Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	2690690
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-BI

Facility

$2,349.00

Service Code	HCPCS 5450050
Hospital Charge Code	7411831
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-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	7411984
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-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	2691720
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-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	7411984
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-LT

Facility

$2,349.00

Service Code	HCPCS 54500LT
Hospital Charge Code	2691720
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	7411985
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-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	2691725
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-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	7411985
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR-BIOPSY TESTIS-RT

Facility

$2,349.00

Service Code	HCPCS 54500RT
Hospital Charge Code	2691725
Hospital Revenue Code	361
Min. Negotiated Rate	$352.35
Max. Negotiated Rate	$352.35
Rate for Payer: Qualcare PPO/HMO/WC	$352.35

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	2670125
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR BIOPSY THYROID-PERCT NDL

Facility

$1,901.69

Service Code	HCPCS 60100
Hospital Charge Code	7411638
Hospital Revenue Code	361
Min. Negotiated Rate	$45.83
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.51
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.25
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$45.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$50.39

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	321060100
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	321060100
Hospital Revenue Code	361
Min. Negotiated Rate	$81.76
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,017.76
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$89.90

IR BIOPSY THYROID-PERCT NDL

Facility

$1,901.69

Service Code	HCPCS 60100
Hospital Charge Code	7411638
Hospital Revenue Code	361
Min. Negotiated Rate	$285.25
Max. Negotiated Rate	$285.25
Rate for Payer: Qualcare PPO/HMO/WC	$285.25

IR BIOPSY THYROID-PERCT NDL

Facility

$3,392.55

Service Code	HCPCS 60100
Hospital Charge Code	2670125
Hospital Revenue Code	361
Min. Negotiated Rate	$81.76
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,017.76
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$89.90

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

IR BIOPSY TRANSCATHETER

Facility

$2,287.65

Service Code	HCPCS 75970
Hospital Charge Code	7411741
Hospital Revenue Code	320
Min. Negotiated Rate	$55.13
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$869.31
Rate for Payer: Aetna Medicare Advantage	$686.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$583.35
Rate for Payer: Cigna Commercial	$1,143.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$686.29
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.15
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$55.13
Rate for Payer: Wellpoint Medicaid Managed Care	$60.62

IR BIOPSY TRANSCATHETER

Facility

$5,100.00

Service Code	HCPCS 75970
Hospital Charge Code	2600051
Hospital Revenue Code	320
Min. Negotiated Rate	$122.91
Max. Negotiated Rate	$2,550.00
Rate for Payer: Aetna Commercial	$1,938.00
Rate for Payer: Aetna Medicare Advantage	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.50
Rate for Payer: Cigna Commercial	$2,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

IR BIOPSY TRANSCATHETER

Facility

$2,287.65

Service Code	HCPCS 75970
Hospital Charge Code	7411741
Hospital Revenue Code	320
Min. Negotiated Rate	$343.15
Max. Negotiated Rate	$343.15
Rate for Payer: Qualcare PPO/HMO/WC	$343.15

IR BLRY DRAIN TRSHP PERC

Facility

$2,687.25

Hospital Charge Code	2004778
Hospital Revenue Code	320
Min. Negotiated Rate	$64.76
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,021.15
Rate for Payer: Aetna Medicare Advantage	$806.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.25
Rate for Payer: Cigna Commercial	$1,343.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.17
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.09
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$64.76
Rate for Payer: Wellpoint Medicaid Managed Care	$71.21

IR BLRY DRAIN TRSHP PERC

Facility

$2,687.25

Hospital Charge Code	2004778
Hospital Revenue Code	320
Min. Negotiated Rate	$403.09
Max. Negotiated Rate	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$403.09

IR BLRY DRAIN TRSHP PERC IN OT

Facility

$2,687.25

Service Code	HCPCS 75982
Hospital Charge Code	2600048
Hospital Revenue Code	320
Min. Negotiated Rate	$64.76
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,021.15
Rate for Payer: Aetna Medicare Advantage	$806.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$685.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$685.25
Rate for Payer: Cigna Commercial	$1,343.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$806.17
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$403.09
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$64.76
Rate for Payer: Wellpoint Medicaid Managed Care	$71.21

IR BLRY DRAIN TRSHP PERC IN OT

Facility

$2,687.25

Service Code	HCPCS 75982
Hospital Charge Code	2600048
Hospital Revenue Code	320
Min. Negotiated Rate	$403.09
Max. Negotiated Rate	$403.09
Rate for Payer: Qualcare PPO/HMO/WC	$403.09

IR BLRY DRAIN TRSHP PERC W/CNT

Facility

$2,516.85

Hospital Charge Code	2600049
Hospital Revenue Code	320
Min. Negotiated Rate	$60.66
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$956.40
Rate for Payer: Aetna Medicare Advantage	$755.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.80
Rate for Payer: Cigna Commercial	$1,258.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.05
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.53
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$60.66
Rate for Payer: Wellpoint Medicaid Managed Care	$66.70

Know your out-of-pocket cost for care.

All Charges