Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ARROW MENISCAL 16MM 605628

Facility

$440.00

Hospital Charge Code	270605628
Hospital Revenue Code	272
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$167.20
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.00
Rate for Payer: Oxford Commercial	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00
Rate for Payer: UnitedHealthcare Commercial	$88.00
Rate for Payer: UnitedHealthcare Community & State	$10.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.66

ARROW PERCUTANEOUS 7FR SHEAT

Facility

$180.00

Hospital Charge Code	270331903
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

ARROW PERCUTANEOUS 7FR SHEAT

Facility

$180.00

Hospital Charge Code	270331903
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

ARROW RADIAL ARTERY CATHETER

Facility

$49.00

Service Code	HCPCS C1751
Hospital Charge Code	270332008
Hospital Revenue Code	278
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$11.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

ARROW RADIAL ARTERY CATHETER

Facility

$49.00

Service Code	HCPCS C1751
Hospital Charge Code	270332008
Hospital Revenue Code	278
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.78
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

ARROWS MENISCUS 10MM 521110

Facility

$1,127.25

Hospital Charge Code	270605573
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

ARROWS MENISCUS 10MM 521110

Facility

$1,127.25

Hospital Charge Code	270605573
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

ARROWS MENISCUS 13MM 521113

Facility

$1,127.25

Hospital Charge Code	270605574
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

ARROWS MENISCUS 13MM 521113

Facility

$1,127.25

Hospital Charge Code	270605574
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

ARROWS MENISCUS 16MM 521116

Facility

$1,127.25

Hospital Charge Code	270605575
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

ARROWS MENISCUS 16MM 521116

Facility

$1,127.25

Hospital Charge Code	270605575
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

ARSCOV2 &INFO A&B AMPPRB

Facility

$1,400.00

Service Code	HCPCS 87636
Hospital Charge Code	4013878043
Hospital Revenue Code	306
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

ARSCOV2 &INFO A&B AMPPRB

Facility

$1,400.00

Service Code	HCPCS 87636
Hospital Charge Code	4013878043
Hospital Revenue Code	306
Min. Negotiated Rate	$37.10
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$387.95
Rate for Payer: Aetna Medicare Advantage	$462.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$276.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.85
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: Cigna Medicare Advantage	$142.63
Rate for Payer: Clover Medicare Advantage	$135.50
Rate for Payer: EmblemHealth Commercial	$427.89
Rate for Payer: Humana Medicare Advantage	$146.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$142.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$420.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$114.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$142.63
Rate for Payer: Wellcare Medicare Advantage	$142.63
Rate for Payer: Wellpoint Medicaid Managed Care	$37.10

A/R SCREW DRILL

Facility

$1,800.00

Hospital Charge Code	270690292
Hospital Revenue Code	272
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$43.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.70

A/R SCREW DRILL

Facility

$1,656.00

Hospital Charge Code	270656706
Hospital Revenue Code	272
Min. Negotiated Rate	$248.40
Max. Negotiated Rate	$248.40
Rate for Payer: Qualcare PPO/HMO/WC	$248.40

A/R SCREW DRILL

Facility

$1,656.00

Hospital Charge Code	270656706
Hospital Revenue Code	272
Min. Negotiated Rate	$39.91
Max. Negotiated Rate	$828.00
Rate for Payer: Aetna Commercial	$629.28
Rate for Payer: Aetna Medicare Advantage	$496.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.28
Rate for Payer: Cigna Commercial	$828.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.80
Rate for Payer: Oxford Commercial	$331.20
Rate for Payer: Qualcare PPO/HMO/WC	$248.40
Rate for Payer: UnitedHealthcare Commercial	$331.20
Rate for Payer: UnitedHealthcare Community & State	$39.91
Rate for Payer: Wellpoint Medicaid Managed Care	$43.88

A/R SCREW DRILL

Facility

$1,800.00

Hospital Charge Code	270690292
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

ARSENIC

Facility

$129.20

Hospital Charge Code	39990166A
Hospital Revenue Code	301
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.38

ARSENIC

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	401083018A
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ARSENIC

Facility

$260.00

Service Code	HCPCS 82175
Hospital Charge Code	38479440
Hospital Revenue Code	301
Min. Negotiated Rate	$6.89
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.48
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$6.89

ARSENIC

Facility

$260.00

Service Code	HCPCS 82175
Hospital Charge Code	38479440
Hospital Revenue Code	301
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

ARSENIC

Facility

$390.00

Service Code	HCPCS 82175
Hospital Charge Code	401083018A
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$51.60
Rate for Payer: Aetna Medicare Advantage	$61.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.48
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$18.97
Rate for Payer: Clover Medicare Advantage	$18.02
Rate for Payer: EmblemHealth Commercial	$56.91
Rate for Payer: Humana Medicare Advantage	$19.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.97
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	$15.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.97
Rate for Payer: Wellcare Medicare Advantage	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ARSENIC

Facility

$129.20

Hospital Charge Code	39990166A
Hospital Revenue Code	301
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$49.10
Rate for Payer: Aetna Medicare Advantage	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.95
Rate for Payer: Cigna Commercial	$64.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.76
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.38
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

ARSENIC 10 MG/10ML INJ

Facility

$193.90

Hospital Charge Code	60629348
Hospital Revenue Code	636
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$96.95
Rate for Payer: Aetna Commercial	$73.68
Rate for Payer: Aetna Medicare Advantage	$58.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.44
Rate for Payer: Cigna Commercial	$96.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.09
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5.14

ARSENIC 10 MG/10ML INJ

Facility

$193.90

Hospital Charge Code	60629348
Hospital Revenue Code	636
Min. Negotiated Rate	$29.09
Max. Negotiated Rate	$46.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.92
Rate for Payer: Qualcare PPO/HMO/WC	$29.09

Know your out-of-pocket cost for care.

All Charges