Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC

Facility

$70,571.94

Service Code	MSDRG 146
Min. Negotiated Rate	$21,488.25
Max. Negotiated Rate	$70,571.94
Rate for Payer: Aetna Commercial	$48,748.32
Rate for Payer: Aetna Medicare Advantage	$70,571.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,080.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,080.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,619.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,080.71
Rate for Payer: Cigna Commercial	$39,625.02
Rate for Payer: Cigna Medicare Advantage	$22,619.21
Rate for Payer: Clover Medicare Advantage	$21,488.25
Rate for Payer: EmblemHealth Commercial	$67,857.63
Rate for Payer: Humana Medicare Advantage	$23,297.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,619.21
Rate for Payer: Oxford Commercial	$28,479.03
Rate for Payer: UnitedHealthcare Commercial	$49,938.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,619.21
Rate for Payer: Wellcare Medicare Advantage	$22,619.21

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC

Facility

$27,897.67

Service Code	MSDRG 148
Min. Negotiated Rate	$8,494.48
Max. Negotiated Rate	$27,897.67
Rate for Payer: Aetna Commercial	$19,426.20
Rate for Payer: Aetna Medicare Advantage	$27,897.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,941.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,702.29
Rate for Payer: Cigna Commercial	$14,916.93
Rate for Payer: Cigna Medicare Advantage	$8,941.56
Rate for Payer: Clover Medicare Advantage	$8,494.48
Rate for Payer: EmblemHealth Commercial	$26,824.68
Rate for Payer: Humana Medicare Advantage	$9,209.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,941.56
Rate for Payer: Oxford Commercial	$10,721.00
Rate for Payer: UnitedHealthcare Commercial	$18,799.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,941.56
Rate for Payer: Wellcare Medicare Advantage	$8,941.56

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$25,583.96

Service Code	APR-DRG 1104
Min. Negotiated Rate	$25,082.31
Max. Negotiated Rate	$25,583.96
Rate for Payer: UnitedHealthcare Community & State	$25,082.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,583.96
Rate for Payer: Wellpoint Medicaid Managed Care	$25,082.31

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$14,767.72

Service Code	APR-DRG 1103
Min. Negotiated Rate	$14,478.16
Max. Negotiated Rate	$14,767.72
Rate for Payer: UnitedHealthcare Community & State	$14,478.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,767.72
Rate for Payer: Wellpoint Medicaid Managed Care	$14,478.16

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$8,963.77

Service Code	APR-DRG 1101
Min. Negotiated Rate	$8,788.01
Max. Negotiated Rate	$8,963.77
Rate for Payer: UnitedHealthcare Community & State	$8,788.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,963.77
Rate for Payer: Wellpoint Medicaid Managed Care	$8,788.01

EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES

Facility

$10,140.88

Service Code	APR-DRG 1102
Min. Negotiated Rate	$9,942.04
Max. Negotiated Rate	$10,140.88
Rate for Payer: UnitedHealthcare Community & State	$9,942.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,140.88
Rate for Payer: Wellpoint Medicaid Managed Care	$9,942.04

EARPIECE CUSHION FOR HEADSET

Facility

$16.00

Hospital Charge Code	270658658
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.80
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$3.20
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

EARPIECE CUSHION FOR HEADSET

Facility

$16.00

Hospital Charge Code	270658658
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

EAR PLUG DISPOSABLE

Facility

$317.50

Hospital Charge Code	270652085
Hospital Revenue Code	270
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$47.62
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

EAR PLUG DISPOSABLE

Facility

$317.50

Hospital Charge Code	270652085
Hospital Revenue Code	270
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$158.75
Rate for Payer: Aetna Commercial	$120.65
Rate for Payer: Aetna Medicare Advantage	$95.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.96
Rate for Payer: Cigna Commercial	$158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.25
Rate for Payer: Oxford Commercial	$63.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.62
Rate for Payer: UnitedHealthcare Commercial	$63.50
Rate for Payer: UnitedHealthcare Community & State	$7.65
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

EAR WICKS POPE 400141

Facility

$15.00

Hospital Charge Code	270620596
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

EAR WICKS POPE 400141

Facility

$15.00

Hospital Charge Code	270620596
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.45
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.40

EASTERN EQUINE I

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037A
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.18
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.45
Rate for Payer: Aetna Medicare Advantage	$27.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.12
Rate for Payer: Cigna Commercial	$45.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.60
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.40

EASTERN EQUINE II

Facility

$90.65

Service Code	HCPCS 8665291
Hospital Charge Code	39990037B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.60
Max. Negotiated Rate	$13.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.60

