Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ARCUS GUIDED ACCESS

Facility

$6,600.00

Hospital Charge Code	270703563
Hospital Revenue Code	278
Min. Negotiated Rate	$159.06
Max. Negotiated Rate	$3,300.00
Rate for Payer: Aetna Commercial	$2,508.00
Rate for Payer: Aetna Medicare Advantage	$1,980.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,683.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,683.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,683.00
Rate for Payer: Cigna Commercial	$3,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,597.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,452.00
Rate for Payer: Qualcare PPO/HMO/WC	$990.00
Rate for Payer: UnitedHealthcare Community & State	$159.06
Rate for Payer: Wellpoint Medicaid Managed Care	$174.90

ARDVAN INJ/10MG/10ML VIAL

Facility

$238.00

Hospital Charge Code	60634313
Hospital Revenue Code	250
Min. Negotiated Rate	$35.70
Max. Negotiated Rate	$35.70
Rate for Payer: Qualcare PPO/HMO/WC	$35.70

ARDVAN INJ/10MG/10ML VIAL

Facility

$238.00

Hospital Charge Code	60634313
Hospital Revenue Code	250
Min. Negotiated Rate	$5.74
Max. Negotiated Rate	$119.00
Rate for Payer: Aetna Commercial	$90.44
Rate for Payer: Aetna Medicare Advantage	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.69
Rate for Payer: Cigna Commercial	$119.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.40
Rate for Payer: Oxford Commercial	$47.60
Rate for Payer: Qualcare PPO/HMO/WC	$35.70
Rate for Payer: UnitedHealthcare Commercial	$47.60
Rate for Payer: UnitedHealthcare Community & State	$5.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6.31

AREDEA/30MG

Facility

$1,131.00

Hospital Charge Code	60634869
Hospital Revenue Code	636
Min. Negotiated Rate	$169.65
Max. Negotiated Rate	$273.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.70
Rate for Payer: Qualcare PPO/HMO/WC	$169.65

AREDEA/30MG

Facility

$1,131.00

Hospital Charge Code	60634869
Hospital Revenue Code	636
Min. Negotiated Rate	$27.26
Max. Negotiated Rate	$565.50
Rate for Payer: Aetna Commercial	$429.78
Rate for Payer: Aetna Medicare Advantage	$339.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.40
Rate for Payer: Cigna Commercial	$565.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.70
Rate for Payer: Qualcare PPO/HMO/WC	$169.65
Rate for Payer: UnitedHealthcare Community & State	$27.26
Rate for Payer: Wellpoint Medicaid Managed Care	$29.97

AREDIA 30MG INJ

Facility

$3,094.00

Hospital Charge Code	60635235
Hospital Revenue Code	636
Min. Negotiated Rate	$74.57
Max. Negotiated Rate	$1,547.00
Rate for Payer: Aetna Commercial	$1,175.72
Rate for Payer: Aetna Medicare Advantage	$928.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$788.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$788.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$788.97
Rate for Payer: Cigna Commercial	$1,547.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.75
Rate for Payer: Qualcare PPO/HMO/WC	$464.10
Rate for Payer: UnitedHealthcare Community & State	$74.57
Rate for Payer: Wellpoint Medicaid Managed Care	$81.99

AREDIA 30MG INJ

Facility

$3,094.00

Hospital Charge Code	60635235
Hospital Revenue Code	636
Min. Negotiated Rate	$464.10
Max. Negotiated Rate	$748.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.75
Rate for Payer: Qualcare PPO/HMO/WC	$464.10

AREDIA/30MG/INJ

Facility

$886.00

Hospital Charge Code	60634710
Hospital Revenue Code	636
Min. Negotiated Rate	$21.35
Max. Negotiated Rate	$443.00
Rate for Payer: Aetna Commercial	$336.68
Rate for Payer: Aetna Medicare Advantage	$265.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.93
Rate for Payer: Cigna Commercial	$443.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.41
Rate for Payer: Qualcare PPO/HMO/WC	$132.90
Rate for Payer: UnitedHealthcare Community & State	$21.35
Rate for Payer: Wellpoint Medicaid Managed Care	$23.48

AREDIA/30MG/INJ

Facility

$886.00

Hospital Charge Code	60634710
Hospital Revenue Code	636
Min. Negotiated Rate	$132.90
Max. Negotiated Rate	$214.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.41
Rate for Payer: Qualcare PPO/HMO/WC	$132.90

ARFORMOTEROL 15MC G/2ML

Facility

$150.82

Service Code	NDC 63402091130
Hospital Charge Code	60629947
Hospital Revenue Code	250
Min. Negotiated Rate	$22.62
Max. Negotiated Rate	$22.62
Rate for Payer: Qualcare PPO/HMO/WC	$22.62

ARFORMOTEROL 15MC G/2ML

Facility

$150.82

Service Code	NDC 63402091130
Hospital Charge Code	60629947
Hospital Revenue Code	250
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$75.41
Rate for Payer: Aetna Commercial	$57.31
Rate for Payer: Aetna Medicare Advantage	$45.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.46
Rate for Payer: Cigna Commercial	$75.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.25
Rate for Payer: Oxford Commercial	$30.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.62
Rate for Payer: UnitedHealthcare Commercial	$30.16
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$4.00

