Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MD SCREW 2.7MM X 16MM

Facility

$1,190.00

Service Code	HCPCS C1713
Hospital Charge Code	270701903
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$595.00
Rate for Payer: Aetna Commercial	$452.20
Rate for Payer: Aetna Medicare Advantage	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.45
Rate for Payer: Cigna Commercial	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$261.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.50
Rate for Payer: UnitedHealthcare Community & State	$28.68
Rate for Payer: Wellpoint Medicaid Managed Care	$31.54

MD SCREW 2.7MM X 16MM

Facility

$1,190.00

Service Code	HCPCS C1713
Hospital Charge Code	270701903
Hospital Revenue Code	278
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$287.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$261.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.50

MD SCREW 2.7MM X 18MM

Facility

$1,190.00

Service Code	HCPCS C1713
Hospital Charge Code	270681159
Hospital Revenue Code	278
Min. Negotiated Rate	$178.50
Max. Negotiated Rate	$287.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$261.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.50

MD SCREW 2.7MM X 18MM

Facility

$1,190.00

Service Code	HCPCS C1713
Hospital Charge Code	270681159
Hospital Revenue Code	278
Min. Negotiated Rate	$28.68
Max. Negotiated Rate	$595.00
Rate for Payer: Aetna Commercial	$452.20
Rate for Payer: Aetna Medicare Advantage	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$303.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$238.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$303.45
Rate for Payer: Cigna Commercial	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$261.80
Rate for Payer: Qualcare PPO/HMO/WC	$178.50
Rate for Payer: UnitedHealthcare Community & State	$28.68
Rate for Payer: Wellpoint Medicaid Managed Care	$31.54

MD SCREW 2.7MM X 20MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270688186
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$17.89
Rate for Payer: Wellpoint Medicaid Managed Care	$19.68

MD SCREW 2.7MM X 20MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270688186
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

MD SCREW 2.7MM X 22MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270688187
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$17.89
Rate for Payer: Wellpoint Medicaid Managed Care	$19.68

MD SCREW 2.7MM X 22MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270688187
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

MEASLES AB (IGG)

Facility

$390.00

Service Code	HCPCS 86765
Hospital Charge Code	39900386
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MEASLES AB (IGG)

Facility

$390.00

Service Code	HCPCS 86765
Hospital Charge Code	39900386
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
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	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

MEASLES/MUMPS PANEL I

Facility

$390.00

Service Code	HCPCS 86765
Hospital Charge Code	39990103A
Hospital Revenue Code	302
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.03
Rate for Payer: Aetna Medicare Advantage	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.49
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.88
Rate for Payer: Clover Medicare Advantage	$12.24
Rate for Payer: EmblemHealth Commercial	$38.64
Rate for Payer: Humana Medicare Advantage	$13.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.88
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	$10.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.88
Rate for Payer: Wellcare Medicare Advantage	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

MEASLES/MUMPS PANEL I

Facility

$390.00

Service Code	HCPCS 86765
Hospital Charge Code	39990103A
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MEASLES/MUMPS PANEL II

Facility

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	39990103B
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

MEASLES/MUMPS PANEL II

Facility

$390.00

Service Code	HCPCS 86762
Hospital Charge Code	39990103B
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$39.14
Rate for Payer: Aetna Medicare Advantage	$46.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.94
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$14.39
Rate for Payer: Clover Medicare Advantage	$13.67
Rate for Payer: EmblemHealth Commercial	$43.17
Rate for Payer: Humana Medicare Advantage	$14.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.39
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	$11.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.39
Rate for Payer: Wellcare Medicare Advantage	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

MEASLES/MUMPS/RUBELLA VACCINE

Facility

$6.70

Service Code	HCPCS 90707
Hospital Charge Code	60628307
Hospital Revenue Code	636
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

MEASLES/MUMPS/RUBELLA VACCINE

Facility

$6.70

Service Code	HCPCS 90707
Hospital Charge Code	60628307
Hospital Revenue Code	636
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$105.76
Rate for Payer: Aetna Commercial	$2.55
Rate for Payer: Aetna Medicare Advantage	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.71
Rate for Payer: Cigna Commercial	$3.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

MEASLES MUMPS RUBL VACCINE INJ

Facility

$224.00

Service Code	HCPCS 90707
Hospital Charge Code	6017834
Hospital Revenue Code	636
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

MEASLES MUMPS RUBL VACCINE INJ

Facility

$224.00

Service Code	HCPCS 90707
Hospital Charge Code	6017834
Hospital Revenue Code	636
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$54.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

MEASLES VACCINE 0.5 ML SQ

Facility

$95.40

Hospital Charge Code	6017008
Hospital Revenue Code	636
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$23.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.09
Rate for Payer: Qualcare PPO/HMO/WC	$14.31

MEASLES VACCINE 0.5 ML SQ

Facility

$95.40

Hospital Charge Code	6017008
Hospital Revenue Code	636
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna Commercial	$36.25
Rate for Payer: Aetna Medicare Advantage	$28.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.33
Rate for Payer: Cigna Commercial	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.09
Rate for Payer: Qualcare PPO/HMO/WC	$14.31
Rate for Payer: UnitedHealthcare Community & State	$2.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.53

MEASLES VACCINE INJ

Facility

$122.90

Hospital Charge Code	60628306
Hospital Revenue Code	250
Min. Negotiated Rate	$18.43
Max. Negotiated Rate	$18.43
Rate for Payer: Qualcare PPO/HMO/WC	$18.43

MEASLES VACCINE INJ

Facility

$122.90

Hospital Charge Code	60628306
Hospital Revenue Code	250
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$61.45
Rate for Payer: Aetna Commercial	$46.70
Rate for Payer: Aetna Medicare Advantage	$36.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.87
Rate for Payer: Oxford Commercial	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.43
Rate for Payer: UnitedHealthcare Commercial	$24.58
Rate for Payer: UnitedHealthcare Community & State	$2.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

MEAT FIBERS, STOOL

Facility

$100.00

Service Code	HCPCS 89160
Hospital Charge Code	3008463
Hospital Revenue Code	300
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

MEAT FIBERS, STOOL

Facility

$100.00

Service Code	HCPCS 89160
Hospital Charge Code	3008463
Hospital Revenue Code	300
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.51
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: Cigna Medicare Advantage	$4.85
Rate for Payer: Clover Medicare Advantage	$4.61
Rate for Payer: EmblemHealth Commercial	$14.55
Rate for Payer: Humana Medicare Advantage	$5.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.85
Rate for Payer: Wellcare Medicare Advantage	$4.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

MEAT FIBER, STOOL

Facility

$52.00

Service Code	HCPCS 89160
Hospital Charge Code	38475099
Hospital Revenue Code	300
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.19
Rate for Payer: Aetna Medicare Advantage	$15.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.51
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: Cigna Medicare Advantage	$4.85
Rate for Payer: Clover Medicare Advantage	$4.61
Rate for Payer: EmblemHealth Commercial	$14.55
Rate for Payer: Humana Medicare Advantage	$5.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.85
Rate for Payer: Wellcare Medicare Advantage	$4.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

Know your out-of-pocket cost for care.

All Charges