Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

FLOW CYTOMETRY ADDL MARKER

Facility

$631.50

Service Code	HCPCS 88185
Hospital Charge Code	401088184B
Hospital Revenue Code	301
Min. Negotiated Rate	$16.73
Max. Negotiated Rate	$315.75
Rate for Payer: Aetna Commercial	$239.97
Rate for Payer: Aetna Medicare Advantage	$189.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.03
Rate for Payer: Cigna Commercial	$315.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.72
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$19.54
Rate for Payer: Wellpoint Medicaid Managed Care	$16.73

FLOW CYTOMETRY ADDL MARKER

Facility

$390.00

Service Code	HCPCS 88185
Hospital Charge Code	401088185
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

FLOW CYTOMETRY ADDL MARKER

Facility

$390.00

Service Code	HCPCS 88185
Hospital Charge Code	401088185
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$19.54
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

FLOW CYTOMETRY:CELL CYCLE

Facility

$218.74

Service Code	HCPCS 88182
Hospital Charge Code	38474151
Hospital Revenue Code	311
Min. Negotiated Rate	$32.81
Max. Negotiated Rate	$32.81
Rate for Payer: Qualcare PPO/HMO/WC	$32.81

FLOW CYTOMETRY:CELL CYCLE

Facility

$218.74

Service Code	HCPCS 88182
Hospital Charge Code	38474151
Hospital Revenue Code	311
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$223.48
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.48
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.62
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.81
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$136.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$5.80

FLOW CYTOMETRY;EA ADD'L MARKER

Facility

$101.00

Service Code	HCPCS 88185
Hospital Charge Code	38474161
Hospital Revenue Code	311
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

FLOW CYTOMETRY;EA ADD'L MARKER

Facility

$101.00

Service Code	HCPCS 88185
Hospital Charge Code	38474161
Hospital Revenue Code	311
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$19.54
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

FLOW CYTOMETRY,INT 2-8 MARKERS

Facility

$292.00

Service Code	HCPCS 88187
Hospital Charge Code	38474050
Hospital Revenue Code	311
Min. Negotiated Rate	$43.80
Max. Negotiated Rate	$43.80
Rate for Payer: Qualcare PPO/HMO/WC	$43.80

FLOW CYTOMETRY,INT 2-8 MARKERS

Facility

$292.00

Service Code	HCPCS 88187
Hospital Charge Code	38474050
Hospital Revenue Code	311
Min. Negotiated Rate	$7.74
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$110.96
Rate for Payer: Aetna Medicare Advantage	$87.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.46
Rate for Payer: Cigna Commercial	$146.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$43.80
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$27.70
Rate for Payer: Wellpoint Medicaid Managed Care	$7.74

FLOW CYTOMETRY INT 9-15 MARKER

Facility

$307.00

Service Code	HCPCS 88188
Hospital Charge Code	38474051
Hospital Revenue Code	311
Min. Negotiated Rate	$46.05
Max. Negotiated Rate	$46.05
Rate for Payer: Qualcare PPO/HMO/WC	$46.05

FLOW CYTOMETRY INT 9-15 MARKER

Facility

$307.00

Service Code	HCPCS 88188
Hospital Charge Code	38474051
Hospital Revenue Code	311
Min. Negotiated Rate	$8.14
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$116.66
Rate for Payer: Aetna Medicare Advantage	$92.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.28
Rate for Payer: Cigna Commercial	$153.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.05
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$47.85
Rate for Payer: Wellpoint Medicaid Managed Care	$8.14

FLOW CYTOMETRY STUDIES/MARKER

Facility

$2,071.00

Service Code	HCPCS 88184
Hospital Charge Code	3400314
Hospital Revenue Code	311
Min. Negotiated Rate	$310.65
Max. Negotiated Rate	$310.65
Rate for Payer: Qualcare PPO/HMO/WC	$310.65

FLOW CYTOMETRY STUDIES/MARKER

Facility

$2,071.00

Service Code	HCPCS 88184
Hospital Charge Code	3400314
Hospital Revenue Code	311
Min. Negotiated Rate	$54.88
Max. Negotiated Rate	$1,537.15
Rate for Payer: Aetna Commercial	$1,158.28
Rate for Payer: Aetna Medicare Advantage	$1,379.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$425.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,537.15
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$425.84
Rate for Payer: Clover Medicare Advantage	$404.55
Rate for Payer: EmblemHealth Commercial	$1,277.52
Rate for Payer: Humana Medicare Advantage	$438.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$425.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$621.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$310.65
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$64.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$425.84
Rate for Payer: Wellcare Medicare Advantage	$425.84
Rate for Payer: Wellpoint Medicaid Managed Care	$54.88