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$151.20
Max. Negotiated Rate	$3,136.97
Rate for Payer: Aetna Commercial	$2,384.10
Rate for Payer: Aetna Medicare Advantage	$1,882.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,599.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,599.86
Rate for Payer: Cigna Commercial	$3,136.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,380.27
Rate for Payer: Qualcare PPO/HMO/WC	$941.09
Rate for Payer: UnitedHealthcare Community & State	$151.20
Rate for Payer: Wellpoint Medicaid Managed Care	$166.26

EASY CLIP 10 X10 X 10

Facility

$6,273.95

Service Code	HCPCS C1713
Hospital Charge Code	270689620
Hospital Revenue Code	278
Min. Negotiated Rate	$941.09
Max. Negotiated Rate	$1,518.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,254.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,518.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,380.27
Rate for Payer: Qualcare PPO/HMO/WC	$941.09

EASYCLIP 18MM 14-14MM

Facility

$8,490.00

Hospital Charge Code	270674062
Hospital Revenue Code	278
Min. Negotiated Rate	$204.61
Max. Negotiated Rate	$4,245.00
Rate for Payer: Aetna Commercial	$3,226.20
Rate for Payer: Aetna Medicare Advantage	$2,547.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,164.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,164.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,698.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,164.95
Rate for Payer: Cigna Commercial	$4,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,054.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,867.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,273.50
Rate for Payer: UnitedHealthcare Community & State	$204.61
Rate for Payer: Wellpoint Medicaid Managed Care	$224.99

EASYCLIP 18MM 14-14MM

Facility

$8,490.00

Hospital Charge Code	270674062
Hospital Revenue Code	278
Min. Negotiated Rate	$1,273.50
Max. Negotiated Rate	$2,054.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,054.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,867.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,273.50

EASYCLIP 20MM 20-20MM

Facility

$10,720.00

Hospital Charge Code	270674059
Hospital Revenue Code	278
Min. Negotiated Rate	$1,608.00
Max. Negotiated Rate	$2,594.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,144.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,358.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.00

EASYCLIP 20MM 20-20MM

Facility

$10,720.00

Hospital Charge Code	270674059
Hospital Revenue Code	278
Min. Negotiated Rate	$258.35
Max. Negotiated Rate	$5,360.00
Rate for Payer: Aetna Commercial	$4,073.60
Rate for Payer: Aetna Medicare Advantage	$3,216.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,733.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,144.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,733.60
Rate for Payer: Cigna Commercial	$5,360.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,358.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,608.00
Rate for Payer: UnitedHealthcare Community & State	$258.35
Rate for Payer: Wellpoint Medicaid Managed Care	$284.08

EASY CLIP FIXATION SYS 8-8-8MM

Facility

$4,563.00

Service Code	HCPCS C1713
Hospital Charge Code	270674964
Hospital Revenue Code	278
Min. Negotiated Rate	$109.97
Max. Negotiated Rate	$2,281.50
Rate for Payer: Aetna Commercial	$1,733.94
Rate for Payer: Aetna Medicare Advantage	$1,368.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,163.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,163.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,163.57
Rate for Payer: Cigna Commercial	$2,281.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.86
Rate for Payer: Qualcare PPO/HMO/WC	$684.45
Rate for Payer: UnitedHealthcare Community & State	$109.97
Rate for Payer: Wellpoint Medicaid Managed Care	$120.92

EASY CLIP FIXATION SYS 8-8-8MM

Facility

$4,563.00

Service Code	HCPCS C1713
Hospital Charge Code	270674964
Hospital Revenue Code	278
Min. Negotiated Rate	$684.45
Max. Negotiated Rate	$1,104.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.86
Rate for Payer: Qualcare PPO/HMO/WC	$684.45

EASYFUSE IMPLT PROC PACK 15X12

Facility

$6,625.00

Hospital Charge Code	270704039
Hospital Revenue Code	272
Min. Negotiated Rate	$159.66
Max. Negotiated Rate	$3,312.50
Rate for Payer: Aetna Commercial	$2,517.50
Rate for Payer: Aetna Medicare Advantage	$1,987.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,689.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,689.38
Rate for Payer: Cigna Commercial	$3,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,987.50
Rate for Payer: Oxford Commercial	$1,325.00
Rate for Payer: Qualcare PPO/HMO/WC	$993.75
Rate for Payer: UnitedHealthcare Commercial	$1,325.00
Rate for Payer: UnitedHealthcare Community & State	$159.66
Rate for Payer: Wellpoint Medicaid Managed Care	$175.56

Know your out-of-pocket cost for care.

All Charges