Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEURO FLUID MANAGEMENT KIT

Facility

$205.00

Hospital Charge Code	270682762
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$102.50
Rate for Payer: Aetna Commercial	$77.90
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.50
Rate for Payer: Oxford Commercial	$41.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.75
Rate for Payer: UnitedHealthcare Commercial	$41.00
Rate for Payer: UnitedHealthcare Community & State	$4.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

NEURO FLUID MANAGEMENT KIT

Facility

$205.00

Hospital Charge Code	270682762S
Hospital Revenue Code	272
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$30.75
Rate for Payer: Qualcare PPO/HMO/WC	$30.75

NEURO FLUID MGT KIT

Facility

$283.10

Hospital Charge Code	270700399S
Hospital Revenue Code	272
Min. Negotiated Rate	$42.47
Max. Negotiated Rate	$42.47
Rate for Payer: Qualcare PPO/HMO/WC	$42.47

NEURO FLUID MGT KIT

Facility

$283.10

Hospital Charge Code	270700399S
Hospital Revenue Code	272
Min. Negotiated Rate	$6.82
Max. Negotiated Rate	$141.55
Rate for Payer: Aetna Commercial	$107.58
Rate for Payer: Aetna Medicare Advantage	$84.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.19
Rate for Payer: Cigna Commercial	$141.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.93
Rate for Payer: Oxford Commercial	$56.62
Rate for Payer: Qualcare PPO/HMO/WC	$42.47
Rate for Payer: UnitedHealthcare Commercial	$56.62
Rate for Payer: UnitedHealthcare Community & State	$6.82
Rate for Payer: Wellpoint Medicaid Managed Care	$7.50

NEUROLOGICAL EYE DISORDERS

Facility

$27,946.12

Service Code	MSDRG 123
Min. Negotiated Rate	$8,509.24
Max. Negotiated Rate	$27,946.12
Rate for Payer: Aetna Commercial	$19,459.49
Rate for Payer: Aetna Medicare Advantage	$27,946.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,957.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,608.80
Rate for Payer: Cigna Commercial	$14,945.00
Rate for Payer: Cigna Medicare Advantage	$8,957.09
Rate for Payer: Clover Medicare Advantage	$8,509.24
Rate for Payer: EmblemHealth Commercial	$26,871.27
Rate for Payer: Humana Medicare Advantage	$9,225.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,957.09
Rate for Payer: Oxford Commercial	$10,741.17
Rate for Payer: UnitedHealthcare Commercial	$18,834.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,957.09
Rate for Payer: Wellcare Medicare Advantage	$8,957.09

NEUROLOGY KIT

Facility

$158.00

Hospital Charge Code	270338743
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$79.00
Rate for Payer: Aetna Commercial	$60.04
Rate for Payer: Aetna Medicare Advantage	$47.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.29
Rate for Payer: Cigna Commercial	$79.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.40
Rate for Payer: Oxford Commercial	$31.60
Rate for Payer: Qualcare PPO/HMO/WC	$23.70
Rate for Payer: UnitedHealthcare Commercial	$31.60
Rate for Payer: UnitedHealthcare Community & State	$3.81
Rate for Payer: Wellpoint Medicaid Managed Care	$4.19

NEUROLOGY KIT

Facility

$158.00

Hospital Charge Code	270338743
Hospital Revenue Code	272
Min. Negotiated Rate	$23.70
Max. Negotiated Rate	$23.70
Rate for Payer: Qualcare PPO/HMO/WC	$23.70

NEUROMONITORING KIT

Facility

$3,125.00

Hospital Charge Code	270692842
Hospital Revenue Code	272
Min. Negotiated Rate	$75.31
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$937.50
Rate for Payer: Oxford Commercial	$625.00
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Commercial	$625.00
Rate for Payer: UnitedHealthcare Community & State	$75.31
Rate for Payer: Wellpoint Medicaid Managed Care	$82.81

NEUROMONITORING KIT

Facility

$3,125.00

Hospital Charge Code	270692842
Hospital Revenue Code	272
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$468.75
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

NEUROMONITORING PROBE

Facility

$600.00

Hospital Charge Code	270704027
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

NEUROMONITORING PROBE

Facility

$600.00

Hospital Charge Code	270704027
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

NEUROMUSC RE-ED EA 15 MIN CQ

Facility

$128.00

Service Code	HCPCS 97112GP
Hospital Charge Code	409197112Q
Hospital Revenue Code	420
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$48.64
Rate for Payer: Aetna Medicare Advantage	$38.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.64
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$3.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

NEUROMUSC RE-ED EA 15 MIN CQ

Facility

$128.00

Service Code	HCPCS 97112GP
Hospital Charge Code	409197112Q
Hospital Revenue Code	420
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

NEUROMUSCULAR RE-ED EA 15 MINS

Facility

$179.00

Service Code	HCPCS 97112GO
Hospital Charge Code	1008245
Hospital Revenue Code	430
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$68.02
Rate for Payer: Aetna Medicare Advantage	$53.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.65
Rate for Payer: Cigna Commercial	$89.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.70
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.85
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$4.74