FLOW CYTOMETRY TC 1 MARKER

Facility

$1,263.00

Service Code	HCPCS 88184
Hospital Charge Code	401088184A
Hospital Revenue Code	301
Min. Negotiated Rate	$33.47
Max. Negotiated Rate	$1,537.15
Rate for Payer: Aetna Commercial	$1,158.28
Rate for Payer: Aetna Medicare Advantage	$1,379.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$425.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,537.15
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$425.84
Rate for Payer: Clover Medicare Advantage	$404.55
Rate for Payer: EmblemHealth Commercial	$1,277.52
Rate for Payer: Humana Medicare Advantage	$438.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$425.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.45
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$64.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$425.84
Rate for Payer: Wellcare Medicare Advantage	$425.84
Rate for Payer: Wellpoint Medicaid Managed Care	$33.47

FLOW CYTOMETRY TC 1 MARKER

Facility

$1,263.00

Service Code	HCPCS 88184
Hospital Charge Code	401088184A
Hospital Revenue Code	301
Min. Negotiated Rate	$189.45
Max. Negotiated Rate	$189.45
Rate for Payer: Qualcare PPO/HMO/WC	$189.45

FLOW CYTOMETRY TC 1 MARKER

Facility

$16.38

Service Code	HCPCS 88184
Hospital Charge Code	401030580A
Hospital Revenue Code	311
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$1,537.15
Rate for Payer: Aetna Commercial	$1,158.28
Rate for Payer: Aetna Medicare Advantage	$1,379.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,537.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$425.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,537.15
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$425.84
Rate for Payer: Clover Medicare Advantage	$404.55
Rate for Payer: EmblemHealth Commercial	$1,277.52
Rate for Payer: Humana Medicare Advantage	$438.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$425.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$64.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$425.84
Rate for Payer: Wellcare Medicare Advantage	$425.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

FLOW CYTOMETRY TC 1 MARKER

Facility

$16.38

Service Code	HCPCS 88184
Hospital Charge Code	401030580A
Hospital Revenue Code	311
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

FLOW CYTOMETRY TC ADD-ON X 22

Facility

$360.45

Service Code	HCPCS 88185
Hospital Charge Code	401030580B
Hospital Revenue Code	311
Min. Negotiated Rate	$54.07
Max. Negotiated Rate	$54.07
Rate for Payer: Qualcare PPO/HMO/WC	$54.07

FLOW CYTOMETRY TC ADD-ON X 22

Facility

$360.45

Service Code	HCPCS 88185
Hospital Charge Code	401030580B
Hospital Revenue Code	311
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$180.22
Rate for Payer: Aetna Commercial	$136.97
Rate for Payer: Aetna Medicare Advantage	$108.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.91
Rate for Payer: Cigna Commercial	$180.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.07
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$19.54
Rate for Payer: Wellpoint Medicaid Managed Care	$9.55

FLOWMETER 8LPM DISS NUT NIPPLE

Facility

$119.75

Hospital Charge Code	270669890
Hospital Revenue Code	272
Min. Negotiated Rate	$17.96
Max. Negotiated Rate	$17.96
Rate for Payer: Qualcare PPO/HMO/WC	$17.96

FLOWMETER 8LPM DISS NUT NIPPLE

Facility

$119.75

Hospital Charge Code	270669890
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$59.88
Rate for Payer: Aetna Commercial	$45.51
Rate for Payer: Aetna Medicare Advantage	$35.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.54
Rate for Payer: Cigna Commercial	$59.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.92
Rate for Payer: Oxford Commercial	$23.95
Rate for Payer: Qualcare PPO/HMO/WC	$17.96
Rate for Payer: UnitedHealthcare Commercial	$23.95
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.17

FLOWMETER PEAK FLOW***

Facility

$93.50

Hospital Charge Code	9501115
Hospital Revenue Code	279
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$46.75
Rate for Payer: Aetna Commercial	$35.53
Rate for Payer: Aetna Medicare Advantage	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.84
Rate for Payer: Cigna Commercial	$46.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.05
Rate for Payer: Oxford Commercial	$18.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.03
Rate for Payer: UnitedHealthcare Commercial	$18.70
Rate for Payer: UnitedHealthcare Community & State	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

FLOWMETER PEAK FLOW***

Facility

$93.50

Hospital Charge Code	9501115
Hospital Revenue Code	279
Min. Negotiated Rate	$14.03
Max. Negotiated Rate	$14.03
Rate for Payer: Qualcare PPO/HMO/WC	$14.03

FLOWMETER PERSONAL BEST

Facility

$131.25

Hospital Charge Code	270600658
Hospital Revenue Code	272
Min. Negotiated Rate	$19.69
Max. Negotiated Rate	$19.69
Rate for Payer: Qualcare PPO/HMO/WC	$19.69

FLOWMETER PERSONAL BEST

Facility

$131.25

Hospital Charge Code	270600658
Hospital Revenue Code	272
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.62
Rate for Payer: Aetna Commercial	$49.88
Rate for Payer: Aetna Medicare Advantage	$39.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.47
Rate for Payer: Cigna Commercial	$65.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.38
Rate for Payer: Oxford Commercial	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.69
Rate for Payer: UnitedHealthcare Commercial	$26.25
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.48

Know your out-of-pocket cost for care.

All Charges