Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

AMRINONE LACT INJ 5MG/ML 20ML

Facility

$469.80

Hospital Charge Code	6000434
Hospital Revenue Code	250
Min. Negotiated Rate	$70.47
Max. Negotiated Rate	$70.47
Rate for Payer: Qualcare PPO/HMO/WC	$70.47

AMRINONE LACT INJ 5MG/ML 20ML

Facility

$469.80

Hospital Charge Code	6000434
Hospital Revenue Code	250
Min. Negotiated Rate	$11.32
Max. Negotiated Rate	$234.90
Rate for Payer: Aetna Commercial	$178.52
Rate for Payer: Aetna Medicare Advantage	$140.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.80
Rate for Payer: Cigna Commercial	$234.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.94
Rate for Payer: Oxford Commercial	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$70.47
Rate for Payer: UnitedHealthcare Commercial	$93.96
Rate for Payer: UnitedHealthcare Community & State	$11.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12.45

AMS 700 LGX MS PUMP 12MMX18CM

Facility

$75,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270705746
Hospital Revenue Code	278
Min. Negotiated Rate	$11,392.50
Max. Negotiated Rate	$18,379.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,379.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16,709.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,392.50

AMS 700 LGX MS PUMP 12MMX18CM

Facility

$75,950.00

Service Code	HCPCS C1778
Hospital Charge Code	270705746
Hospital Revenue Code	278
Min. Negotiated Rate	$1,830.39
Max. Negotiated Rate	$37,975.00
Rate for Payer: Aetna Commercial	$28,861.00
Rate for Payer: Aetna Medicare Advantage	$22,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,367.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,367.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,367.25
Rate for Payer: Cigna Commercial	$37,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,379.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16,709.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,392.50
Rate for Payer: UnitedHealthcare Community & State	$1,830.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2,012.67

AMS CX MS PENILE PROS 12MMX24C

Facility

$73,850.00

Service Code	HCPCS C1889
Hospital Charge Code	270705408
Hospital Revenue Code	278
Min. Negotiated Rate	$1,779.79
Max. Negotiated Rate	$36,925.00
Rate for Payer: Aetna Commercial	$28,063.00
Rate for Payer: Aetna Medicare Advantage	$22,155.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,831.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,831.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14,770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,831.75
Rate for Payer: Cigna Commercial	$36,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,871.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16,247.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,077.50
Rate for Payer: UnitedHealthcare Community & State	$1,779.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1,957.03

AMS CX MS PENILE PROS 12MMX24C

Facility

$73,850.00

Service Code	HCPCS C1889
Hospital Charge Code	270705408
Hospital Revenue Code	278
Min. Negotiated Rate	$11,077.50
Max. Negotiated Rate	$17,871.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14,770.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,871.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16,247.00
Rate for Payer: Qualcare PPO/HMO/WC	$11,077.50

AMVISC PLUS/0.5ML

Facility

$444.00

Hospital Charge Code	60634469
Hospital Revenue Code	250
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$222.00
Rate for Payer: Aetna Commercial	$168.72
Rate for Payer: Aetna Medicare Advantage	$133.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.22
Rate for Payer: Cigna Commercial	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.20
Rate for Payer: Oxford Commercial	$88.80
Rate for Payer: Qualcare PPO/HMO/WC	$66.60
Rate for Payer: UnitedHealthcare Commercial	$88.80
Rate for Payer: UnitedHealthcare Community & State	$10.70
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

AMVISC PLUS/0.5ML

Facility

$444.00

Hospital Charge Code	60634469
Hospital Revenue Code	250
Min. Negotiated Rate	$66.60
Max. Negotiated Rate	$66.60
Rate for Payer: Qualcare PPO/HMO/WC	$66.60

AMYLASE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38472101
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

AMYLASE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38472101
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE***

Facility

$30.00

Hospital Charge Code	3010287
Hospital Revenue Code	309
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

AMYLASE***

Facility

$30.00

Hospital Charge Code	3010287
Hospital Revenue Code	309
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

AMYLASE,24HR

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479011
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

AMYLASE,24HR

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479011
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE,34HR URINE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479012
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

AMYLASE,34HR URINE

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479012
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE BODY FLUID

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3031010
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$161.24
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$161.24
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

AMYLASE BODY FLUID

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3031010
Hospital Revenue Code	301
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

AMYLASE,FLUID

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479009
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

AMYLASE,FLUID

Facility

$249.20

Service Code	HCPCS 82150
Hospital Charge Code	38479009
Hospital Revenue Code	301
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

AMYLASE ISOENZEYMES SERUM

Facility

$390.00

Service Code	HCPCS 82150XU
Hospital Charge Code	3000288B
Hospital Revenue Code	301
Min. Negotiated Rate	$9.40
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) 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	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

AMYLASE ISOENZEYMES SERUM

Facility

$390.00

Service Code	HCPCS 82150XU
Hospital Charge Code	3000288B
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

AMYLASE ISOENZYMES

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3007036
Hospital Revenue Code	301
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$161.24
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$161.24
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

AMYLASE ISOENZYMES

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3007036
Hospital Revenue Code	301
Min. Negotiated Rate	$48.37
Max. Negotiated Rate	$48.37
Rate for Payer: Qualcare PPO/HMO/WC	$48.37

AMYLASE ISOENZYMES I

Facility

$322.47

Service Code	HCPCS 82150
Hospital Charge Code	3038526A
Hospital Revenue Code	300
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$161.24
Rate for Payer: Aetna Commercial	$17.63
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.39
Rate for Payer: Cigna Commercial	$161.24
Rate for Payer: Cigna Medicare Advantage	$6.48
Rate for Payer: Clover Medicare Advantage	$6.16
Rate for Payer: EmblemHealth Commercial	$19.44
Rate for Payer: Humana Medicare Advantage	$6.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.37
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48
Rate for Payer: Wellcare Medicare Advantage	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

Know your out-of-pocket cost for care.

All Charges