Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
Hospital Revenue Code	270
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090386
Hospital Revenue Code	270
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$29.21
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.06
Rate for Payer: Oxford Commercial	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$15.38
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

HELIOX PER HOUR

Facility

$76.88

Hospital Charge Code	95090385
Hospital Revenue Code	270
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.44
Rate for Payer: Aetna Commercial	$29.21
Rate for Payer: Aetna Medicare Advantage	$23.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.06
Rate for Payer: Oxford Commercial	$15.38
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Commercial	$15.38
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

HELIXX SI LAG IMPLANT 12X50MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704261
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

HELIXX SI LAG IMPLANT 12X50MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704261
Hospital Revenue Code	278
Min. Negotiated Rate	$331.38
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$331.38
Rate for Payer: Wellpoint Medicaid Managed Care	$364.38

HELIXX SI LAG IMPLANT 12X55MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704263
Hospital Revenue Code	278
Min. Negotiated Rate	$2,062.50
Max. Negotiated Rate	$3,327.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50

HELIXX SI LAG IMPLANT 12X55MM

Facility

$13,750.00

Service Code	HCPCS C1713
Hospital Charge Code	270704263
Hospital Revenue Code	278
Min. Negotiated Rate	$331.38
Max. Negotiated Rate	$6,875.00
Rate for Payer: Aetna Commercial	$5,225.00
Rate for Payer: Aetna Medicare Advantage	$4,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,506.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,506.25
Rate for Payer: Cigna Commercial	$6,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,327.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,025.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,062.50
Rate for Payer: UnitedHealthcare Community & State	$331.38
Rate for Payer: Wellpoint Medicaid Managed Care	$364.38

HEMABATE INJECTION

Facility

$122.00

Hospital Charge Code	60634873
Hospital Revenue Code	250
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$61.00
Rate for Payer: Aetna Commercial	$46.36
Rate for Payer: Aetna Medicare Advantage	$36.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.11
Rate for Payer: Cigna Commercial	$61.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.60
Rate for Payer: Oxford Commercial	$24.40
Rate for Payer: Qualcare PPO/HMO/WC	$18.30
Rate for Payer: UnitedHealthcare Commercial	$24.40
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: Wellpoint Medicaid Managed Care	$3.23

HEMABATE INJECTION

Facility

$122.00

Hospital Charge Code	60634873
Hospital Revenue Code	250
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$18.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.30

HEMAGGLUTINATION INHBTN- (HAI)

Facility

$58.00

Service Code	HCPCS 86280
Hospital Charge Code	38477053
Hospital Revenue Code	302
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

HEMAGGLUTINATION INHBTN- (HAI)

Facility

$58.00

Service Code	HCPCS 86280
Hospital Charge Code	38477053
Hospital Revenue Code	302
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$22.28
Rate for Payer: Aetna Medicare Advantage	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.56
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: Cigna Medicare Advantage	$8.19
Rate for Payer: Clover Medicare Advantage	$7.78
Rate for Payer: EmblemHealth Commercial	$24.57
Rate for Payer: Humana Medicare Advantage	$8.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.19
Rate for Payer: Wellcare Medicare Advantage	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

HEMAGLOBIN OR RBCS,FETAL

Facility

$47.00

Service Code	HCPCS 85461
Hospital Charge Code	38477048
Hospital Revenue Code	305
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

HEMAGLOBIN OR RBCS,FETAL

Facility

$47.00

Service Code	HCPCS 85461
Hospital Charge Code	38477048
Hospital Revenue Code	305
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$30.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.79
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: Cigna Medicare Advantage	$9.36
Rate for Payer: Clover Medicare Advantage	$8.89
Rate for Payer: EmblemHealth Commercial	$28.08
Rate for Payer: Humana Medicare Advantage	$9.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.36
Rate for Payer: Wellcare Medicare Advantage	$9.36
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

HEMAQUET INTRODUCER SET 7 FR

Facility

$176.00

Hospital Charge Code	270331203
Hospital Revenue Code	278
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

HEMAQUET INTRODUCER SET 7 FR

Facility

$176.00

Hospital Charge Code	270331203
Hospital Revenue Code	278
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$88.00
Rate for Payer: Aetna Commercial	$66.88
Rate for Payer: Aetna Medicare Advantage	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.88
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Community & State	$4.24
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

HEMASHEILD GOLD VASCULAR GRAFT

Facility

$3,386.25

Hospital Charge Code	270656589
Hospital Revenue Code	278
Min. Negotiated Rate	$507.94
Max. Negotiated Rate	$819.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.98
Rate for Payer: Qualcare PPO/HMO/WC	$507.94

HEMASHEILD GOLD VASCULAR GRAFT

Facility

$3,386.25

Hospital Charge Code	270656589
Hospital Revenue Code	278
Min. Negotiated Rate	$81.61
Max. Negotiated Rate	$1,693.12
Rate for Payer: Aetna Commercial	$1,286.78
Rate for Payer: Aetna Medicare Advantage	$1,015.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$863.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$863.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$677.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$863.49
Rate for Payer: Cigna Commercial	$1,693.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$744.98
Rate for Payer: Qualcare PPO/HMO/WC	$507.94
Rate for Payer: UnitedHealthcare Community & State	$81.61
Rate for Payer: Wellpoint Medicaid Managed Care	$89.74

HEMASHIELD CORATID PTCH-BOSTON

Facility

$509.00

Hospital Charge Code	270335452
Hospital Revenue Code	278
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$254.50
Rate for Payer: Aetna Commercial	$193.42
Rate for Payer: Aetna Medicare Advantage	$152.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.79
Rate for Payer: Cigna Commercial	$254.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.98
Rate for Payer: Qualcare PPO/HMO/WC	$76.35
Rate for Payer: UnitedHealthcare Community & State	$12.27
Rate for Payer: Wellpoint Medicaid Managed Care	$13.49

HEMASHIELD CORATID PTCH-BOSTON

Facility

$509.00

Hospital Charge Code	270335452
Hospital Revenue Code	278
Min. Negotiated Rate	$76.35
Max. Negotiated Rate	$123.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.98
Rate for Payer: Qualcare PPO/HMO/WC	$76.35

HEMASHIELD PLATINUM WOVEN VASC

Facility

$3,491.25

Service Code	HCPCS C1768
Hospital Charge Code	270656587
Hospital Revenue Code	278
Min. Negotiated Rate	$84.14
Max. Negotiated Rate	$1,745.62
Rate for Payer: Aetna Commercial	$1,326.67
Rate for Payer: Aetna Medicare Advantage	$1,047.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$890.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$890.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$890.27
Rate for Payer: Cigna Commercial	$1,745.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$844.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$768.08
Rate for Payer: Qualcare PPO/HMO/WC	$523.69
Rate for Payer: UnitedHealthcare Community & State	$84.14
Rate for Payer: Wellpoint Medicaid Managed Care	$92.52

HEMASHIELD PLATINUM WOVEN VASC

Facility

$3,491.25

Service Code	HCPCS C1768
Hospital Charge Code	270656587
Hospital Revenue Code	278
Min. Negotiated Rate	$523.69
Max. Negotiated Rate	$844.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$698.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$844.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$768.08
Rate for Payer: Qualcare PPO/HMO/WC	$523.69

HEMASTIX REAGENT STRIPS

Facility

$5.65

Hospital Charge Code	270602049
Hospital Revenue Code	270
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

HEMASTIX REAGENT STRIPS

Facility

$5.65

Hospital Charge Code	270602049
Hospital Revenue Code	270
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

HEMATINIC PLUS TAB

Facility

$2.00

Hospital Charge Code	60635650
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$0.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$0.40
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

HEMATINIC PLUS TAB

Facility

$2.00

Hospital Charge Code	60635650
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

Know your out-of-pocket cost for care.

All Charges