Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

ANTENNA (MEDTRONIC) 37092

Facility

$400.00

Hospital Charge Code	270640284
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

ANTENNA MEDTRONIC 7440

Facility

$769.65

Hospital Charge Code	270605173
Hospital Revenue Code	272
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$115.45
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

ANTENNA MEDTRONIC 7440

Facility

$769.65

Hospital Charge Code	270605173
Hospital Revenue Code	272
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$292.47
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.90
Rate for Payer: Oxford Commercial	$153.93
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Commercial	$153.93
Rate for Payer: UnitedHealthcare Community & State	$18.55
Rate for Payer: Wellpoint Medicaid Managed Care	$20.40

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$397.05
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,942.50
Rate for Payer: Oxford Commercial	$3,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$3,295.00
Rate for Payer: UnitedHealthcare Community & State	$397.05
Rate for Payer: Wellpoint Medicaid Managed Care	$436.59

ANTENNA RECP CM PERC 15 CM

Facility

$16,475.00

Hospital Charge Code	270692895
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$2,471.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

ANTENNA RECP CM PERC 20 CM

Facility

$16,475.00

Hospital Charge Code	270692896
Hospital Revenue Code	272
Min. Negotiated Rate	$397.05
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,942.50
Rate for Payer: Oxford Commercial	$3,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Commercial	$3,295.00
Rate for Payer: UnitedHealthcare Community & State	$397.05
Rate for Payer: Wellpoint Medicaid Managed Care	$436.59

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$16,219.35

Service Code	APR-DRG 5473
Min. Negotiated Rate	$15,901.32
Max. Negotiated Rate	$16,219.35
Rate for Payer: UnitedHealthcare Community & State	$15,901.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,219.35
Rate for Payer: Wellpoint Medicaid Managed Care	$15,901.32

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$10,569.84

Service Code	APR-DRG 5472
Min. Negotiated Rate	$10,362.59
Max. Negotiated Rate	$10,569.84
Rate for Payer: UnitedHealthcare Community & State	$10,362.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,569.84
Rate for Payer: Wellpoint Medicaid Managed Care	$10,362.59

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$7,433.01

Service Code	APR-DRG 5471
Min. Negotiated Rate	$7,287.26
Max. Negotiated Rate	$7,433.01
Rate for Payer: UnitedHealthcare Community & State	$7,287.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,433.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7,287.26

ANTEPARTUM WITH O.R. PROCEDURE

Facility

$29,402.63

Service Code	APR-DRG 5474
Min. Negotiated Rate	$28,826.11
Max. Negotiated Rate	$29,402.63
Rate for Payer: UnitedHealthcare Community & State	$28,826.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,402.63
Rate for Payer: Wellpoint Medicaid Managed Care	$28,826.11

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$13,341.59

Service Code	APR-DRG 5664
Min. Negotiated Rate	$13,079.99
Max. Negotiated Rate	$13,341.59
Rate for Payer: UnitedHealthcare Community & State	$13,079.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,341.59
Rate for Payer: Wellpoint Medicaid Managed Care	$13,079.99

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$5,912.42

Service Code	APR-DRG 5663
Min. Negotiated Rate	$5,796.49
Max. Negotiated Rate	$5,912.42
Rate for Payer: UnitedHealthcare Community & State	$5,796.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,912.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5,796.49

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$3,952.69

Service Code	APR-DRG 5662
Min. Negotiated Rate	$3,875.19
Max. Negotiated Rate	$3,952.69
Rate for Payer: UnitedHealthcare Community & State	$3,875.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,952.69
Rate for Payer: Wellpoint Medicaid Managed Care	$3,875.19

ANTEPARTUM WITHOUT O.R. PROCEDURE

Facility

$2,936.46

Service Code	APR-DRG 5661
Min. Negotiated Rate	$2,878.88
Max. Negotiated Rate	$2,936.46
Rate for Payer: UnitedHealthcare Community & State	$2,878.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,936.46
Rate for Payer: Wellpoint Medicaid Managed Care	$2,878.88

ANTERIOR CHAMBER CANNULA 27G

Facility

$55.00

Hospital Charge Code	270331004
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.50
Rate for Payer: Aetna Commercial	$20.90
Rate for Payer: Aetna Medicare Advantage	$16.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.03
Rate for Payer: Cigna Commercial	$27.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.50
Rate for Payer: Oxford Commercial	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.25
Rate for Payer: UnitedHealthcare Commercial	$11.00
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

ANTERIOR CHAMBER CANNULA 27G

Facility

$55.00

Hospital Charge Code	270331004
Hospital Revenue Code	272
Min. Negotiated Rate	$8.25
Max. Negotiated Rate	$8.25
Rate for Payer: Qualcare PPO/HMO/WC	$8.25

ANTERIOR TIBIALIS TENDON-FF

Facility

$9,575.00

Hospital Charge Code	270653585
Hospital Revenue Code	270
Min. Negotiated Rate	$1,436.25
Max. Negotiated Rate	$1,436.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,436.25

ANTERIOR TIBIALIS TENDON-FF

Facility

$9,575.00

Hospital Charge Code	270653585
Hospital Revenue Code	270
Min. Negotiated Rate	$230.76
Max. Negotiated Rate	$4,787.50
Rate for Payer: Aetna Commercial	$3,638.50
Rate for Payer: Aetna Medicare Advantage	$2,872.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,441.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,441.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,441.62
Rate for Payer: Cigna Commercial	$4,787.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,872.50
Rate for Payer: Oxford Commercial	$1,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,436.25
Rate for Payer: UnitedHealthcare Commercial	$1,915.00
Rate for Payer: UnitedHealthcare Community & State	$230.76
Rate for Payer: Wellpoint Medicaid Managed Care	$253.74

ANTG DETET-IMMUNOFLUOR GIARDIA

Facility

$77.95

Service Code	HCPCS 87269
Hospital Charge Code	38477079
Hospital Revenue Code	309
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$37.02
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.13
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$13.61
Rate for Payer: Clover Medicare Advantage	$12.93
Rate for Payer: EmblemHealth Commercial	$40.83
Rate for Payer: Humana Medicare Advantage	$14.02
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.61
Rate for Payer: Wellcare Medicare Advantage	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ANTG DETET-IMMUNOFLUOR GIARDIA

Facility

$77.95

Service Code	HCPCS 87269
Hospital Charge Code	38477079
Hospital Revenue Code	309
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

ANTG-DET.IMMNFL-HERPES SIMP VI

Facility

$77.95

Service Code	HCPCS 87274
Hospital Charge Code	38477082
Hospital Revenue Code	309
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.59
Rate for Payer: Aetna Medicare Advantage	$38.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.24
Rate for Payer: Cigna Commercial	$38.98
Rate for Payer: Cigna Medicare Advantage	$11.98
Rate for Payer: Clover Medicare Advantage	$11.38
Rate for Payer: EmblemHealth Commercial	$35.94
Rate for Payer: Humana Medicare Advantage	$12.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.98
Rate for Payer: Wellcare Medicare Advantage	$11.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.07

ANTG-DET.IMMNFL-HERPES SIMP VI

Facility

$77.95

Service Code	HCPCS 87274
Hospital Charge Code	38477082
Hospital Revenue Code	309
Min. Negotiated Rate	$11.69
Max. Negotiated Rate	$11.69
Rate for Payer: Qualcare PPO/HMO/WC	$11.69

Know your out-of-pocket cost for care.

All Charges