Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

EASYFUSE IMPLT PROC PACK 15X12

Facility

$6,625.00

Hospital Charge Code	270704039
Hospital Revenue Code	272
Min. Negotiated Rate	$993.75
Max. Negotiated Rate	$993.75
Rate for Payer: Qualcare PPO/HMO/WC	$993.75

EASYFUSE INST PK MID HINDFOOT

Facility

$1,465.00

Hospital Charge Code	270700662
Hospital Revenue Code	272
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.50
Rate for Payer: Oxford Commercial	$293.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Commercial	$293.00
Rate for Payer: UnitedHealthcare Community & State	$35.31
Rate for Payer: Wellpoint Medicaid Managed Care	$38.82

EASYFUSE INST PK MID HINDFOOT

Facility

$1,465.00

Hospital Charge Code	270700662
Hospital Revenue Code	272
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$219.75
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

EASY GLUCOSE CONTROL

Facility

$28.00

Hospital Charge Code	60634988
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

EASY GLUCOSE CONTROL

Facility

$28.00

Hospital Charge Code	60634988
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

EASY SPRAY PRESSURE REGULATOR

Facility

$3,266.15

Hospital Charge Code	270663662
Hospital Revenue Code	270
Min. Negotiated Rate	$78.71
Max. Negotiated Rate	$1,633.08
Rate for Payer: Aetna Commercial	$1,241.14
Rate for Payer: Aetna Medicare Advantage	$979.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$832.87
Rate for Payer: Cigna Commercial	$1,633.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$979.85
Rate for Payer: Oxford Commercial	$653.23
Rate for Payer: Qualcare PPO/HMO/WC	$489.92
Rate for Payer: UnitedHealthcare Commercial	$653.23
Rate for Payer: UnitedHealthcare Community & State	$78.71
Rate for Payer: Wellpoint Medicaid Managed Care	$86.55

EASY SPRAY PRESSURE REGULATOR

Facility

$3,266.15

Hospital Charge Code	270663662
Hospital Revenue Code	270
Min. Negotiated Rate	$489.92
Max. Negotiated Rate	$489.92
Rate for Payer: Qualcare PPO/HMO/WC	$489.92

EASY SPRAY SET

Facility

$248.20

Hospital Charge Code	270663661
Hospital Revenue Code	270
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$37.23
Rate for Payer: Qualcare PPO/HMO/WC	$37.23

EASY SPRAY SET

Facility

$248.20

Hospital Charge Code	270663661
Hospital Revenue Code	270
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.10
Rate for Payer: Aetna Commercial	$94.32
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.29
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.46
Rate for Payer: Oxford Commercial	$49.64
Rate for Payer: Qualcare PPO/HMO/WC	$37.23
Rate for Payer: UnitedHealthcare Commercial	$49.64
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.58

EASY TEST STRIPS (ADDVAN)

Facility

$150.00

Hospital Charge Code	60635111
Hospital Revenue Code	250
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

EASY TEST STRIPS (ADDVAN)

Facility

$150.00

Hospital Charge Code	60635111
Hospital Revenue Code	250
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.00
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$30.00
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

EATING DISORDERS

Facility

$11,154.60

Service Code	APR-DRG 7592
Min. Negotiated Rate	$10,935.88
Max. Negotiated Rate	$11,154.60
Rate for Payer: UnitedHealthcare Community & State	$10,935.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,154.60
Rate for Payer: Wellpoint Medicaid Managed Care	$10,935.88

EATING DISORDERS

Facility

$16,087.78

Service Code	APR-DRG 7593
Min. Negotiated Rate	$15,772.33
Max. Negotiated Rate	$16,087.78
Rate for Payer: UnitedHealthcare Community & State	$15,772.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,087.78
Rate for Payer: Wellpoint Medicaid Managed Care	$15,772.33

EATING DISORDERS

Facility

$44,914.67

Service Code	APR-DRG 7594
Min. Negotiated Rate	$44,033.99
Max. Negotiated Rate	$44,914.67
Rate for Payer: UnitedHealthcare Community & State	$44,033.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,914.67
Rate for Payer: Wellpoint Medicaid Managed Care	$44,033.99

