Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ENZYME IMMNASSAY.MULT.ASPERGIL

Facility

$77.95

Service Code	HCPCS 87305
Hospital Charge Code	38477091
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYME IMMNASSAY.MULT.ASPERGIL

Facility

$77.95

Service Code	HCPCS 87305
Hospital Charge Code	38477091
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYME IMMN MULT GIARDIA

Facility

$77.95

Service Code	HCPCS 87329
Hospital Charge Code	38477094
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYME IMMN MULT GIARDIA

Facility

$77.95

Service Code	HCPCS 87329
Hospital Charge Code	38477094
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYME IMMUNOASSAY MULT ADENOV

Facility

$77.95

Service Code	HCPCS 87301
Hospital Charge Code	38477090
Hospital Revenue Code	309
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
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	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYME IMMUNOASSAY MULT ADENOV

Facility

$77.95

Service Code	HCPCS 87301
Hospital Charge Code	38477090
Hospital Revenue Code	309
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYME IMMUNOASSAY MULT HBSAG

Facility

$73.00

Service Code	HCPCS 87341
Hospital Charge Code	38477070
Hospital Revenue Code	306
Min. Negotiated Rate	$10.95
Max. Negotiated Rate	$10.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.95

ENZYME IMMUNOASSAY MULT HBSAG

Facility

$73.00

Service Code	HCPCS 87341
Hospital Charge Code	38477070
Hospital Revenue Code	306
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$28.10
Rate for Payer: Aetna Medicare Advantage	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.29
Rate for Payer: Cigna Commercial	$36.50
Rate for Payer: Cigna Medicare Advantage	$10.33
Rate for Payer: Clover Medicare Advantage	$9.81
Rate for Payer: EmblemHealth Commercial	$30.99
Rate for Payer: Humana Medicare Advantage	$10.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.33
Rate for Payer: Wellcare Medicare Advantage	$10.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

ENZYME IMMUNOASSAY SNGL NOS,@

Facility

$67.89

Service Code	HCPCS 87450
Hospital Charge Code	38477062
Hospital Revenue Code	306
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.80
Rate for Payer: Aetna Medicare Advantage	$20.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.31
Rate for Payer: Cigna Commercial	$33.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.37
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.18
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.80

ENZYME IMMUNOASSAY SNGL NOS,@

Facility

$67.89

Service Code	HCPCS 87450
Hospital Charge Code	38477062
Hospital Revenue Code	306
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$10.18
Rate for Payer: Qualcare PPO/HMO/WC	$10.18

ENZYM IMM MULT SHUGA-LIKE TOXI

Facility

$77.95

Service Code	HCPCS 87427
Hospital Charge Code	38477098
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
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	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYM IMM MULT SHUGA-LIKE TOXI

Facility

$77.95

Service Code	HCPCS 87427
Hospital Charge Code	38477098
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYM IMMNASS.MULT INFLUENZA A

Facility

$77.95

Service Code	HCPCS 87400
Hospital Charge Code	38477096
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$38.43
Rate for Payer: Aetna Medicare Advantage	$45.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.13
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	$51.01
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$14.13
Rate for Payer: Clover Medicare Advantage	$13.42
Rate for Payer: EmblemHealth Commercial	$42.39
Rate for Payer: Humana Medicare Advantage	$14.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.13
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	$11.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.13
Rate for Payer: Wellcare Medicare Advantage	$14.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYM IMMNASS.MULT INFLUENZA A

Facility

$77.95

Service Code	HCPCS 87400
Hospital Charge Code	38477096
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYM IMMNASS MULT ROTAVIRUS

Facility

$77.95

Service Code	HCPCS 87425
Hospital Charge Code	38477097
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYM IMMNASS MULT ROTAVIRUS

Facility

$77.95

Service Code	HCPCS 87425
Hospital Charge Code	38477097
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYM IMMN.MULT.CLOSTRIDIUM DI

Facility

$77.95

Service Code	HCPCS 87324
Hospital Charge Code	38477092
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
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	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
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	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ENZYM IMMN.MULT.CLOSTRIDIUM DI

Facility

$77.95

Service Code	HCPCS 87324
Hospital Charge Code	38477092
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYM IMMN MULT CRYPTOCOCCUS N

Facility

$77.95

Service Code	HCPCS 87327
Hospital Charge Code	38477093
Hospital Revenue Code	306
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ENZYM IMMN MULT CRYPTOCOCCUS N

Facility

$77.95

Service Code	HCPCS 87327
Hospital Charge Code	38477093
Hospital Revenue Code	306
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$36.50
Rate for Payer: Aetna Medicare Advantage	$43.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.42
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	$48.44
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$13.42
Rate for Payer: Clover Medicare Advantage	$12.75
Rate for Payer: EmblemHealth Commercial	$40.26
Rate for Payer: Humana Medicare Advantage	$13.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.42
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	$10.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.42
Rate for Payer: Wellcare Medicare Advantage	$13.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

EOINTRAK NEUROMA KIT ******

Facility

$316.00

Hospital Charge Code	1606565
Hospital Revenue Code	272
Min. Negotiated Rate	$47.40
Max. Negotiated Rate	$47.40
Rate for Payer: Qualcare PPO/HMO/WC	$47.40

EOINTRAK NEUROMA KIT ******

Facility

$316.00

Hospital Charge Code	1606565
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$158.00
Rate for Payer: Aetna Commercial	$120.08
Rate for Payer: Aetna Medicare Advantage	$94.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.58
Rate for Payer: Cigna Commercial	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.80
Rate for Payer: Oxford Commercial	$63.20
Rate for Payer: Qualcare PPO/HMO/WC	$47.40
Rate for Payer: UnitedHealthcare Commercial	$63.20
Rate for Payer: UnitedHealthcare Community & State	$7.62
Rate for Payer: Wellpoint Medicaid Managed Care	$8.37

EON MINI CHARGING SYSTEM 3721

Facility

$5,930.00

Hospital Charge Code	270642322
Hospital Revenue Code	272
Min. Negotiated Rate	$142.91
Max. Negotiated Rate	$2,965.00
Rate for Payer: Aetna Commercial	$2,253.40
Rate for Payer: Aetna Medicare Advantage	$1,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,512.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,512.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,512.15
Rate for Payer: Cigna Commercial	$2,965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,779.00
Rate for Payer: Oxford Commercial	$1,186.00
Rate for Payer: Qualcare PPO/HMO/WC	$889.50
Rate for Payer: UnitedHealthcare Commercial	$1,186.00
Rate for Payer: UnitedHealthcare Community & State	$142.91
Rate for Payer: Wellpoint Medicaid Managed Care	$157.15

EON MINI CHARGING SYSTEM 3721

Facility

$5,930.00

Hospital Charge Code	270642322
Hospital Revenue Code	272
Min. Negotiated Rate	$889.50
Max. Negotiated Rate	$889.50
Rate for Payer: Qualcare PPO/HMO/WC	$889.50

EOSINOPHIL COUNT

Facility

$368.00

Service Code	HCPCS 85048
Hospital Charge Code	38473015
Hospital Revenue Code	301
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$55.20
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

Know your out-of-pocket cost for care.

All Charges