Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HUIGREGTSE NDLE KNIFE PAPILL

Facility

$337.00

Hospital Charge Code	270334800
Hospital Revenue Code	272
Min. Negotiated Rate	$8.12
Max. Negotiated Rate	$168.50
Rate for Payer: Aetna Commercial	$128.06
Rate for Payer: Aetna Medicare Advantage	$101.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.94
Rate for Payer: Cigna Commercial	$168.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.10
Rate for Payer: Oxford Commercial	$67.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.55
Rate for Payer: UnitedHealthcare Commercial	$67.40
Rate for Payer: UnitedHealthcare Community & State	$8.12
Rate for Payer: Wellpoint Medicaid Managed Care	$8.93

HUMABID LA/TAB

Facility

$1.00

Hospital Charge Code	60634893
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

HUMABID LA/TAB

Facility

$1.00

Hospital Charge Code	60634893
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

HUMALOG INJ 10MG

Facility

$172.00

Hospital Charge Code	60635149
Hospital Revenue Code	250
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

HUMALOG INJ 10MG

Facility

$172.00

Hospital Charge Code	60635149
Hospital Revenue Code	250
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$86.00
Rate for Payer: Aetna Commercial	$65.36
Rate for Payer: Aetna Medicare Advantage	$51.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.86
Rate for Payer: Cigna Commercial	$86.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.60
Rate for Payer: Oxford Commercial	$34.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.80
Rate for Payer: UnitedHealthcare Commercial	$34.40
Rate for Payer: UnitedHealthcare Community & State	$4.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.56

HUMALOG MIX 75/25 10ML

Facility

$87.00

Hospital Charge Code	60635389
Hospital Revenue Code	250
Min. Negotiated Rate	$13.05
Max. Negotiated Rate	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$13.05

HUMALOG MIX 75/25 10ML

Facility

$87.00

Hospital Charge Code	60635389
Hospital Revenue Code	250
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$43.50
Rate for Payer: Aetna Commercial	$33.06
Rate for Payer: Aetna Medicare Advantage	$26.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.18
Rate for Payer: Cigna Commercial	$43.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.10
Rate for Payer: Oxford Commercial	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.05
Rate for Payer: UnitedHealthcare Commercial	$17.40
Rate for Payer: UnitedHealthcare Community & State	$2.10
Rate for Payer: Wellpoint Medicaid Managed Care	$2.31

HUMAN ANTI MOUSE AB

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3001911
Hospital Revenue Code	301
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$126.72
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.34
Rate for Payer: Cigna Commercial	$126.72
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.72

HUMAN ANTI MOUSE AB

Facility

$253.45

Service Code	HCPCS 83520
Hospital Charge Code	3001911
Hospital Revenue Code	301
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

HUMAN EPIDYDEMIS PROTEIN 4

Facility

$390.00

Service Code	HCPCS 86305
Hospital Charge Code	401086305B
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$56.60
Rate for Payer: Aetna Medicare Advantage	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.12
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$20.81
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.81
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	$16.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.81
Rate for Payer: Wellcare Medicare Advantage	$20.81
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

HUMAN EPIDYDEMIS PROTEIN 4

Facility

$390.00

Service Code	HCPCS 86305
Hospital Charge Code	401086305B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

HUMAN HERPES VIRUS 6 AB IGG

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035037
Hospital Revenue Code	302
Min. Negotiated Rate	$2.48
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	$46.83
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	$28.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
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	$2.48

HUMAN HERPES VIRUS 6 AB IGG

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3035037
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

HUMAN INSULIN INJ 50/50 U-100

Facility

$155.55

Hospital Charge Code	60628224
Hospital Revenue Code	636
Min. Negotiated Rate	$23.33
Max. Negotiated Rate	$37.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.64
Rate for Payer: Qualcare PPO/HMO/WC	$23.33

HUMAN INSULIN INJ 50/50 U-100

Facility

$155.55

Hospital Charge Code	60628224
Hospital Revenue Code	636
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$77.78
Rate for Payer: Aetna Commercial	$59.11
Rate for Payer: Aetna Medicare Advantage	$46.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.67
Rate for Payer: Cigna Commercial	$77.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.64
Rate for Payer: Qualcare PPO/HMO/WC	$23.33
Rate for Payer: UnitedHealthcare Community & State	$3.75
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

HUMAN INSULIN LISPRO INJ U-100

Facility

$93.02

Service Code	NDC 2753301
Hospital Charge Code	60628226
Hospital Revenue Code	250
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$46.51
Rate for Payer: Aetna Commercial	$35.35
Rate for Payer: Aetna Medicare Advantage	$27.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.72
Rate for Payer: Cigna Commercial	$46.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.91
Rate for Payer: Oxford Commercial	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$18.60
Rate for Payer: UnitedHealthcare Community & State	$2.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.47

HUMAN INSULIN LISPRO INJ U-100

Facility

$93.02

Service Code	NDC 2753301
Hospital Charge Code	60628226
Hospital Revenue Code	250
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

HUMAN METAPNEUMOVIRUS RNA

Facility

$1,433.80

Service Code	HCPCS 87798
Hospital Charge Code	401087798
Hospital Revenue Code	306
Min. Negotiated Rate	$28.07
Max. Negotiated Rate	$716.90
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	$153.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$716.90
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	$430.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.07
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	$38.00

HUMAN METAPNEUMOVIRUS RNA

Facility

$1,433.80

Service Code	HCPCS 87798
Hospital Charge Code	401087798
Hospital Revenue Code	306
Min. Negotiated Rate	$215.07
Max. Negotiated Rate	$215.07
Rate for Payer: Qualcare PPO/HMO/WC	$215.07

HUMAN T CELL HTLV I/II QUAL

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3008355
Hospital Revenue Code	302
Min. Negotiated Rate	$2.48
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	$46.83
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	$28.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
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	$2.48

HUMAN T CELL HTLV I/II QUAL

Facility

$93.65

Service Code	HCPCS 86790
Hospital Charge Code	3008355
Hospital Revenue Code	302
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$14.05
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

HUMATIN CAPS

Facility

$13.00

Hospital Charge Code	60635117
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

HUMATIN CAPS

Facility

$13.00

Hospital Charge Code	60635117
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

HUMERAL ADAPTER 5mm MIDDLE SEG

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270679731
Hospital Revenue Code	278
Min. Negotiated Rate	$202.26
Max. Negotiated Rate	$4,196.18
Rate for Payer: Aetna Commercial	$3,189.09
Rate for Payer: Aetna Medicare Advantage	$2,517.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,140.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,140.05
Rate for Payer: Cigna Commercial	$4,196.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,846.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85
Rate for Payer: UnitedHealthcare Community & State	$202.26
Rate for Payer: Wellpoint Medicaid Managed Care	$222.40

HUMERAL ADAPTER 5mm MIDDLE SEG

Facility

$8,392.35

Service Code	HCPCS C1776
Hospital Charge Code	270679731
Hospital Revenue Code	278
Min. Negotiated Rate	$1,258.85
Max. Negotiated Rate	$2,030.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,678.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,030.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,846.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,258.85

Know your out-of-pocket cost for care.

All Charges