Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	2690365
Hospital Revenue Code	361
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-BI

Facility

$1,478.00

Service Code	HCPCS 3240050
Hospital Charge Code	7411780
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-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	7411879
Hospital Revenue Code	761
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$739.00
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) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.40
Rate for Payer: Oxford Commercial	$295.60
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$295.60
Rate for Payer: UnitedHealthcare Community & State	$35.62
Rate for Payer: Wellpoint Medicaid Managed Care	$39.17

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	2691010
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	7411879
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-LT

Facility

$1,478.00

Service Code	HCPCS 32400LT
Hospital Charge Code	2691010
Hospital Revenue Code	761
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$739.00
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) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.40
Rate for Payer: Oxford Commercial	$295.60
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$295.60
Rate for Payer: UnitedHealthcare Community & State	$35.62
Rate for Payer: Wellpoint Medicaid Managed Care	$39.17

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	2691015
Hospital Revenue Code	361
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	7411880
Hospital Revenue Code	761
Min. Negotiated Rate	$35.62
Max. Negotiated Rate	$739.00
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) PPO	$376.89
Rate for Payer: Cigna Commercial	$739.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.40
Rate for Payer: Oxford Commercial	$295.60
Rate for Payer: Qualcare PPO/HMO/WC	$221.70
Rate for Payer: UnitedHealthcare Commercial	$295.60
Rate for Payer: UnitedHealthcare Community & State	$35.62
Rate for Payer: Wellpoint Medicaid Managed Care	$39.17

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	7411880
Hospital Revenue Code	761
Min. Negotiated Rate	$221.70
Max. Negotiated Rate	$221.70
Rate for Payer: Qualcare PPO/HMO/WC	$221.70

IR-NEEDLE BIOPSY CHEST-RT

Facility

$1,478.00

Service Code	HCPCS 32400RT
Hospital Charge Code	2691015
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 NEEDLE BIOPSY LIVER PERC

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	7411553
Hospital Revenue Code	361
Min. Negotiated Rate	$113.51
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,412.97
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$113.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$124.81

IR NEEDLE BIOPSY LIVER PERC

Facility

$4,709.90

Service Code	HCPCS 47000
Hospital Charge Code	7411553
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

IR NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	321047000
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	321047000
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 NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	2004570
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 NEEDLE BIOPSY LIVER PERC

Facility

$8,054.80

Service Code	HCPCS 47000
Hospital Charge Code	2004570
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR NEEDLE BIOPSY LUNG/MED PERC

Facility

$4,350.20

Service Code	HCPCS 32405
Hospital Charge Code	2004125
Hospital Revenue Code	361
Min. Negotiated Rate	$104.84
Max. Negotiated Rate	$2,175.10
Rate for Payer: Aetna Commercial	$1,653.08
Rate for Payer: Aetna Medicare Advantage	$1,305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.30
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	$1,109.30
Rate for Payer: Cigna Commercial	$2,175.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.06
Rate for Payer: Qualcare PPO/HMO/WC	$652.53
Rate for Payer: UnitedHealthcare Community & State	$104.84
Rate for Payer: Wellpoint Medicaid Managed Care	$115.28

IR NEEDLE BIOPSY LUNG/MED PERC

Facility

$4,350.20

Service Code	HCPCS 32405
Hospital Charge Code	2004125
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	2004562
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	321020206
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 NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	7411340
Hospital Revenue Code	361
Min. Negotiated Rate	$706.49
Max. Negotiated Rate	$706.49
Rate for Payer: Qualcare PPO/HMO/WC	$706.49

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	321020206
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$8,054.80

Service Code	HCPCS 20206
Hospital Charge Code	2004562
Hospital Revenue Code	361
Min. Negotiated Rate	$194.12
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,416.44
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,208.22
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$194.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$213.45

IR NEEDLE BIOPSY MUSCLE PERC

Facility

$4,709.90

Service Code	HCPCS 20206
Hospital Charge Code	7411340
Hospital Revenue Code	361
Min. Negotiated Rate	$113.51
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,412.97
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$706.49
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$113.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$124.81

IR NEEDLE BIOPSY PANCREAS PERC

Facility

$4,350.20

Service Code	HCPCS 48102
Hospital Charge Code	2004554
Hospital Revenue Code	361
Min. Negotiated Rate	$652.53
Max. Negotiated Rate	$652.53
Rate for Payer: Qualcare PPO/HMO/WC	$652.53

Know your out-of-pocket cost for care.

All Charges