ARGATROBAN 250MG/250ML DSW INJ

Facility

$3,271.05

Hospital Charge Code	60629163
Hospital Revenue Code	250
Min. Negotiated Rate	$490.66
Max. Negotiated Rate	$490.66
Rate for Payer: Qualcare PPO/HMO/WC	$490.66

ARGATROBAN 250MG/250ML DSW INJ

Facility

$3,271.05

Hospital Charge Code	60629163
Hospital Revenue Code	250
Min. Negotiated Rate	$78.83
Max. Negotiated Rate	$1,635.53
Rate for Payer: Aetna Commercial	$1,243.00
Rate for Payer: Aetna Medicare Advantage	$981.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$834.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$834.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$834.12
Rate for Payer: Cigna Commercial	$1,635.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$981.32
Rate for Payer: Oxford Commercial	$654.21
Rate for Payer: Qualcare PPO/HMO/WC	$490.66
Rate for Payer: UnitedHealthcare Commercial	$654.21
Rate for Payer: UnitedHealthcare Community & State	$78.83
Rate for Payer: Wellpoint Medicaid Managed Care	$86.68

ARGININE VASOPRESSIN

Facility

$390.00

Service Code	HCPCS 84588
Hospital Charge Code	39900148
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$92.32
Rate for Payer: Aetna Medicare Advantage	$109.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.51
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$33.94
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$27.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Medicare Advantage	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ARGININE VASOPRESSIN

Facility

$416.00

Service Code	HCPCS 84588
Hospital Charge Code	38473080
Hospital Revenue Code	301
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

ARGININE VASOPRESSIN

Facility

$416.00

Service Code	HCPCS 84588
Hospital Charge Code	38473080
Hospital Revenue Code	301
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$208.00
Rate for Payer: Aetna Commercial	$92.32
Rate for Payer: Aetna Medicare Advantage	$109.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$122.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$95.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$122.51
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: Cigna Medicare Advantage	$33.94
Rate for Payer: Clover Medicare Advantage	$32.24
Rate for Payer: EmblemHealth Commercial	$101.82
Rate for Payer: Humana Medicare Advantage	$34.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$27.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.94
Rate for Payer: Wellcare Medicare Advantage	$33.94
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

ARGININE VASOPRESSIN

Facility

$390.00

Service Code	HCPCS 84588
Hospital Charge Code	39900148
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$172.78
Max. Negotiated Rate	$172.78
Rate for Payer: Qualcare PPO/HMO/WC	$172.78

ARGON

Facility

$1,151.90

Hospital Charge Code	270658112
Hospital Revenue Code	272
Min. Negotiated Rate	$27.76
Max. Negotiated Rate	$575.95
Rate for Payer: Aetna Commercial	$437.72
Rate for Payer: Aetna Medicare Advantage	$345.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.73
Rate for Payer: Cigna Commercial	$575.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.57
Rate for Payer: Oxford Commercial	$230.38
Rate for Payer: Qualcare PPO/HMO/WC	$172.78
Rate for Payer: UnitedHealthcare Commercial	$230.38
Rate for Payer: UnitedHealthcare Community & State	$27.76
Rate for Payer: Wellpoint Medicaid Managed Care	$30.53

ARGON LASER *******

Facility

$297.00

Service Code	HCPCS 67227
Hospital Charge Code	5600028
Hospital Revenue Code	369
Min. Negotiated Rate	$7.16
Max. Negotiated Rate	$16,859.50
Rate for Payer: Aetna Commercial	$12,704.06
Rate for Payer: Aetna Medicare Advantage	$15,132.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,859.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,859.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,670.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,859.50
Rate for Payer: Cigna Commercial	$9,362.20
Rate for Payer: Cigna Medicare Advantage	$4,670.61
Rate for Payer: Clover Medicare Advantage	$4,437.08
Rate for Payer: EmblemHealth Commercial	$14,011.83
Rate for Payer: Humana Medicare Advantage	$4,810.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,670.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.10
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$44.55
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$7.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,670.61
Rate for Payer: Wellcare Medicare Advantage	$4,670.61
Rate for Payer: Wellpoint Medicaid Managed Care	$7.87

ARGON LASER *******

Facility

$297.00

Service Code	HCPCS 67227
Hospital Charge Code	5600028
Hospital Revenue Code	369
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$44.55
Rate for Payer: Qualcare PPO/HMO/WC	$44.55

ARGYROL S.S. 20% OPHTH/1M

Facility

$135.00

Hospital Charge Code	60632482
Hospital Revenue Code	250
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

ARGYROL S.S. 20% OPHTH/1M

Facility

$135.00

Hospital Charge Code	60632482
Hospital Revenue Code	250
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$449.71
Max. Negotiated Rate	$9,330.00
Rate for Payer: Aetna Commercial	$7,090.80
Rate for Payer: Aetna Medicare Advantage	$5,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,758.30
Rate for Payer: Cigna Commercial	$9,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,105.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00
Rate for Payer: UnitedHealthcare Community & State	$449.71
Rate for Payer: Wellpoint Medicaid Managed Care	$494.49

ARH SOLUTIONS HEAD 22MM RIGHT

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270686225
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$4,515.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,105.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

Know your out-of-pocket cost for care.

All Charges