Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACK VAGINAL DELIVERY

Facility

$150.45

Hospital Charge Code	1801042
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$75.22
Rate for Payer: Aetna Commercial	$57.17
Rate for Payer: Aetna Medicare Advantage	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.36
Rate for Payer: Cigna Commercial	$75.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.13
Rate for Payer: Oxford Commercial	$30.09
Rate for Payer: Qualcare PPO/HMO/WC	$22.57
Rate for Payer: UnitedHealthcare Commercial	$30.09
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.99

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$38.42
Max. Negotiated Rate	$38.42
Rate for Payer: Qualcare PPO/HMO/WC	$38.42

PACK VAGINAL SLINGS/

Facility

$256.15

Hospital Charge Code	270653805
Hospital Revenue Code	270
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$128.07
Rate for Payer: Aetna Commercial	$97.34
Rate for Payer: Aetna Medicare Advantage	$76.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.32
Rate for Payer: Cigna Commercial	$128.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.84
Rate for Payer: Oxford Commercial	$51.23
Rate for Payer: Qualcare PPO/HMO/WC	$38.42
Rate for Payer: UnitedHealthcare Commercial	$51.23
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6.79

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$90.53
Rate for Payer: Aetna Commercial	$68.80
Rate for Payer: Aetna Medicare Advantage	$54.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.17
Rate for Payer: Cigna Commercial	$90.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.31
Rate for Payer: Oxford Commercial	$36.21
Rate for Payer: Qualcare PPO/HMO/WC	$27.16
Rate for Payer: UnitedHealthcare Commercial	$36.21
Rate for Payer: UnitedHealthcare Community & State	$4.36
Rate for Payer: Wellpoint Medicaid Managed Care	$4.80

PACK VASCULAR ACCESS

Facility

$181.05

Hospital Charge Code	270653779
Hospital Revenue Code	272
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$27.16
Rate for Payer: Qualcare PPO/HMO/WC	$27.16

PACK WARM RENAL

Facility

$5.65

Hospital Charge Code	270603158
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

PACK WARM RENAL

Facility

$5.65

Hospital Charge Code	270603158
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

PACK WET SKIN SCRUB

Facility

$27.03

Hospital Charge Code	270654174
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.52
Rate for Payer: Aetna Commercial	$10.27
Rate for Payer: Aetna Medicare Advantage	$8.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.89
Rate for Payer: Cigna Commercial	$13.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.11
Rate for Payer: Oxford Commercial	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.41
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

PACK WET SKIN SCRUB

Facility

$27.03

Hospital Charge Code	270654174
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

PACLITAXEL 30 MG/5ML

Facility

$785.00

Hospital Charge Code	60634897
Hospital Revenue Code	636
Min. Negotiated Rate	$117.75
Max. Negotiated Rate	$189.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75

PACLITAXEL 30 MG/5ML

Facility

$785.00

Hospital Charge Code	60634897
Hospital Revenue Code	636
Min. Negotiated Rate	$18.92
Max. Negotiated Rate	$392.50
Rate for Payer: Aetna Commercial	$298.30
Rate for Payer: Aetna Medicare Advantage	$235.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.18
Rate for Payer: Cigna Commercial	$392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.97
Rate for Payer: Qualcare PPO/HMO/WC	$117.75
Rate for Payer: UnitedHealthcare Community & State	$18.92
Rate for Payer: Wellpoint Medicaid Managed Care	$20.80

PACU GLUCOSE CAPILLARY STICK

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	1500101
Hospital Revenue Code	301
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$13.71
Rate for Payer: Aetna Medicare Advantage	$16.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.19
Rate for Payer: Cigna Commercial	$10.43
Rate for Payer: Cigna Medicare Advantage	$5.04
Rate for Payer: Clover Medicare Advantage	$4.79
Rate for Payer: EmblemHealth Commercial	$15.12
Rate for Payer: Humana Medicare Advantage	$5.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.04
Rate for Payer: Wellcare Medicare Advantage	$5.04
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

PACU GLUCOSE CAPILLARY STICK

Facility

$20.85

Service Code	HCPCS 82948
Hospital Charge Code	1500101
Hospital Revenue Code	301
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

PACU VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	1500102
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

PACU VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	1500102
Hospital Revenue Code	300
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.40
Rate for Payer: Aetna Medicare Advantage	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.71
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Medicare Advantage	$9.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

PAD***

Facility

$44.00

Hospital Charge Code	8002982
Hospital Revenue Code	279
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

PAD***

Facility

$44.00

Hospital Charge Code	8002982
Hospital Revenue Code	279
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.70
Rate for Payer: Aetna Commercial	$0.53
Rate for Payer: Aetna Medicare Advantage	$0.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.35
Rate for Payer: Cigna Commercial	$0.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.42
Rate for Payer: Oxford Commercial	$0.28
Rate for Payer: Qualcare PPO/HMO/WC	$0.21
Rate for Payer: UnitedHealthcare Commercial	$0.28
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.04

PAD ABD COMBINE 5x9 STER

Facility

$1.39

Hospital Charge Code	270649187
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$0.21
Rate for Payer: Qualcare PPO/HMO/WC	$0.21

PAD ABD COMBINE 7.5x8 STER

Facility

$0.72

Hospital Charge Code	270649188
Hospital Revenue Code	272
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.36
Rate for Payer: Aetna Commercial	$0.27
Rate for Payer: Aetna Medicare Advantage	$0.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.18
Rate for Payer: Cigna Commercial	$0.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.22
Rate for Payer: Oxford Commercial	$0.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.11
Rate for Payer: UnitedHealthcare Commercial	$0.14
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

PAD ABD COMBINE 7.5x8 STER

Facility

$0.72

Hospital Charge Code	270649188
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$3.87
Rate for Payer: Qualcare PPO/HMO/WC	$3.87

PAD ADHESIVE HEAD TRACKER

Facility

$25.80

Hospital Charge Code	270663280
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.90
Rate for Payer: Aetna Commercial	$9.80
Rate for Payer: Aetna Medicare Advantage	$7.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.58
Rate for Payer: Cigna Commercial	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.74
Rate for Payer: Oxford Commercial	$5.16
Rate for Payer: Qualcare PPO/HMO/WC	$3.87
Rate for Payer: UnitedHealthcare Commercial	$5.16
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$236.85
Max. Negotiated Rate	$382.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$347.38
Rate for Payer: Qualcare PPO/HMO/WC	$236.85

PAD A ELECTRODE DEFIBRILLATOR

Facility

$1,579.00

Service Code	HCPCS C1713
Hospital Charge Code	270655641
Hospital Revenue Code	278
Min. Negotiated Rate	$38.05
Max. Negotiated Rate	$789.50
Rate for Payer: Aetna Commercial	$600.02
Rate for Payer: Aetna Medicare Advantage	$473.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.64
Rate for Payer: Cigna Commercial	$789.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$347.38
Rate for Payer: Qualcare PPO/HMO/WC	$236.85
Rate for Payer: UnitedHealthcare Community & State	$38.05
Rate for Payer: Wellpoint Medicaid Managed Care	$41.84

Know your out-of-pocket cost for care.

All Charges