Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HAND NEBULIZER TRMT SUBSEQ****

Facility

$46.00

Service Code	HCPCS 94640
Hospital Charge Code	9500309
Hospital Revenue Code	419
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$1,550.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.80
Rate for Payer: Oxford Commercial	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.90
Rate for Payer: UnitedHealthcare Commercial	$1,550.00
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1.22

HAND NEBULIZER TRMT SUBSEQ****

Facility

$46.00

Service Code	HCPCS 94640
Hospital Charge Code	9500309
Hospital Revenue Code	419
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.90

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility

$53,018.04

Service Code	MSDRG 513
Min. Negotiated Rate	$16,143.31
Max. Negotiated Rate	$53,018.04
Rate for Payer: Aetna Commercial	$36,686.76
Rate for Payer: Aetna Medicare Advantage	$53,018.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,992.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,682.82
Rate for Payer: Cigna Commercial	$29,461.45
Rate for Payer: Cigna Medicare Advantage	$16,992.96
Rate for Payer: Clover Medicare Advantage	$16,143.31
Rate for Payer: EmblemHealth Commercial	$50,978.88
Rate for Payer: Humana Medicare Advantage	$17,502.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,992.96
Rate for Payer: Oxford Commercial	$21,174.33
Rate for Payer: UnitedHealthcare Commercial	$37,129.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,992.96
Rate for Payer: Wellcare Medicare Advantage	$16,992.96

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility

$35,176.53

Service Code	MSDRG 514
Min. Negotiated Rate	$10,710.80
Max. Negotiated Rate	$35,176.53
Rate for Payer: Aetna Commercial	$24,427.62
Rate for Payer: Aetna Medicare Advantage	$35,176.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,191.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,274.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,191.44
Rate for Payer: Cigna Commercial	$19,131.32
Rate for Payer: Cigna Medicare Advantage	$11,274.53
Rate for Payer: Clover Medicare Advantage	$10,710.80
Rate for Payer: EmblemHealth Commercial	$33,823.59
Rate for Payer: Humana Medicare Advantage	$11,612.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,274.53
Rate for Payer: Oxford Commercial	$13,749.93
Rate for Payer: UnitedHealthcare Commercial	$24,110.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,274.53
Rate for Payer: Wellcare Medicare Advantage	$11,274.53

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$361.12
Max. Negotiated Rate	$361.12
Rate for Payer: Qualcare PPO/HMO/WC	$361.12

HANDPIECE 33 CM PRECIS JPLASMA

Facility

$2,407.50

Hospital Charge Code	270681928
Hospital Revenue Code	272
Min. Negotiated Rate	$58.02
Max. Negotiated Rate	$1,203.75
Rate for Payer: Aetna Commercial	$914.85
Rate for Payer: Aetna Medicare Advantage	$722.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613.91
Rate for Payer: Cigna Commercial	$1,203.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.25
Rate for Payer: Oxford Commercial	$481.50
Rate for Payer: Qualcare PPO/HMO/WC	$361.12
Rate for Payer: UnitedHealthcare Commercial	$481.50
Rate for Payer: UnitedHealthcare Community & State	$58.02
Rate for Payer: Wellpoint Medicaid Managed Care	$63.80

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$206.06
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$3,249.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,565.00
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$1,710.00
Rate for Payer: UnitedHealthcare Community & State	$206.06
Rate for Payer: Wellpoint Medicaid Managed Care	$226.57

HANDPIECE 9G X 14CM, 12MM

Facility

$8,550.00

Hospital Charge Code	270664836
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$1,282.50
Max. Negotiated Rate	$1,282.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50

HANDPIECE 9G X 14CM, 20CM

Facility

$8,550.00

Hospital Charge Code	270664835
Hospital Revenue Code	270
Min. Negotiated Rate	$206.06
Max. Negotiated Rate	$4,275.00
Rate for Payer: Aetna Commercial	$3,249.00
Rate for Payer: Aetna Medicare Advantage	$2,565.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,180.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,180.25
Rate for Payer: Cigna Commercial	$4,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,565.00
Rate for Payer: Oxford Commercial	$1,710.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,282.50
Rate for Payer: UnitedHealthcare Commercial	$1,710.00
Rate for Payer: UnitedHealthcare Community & State	$206.06
Rate for Payer: Wellpoint Medicaid Managed Care	$226.57

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$41.26
Max. Negotiated Rate	$41.26
Rate for Payer: Qualcare PPO/HMO/WC	$41.26

