Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-PANCREAS BIOPSY

Facility

$4,021.35

Service Code	HCPCS 48102
Hospital Charge Code	2670160
Hospital Revenue Code	361
Min. Negotiated Rate	$96.91
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	$1,206.40
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$603.20
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$96.91
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	$106.57

IR-PANCREAS BIOPSY

Facility

$4,021.35

Service Code	HCPCS 48102
Hospital Charge Code	7411574
Hospital Revenue Code	361
Min. Negotiated Rate	$96.91
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	$1,206.40
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$603.20
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$96.91
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	$106.57

IR-PANCREAS BIOPSY

Facility

$4,021.35

Service Code	HCPCS 48102
Hospital Charge Code	7411574
Hospital Revenue Code	361
Min. Negotiated Rate	$603.20
Max. Negotiated Rate	$603.20
Rate for Payer: Qualcare PPO/HMO/WC	$603.20

IR PANCRS EXT.DRAING.PANC CYST

Facility

$8,054.80

Service Code	HCPCS 49405
Hospital Charge Code	2670200
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	$1,626.00
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 PANCRS EXT.DRAING.PANC CYST

Facility

$6,420.00

Service Code	HCPCS 49405
Hospital Charge Code	7411581
Hospital Revenue Code	361
Min. Negotiated Rate	$963.00
Max. Negotiated Rate	$963.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00

IR PANCRS EXT.DRAING.PANC CYST

Facility

$6,420.00

Service Code	HCPCS 49405
Hospital Charge Code	7411581
Hospital Revenue Code	361
Min. Negotiated Rate	$154.72
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	$1,626.00
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	$1,926.00
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$963.00
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$154.72
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	$170.13

IR PANCRS EXT.DRAING.PANC CYST

Facility

$8,054.80

Service Code	HCPCS 49405
Hospital Charge Code	2670200
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 PERC ABSC DRAINAGE RETROPER

Facility

$6,139.10

Hospital Charge Code	2004000
Hospital Revenue Code	361
Min. Negotiated Rate	$147.95
Max. Negotiated Rate	$3,069.55
Rate for Payer: Aetna Commercial	$2,332.86
Rate for Payer: Aetna Medicare Advantage	$1,841.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,565.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,565.47
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	$1,565.47
Rate for Payer: Cigna Commercial	$3,069.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.73
Rate for Payer: Qualcare PPO/HMO/WC	$920.87
Rate for Payer: UnitedHealthcare Community & State	$147.95
Rate for Payer: Wellpoint Medicaid Managed Care	$162.69

IR PERC ABSC DRAINAGE RETROPER

Facility

$6,139.10

Hospital Charge Code	2004000
Hospital Revenue Code	361
Min. Negotiated Rate	$920.87
Max. Negotiated Rate	$920.87
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR PERC ABSC DR RENAL/PERITON

Facility

$6,139.10

Hospital Charge Code	2004026
Hospital Revenue Code	361
Min. Negotiated Rate	$920.87
Max. Negotiated Rate	$920.87
Rate for Payer: Qualcare PPO/HMO/WC	$920.87

IR PERC ABSC DR RENAL/PERITON

Facility

$6,139.10

Hospital Charge Code	2004026
Hospital Revenue Code	361
Min. Negotiated Rate	$147.95
Max. Negotiated Rate	$3,069.55
Rate for Payer: Aetna Commercial	$2,332.86
Rate for Payer: Aetna Medicare Advantage	$1,841.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,565.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,565.47
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	$1,565.47
Rate for Payer: Cigna Commercial	$3,069.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,841.73
Rate for Payer: Qualcare PPO/HMO/WC	$920.87
Rate for Payer: UnitedHealthcare Community & State	$147.95
Rate for Payer: Wellpoint Medicaid Managed Care	$162.69

IR-PERC BIOP ADR GLAND-BI

Facility

$2,866.00

Service Code	HCPCS 4918050
Hospital Charge Code	7411817
Hospital Revenue Code	361
Min. Negotiated Rate	$69.07
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,089.08
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.80
Rate for Payer: Qualcare PPO/HMO/WC	$429.90
Rate for Payer: UnitedHealthcare Community & State	$69.07
Rate for Payer: Wellpoint Medicaid Managed Care	$75.95

IR-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	2690595
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	2690595
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	3668491805
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	3668491805
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	321049180B
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-PERC BIOP ADR GLAND-BI

Facility

$2,866.00

Service Code	HCPCS 4918050
Hospital Charge Code	7411817
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	411049180
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	321049180B
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-PERC BIOP ADR GLAND-BI

Facility

$8,054.80

Service Code	HCPCS 4918050
Hospital Charge Code	411049180
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-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	2691520
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	7411954
Hospital Revenue Code	361
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$429.90
Rate for Payer: Qualcare PPO/HMO/WC	$429.90

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	7411954
Hospital Revenue Code	361
Min. Negotiated Rate	$69.07
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,089.08
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.80
Rate for Payer: Qualcare PPO/HMO/WC	$429.90
Rate for Payer: UnitedHealthcare Community & State	$69.07
Rate for Payer: Wellpoint Medicaid Managed Care	$75.95

IR-PERC BIOP ADR GLAND-LT

Facility

$2,866.00

Service Code	HCPCS 49180LT
Hospital Charge Code	2691520
Hospital Revenue Code	361
Min. Negotiated Rate	$69.07
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$1,089.08
Rate for Payer: Aetna Medicare Advantage	$859.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.83
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	$730.83
Rate for Payer: Cigna Commercial	$1,433.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.80
Rate for Payer: Qualcare PPO/HMO/WC	$429.90
Rate for Payer: UnitedHealthcare Community & State	$69.07
Rate for Payer: Wellpoint Medicaid Managed Care	$75.95

Know your out-of-pocket cost for care.

All Charges