Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270703581
Hospital Revenue Code	278
Min. Negotiated Rate	$305.47
Max. Negotiated Rate	$6,337.62
Rate for Payer: Aetna Commercial	$4,816.60
Rate for Payer: Aetna Medicare Advantage	$3,802.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,232.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,232.19
Rate for Payer: Cigna Commercial	$6,337.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,788.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29
Rate for Payer: UnitedHealthcare Community & State	$305.47
Rate for Payer: Wellpoint Medicaid Managed Care	$335.89

FDL DUALLINK

Facility

$12,675.25

Service Code	HCPCS C1762
Hospital Charge Code	270703581
Hospital Revenue Code	278
Min. Negotiated Rate	$1,901.29
Max. Negotiated Rate	$3,067.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,535.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,067.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,788.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,901.29

FDP

Facility

$119.25

Service Code	HCPCS 85362
Hospital Charge Code	3036015
Hospital Revenue Code	305
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.74
Rate for Payer: Aetna Medicare Advantage	$22.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.87
Rate for Payer: Cigna Commercial	$59.62
Rate for Payer: Cigna Medicare Advantage	$6.89
Rate for Payer: Clover Medicare Advantage	$6.55
Rate for Payer: EmblemHealth Commercial	$20.67
Rate for Payer: Humana Medicare Advantage	$7.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.89
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.89
Rate for Payer: Wellcare Medicare Advantage	$6.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

FDP

Facility

$119.25

Service Code	HCPCS 85362
Hospital Charge Code	3036015
Hospital Revenue Code	305
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

FEATHER RASP BONE CONTOURING

Facility

$2,750.00

Hospital Charge Code	270704102
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$135.60
Max. Negotiated Rate	$135.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.60

FEATL DOPPLER ECHO COMPLETE

Facility

$904.00

Service Code	HCPCS 76827
Hospital Charge Code	83653105
Hospital Revenue Code	402
Min. Negotiated Rate	$21.79
Max. Negotiated Rate	$2,517.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.20
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.60
Rate for Payer: UnitedHealthcare Commercial	$2,517.00
Rate for Payer: UnitedHealthcare Community & State	$21.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellpoint Medicaid Managed Care	$23.96

FEATURE PACK BRACHYTHERAPY

Facility

$500.00

Hospital Charge Code	270638684
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

FEATURE PACK BRACHYTHERAPY

Facility

$500.00

Hospital Charge Code	270638684
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

FEBRILE AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	3001260
Hospital Revenue Code	305
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.99
Rate for Payer: Aetna Medicare Advantage	$22.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.20
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$6.98
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Medicare Advantage	$6.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

FEBRILE AGGLUTININS

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	3001260
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.99
Rate for Payer: Aetna Medicare Advantage	$22.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.20
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$6.98
Rate for Payer: Clover Medicare Advantage	$6.63
Rate for Payer: EmblemHealth Commercial	$20.94
Rate for Payer: Humana Medicare Advantage	$7.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.98
Rate for Payer: Wellcare Medicare Advantage	$6.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

FEBRILE AGGLUTININS,EACH

Facility

$128.00

Service Code	HCPCS 86000
Hospital Charge Code	38476212
Hospital Revenue Code	305
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.41
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.10
Rate for Payer: Clover Medicare Advantage	$4.84
Rate for Payer: EmblemHealth Commercial	$15.30
Rate for Payer: Humana Medicare Advantage	$5.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.10
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	$4.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.10
Rate for Payer: Wellcare Medicare Advantage	$5.10
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

FECAL FAT,QL

Facility

$390.00

Service Code	HCPCS 82705
Hospital Charge Code	39990006EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$5.24
Rate for Payer: Qualcare PPO/HMO/WC	$5.24

FECAL FAT,QL I

Facility

$34.95

Service Code	HCPCS 8270591
Hospital Charge Code	39990006A
Hospital Revenue Code	301
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.28
Rate for Payer: Aetna Medicare Advantage	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.91
Rate for Payer: Cigna Commercial	$17.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.48
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.24
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.40

FECAL FAT,QL II

Facility

$29.35

Service Code	HCPCS 8270591
Hospital Charge Code	39990006B
Hospital Revenue Code	301
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.15
Rate for Payer: Aetna Medicare Advantage	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.48
Rate for Payer: Cigna Commercial	$14.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

FECAL FAT QNT

Facility

$121.10

Service Code	HCPCS 82710
Hospital Charge Code	3000951
Hospital Revenue Code	300
Min. Negotiated Rate	$18.16
Max. Negotiated Rate	$18.16
Rate for Payer: Qualcare PPO/HMO/WC	$18.16

FECAL FAT QNT

Facility

$121.10

Service Code	HCPCS 82710
Hospital Charge Code	3000951
Hospital Revenue Code	300
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.64
Rate for Payer: Cigna Commercial	$60.55
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.16
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

FECAL FAT, QUANTITATIVE

Facility

$116.00

Service Code	HCPCS 82705
Hospital Charge Code	3030665
Hospital Revenue Code	301
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

FECAL FAT, QUANTITATIVE

Facility

$116.00

Service Code	HCPCS 82705
Hospital Charge Code	3030665
Hospital Revenue Code	301
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$16.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.41
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$5.10
Rate for Payer: Clover Medicare Advantage	$4.84
Rate for Payer: EmblemHealth Commercial	$15.30
Rate for Payer: Humana Medicare Advantage	$5.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.10
Rate for Payer: Wellcare Medicare Advantage	$5.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

FECAL GLOBIN IMMUNOASSAY FIT

Facility

$90.25

Service Code	HCPCS 82274
Hospital Charge Code	401182274
Hospital Revenue Code	301
Min. Negotiated Rate	$13.54
Max. Negotiated Rate	$13.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.54

Know your out-of-pocket cost for care.

All Charges