Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-BIOPSY LUNG

Facility

$8,054.80

Service Code	HCPCS 32405
Hospital Charge Code	2680125
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG

Facility

$4,709.90

Service Code	HCPCS 32405
Hospital Charge Code	7411377
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

IR-BIOPSY LUNG

Facility

$8,054.80

Service Code	HCPCS 32405
Hospital Charge Code	2680125
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
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	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG

Facility

$8,054.80

Service Code	HCPCS 32405
Hospital Charge Code	321032405
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG

Facility

$8,054.80

Service Code	HCPCS 32405
Hospital Charge Code	321032405
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
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	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-BI

Facility

$1,478.00

Service Code	HCPCS 3240550
Hospital Charge Code	7411781
Hospital Revenue Code	361
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$561.64
Rate for Payer: Aetna Medicare Advantage	$443.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.40
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Community & State	$35.62
Rate for Payer: Wellpoint Medicaid Managed Care	$39.17

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	2690370
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-BI

Facility

$1,478.00

Service Code	HCPCS 3240550
Hospital Charge Code	7411781
Hospital Revenue Code	361
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	321032405B
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	321032405B
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-BI

Facility

$8,054.80

Service Code	HCPCS 3240550
Hospital Charge Code	2690370
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	321032405L
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	321032405L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$2,675.46

Service Code	HCPCS 32405LT
Hospital Charge Code	7411881
Hospital Revenue Code	761
Min. Negotiated Rate	$64.48
Max. Negotiated Rate	$1,337.73
Rate for Payer: Aetna Commercial	$1,016.67
Rate for Payer: Aetna Medicare Advantage	$802.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$682.24
Rate for Payer: Cigna Commercial	$1,337.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.64
Rate for Payer: Oxford Commercial	$535.09
Rate for Payer: Qualcare PPO/HMO/WC	$401.32
Rate for Payer: UnitedHealthcare Commercial	$535.09
Rate for Payer: UnitedHealthcare Community & State	$64.48
Rate for Payer: Wellpoint Medicaid Managed Care	$70.90

IR-BIOPSY LUNG-LT

Facility

$2,675.46

Service Code	HCPCS 32405LT
Hospital Charge Code	7411881
Hospital Revenue Code	761
Min. Negotiated Rate	$401.32
Max. Negotiated Rate	$401.32
Rate for Payer: Qualcare PPO/HMO/WC	$401.32

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	2691020
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-LT

Facility

$8,054.80

Service Code	HCPCS 32405LT
Hospital Charge Code	2691020
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	2691025
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	2691025
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-RT

Facility

$2,675.46

Service Code	HCPCS 32405RT
Hospital Charge Code	7411882
Hospital Revenue Code	761
Min. Negotiated Rate	$401.32
Max. Negotiated Rate	$401.32
Rate for Payer: Qualcare PPO/HMO/WC	$401.32

IR-BIOPSY LUNG-RT

Facility

$2,675.46

Service Code	HCPCS 32405RT
Hospital Charge Code	7411882
Hospital Revenue Code	761
Min. Negotiated Rate	$64.48
Max. Negotiated Rate	$1,337.73
Rate for Payer: Aetna Commercial	$1,016.67
Rate for Payer: Aetna Medicare Advantage	$802.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$682.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$682.24
Rate for Payer: Cigna Commercial	$1,337.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$802.64
Rate for Payer: Oxford Commercial	$535.09
Rate for Payer: Qualcare PPO/HMO/WC	$401.32
Rate for Payer: UnitedHealthcare Commercial	$535.09
Rate for Payer: UnitedHealthcare Community & State	$64.48
Rate for Payer: Wellpoint Medicaid Managed Care	$70.90

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	321032405R
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$4,027.40
Rate for Payer: Aetna Commercial	$3,060.82
Rate for Payer: Aetna Medicare Advantage	$2,416.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,053.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,053.97
Rate for Payer: Cigna Commercial	$4,027.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR-BIOPSY LUNG-RT

Facility

$8,054.80

Service Code	HCPCS 32405RT
Hospital Charge Code	321032405R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,208.22
Max. Negotiated Rate	$1,208.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	2690690
Hospital Revenue Code	361
Min. Negotiated Rate	$56.61
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$892.62
Rate for Payer: Aetna Medicare Advantage	$704.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$599.00
Rate for Payer: Cigna Commercial	$1,174.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$704.70
Rate for Payer: Qualcare PPO/HMO/WC	$352.35
Rate for Payer: UnitedHealthcare Community & State	$56.61
Rate for Payer: Wellpoint Medicaid Managed Care	$62.25

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	7411831
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

Know your out-of-pocket cost for care.

All Charges