Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HOMOCYSTEINE (CARDIO),FPI I

Facility

$115.90

Service Code	HCPCS 82131
Hospital Charge Code	39990005A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$62.51
Rate for Payer: Aetna Medicare Advantage	$74.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.95
Rate for Payer: Cigna Commercial	$57.95
Rate for Payer: Cigna Medicare Advantage	$22.98
Rate for Payer: Clover Medicare Advantage	$21.83
Rate for Payer: EmblemHealth Commercial	$68.94
Rate for Payer: Humana Medicare Advantage	$23.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.39
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$18.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.98
Rate for Payer: Wellcare Medicare Advantage	$22.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

HOMOCYSTEINE (CARDIO),FPI I

Facility

$115.90

Service Code	HCPCS 82131
Hospital Charge Code	39990005A
Hospital Revenue Code	301
Min. Negotiated Rate	$17.39
Max. Negotiated Rate	$17.39
Rate for Payer: Qualcare PPO/HMO/WC	$17.39

HOMOCYSTEINE (CARDIO),FPI II

Facility

$115.95

Service Code	HCPCS 83090
Hospital Charge Code	39990005B
Hospital Revenue Code	301
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.74
Rate for Payer: Aetna Medicare Advantage	$58.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.69
Rate for Payer: Cigna Commercial	$57.98
Rate for Payer: Cigna Medicare Advantage	$17.92
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.78
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.39
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Medicare Advantage	$17.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

HOMOCYSTEINE (CARDIO),FPI II

Facility

$115.95

Service Code	HCPCS 83090
Hospital Charge Code	39990005B
Hospital Revenue Code	301
Min. Negotiated Rate	$17.39
Max. Negotiated Rate	$17.39
Rate for Payer: Qualcare PPO/HMO/WC	$17.39

Homocysteine nutritional

Facility

$390.00

Service Code	HCPCS 83090
Hospital Charge Code	39708022
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Homocysteine nutritional

Facility

$390.00

Service Code	HCPCS 83090
Hospital Charge Code	39708022
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$48.74
Rate for Payer: Aetna Medicare Advantage	$58.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.69
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$17.92
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.92
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	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Medicare Advantage	$17.92
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HOMOCYSTINE, CYSTINE PLASMA

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001568
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

HOMOCYSTINE, CYSTINE PLASMA

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001568
Hospital Revenue Code	301
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.74
Rate for Payer: Aetna Medicare Advantage	$58.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.69
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: Cigna Medicare Advantage	$17.92
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Medicare Advantage	$17.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

HOMOCYSTINE TOTAL URINE

Facility

$152.85

Service Code	HCPCS 83090
Hospital Charge Code	3001570A
Hospital Revenue Code	301
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.74
Rate for Payer: Aetna Medicare Advantage	$58.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.69
Rate for Payer: Cigna Commercial	$76.42
Rate for Payer: Cigna Medicare Advantage	$17.92
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.85
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.93
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Medicare Advantage	$17.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

HOMOCYSTINE TOTAL URINE

Facility

$152.85

Service Code	HCPCS 83090
Hospital Charge Code	3001570A
Hospital Revenue Code	301
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$22.93
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

HOMOCYSTINE URINE

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001569
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

HOMOCYSTINE URINE

Facility

$153.65

Service Code	HCPCS 83090
Hospital Charge Code	3001569
Hospital Revenue Code	301
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.74
Rate for Payer: Aetna Medicare Advantage	$58.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.69
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: Cigna Medicare Advantage	$17.92
Rate for Payer: Clover Medicare Advantage	$17.02
Rate for Payer: EmblemHealth Commercial	$53.76
Rate for Payer: Humana Medicare Advantage	$18.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.92
Rate for Payer: Wellcare Medicare Advantage	$17.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

HOMOCYSTINE, URINE

Facility

$169.00

Service Code	HCPCS 82615
Hospital Charge Code	38473074
Hospital Revenue Code	301
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.98
Rate for Payer: Aetna Medicare Advantage	$30.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.47
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: Cigna Medicare Advantage	$9.55
Rate for Payer: Clover Medicare Advantage	$9.07
Rate for Payer: EmblemHealth Commercial	$28.65
Rate for Payer: Humana Medicare Advantage	$9.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.55
Rate for Payer: Wellcare Medicare Advantage	$9.55
Rate for Payer: Wellpoint Medicaid Managed Care	$4.48

