Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HEREDITARY HEMOCHROMATOSIS DNA

Facility

$204.00

Hospital Charge Code	3035052F
Hospital Revenue Code	301
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

HEREDITARY HEMOCHROM DNA

Facility

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$68.37
Max. Negotiated Rate	$68.37
Rate for Payer: Qualcare PPO/HMO/WC	$68.37

HEREDITARY HEMOCHROM DNA

Facility

$455.80

Service Code	HCPCS 81256
Hospital Charge Code	39900018
Hospital Revenue Code	310
Min. Negotiated Rate	$12.08
Max. Negotiated Rate	$235.93
Rate for Payer: Aetna Commercial	$177.78
Rate for Payer: Aetna Medicare Advantage	$211.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$65.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.93
Rate for Payer: Cigna Commercial	$227.90
Rate for Payer: Cigna Medicare Advantage	$65.36
Rate for Payer: Clover Medicare Advantage	$62.09
Rate for Payer: EmblemHealth Commercial	$196.08
Rate for Payer: Humana Medicare Advantage	$67.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$65.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.37
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$52.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$65.36
Rate for Payer: Wellcare Medicare Advantage	$65.36
Rate for Payer: Wellpoint Medicaid Managed Care	$12.08

HERNIA MESH 3D

Facility

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$280.50
Rate for Payer: Aetna Commercial	$213.18
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.42
Rate for Payer: Qualcare PPO/HMO/WC	$84.15
Rate for Payer: UnitedHealthcare Community & State	$13.52
Rate for Payer: Wellpoint Medicaid Managed Care	$14.87

HERNIA MESH 3D

Facility

$561.00

Hospital Charge Code	270332618
Hospital Revenue Code	278
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$135.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.42
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$1,173.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,067.00
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

HERNIA MESH VENTRIO ST LG CIRC

Facility

$4,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270688690
Hospital Revenue Code	278
Min. Negotiated Rate	$116.89
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,843.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$970.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,173.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,067.00
Rate for Payer: Qualcare PPO/HMO/WC	$727.50
Rate for Payer: UnitedHealthcare Community & State	$116.89
Rate for Payer: Wellpoint Medicaid Managed Care	$128.53

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$17.21
Max. Negotiated Rate	$357.00
Rate for Payer: Aetna Commercial	$271.32
Rate for Payer: Aetna Medicare Advantage	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.07
Rate for Payer: Cigna Commercial	$357.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.08
Rate for Payer: Qualcare PPO/HMO/WC	$107.10
Rate for Payer: UnitedHealthcare Community & State	$17.21
Rate for Payer: Wellpoint Medicaid Managed Care	$18.92

HERNIA PLUG

Facility

$714.00

Hospital Charge Code	270335548
Hospital Revenue Code	278
Min. Negotiated Rate	$107.10
Max. Negotiated Rate	$172.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$142.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.08
Rate for Payer: Qualcare PPO/HMO/WC	$107.10

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility

$56,512.00

Service Code	MSDRG 354
Min. Negotiated Rate	$17,207.18
Max. Negotiated Rate	$56,512.00
Rate for Payer: Aetna Commercial	$39,087.52
Rate for Payer: Aetna Medicare Advantage	$56,512.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,008.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,008.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,112.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,008.92
Rate for Payer: Cigna Commercial	$31,484.43
Rate for Payer: Cigna Medicare Advantage	$18,112.82
Rate for Payer: Clover Medicare Advantage	$17,207.18
Rate for Payer: EmblemHealth Commercial	$54,338.46
Rate for Payer: Humana Medicare Advantage	$18,656.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,112.82
Rate for Payer: Oxford Commercial	$22,628.28
Rate for Payer: UnitedHealthcare Commercial	$39,679.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,112.82
Rate for Payer: Wellcare Medicare Advantage	$18,112.82

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

Facility

$95,931.48

Service Code	MSDRG 353
Min. Negotiated Rate	$29,209.91
Max. Negotiated Rate	$95,931.48
Rate for Payer: Aetna Commercial	$66,173.18
Rate for Payer: Aetna Medicare Advantage	$95,931.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67,922.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67,922.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$30,747.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67,922.12
Rate for Payer: Cigna Commercial	$54,308.03
Rate for Payer: Cigna Medicare Advantage	$30,747.27
Rate for Payer: Clover Medicare Advantage	$29,209.91
Rate for Payer: EmblemHealth Commercial	$92,241.81
Rate for Payer: Humana Medicare Advantage	$31,669.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$30,747.27
Rate for Payer: Oxford Commercial	$39,031.90
Rate for Payer: UnitedHealthcare Commercial	$68,443.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$30,747.27
Rate for Payer: Wellcare Medicare Advantage	$30,747.27

