Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

H.F. RESCETION ELECT LOOP 24FR

Facility

$7,777.00

Hospital Charge Code	270655911
Hospital Revenue Code	272
Min. Negotiated Rate	$187.43
Max. Negotiated Rate	$3,888.50
Rate for Payer: Aetna Commercial	$2,955.26
Rate for Payer: Aetna Medicare Advantage	$2,333.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,983.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,983.13
Rate for Payer: Cigna Commercial	$3,888.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,333.10
Rate for Payer: Oxford Commercial	$1,555.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55
Rate for Payer: UnitedHealthcare Commercial	$1,555.40
Rate for Payer: UnitedHealthcare Community & State	$187.43
Rate for Payer: Wellpoint Medicaid Managed Care	$206.09

H.F. RESCETION ELECT LOOP 24FR

Facility

$7,777.00

Hospital Charge Code	270655911
Hospital Revenue Code	272
Min. Negotiated Rate	$1,166.55
Max. Negotiated Rate	$1,166.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,166.55

H. GALACTOMANNAN ANTIGEN URINE

Facility

$155.14

Service Code	HCPCS 87385
Hospital Charge Code	401187385
Hospital Revenue Code	306
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$23.27
Rate for Payer: Qualcare PPO/HMO/WC	$23.27

H. GALACTOMANNAN ANTIGEN URINE

Facility

$155.14

Service Code	HCPCS 87385
Hospital Charge Code	401187385
Hospital Revenue Code	306
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$36.04
Rate for Payer: Aetna Medicare Advantage	$42.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.83
Rate for Payer: Cigna Commercial	$77.57
Rate for Payer: Cigna Medicare Advantage	$13.25
Rate for Payer: Clover Medicare Advantage	$12.59
Rate for Payer: EmblemHealth Commercial	$39.75
Rate for Payer: Humana Medicare Advantage	$13.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.27
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.25
Rate for Payer: Wellcare Medicare Advantage	$13.25
Rate for Payer: Wellpoint Medicaid Managed Care	$4.11

H.GALACTOMANNAN ANTIGEN URINE

Facility

$390.00

Service Code	HCPCS 87385
Hospital Charge Code	3847976
Hospital Revenue Code	306
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$36.04
Rate for Payer: Aetna Medicare Advantage	$42.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.83
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$13.25
Rate for Payer: Clover Medicare Advantage	$12.59
Rate for Payer: EmblemHealth Commercial	$39.75
Rate for Payer: Humana Medicare Advantage	$13.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.25
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	$10.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.25
Rate for Payer: Wellcare Medicare Advantage	$13.25
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

H.GALACTOMANNAN ANTIGEN URINE

Facility

$390.00

Service Code	HCPCS 87385
Hospital Charge Code	3847976
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HGB

Facility

$22.45

Service Code	HCPCS 85018
Hospital Charge Code	8200338RS
Hospital Revenue Code	305
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$6.45
Rate for Payer: Aetna Medicare Advantage	$7.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.55
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: Cigna Medicare Advantage	$2.37
Rate for Payer: Clover Medicare Advantage	$2.25
Rate for Payer: EmblemHealth Commercial	$7.11
Rate for Payer: Humana Medicare Advantage	$2.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.37
Rate for Payer: Wellcare Medicare Advantage	$2.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

HGB

Facility

$22.45

Service Code	HCPCS 85018
Hospital Charge Code	8200338RS
Hospital Revenue Code	305
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

HGB EVAL CHROMATOGRAPH

Facility

$218.45

Service Code	HCPCS 83020
Hospital Charge Code	3001519A
Hospital Revenue Code	301
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

HGB EVAL CHROMATOGRAPH

Facility

$218.45

Service Code	HCPCS 83020
Hospital Charge Code	3001519A
Hospital Revenue Code	301
Min. Negotiated Rate	$5.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.01
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.46
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: Cigna Medicare Advantage	$12.87
Rate for Payer: Clover Medicare Advantage	$12.23
Rate for Payer: EmblemHealth Commercial	$38.61
Rate for Payer: Humana Medicare Advantage	$13.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.87
Rate for Payer: Wellcare Medicare Advantage	$12.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

