Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HANDPIECE VEJET 45DEG 14 50636

Facility

$3,375.00

Hospital Charge Code	270634304
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
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

HANDPIECE VER 15DEG 14MM 50635

Facility

$3,375.00

Hospital Charge Code	270634330
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HANDPIECE VERSAJET 14MM 45D

Facility

$2,975.00

Hospital Charge Code	270682396
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

HANDPIECE VERSAJET 14MM 45D

Facility

$2,975.00

Hospital Charge Code	270682396
Hospital Revenue Code	272
Min. Negotiated Rate	$71.70
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$892.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$71.70
Rate for Payer: Wellpoint Medicaid Managed Care	$78.84

HANDPIECE VERSA JET 15 x14 MM

Facility

$2,975.00

Hospital Charge Code	270682395
Hospital Revenue Code	272
Min. Negotiated Rate	$71.70
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$1,130.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$892.50
Rate for Payer: Oxford Commercial	$595.00
Rate for Payer: Qualcare PPO/HMO/WC	$446.25
Rate for Payer: UnitedHealthcare Commercial	$595.00
Rate for Payer: UnitedHealthcare Community & State	$71.70
Rate for Payer: Wellpoint Medicaid Managed Care	$78.84

HANDPIECE VERSA JET 15 x14 MM

Facility

$2,975.00

Hospital Charge Code	270682395
Hospital Revenue Code	272
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$446.25
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

HANDPIECE VERSAJET 45DEG 8MM

Facility

$3,600.00

Hospital Charge Code	270634305
Hospital Revenue Code	272
Min. Negotiated Rate	$86.76
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.00
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$720.00
Rate for Payer: UnitedHealthcare Community & State	$86.76
Rate for Payer: Wellpoint Medicaid Managed Care	$95.40

HANDPIECE VERSAJET 45DEG 8MM

Facility

$3,600.00

Hospital Charge Code	270634305
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

HAND PROCEDURES FOR INJURIES

Facility

$65,623.46

Service Code	MSDRG 906
Min. Negotiated Rate	$19,981.50
Max. Negotiated Rate	$65,623.46
Rate for Payer: Aetna Commercial	$45,348.13
Rate for Payer: Aetna Medicare Advantage	$65,623.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,033.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,730.68
Rate for Payer: Cigna Commercial	$32,981.55
Rate for Payer: Cigna Medicare Advantage	$21,033.16
Rate for Payer: Clover Medicare Advantage	$19,981.50
Rate for Payer: EmblemHealth Commercial	$63,099.48
Rate for Payer: Humana Medicare Advantage	$21,664.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,033.16
Rate for Payer: Oxford Commercial	$23,704.28
Rate for Payer: UnitedHealthcare Commercial	$41,566.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,033.16
Rate for Payer: Wellcare Medicare Advantage	$21,033.16

HAND PUMP PNEUMATIC DILATATION

Facility

$683.40

Hospital Charge Code	270675991
Hospital Revenue Code	272
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$341.70
Rate for Payer: Aetna Commercial	$259.69
Rate for Payer: Aetna Medicare Advantage	$205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.27
Rate for Payer: Cigna Commercial	$341.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.02
Rate for Payer: Oxford Commercial	$136.68
Rate for Payer: Qualcare PPO/HMO/WC	$102.51
Rate for Payer: UnitedHealthcare Commercial	$136.68
Rate for Payer: UnitedHealthcare Community & State	$16.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18.11

HAND PUMP PNEUMATIC DILATATION

Facility

$683.40

Hospital Charge Code	270675991
Hospital Revenue Code	272
Min. Negotiated Rate	$102.51
Max. Negotiated Rate	$102.51
Rate for Payer: Qualcare PPO/HMO/WC	$102.51

HAND RIGHT 3 VIEWS

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	2000074
Hospital Revenue Code	320
Min. Negotiated Rate	$159.09
Max. Negotiated Rate	$3,300.59
Rate for Payer: Aetna Commercial	$2,508.45
Rate for Payer: Aetna Medicare Advantage	$1,980.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.30
Rate for Payer: Cigna Commercial	$3,300.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,980.36
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.18
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$159.09
Rate for Payer: Wellpoint Medicaid Managed Care	$174.93

HAND RIGHT 3 VIEWS

Facility

$6,601.19

Service Code	HCPCS 73130RT
Hospital Charge Code	2000074
Hospital Revenue Code	320
Min. Negotiated Rate	$990.18
Max. Negotiated Rate	$990.18
Rate for Payer: Qualcare PPO/HMO/WC	$990.18

HAND SWITCH FOR EPD

Facility

$2,481.00

Hospital Charge Code	270674158
Hospital Revenue Code	272
Min. Negotiated Rate	$372.15
Max. Negotiated Rate	$372.15
Rate for Payer: Qualcare PPO/HMO/WC	$372.15

HAND SWITCH FOR EPD

Facility

$2,481.00

Hospital Charge Code	270674158
Hospital Revenue Code	272
Min. Negotiated Rate	$59.79
Max. Negotiated Rate	$1,240.50
Rate for Payer: Aetna Commercial	$942.78
Rate for Payer: Aetna Medicare Advantage	$744.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$632.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$632.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$632.65
Rate for Payer: Cigna Commercial	$1,240.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$744.30
Rate for Payer: Oxford Commercial	$496.20
Rate for Payer: Qualcare PPO/HMO/WC	$372.15
Rate for Payer: UnitedHealthcare Commercial	$496.20
Rate for Payer: UnitedHealthcare Community & State	$59.79
Rate for Payer: Wellpoint Medicaid Managed Care	$65.75

HAND SWITCH SUCTION COAG.

Facility

$99.00

Hospital Charge Code	270331853
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

HAND SWITCH SUCTION COAG.

Facility

$99.00

Hospital Charge Code	270331853
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.70
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

HAND TENDON RECONSTRUCTION

Facility

$13,677.40

Service Code	HCPCS 26502
Hospital Charge Code	16000850
Hospital Revenue Code	360
Min. Negotiated Rate	$2,051.61
Max. Negotiated Rate	$2,051.61
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.61

HAND TENDON RECONSTRUCTION

Facility

$13,677.40

Service Code	HCPCS 26502
Hospital Charge Code	16000850
Hospital Revenue Code	360
Min. Negotiated Rate	$329.63
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,103.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,051.61
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$329.63
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$362.45

HANDWASH KINDEST KARE 4oz

Facility

$5.44

Hospital Charge Code	270649936
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.72
Rate for Payer: Aetna Commercial	$2.07
Rate for Payer: Aetna Medicare Advantage	$1.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.39
Rate for Payer: Cigna Commercial	$2.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.63
Rate for Payer: Oxford Commercial	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$0.82
Rate for Payer: UnitedHealthcare Commercial	$1.09
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

HANDWASH KINDEST KARE 4oz

Facility

$5.44

Hospital Charge Code	270649936
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.82

HANTA IGG/IGM

Facility

$390.00

Service Code	HCPCS 86790
Hospital Charge Code	401086790
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HANTA IGG/IGM

Facility

$390.00

Service Code	HCPCS 86790
Hospital Charge Code	401086790
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$459.20
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
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	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HANTA VIRUS

Facility

$218.00

Service Code	HCPCS 86790
Hospital Charge Code	38476231
Hospital Revenue Code	302
Min. Negotiated Rate	$32.70
Max. Negotiated Rate	$32.70
Rate for Payer: Qualcare PPO/HMO/WC	$32.70

Know your out-of-pocket cost for care.

All Charges