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility

$45,606.69

Service Code	MSDRG 355
Min. Negotiated Rate	$13,886.65
Max. Negotiated Rate	$45,606.69
Rate for Payer: Aetna Commercial	$31,594.32
Rate for Payer: Aetna Medicare Advantage	$45,606.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,634.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,634.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,617.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,634.96
Rate for Payer: Cigna Commercial	$25,170.33
Rate for Payer: Cigna Medicare Advantage	$14,617.53
Rate for Payer: Clover Medicare Advantage	$13,886.65
Rate for Payer: EmblemHealth Commercial	$43,852.59
Rate for Payer: Humana Medicare Advantage	$15,056.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,617.53
Rate for Payer: Oxford Commercial	$18,090.25
Rate for Payer: UnitedHealthcare Commercial	$31,721.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,617.53
Rate for Payer: Wellcare Medicare Advantage	$14,617.53

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$24,000.83

Service Code	APR-DRG 2273
Min. Negotiated Rate	$23,530.23
Max. Negotiated Rate	$24,000.83
Rate for Payer: UnitedHealthcare Community & State	$23,530.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,000.83
Rate for Payer: Wellpoint Medicaid Managed Care	$23,530.23

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$17,293.02

Service Code	APR-DRG 2272
Min. Negotiated Rate	$16,953.94
Max. Negotiated Rate	$17,293.02
Rate for Payer: UnitedHealthcare Community & State	$16,953.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,293.02
Rate for Payer: Wellpoint Medicaid Managed Care	$16,953.94

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$14,176.55

Service Code	APR-DRG 2271
Min. Negotiated Rate	$13,898.58
Max. Negotiated Rate	$14,176.55
Rate for Payer: UnitedHealthcare Community & State	$13,898.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,176.55
Rate for Payer: Wellpoint Medicaid Managed Care	$13,898.58

HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL

Facility

$45,772.60

Service Code	APR-DRG 2274
Min. Negotiated Rate	$44,875.10
Max. Negotiated Rate	$45,772.60
Rate for Payer: UnitedHealthcare Community & State	$44,875.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$45,772.60
Rate for Payer: Wellpoint Medicaid Managed Care	$44,875.10

HERN MESH VENTRIO ST 7.7 X 9.7

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688686
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

HERN MESH VENTRIO ST 7.7 X 9.7

Facility

$10,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688686
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

HERN MESH VENTRIO ST 8.7X10.7

Facility

$12,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688687
Hospital Revenue Code	278
Min. Negotiated Rate	$1,875.00
Max. Negotiated Rate	$3,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00

HERN MESH VENTRIO ST 8.7X10.7

Facility

$12,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688687
Hospital Revenue Code	278
Min. Negotiated Rate	$301.25
Max. Negotiated Rate	$6,250.00
Rate for Payer: Aetna Commercial	$4,750.00
Rate for Payer: Aetna Medicare Advantage	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,187.50
Rate for Payer: Cigna Commercial	$6,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,025.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,875.00
Rate for Payer: UnitedHealthcare Community & State	$301.25
Rate for Payer: Wellpoint Medicaid Managed Care	$331.25

HERN MSH VENTRIO ST 710.8X13.7

Facility

$15,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688688
Hospital Revenue Code	278
Min. Negotiated Rate	$373.55
Max. Negotiated Rate	$7,750.00
Rate for Payer: Aetna Commercial	$5,890.00
Rate for Payer: Aetna Medicare Advantage	$4,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,952.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,952.50
Rate for Payer: Cigna Commercial	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,410.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00
Rate for Payer: UnitedHealthcare Community & State	$373.55
Rate for Payer: Wellpoint Medicaid Managed Care	$410.75

HERN MSH VENTRIO ST 710.8X13.7

Facility

$15,500.00

Service Code	HCPCS C1781
Hospital Charge Code	270688688
Hospital Revenue Code	278
Min. Negotiated Rate	$2,325.00
Max. Negotiated Rate	$3,751.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,751.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,410.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,325.00

HERP 6 DNA AMP PROBE

Facility

$243.25

Service Code	HCPCS 87532
Hospital Charge Code	3035097
Hospital Revenue Code	306
Min. Negotiated Rate	$36.49
Max. Negotiated Rate	$36.49
Rate for Payer: Qualcare PPO/HMO/WC	$36.49

HERP 6 DNA AMP PROBE

Facility

$243.25

Service Code	HCPCS 87532
Hospital Charge Code	3035097
Hospital Revenue Code	306
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$126.66
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$121.62
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.45

HERPES 1&2 IGM I

Facility

$390.00

Service Code	HCPCS 86695
Hospital Charge Code	39990100A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges