCS 87797
Hospital Charge Code	38477166
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DET NUC ACD NOS DIRECT PROBE

Facility

$141.99

Service Code	HCPCS 87797
Hospital Charge Code	38477166
Hospital Revenue Code	306
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$81.68
Rate for Payer: Aetna Medicare Advantage	$97.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.40
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: Cigna Medicare Advantage	$30.03
Rate for Payer: Clover Medicare Advantage	$28.53
Rate for Payer: EmblemHealth Commercial	$90.09
Rate for Payer: Humana Medicare Advantage	$30.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$24.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$30.03
Rate for Payer: Wellcare Medicare Advantage	$30.03
Rate for Payer: Wellpoint Medicaid Managed Care	$3.76

DET NUC ACD TRICHOMONAS VAG DR

Facility

$141.99

Service Code	HCPCS 87660
Hospital Charge Code	38477165
Hospital Revenue Code	306
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$54.54
Rate for Payer: Aetna Medicare Advantage	$64.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.37
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: Cigna Medicare Advantage	$20.05
Rate for Payer: Clover Medicare Advantage	$19.05
Rate for Payer: EmblemHealth Commercial	$60.15
Rate for Payer: Humana Medicare Advantage	$20.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$16.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.05
Rate for Payer: Wellcare Medicare Advantage	$20.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.76

DET NUC ACD TRICHOMONAS VAG DR

Facility

$141.99

Service Code	HCPCS 87660
Hospital Charge Code	38477165
Hospital Revenue Code	306
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$21.30
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

DEVELOPER

Facility

$256.00

Hospital Charge Code	270602852
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$97.28
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.80
Rate for Payer: Oxford Commercial	$51.20
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$51.20
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

DEVELOPER

Facility

$256.00

Hospital Charge Code	270602852
Hospital Revenue Code	272
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

DEVICE ANGIO SEAL HEMO 610091

Facility

$1,659.25

Service Code	HCPCS C1760
Hospital Charge Code	270610663
Hospital Revenue Code	278
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

DEVICE ANGIO SEAL HEMO 610091

Facility

$1,659.25

Service Code	HCPCS C1760
Hospital Charge Code	270610663
Hospital Revenue Code	278
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

DEVICE ANTI DISCONNECT SOFT &

Facility

$16.72

Hospital Charge Code	270644959
Hospital Revenue Code	270
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.36
Rate for Payer: Aetna Commercial	$6.35
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.26
Rate for Payer: Cigna Commercial	$8.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.02
Rate for Payer: Oxford Commercial	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.51
Rate for Payer: UnitedHealthcare Commercial	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

DEVICE ANTI DISCONNECT SOFT &

Facility

$16.72

Hospital Charge Code	270644959
Hospital Revenue Code	270
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$2.51

DEVICE BONE BIOPSY SZ 2 F07A

Facility

$650.00

Hospital Charge Code	270637759
Hospital Revenue Code	272
Min. Negotiated Rate	$15.66
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$130.00
Rate for Payer: UnitedHealthcare Community & State	$15.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.23

Know your out-of-pocket cost for care.

All Charges