Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANOSCOPY WITH BIOPSY

Facility

$5,458.64

Service Code	HCPCS 46606
Hospital Charge Code	160000173
Hospital Revenue Code	360
Min. Negotiated Rate	$818.80
Max. Negotiated Rate	$818.80
Rate for Payer: Qualcare PPO/HMO/WC	$818.80

ANOSCOPY WITH BIOPSY

Facility

$5,458.64

Service Code	HCPCS 46606
Hospital Charge Code	160000173
Hospital Revenue Code	360
Min. Negotiated Rate	$131.55
Max. Negotiated Rate	$5,311.00
Rate for Payer: Aetna Commercial	$3,866.86
Rate for Payer: Aetna Medicare Advantage	$4,606.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,131.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,421.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,131.69
Rate for Payer: Cigna Commercial	$2,849.67
Rate for Payer: Cigna Medicare Advantage	$1,421.64
Rate for Payer: Clover Medicare Advantage	$1,350.56
Rate for Payer: EmblemHealth Commercial	$4,264.92
Rate for Payer: Humana Medicare Advantage	$1,464.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,421.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,637.59
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$818.80
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$131.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,421.64
Rate for Payer: Wellcare Medicare Advantage	$1,421.64
Rate for Payer: Wellpoint Medicaid Managed Care	$144.65

ANOSCOPY W REM FB

Facility

$9,719.54

Service Code	HCPCS 46608
Hospital Charge Code	1600000422
Hospital Revenue Code	360
Min. Negotiated Rate	$1,457.93
Max. Negotiated Rate	$1,457.93
Rate for Payer: Qualcare PPO/HMO/WC	$1,457.93

ANOSCOPY W REM FB

Facility

$9,719.54

Service Code	HCPCS 46608
Hospital Charge Code	1600000422
Hospital Revenue Code	360
Min. Negotiated Rate	$234.24
Max. Negotiated Rate	$5,311.00
Rate for Payer: Aetna Commercial	$3,005.08
Rate for Payer: Aetna Medicare Advantage	$3,579.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,988.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,988.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,104.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,988.03
Rate for Payer: Cigna Commercial	$2,214.60
Rate for Payer: Cigna Medicare Advantage	$1,104.81
Rate for Payer: Clover Medicare Advantage	$1,049.57
Rate for Payer: EmblemHealth Commercial	$3,314.43
Rate for Payer: Humana Medicare Advantage	$1,137.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,104.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,915.86
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,457.93
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$234.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,104.81
Rate for Payer: Wellcare Medicare Advantage	$1,104.81
Rate for Payer: Wellpoint Medicaid Managed Care	$257.57

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$6,615.89

Service Code	APR-DRG 0591
Min. Negotiated Rate	$6,486.17
Max. Negotiated Rate	$6,615.89
Rate for Payer: UnitedHealthcare Community & State	$6,486.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,615.89
Rate for Payer: Wellpoint Medicaid Managed Care	$6,486.17

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$15,131.58

Service Code	APR-DRG 0593
Min. Negotiated Rate	$14,834.88
Max. Negotiated Rate	$15,131.58
Rate for Payer: UnitedHealthcare Community & State	$14,834.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,131.58
Rate for Payer: Wellpoint Medicaid Managed Care	$14,834.88

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$10,560.91

Service Code	APR-DRG 0592
Min. Negotiated Rate	$10,353.83
Max. Negotiated Rate	$10,560.91
Rate for Payer: UnitedHealthcare Community & State	$10,353.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,560.91
Rate for Payer: Wellpoint Medicaid Managed Care	$10,353.83

ANOXIC AND OTHER SEVERE BRAIN DAMAGE

Facility

$21,718.08

Service Code	APR-DRG 0594
Min. Negotiated Rate	$21,292.24
Max. Negotiated Rate	$21,718.08
Rate for Payer: UnitedHealthcare Community & State	$21,292.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,718.08
Rate for Payer: Wellpoint Medicaid Managed Care	$21,292.24