HGE AB (IGG,M), I

Facility

$88.55

Service Code	HCPCS 8660991
Hospital Charge Code	39990034A
Hospital Revenue Code	302
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

HGE AB (IGG,M), I

Facility

$88.55

Service Code	HCPCS 8660991
Hospital Charge Code	39990034A
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$33.65
Rate for Payer: Aetna Medicare Advantage	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.58
Rate for Payer: Cigna Commercial	$44.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

HGE AB (IGG,M), II

Facility

$88.55

Service Code	HCPCS 8660991
Hospital Charge Code	39990034B
Hospital Revenue Code	302
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

HGE AB (IGG,M), II

Facility

$88.55

Service Code	HCPCS 8660991
Hospital Charge Code	39990034B
Hospital Revenue Code	302
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$33.65
Rate for Payer: Aetna Medicare Advantage	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.58
Rate for Payer: Cigna Commercial	$44.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

HGE AB (IGG,M), III

Facility

$69.95

Service Code	HCPCS 8666691
Hospital Charge Code	39990034C
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

HGE AB (IGG,M), III

Facility

$69.95

Service Code	HCPCS 8666691
Hospital Charge Code	39990034C
Hospital Revenue Code	302
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

HGE AB (IGG,M), IV

Facility

$69.95

Service Code	HCPCS 8666691
Hospital Charge Code	39990034D
Hospital Revenue Code	302
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$10.49
Rate for Payer: Qualcare PPO/HMO/WC	$10.49

HGE AB (IGG,M), IV

Facility

$69.95

Service Code	HCPCS 8666691
Hospital Charge Code	39990034D
Hospital Revenue Code	302
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$26.58
Rate for Payer: Aetna Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.84
Rate for Payer: Cigna Commercial	$34.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.98
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

H-GENIN CRUSH MIX 5CC

Facility

$9,790.55

Hospital Charge Code	270700316
Hospital Revenue Code	278
Min. Negotiated Rate	$235.95
Max. Negotiated Rate	$4,895.27
Rate for Payer: Aetna Commercial	$3,720.41
Rate for Payer: Aetna Medicare Advantage	$2,937.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,496.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,958.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,496.59
Rate for Payer: Cigna Commercial	$4,895.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,369.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,153.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.58
Rate for Payer: UnitedHealthcare Community & State	$235.95
Rate for Payer: Wellpoint Medicaid Managed Care	$259.45

H-GENIN CRUSH MIX 5CC

Facility

$9,790.55

Hospital Charge Code	270700316
Hospital Revenue Code	278
Min. Negotiated Rate	$1,468.58
Max. Negotiated Rate	$2,369.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,958.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,369.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,153.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,468.58

HIB-HEMOPHILUS INFLUENZ B

Facility

$66.26

Service Code	HCPCS 90648
Hospital Charge Code	83652611
Hospital Revenue Code	636
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$52.27
Rate for Payer: Aetna Commercial	$25.18
Rate for Payer: Aetna Medicare Advantage	$19.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.90
Rate for Payer: Cigna Commercial	$33.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.94
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

HIB-HEMOPHILUS INFLUENZ B

Facility

$66.26

Service Code	HCPCS 90648
Hospital Charge Code	83652611
Hospital Revenue Code	636
Min. Negotiated Rate	$9.94
Max. Negotiated Rate	$16.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.94

HIBICLENS 4% LOT

Facility

$25.39

Service Code	NDC 234057504
Hospital Charge Code	60635807
Hospital Revenue Code	250
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

HIBICLENS 4% LOT

Facility

$25.39

Service Code	NDC 234057504
Hospital Charge Code	60635807
Hospital Revenue Code	250
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.47
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.62
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

HICKMAN CATHETER

Facility

$378.00

Hospital Charge Code	270335412
Hospital Revenue Code	278
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$189.00
Rate for Payer: Aetna Commercial	$143.64
Rate for Payer: Aetna Medicare Advantage	$113.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.39
Rate for Payer: Cigna Commercial	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$83.16
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: Wellpoint Medicaid Managed Care	$10.02

Know your out-of-pocket cost for care.

All Charges