HANDPIECE HANDCONTROLE

Facility

$275.09

Hospital Charge Code	270664982
Hospital Revenue Code	270
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.54
Rate for Payer: Aetna Commercial	$104.53
Rate for Payer: Aetna Medicare Advantage	$82.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.15
Rate for Payer: Cigna Commercial	$137.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.53
Rate for Payer: Oxford Commercial	$55.02
Rate for Payer: Qualcare PPO/HMO/WC	$41.26
Rate for Payer: UnitedHealthcare Commercial	$55.02
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$37.19
Max. Negotiated Rate	$37.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.19

HANDPIECE INTERPULSE W/BONE

Facility

$247.92

Hospital Charge Code	270656162
Hospital Revenue Code	271
Min. Negotiated Rate	$5.97
Max. Negotiated Rate	$123.96
Rate for Payer: Aetna Commercial	$94.21
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.38
Rate for Payer: Oxford Commercial	$49.58
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$49.58
Rate for Payer: UnitedHealthcare Community & State	$5.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$292.11
Max. Negotiated Rate	$292.11
Rate for Payer: Qualcare PPO/HMO/WC	$292.11

HAND PIECE LAP 33CM J

Facility

$1,947.40

Hospital Charge Code	270681927
Hospital Revenue Code	272
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$973.70
Rate for Payer: Aetna Commercial	$740.01
Rate for Payer: Aetna Medicare Advantage	$584.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$496.59
Rate for Payer: Cigna Commercial	$973.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$584.22
Rate for Payer: Oxford Commercial	$389.48
Rate for Payer: Qualcare PPO/HMO/WC	$292.11
Rate for Payer: UnitedHealthcare Commercial	$389.48
Rate for Payer: UnitedHealthcare Community & State	$46.93
Rate for Payer: Wellpoint Medicaid Managed Care	$51.61

HANDPIECE LASER

Facility

$156.85

Hospital Charge Code	270060946
Hospital Revenue Code	272
Min. Negotiated Rate	$23.53
Max. Negotiated Rate	$23.53
Rate for Payer: Qualcare PPO/HMO/WC	$23.53

HANDPIECE LASER

Facility

$156.85

Hospital Charge Code	270060946
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$78.42
Rate for Payer: Aetna Commercial	$59.60
Rate for Payer: Aetna Medicare Advantage	$47.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.00
Rate for Payer: Cigna Commercial	$78.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.05
Rate for Payer: Oxford Commercial	$31.37
Rate for Payer: Qualcare PPO/HMO/WC	$23.53
Rate for Payer: UnitedHealthcare Commercial	$31.37
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.16

HANDPIECE STERNUM SAW 5059005

Facility

$141.65

Hospital Charge Code	270634801
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

HANDPIECE STERNUM SAW 5059005

Facility

$141.65

Hospital Charge Code	270634801
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.49
Rate for Payer: Oxford Commercial	$28.33
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$28.33
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

HANDPIECE SURGILAV PLUS W/TIP

Facility

$1,636.80

Hospital Charge Code	270658058
Hospital Revenue Code	272
Min. Negotiated Rate	$245.52
Max. Negotiated Rate	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$245.52

HANDPIECE SURGILAV PLUS W/TIP

Facility

$1,636.80

Hospital Charge Code	270658058
Hospital Revenue Code	272
Min. Negotiated Rate	$39.45
Max. Negotiated Rate	$818.40
Rate for Payer: Aetna Commercial	$621.98
Rate for Payer: Aetna Medicare Advantage	$491.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$417.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$417.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$417.38
Rate for Payer: Cigna Commercial	$818.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$491.04
Rate for Payer: Oxford Commercial	$327.36
Rate for Payer: Qualcare PPO/HMO/WC	$245.52
Rate for Payer: UnitedHealthcare Commercial	$327.36
Rate for Payer: UnitedHealthcare Community & State	$39.45
Rate for Payer: Wellpoint Medicaid Managed Care	$43.38

HANDPIECE VARI-CARE

Facility

$360.85

Hospital Charge Code	270609362
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$180.43
Rate for Payer: Aetna Commercial	$137.12
Rate for Payer: Aetna Medicare Advantage	$108.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.02
Rate for Payer: Cigna Commercial	$180.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.25
Rate for Payer: Oxford Commercial	$72.17
Rate for Payer: Qualcare PPO/HMO/WC	$54.13
Rate for Payer: UnitedHealthcare Commercial	$72.17
Rate for Payer: UnitedHealthcare Community & State	$8.70
Rate for Payer: Wellpoint Medicaid Managed Care	$9.56

HANDPIECE VARI-CARE

Facility

$360.85

Hospital Charge Code	270609362
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$81.34
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,012.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$675.00
Rate for Payer: UnitedHealthcare Community & State	$81.34
Rate for Payer: Wellpoint Medicaid Managed Care	$89.44

Know your out-of-pocket cost for care.

All Charges