HOMOCYSTINE, URINE

Facility

$169.00

Service Code	HCPCS 82615
Hospital Charge Code	38473074
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

HOMOGENTISIC ACID,URINE

Facility

$148.00

Service Code	HCPCS 81005
Hospital Charge Code	38473075
Hospital Revenue Code	307
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$5.90
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.83
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: Cigna Medicare Advantage	$2.17
Rate for Payer: Clover Medicare Advantage	$2.06
Rate for Payer: EmblemHealth Commercial	$6.51
Rate for Payer: Humana Medicare Advantage	$2.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.17
Rate for Payer: Wellcare Medicare Advantage	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

HOMOGENTISIC ACID,URINE

Facility

$148.00

Service Code	HCPCS 81005
Hospital Charge Code	38473075
Hospital Revenue Code	307
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$22.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.20

HOMOGENTISIC ACID,URINE,QUAL**

Facility

$38.00

Service Code	HCPCS 82489
Hospital Charge Code	3001567
Hospital Revenue Code	301
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

HOMOGENTISIC ACID,URINE,QUAL**

Facility

$38.00

Service Code	HCPCS 82489
Hospital Charge Code	3001567
Hospital Revenue Code	301
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

HOMOVANILLIC ACID (HVA)

Facility

$136.99

Service Code	HCPCS 83150
Hospital Charge Code	38477155
Hospital Revenue Code	301
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$60.96
Rate for Payer: Aetna Medicare Advantage	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.89
Rate for Payer: Cigna Commercial	$68.50
Rate for Payer: Cigna Medicare Advantage	$22.41
Rate for Payer: Clover Medicare Advantage	$21.29
Rate for Payer: EmblemHealth Commercial	$67.23
Rate for Payer: Humana Medicare Advantage	$23.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.55
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.41
Rate for Payer: Wellcare Medicare Advantage	$22.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.63

HOMOVANILLIC ACID (HVA)

Facility

$136.99

Service Code	HCPCS 83150
Hospital Charge Code	38477155
Hospital Revenue Code	301
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$20.55
Rate for Payer: Qualcare PPO/HMO/WC	$20.55

HOMOVANILLIC ACID, URINE

Facility

$170.45

Service Code	HCPCS 83150
Hospital Charge Code	3001575
Hospital Revenue Code	301
Min. Negotiated Rate	$4.52
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$60.96
Rate for Payer: Aetna Medicare Advantage	$72.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.89
Rate for Payer: Cigna Commercial	$85.22
Rate for Payer: Cigna Medicare Advantage	$22.41
Rate for Payer: Clover Medicare Advantage	$21.29
Rate for Payer: EmblemHealth Commercial	$67.23
Rate for Payer: Humana Medicare Advantage	$23.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.13
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$22.41
Rate for Payer: Wellcare Medicare Advantage	$22.41
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

HOMOVANILLIC ACID, URINE

Facility

$170.45

Service Code	HCPCS 83150
Hospital Charge Code	3001575
Hospital Revenue Code	301
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$25.57

HOOD FLYTE

Facility

$232.13

Hospital Charge Code	270660463
Hospital Revenue Code	272
Min. Negotiated Rate	$34.82
Max. Negotiated Rate	$34.82
Rate for Payer: Qualcare PPO/HMO/WC	$34.82

HOOD FLYTE

Facility

$232.13

Hospital Charge Code	270660463
Hospital Revenue Code	272
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$116.06
Rate for Payer: Aetna Commercial	$88.21
Rate for Payer: Aetna Medicare Advantage	$69.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.19
Rate for Payer: Cigna Commercial	$116.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.64
Rate for Payer: Oxford Commercial	$46.43
Rate for Payer: Qualcare PPO/HMO/WC	$34.82
Rate for Payer: UnitedHealthcare Commercial	$46.43
Rate for Payer: UnitedHealthcare Community & State	$5.59
Rate for Payer: Wellpoint Medicaid Managed Care	$6.15

HOOD INFANT LARGE

Facility

$119.25

Hospital Charge Code	270600475
Hospital Revenue Code	270
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$17.89
Rate for Payer: Qualcare PPO/HMO/WC	$17.89

Know your out-of-pocket cost for care.

All Charges