Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEBULIZER STERILE WATER 760ml

Facility

$13.40

Hospital Charge Code	270626229
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$2.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.01

NEBU-MASK SYSTEM ADULT

Facility

$160.00

Hospital Charge Code	270648119
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

NEBU-MASK SYSTEM ADULT

Facility

$160.00

Hospital Charge Code	270648119
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

NEBUPENT INHAL/300MG/EACH

Facility

$588.00

Hospital Charge Code	60633514
Hospital Revenue Code	250
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$88.20
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

NEBUPENT INHAL/300MG/EACH

Facility

$588.00

Hospital Charge Code	60633514
Hospital Revenue Code	250
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$294.00
Rate for Payer: Aetna Commercial	$223.44
Rate for Payer: Aetna Medicare Advantage	$176.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.94
Rate for Payer: Cigna Commercial	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.40
Rate for Payer: Oxford Commercial	$117.60
Rate for Payer: Qualcare PPO/HMO/WC	$88.20
Rate for Payer: UnitedHealthcare Commercial	$117.60
Rate for Payer: UnitedHealthcare Community & State	$14.17
Rate for Payer: Wellpoint Medicaid Managed Care	$15.58

NECK ADJUSTMENT SLEEVE STD V40

Facility

$1,089.00

Hospital Charge Code	270669748
Hospital Revenue Code	272
Min. Negotiated Rate	$26.24
Max. Negotiated Rate	$544.50
Rate for Payer: Aetna Commercial	$413.82
Rate for Payer: Aetna Medicare Advantage	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.69
Rate for Payer: Cigna Commercial	$544.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: Oxford Commercial	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$163.35
Rate for Payer: UnitedHealthcare Commercial	$217.80
Rate for Payer: UnitedHealthcare Community & State	$26.24
Rate for Payer: Wellpoint Medicaid Managed Care	$28.86

NECK ADJUSTMENT SLEEVE STD V40

Facility

$1,089.00

Hospital Charge Code	270669748
Hospital Revenue Code	272
Min. Negotiated Rate	$163.35
Max. Negotiated Rate	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$163.35

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

NECK CONTOUR 24X6.5

Facility

$57.60

Hospital Charge Code	270669948
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.80
Rate for Payer: Aetna Commercial	$21.89
Rate for Payer: Aetna Medicare Advantage	$17.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.28
Rate for Payer: Oxford Commercial	$11.52
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$11.52
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

NECK SOFT TISSUES

Facility

$5,100.00

Service Code	HCPCS 70360
Hospital Charge Code	94061021
Hospital Revenue Code	320
Min. Negotiated Rate	$24.99
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.21
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$216.59
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SRGR DISCECTMY

Facility

$47,548.90

Service Code	HCPCS 63075
Hospital Charge Code	16001026
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.93
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,264.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$1,145.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,260.05

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NECK SPINE DISK SRGRY DSCTMY A

Facility

$47,548.90

Service Code	HCPCS 63076
Hospital Charge Code	16001028
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.93
Max. Negotiated Rate	$23,774.45
Rate for Payer: Aetna Commercial	$18,068.58
Rate for Payer: Aetna Medicare Advantage	$14,264.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,124.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,124.97
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	$12,124.97
Rate for Payer: Cigna Commercial	$23,774.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,264.67
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$1,145.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1,260.05

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$1,145.93
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,264.67
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$1,145.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1,260.05

NECK SPINE DISK SURGERY

Facility

$47,548.90

Service Code	HCPCS 63020
Hospital Charge Code	1600000863
Hospital Revenue Code	360
Min. Negotiated Rate	$7,132.34
Max. Negotiated Rate	$7,132.34
Rate for Payer: Qualcare PPO/HMO/WC	$7,132.34

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$196.65
Max. Negotiated Rate	$196.65
Rate for Payer: Qualcare PPO/HMO/WC	$196.65

NEDDLE ECHOTIP ULTRA ECHO-1-22

Facility

$1,311.00

Hospital Charge Code	270633344
Hospital Revenue Code	272
Min. Negotiated Rate	$31.60
Max. Negotiated Rate	$655.50
Rate for Payer: Aetna Commercial	$498.18
Rate for Payer: Aetna Medicare Advantage	$393.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$334.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$334.31
Rate for Payer: Cigna Commercial	$655.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.30
Rate for Payer: Oxford Commercial	$262.20
Rate for Payer: Qualcare PPO/HMO/WC	$196.65
Rate for Payer: UnitedHealthcare Commercial	$262.20
Rate for Payer: UnitedHealthcare Community & State	$31.60
Rate for Payer: Wellpoint Medicaid Managed Care	$34.74

NEDLE PROSPERA 18G BN-102 6067

Facility

$27.00

Hospital Charge Code	270636666
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.10
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

NEDLE PROSPERA 18G BN-102 6067

Facility

$27.00

Hospital Charge Code	270636666
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$369.87
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.00
Rate for Payer: Oxford Commercial	$194.67
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$194.67
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.79

NEEDE DELIVERY 8G 10cm

Facility

$973.35

Hospital Charge Code	270661249
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

NEEDLE 10GA X 6 JAMSIDI

Facility

$104.50

Hospital Charge Code	270653770
Hospital Revenue Code	270
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$52.25
Rate for Payer: Aetna Commercial	$39.71
Rate for Payer: Aetna Medicare Advantage	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.65
Rate for Payer: Cigna Commercial	$52.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.35
Rate for Payer: Oxford Commercial	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.68
Rate for Payer: UnitedHealthcare Commercial	$20.90
Rate for Payer: UnitedHealthcare Community & State	$2.52
Rate for Payer: Wellpoint Medicaid Managed Care	$2.77

NEEDLE 10GA X 6 JAMSIDI

Facility

$104.50

Hospital Charge Code	270653770
Hospital Revenue Code	270
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$15.68

Know your out-of-pocket cost for care.

All Charges