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632468
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632469
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632468
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ANSAID/100MG/TAB

Facility

$6.00

Hospital Charge Code	60632469
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANSAID/50MG/TAB

Facility

$6.00

Hospital Charge Code	60632467
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ANSAID/50MG/TAB

Facility

$6.00

Hospital Charge Code	60632467
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ANTABUSE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634349
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ANTABUSE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60634349
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$712.50
Max. Negotiated Rate	$1,149.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50

ANT CERV PLATE 1 LEVEL

Facility

$4,750.00

Hospital Charge Code	270702197
Hospital Revenue Code	278
Min. Negotiated Rate	$114.47
Max. Negotiated Rate	$2,375.00
Rate for Payer: Aetna Commercial	$1,805.00
Rate for Payer: Aetna Medicare Advantage	$1,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.25
Rate for Payer: Cigna Commercial	$2,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$712.50
Rate for Payer: UnitedHealthcare Community & State	$114.47
Rate for Payer: Wellpoint Medicaid Managed Care	$125.88

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$787.50
Max. Negotiated Rate	$1,270.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50

ANT CERV PLATE 2 LEVELS

Facility

$5,250.00

Hospital Charge Code	270702203
Hospital Revenue Code	278
Min. Negotiated Rate	$126.53
Max. Negotiated Rate	$2,625.00
Rate for Payer: Aetna Commercial	$1,995.00
Rate for Payer: Aetna Medicare Advantage	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,338.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,338.75
Rate for Payer: Cigna Commercial	$2,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,270.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,155.00
Rate for Payer: Qualcare PPO/HMO/WC	$787.50
Rate for Payer: UnitedHealthcare Community & State	$126.53
Rate for Payer: Wellpoint Medicaid Managed Care	$139.12

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$42.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.28
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

ANT CHAMBER LENS MTA4UO ALCON

Facility

$174.00

Hospital Charge Code	270335903
Hospital Revenue Code	276
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$66.12
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.28
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Community & State	$4.19
Rate for Payer: Wellpoint Medicaid Managed Care	$4.61

ANTEGRADE FEMORAL NAIL CAP

Facility

$1,196.40

Hospital Charge Code	270657842
Hospital Revenue Code	278
Min. Negotiated Rate	$179.46
Max. Negotiated Rate	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$263.21
Rate for Payer: Qualcare PPO/HMO/WC	$179.46

ANTEGRADE FEMORAL NAIL CAP

Facility

$1,196.40

Hospital Charge Code	270657842
Hospital Revenue Code	278
Min. Negotiated Rate	$28.83
Max. Negotiated Rate	$598.20
Rate for Payer: Aetna Commercial	$454.63
Rate for Payer: Aetna Medicare Advantage	$358.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$305.08
Rate for Payer: Cigna Commercial	$598.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$263.21
Rate for Payer: Qualcare PPO/HMO/WC	$179.46
Rate for Payer: UnitedHealthcare Community & State	$28.83
Rate for Payer: Wellpoint Medicaid Managed Care	$31.70

ANTENNA EMPRINT REINFORCD 30CM

Facility

$17,975.00

Hospital Charge Code	270692897
Hospital Revenue Code	272
Min. Negotiated Rate	$433.20
Max. Negotiated Rate	$8,987.50
Rate for Payer: Aetna Commercial	$6,830.50
Rate for Payer: Aetna Medicare Advantage	$5,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,583.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,583.62
Rate for Payer: Cigna Commercial	$8,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,392.50
Rate for Payer: Oxford Commercial	$3,595.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,696.25
Rate for Payer: UnitedHealthcare Commercial	$3,595.00
Rate for Payer: UnitedHealthcare Community & State	$433.20
Rate for Payer: Wellpoint Medicaid Managed Care	$476.34

Know your out-of-pocket cost for care.

All Charges