NEUROMUSCULAR RE-ED EA 15 MINS

Facility

$314.00

Service Code	HCPCS 97112GP
Hospital Charge Code	1008240
Hospital Revenue Code	420
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$119.32
Rate for Payer: Aetna Medicare Advantage	$94.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.07
Rate for Payer: Cigna Commercial	$157.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.20
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.10
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.32

NEUROMUSCULAR RE-ED EA 15 MINS

Facility

$179.00

Service Code	HCPCS 97112GO
Hospital Charge Code	1008245
Hospital Revenue Code	430
Min. Negotiated Rate	$26.85
Max. Negotiated Rate	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$26.85

NEUROMUSCULAR RE-ED EA 15 MINS

Facility

$314.00

Service Code	HCPCS 97112GP
Hospital Charge Code	1008240
Hospital Revenue Code	420
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$47.10
Rate for Payer: Qualcare PPO/HMO/WC	$47.10

NEURONAL NUCL (HU) AB W/RFLX

Facility

$121.00

Service Code	HCPCS 86255
Hospital Charge Code	3035075
Hospital Revenue Code	300
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

NEURONAL NUCL (HU) AB W/RFLX

Facility

$121.00

Service Code	HCPCS 86255
Hospital Charge Code	3035075
Hospital Revenue Code	300
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$32.78
Rate for Payer: Aetna Medicare Advantage	$39.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.50
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: Cigna Medicare Advantage	$12.05
Rate for Payer: Clover Medicare Advantage	$11.45
Rate for Payer: EmblemHealth Commercial	$36.15
Rate for Payer: Humana Medicare Advantage	$12.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.05
Rate for Payer: Wellcare Medicare Advantage	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

NEURON SPECIFIC ENOLASE

Facility

$464.00

Service Code	HCPCS 86318
Hospital Charge Code	38473064
Hospital Revenue Code	302
Min. Negotiated Rate	$69.60
Max. Negotiated Rate	$69.60
Rate for Payer: Qualcare PPO/HMO/WC	$69.60

NEURON SPECIFIC ENOLASE

Facility

$464.00

Service Code	HCPCS 86318
Hospital Charge Code	38473064
Hospital Revenue Code	302
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$232.00
Rate for Payer: Aetna Commercial	$49.20
Rate for Payer: Aetna Medicare Advantage	$58.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.30
Rate for Payer: Cigna Commercial	$232.00
Rate for Payer: Cigna Medicare Advantage	$18.09
Rate for Payer: Clover Medicare Advantage	$17.19
Rate for Payer: EmblemHealth Commercial	$54.27
Rate for Payer: Humana Medicare Advantage	$18.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.60
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.09
Rate for Payer: Wellcare Medicare Advantage	$18.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.30

NEURON SPECIFIC ENOLASE

Facility

$143.05

Service Code	HCPCS 86316
Hospital Charge Code	39990012EX
Hospital Revenue Code	302
Min. Negotiated Rate	$21.46
Max. Negotiated Rate	$21.46
Rate for Payer: Qualcare PPO/HMO/WC	$21.46

NEURON SPECIFIC ENOLASE

Facility

$143.05

Service Code	HCPCS 86316
Hospital Charge Code	39990012EX
Hospital Revenue Code	302
Min. Negotiated Rate	$3.79
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$56.60
Rate for Payer: Aetna Medicare Advantage	$67.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$54.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.12
Rate for Payer: Cigna Commercial	$71.53
Rate for Payer: Cigna Medicare Advantage	$20.81
Rate for Payer: Clover Medicare Advantage	$19.77
Rate for Payer: EmblemHealth Commercial	$62.43
Rate for Payer: Humana Medicare Advantage	$21.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.91
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.46
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$16.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.81
Rate for Payer: Wellcare Medicare Advantage	$20.81
Rate for Payer: Wellpoint Medicaid Managed Care	$3.79

NEURON SPECIFIC ENOLASE I

Facility

$89.00

Service Code	HCPCS 83520
Hospital Charge Code	39990012A
Hospital Revenue Code	301
Min. Negotiated Rate	$13.35
Max. Negotiated Rate	$13.35
Rate for Payer: Qualcare PPO/HMO/WC	$13.35

NEURON SPECIFIC ENOLASE I

Facility

$89.00

Service Code	HCPCS 83520
Hospital Charge Code	39990012A
Hospital Revenue Code	301
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$46.97
Rate for Payer: Aetna Medicare Advantage	$55.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.34
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: Cigna Medicare Advantage	$17.27
Rate for Payer: Clover Medicare Advantage	$16.41
Rate for Payer: EmblemHealth Commercial	$51.81
Rate for Payer: Humana Medicare Advantage	$17.79
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.27
Rate for Payer: Wellcare Medicare Advantage	$17.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

Know your out-of-pocket cost for care.

All Charges