EATING DISORDERS

Facility

$9,617.48

Service Code	APR-DRG 7591
Min. Negotiated Rate	$9,428.90
Max. Negotiated Rate	$9,617.48
Rate for Payer: UnitedHealthcare Community & State	$9,428.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,617.48
Rate for Payer: Wellpoint Medicaid Managed Care	$9,428.90

EB ICE W/KNEE&SHOLR PAD 2350HD

Facility

$868.00

Hospital Charge Code	270633788
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

EB ICE W/KNEE&SHOLR PAD 2350HD

Facility

$868.00

Hospital Charge Code	270633788
Hospital Revenue Code	272
Min. Negotiated Rate	$20.92
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$329.84
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.40
Rate for Payer: Oxford Commercial	$173.60
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$173.60
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

EB ICE W/KNEE&SHOULD PAD 235HD

Facility

$868.00

Hospital Charge Code	270933788
Hospital Revenue Code	272
Min. Negotiated Rate	$20.92
Max. Negotiated Rate	$434.00
Rate for Payer: Aetna Commercial	$329.84
Rate for Payer: Aetna Medicare Advantage	$260.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.34
Rate for Payer: Cigna Commercial	$434.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.40
Rate for Payer: Oxford Commercial	$173.60
Rate for Payer: Qualcare PPO/HMO/WC	$130.20
Rate for Payer: UnitedHealthcare Commercial	$173.60
Rate for Payer: UnitedHealthcare Community & State	$20.92
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

EB ICE W/KNEE&SHOULD PAD 235HD

Facility

$868.00

Hospital Charge Code	270933788
Hospital Revenue Code	272
Min. Negotiated Rate	$130.20
Max. Negotiated Rate	$130.20
Rate for Payer: Qualcare PPO/HMO/WC	$130.20

EBLIZER 28% PRE-PILLED 606902

Facility

$17.73

Hospital Charge Code	270606902
Hospital Revenue Code	270
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$2.66
Rate for Payer: Qualcare PPO/HMO/WC	$2.66

EBLIZER 28% PRE-PILLED 606902

Facility

$17.73

Hospital Charge Code	270606902
Hospital Revenue Code	270
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.87
Rate for Payer: Aetna Commercial	$6.74
Rate for Payer: Aetna Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.52
Rate for Payer: Cigna Commercial	$8.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.32
Rate for Payer: Oxford Commercial	$3.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.66
Rate for Payer: UnitedHealthcare Commercial	$3.55
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

EBNA AB (IGG)

Facility

$105.15

Service Code	HCPCS 86664
Hospital Charge Code	39900234
Hospital Revenue Code	302
Min. Negotiated Rate	$2.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$41.59
Rate for Payer: Aetna Medicare Advantage	$49.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.29
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	$55.19
Rate for Payer: Cigna Commercial	$52.58
Rate for Payer: Cigna Medicare Advantage	$15.29
Rate for Payer: Clover Medicare Advantage	$14.53
Rate for Payer: EmblemHealth Commercial	$45.87
Rate for Payer: Humana Medicare Advantage	$15.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$12.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.29
Rate for Payer: Wellcare Medicare Advantage	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$2.79

EBNA AB (IGG)

Facility

$105.15

Service Code	HCPCS 86664
Hospital Charge Code	39900234
Hospital Revenue Code	302
Min. Negotiated Rate	$15.77
Max. Negotiated Rate	$15.77
Rate for Payer: Qualcare PPO/HMO/WC	$15.77

EBNA ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86664
Hospital Charge Code	38476267
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

EBNA ANTIBODY IGG

Facility

$390.00

Service Code	HCPCS 86664
Hospital Charge Code	38476267
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$41.59
Rate for Payer: Aetna Medicare Advantage	$49.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15.29
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	$55.19
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$15.29
Rate for Payer: Clover Medicare Advantage	$14.53
Rate for Payer: EmblemHealth Commercial	$45.87
Rate for Payer: Humana Medicare Advantage	$15.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$12.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.29
Rate for Payer: Wellcare Medicare Advantage	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

Know your out-of-pocket cost for care.

All Charges