Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEPHRITIS AND NEPHROSIS

Facility

$7,780.23

Service Code	APR-DRG 4622
Min. Negotiated Rate	$7,627.68
Max. Negotiated Rate	$7,780.23
Rate for Payer: UnitedHealthcare Community & State	$7,627.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,780.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7,627.68

NEPHRO 1MG CAP

Facility

$2.00

Hospital Charge Code	60635660
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

NEPHRO 1MG CAP

Facility

$2.00

Hospital Charge Code	60635660
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$0.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$0.40
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

NEPHRO BALLOON ULTRAXXCATH 6CM

Facility

$1,370.25

Service Code	HCPCS C1729
Hospital Charge Code	270693483
Hospital Revenue Code	278
Min. Negotiated Rate	$205.54
Max. Negotiated Rate	$331.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.45
Rate for Payer: Qualcare PPO/HMO/WC	$205.54

NEPHRO BALLOON ULTRAXXCATH 6CM

Facility

$1,370.25

Service Code	HCPCS C1729
Hospital Charge Code	270693483
Hospital Revenue Code	278
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$685.12
Rate for Payer: Aetna Commercial	$520.70
Rate for Payer: Aetna Medicare Advantage	$411.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$274.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.41
Rate for Payer: Cigna Commercial	$685.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$301.45
Rate for Payer: Qualcare PPO/HMO/WC	$205.54
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36.31

NEPHROGENOUS CYCLIC AMP

Facility

$391.00

Service Code	HCPCS 82030
Hospital Charge Code	38476219
Hospital Revenue Code	307
Min. Negotiated Rate	$10.36
Max. Negotiated Rate	$195.50
Rate for Payer: Aetna Commercial	$70.18
Rate for Payer: Aetna Medicare Advantage	$83.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.13
Rate for Payer: Cigna Commercial	$195.50
Rate for Payer: Cigna Medicare Advantage	$25.80
Rate for Payer: Clover Medicare Advantage	$24.51
Rate for Payer: EmblemHealth Commercial	$77.40
Rate for Payer: Humana Medicare Advantage	$26.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.80
Rate for Payer: Wellcare Medicare Advantage	$25.80
Rate for Payer: Wellpoint Medicaid Managed Care	$10.36

NEPHROGENOUS CYCLIC AMP

Facility

$391.00

Service Code	HCPCS 82030
Hospital Charge Code	38476219
Hospital Revenue Code	307
Min. Negotiated Rate	$58.65
Max. Negotiated Rate	$58.65
Rate for Payer: Qualcare PPO/HMO/WC	$58.65

NEPHROSTOGRAM-RT

Facility

$781.00

Hospital Charge Code	2009260
Hospital Revenue Code	320
Min. Negotiated Rate	$117.15
Max. Negotiated Rate	$117.15
Rate for Payer: Qualcare PPO/HMO/WC	$117.15

NEPHROSTOGRAM-RT

Facility

$781.00

Hospital Charge Code	2009260
Hospital Revenue Code	320
Min. Negotiated Rate	$18.82
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$296.78
Rate for Payer: Aetna Medicare Advantage	$234.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$199.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$199.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$199.16
Rate for Payer: Cigna Commercial	$390.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.15
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$18.82
Rate for Payer: Wellpoint Medicaid Managed Care	$20.70

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

NEPHROSTOMY CATH 8 F

Facility

$170.00

Service Code	HCPCS C1729
Hospital Charge Code	4800985
Hospital Revenue Code	278
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$8.68
Max. Negotiated Rate	$180.00
Rate for Payer: Aetna Commercial	$136.80
Rate for Payer: Aetna Medicare Advantage	$108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.80
Rate for Payer: Cigna Commercial	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$54.00
Rate for Payer: UnitedHealthcare Community & State	$8.68
Rate for Payer: Wellpoint Medicaid Managed Care	$9.54

NEPHROSTOMY MALECOT CATHETER

Facility

$360.00

Hospital Charge Code	270331499
Hospital Revenue Code	278
Min. Negotiated Rate	$54.00
Max. Negotiated Rate	$87.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$54.00

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$118.65
Max. Negotiated Rate	$191.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.02
Rate for Payer: Qualcare PPO/HMO/WC	$118.65

NEPHROSTOMY PERCUTANEOUS PK

Facility

$791.00

Hospital Charge Code	270331498
Hospital Revenue Code	278
Min. Negotiated Rate	$19.06
Max. Negotiated Rate	$395.50
Rate for Payer: Aetna Commercial	$300.58
Rate for Payer: Aetna Medicare Advantage	$237.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.71
Rate for Payer: Cigna Commercial	$395.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.02
Rate for Payer: Qualcare PPO/HMO/WC	$118.65
Rate for Payer: UnitedHealthcare Community & State	$19.06
Rate for Payer: Wellpoint Medicaid Managed Care	$20.96

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NEPHRO-VITE TAB

Facility

$4.00

Service Code	NDC 235087901
Hospital Charge Code	60629862
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NEPHROX/16OZ

Facility

$21.00

Hospital Charge Code	60634612
Hospital Revenue Code	250
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

NEPHROX/16OZ

Facility

$21.00

Hospital Charge Code	60634612
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

NEPRO

Facility

$6.00

Hospital Charge Code	60635265
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

NEPRO

Facility

$71.00

Hospital Charge Code	60634852
Hospital Revenue Code	250
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

NEPRO

Facility

$71.00

Hospital Charge Code	60634852
Hospital Revenue Code	250
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

NEPRO

Facility

$6.00

Hospital Charge Code	60635265
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

NEPTAZINE/50MG

Facility

$3.00

Hospital Charge Code	60634488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

NEPTAZINE/50MG

Facility

$3.00

Hospital Charge Code	60634488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

Know your out-of-pocket cost for care.

All Charges