Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BAGS *******

Facility

$9.00

Hospital Charge Code	7000375
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAG SORIN REINFUSION

Facility

$35.00

Hospital Charge Code	270626578
Hospital Revenue Code	270
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

BAG SORIN REINFUSION

Facility

$35.00

Hospital Charge Code	270626578
Hospital Revenue Code	270
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

BAG SPECIMEN RETRIEVAL

Facility

$100.00

Hospital Charge Code	270608384
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$189.90
Rate for Payer: Aetna Commercial	$144.32
Rate for Payer: Aetna Medicare Advantage	$113.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.85
Rate for Payer: Cigna Commercial	$189.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.94
Rate for Payer: Oxford Commercial	$75.96
Rate for Payer: Qualcare PPO/HMO/WC	$56.97
Rate for Payer: UnitedHealthcare Commercial	$75.96
Rate for Payer: UnitedHealthcare Community & State	$9.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10.06

BAG SPECI TRNSPRT 6X9 2.0MIL

Facility

$379.80

Hospital Charge Code	270663192
Hospital Revenue Code	270
Min. Negotiated Rate	$56.97
Max. Negotiated Rate	$56.97
Rate for Payer: Qualcare PPO/HMO/WC	$56.97

BAG STOOL MNGT SYST DIGNICARE

Facility

$61.53

Hospital Charge Code	270650192
Hospital Revenue Code	270
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$30.77
Rate for Payer: Aetna Commercial	$23.38
Rate for Payer: Aetna Medicare Advantage	$18.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.69
Rate for Payer: Cigna Commercial	$30.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.46
Rate for Payer: Oxford Commercial	$12.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.23
Rate for Payer: UnitedHealthcare Commercial	$12.31
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

BAG STOOL MNGT SYST DIGNICARE

Facility

$61.53

Hospital Charge Code	270650192
Hospital Revenue Code	270
Min. Negotiated Rate	$9.23
Max. Negotiated Rate	$9.23
Rate for Payer: Qualcare PPO/HMO/WC	$9.23

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$9.32
Rate for Payer: Qualcare PPO/HMO/WC	$9.32

BAG SURGICAL REMOTE ALCON

Facility

$62.15

Hospital Charge Code	270600237
Hospital Revenue Code	270
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$31.07
Rate for Payer: Aetna Commercial	$23.62
Rate for Payer: Aetna Medicare Advantage	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.85
Rate for Payer: Cigna Commercial	$31.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.64
Rate for Payer: Oxford Commercial	$12.43
Rate for Payer: Qualcare PPO/HMO/WC	$9.32
Rate for Payer: UnitedHealthcare Commercial	$12.43
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.65

BAG THERAPEUTIC COLLECT***

Facility

$135.00

Hospital Charge Code	270600824
Hospital Revenue Code	270
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

BAG THERAPEUTIC COLLECT***

Facility

$135.00

Hospital Charge Code	270600824
Hospital Revenue Code	270
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

BAG URINARY DRAINAGE ******

Facility

$9.00

Hospital Charge Code	8000754
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BAG URINARY DRAINAGE ******

Facility

$9.00

Hospital Charge Code	8000754
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BAG URINARY LEG

Facility

$5.02

Hospital Charge Code	270300145S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

BAG URINARY LEG

Facility

$5.17

Service Code	HCPCS A4358
Hospital Charge Code	270300145
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.96
Rate for Payer: Aetna Medicare Advantage	$1.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.55
Rate for Payer: Oxford Commercial	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$1.03
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

BAG URINARY LEG

Facility

$5.02

Hospital Charge Code	270300145S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.51
Rate for Payer: Aetna Commercial	$1.91
Rate for Payer: Aetna Medicare Advantage	$1.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.28
Rate for Payer: Cigna Commercial	$2.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.51
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

BAG URINARY LEG***

Facility

$30.00

Hospital Charge Code	8001018
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

BAG URINARY LEG***

Facility

$30.00

Hospital Charge Code	8001018
Hospital Revenue Code	279
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$6.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

BAG URINARY LEG****

Facility

$81.00

Hospital Charge Code	8001059
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

BAG URINARY LEG****

Facility

$81.00

Hospital Charge Code	8001059
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

BAG URINARY LEG LG

Facility

$22.45

Hospital Charge Code	270610798
Hospital Revenue Code	272
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.74
Rate for Payer: Oxford Commercial	$4.49
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$4.49
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

Know your out-of-pocket cost for care.

All Charges