Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PAPILLOTOME TAPERTOME 3.5 3282

Facility

$1,226.45

Hospital Charge Code	270608081
Hospital Revenue Code	272
Min. Negotiated Rate	$183.97
Max. Negotiated Rate	$183.97
Rate for Payer: Qualcare PPO/HMO/WC	$183.97

PAPILLOTOME WC ZIM 5F PTHPC-1

Facility

$652.00

Hospital Charge Code	270609427
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.60
Rate for Payer: Oxford Commercial	$130.40
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Commercial	$130.40
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

PAPILLOTOME WC ZIM 5F PTHPC-1

Facility

$652.00

Hospital Charge Code	270609427
Hospital Revenue Code	272
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$97.80
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

PAPILLOTOME ZIMMON 5F PTH-30

Facility

$652.00

Hospital Charge Code	270600981
Hospital Revenue Code	270
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.60
Rate for Payer: Oxford Commercial	$130.40
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Commercial	$130.40
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

PAPILLOTOME ZIMMON 5F PTH-30

Facility

$652.00

Hospital Charge Code	270600981
Hospital Revenue Code	270
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$97.80
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$249.00

Service Code	HCPCS 87624
Hospital Charge Code	3038081A
Hospital Revenue Code	301
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$37.35
Rate for Payer: Qualcare PPO/HMO/WC	$37.35

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$672.00

Service Code	HCPCS 88175
Hospital Charge Code	3038081B
Hospital Revenue Code	311
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$336.00
Rate for Payer: Aetna Commercial	$72.38
Rate for Payer: Aetna Medicare Advantage	$86.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.05
Rate for Payer: Cigna Commercial	$336.00
Rate for Payer: Cigna Medicare Advantage	$26.61
Rate for Payer: Clover Medicare Advantage	$25.28
Rate for Payer: EmblemHealth Commercial	$79.83
Rate for Payer: Humana Medicare Advantage	$27.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.80
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.61
Rate for Payer: Wellcare Medicare Advantage	$26.61
Rate for Payer: Wellpoint Medicaid Managed Care	$17.81

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$249.00

Service Code	HCPCS 87624
Hospital Charge Code	3038081A
Hospital Revenue Code	301
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$126.66
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$124.50
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

PAP IMAGE GUIDED, HPV HIGH RIS

Facility

$672.00

Service Code	HCPCS 88175
Hospital Charge Code	3038081B
Hospital Revenue Code	311
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

PAP LQD PREPARATION

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037071
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP LQD PREPARATION

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037071
Hospital Revenue Code	311
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$55.11
Rate for Payer: Aetna Medicare Advantage	$65.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.13
Rate for Payer: Cigna Commercial	$71.75
Rate for Payer: Cigna Medicare Advantage	$20.26
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.05
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$16.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Medicare Advantage	$20.26
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

PAP LQD PREP HPV HIGH+LOW III

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037070C
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP LQD PREP HPV HIGH+LOW III

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037070C
Hospital Revenue Code	311
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$55.11
Rate for Payer: Aetna Medicare Advantage	$65.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.13
Rate for Payer: Cigna Commercial	$71.75
Rate for Payer: Cigna Medicare Advantage	$20.26
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.05
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$16.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Medicare Advantage	$20.26
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

PAP SMEAR

Facility

$147.76

Service Code	HCPCS Q0091
Hospital Charge Code	87502740
Hospital Revenue Code	770
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$124.03
Rate for Payer: Aetna Commercial	$93.46
Rate for Payer: Aetna Medicare Advantage	$111.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.03
Rate for Payer: Cigna Commercial	$68.87
Rate for Payer: Cigna Medicare Advantage	$34.36
Rate for Payer: Clover Medicare Advantage	$32.64
Rate for Payer: EmblemHealth Commercial	$103.08
Rate for Payer: Humana Medicare Advantage	$35.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.33
Rate for Payer: Oxford Commercial	$29.55
Rate for Payer: Qualcare PPO/HMO/WC	$22.16
Rate for Payer: UnitedHealthcare Commercial	$29.55
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.36
Rate for Payer: Wellcare Medicare Advantage	$34.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

PAP SMEAR

Facility

$147.76

Service Code	HCPCS Q0091
Hospital Charge Code	87502740
Hospital Revenue Code	770
Min. Negotiated Rate	$22.16
Max. Negotiated Rate	$22.16
Rate for Payer: Qualcare PPO/HMO/WC	$22.16

PAP SMEAR + HPV II

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037035B
Hospital Revenue Code	311
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$55.11
Rate for Payer: Aetna Medicare Advantage	$65.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73.13
Rate for Payer: Cigna Commercial	$71.75
Rate for Payer: Cigna Medicare Advantage	$20.26
Rate for Payer: Clover Medicare Advantage	$19.25
Rate for Payer: EmblemHealth Commercial	$60.78
Rate for Payer: Humana Medicare Advantage	$20.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.05
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.52
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$16.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.26
Rate for Payer: Wellcare Medicare Advantage	$20.26
Rate for Payer: Wellpoint Medicaid Managed Care	$3.80

PAP SMEAR + HPV II

Facility

$143.50

Service Code	HCPCS 88142
Hospital Charge Code	3037035B
Hospital Revenue Code	311
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$21.52
Rate for Payer: Qualcare PPO/HMO/WC	$21.52

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$50.43
Rate for Payer: Aetna Medicare Advantage	$60.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.92
Rate for Payer: Cigna Commercial	$96.00
Rate for Payer: Cigna Medicare Advantage	$18.54
Rate for Payer: Clover Medicare Advantage	$17.61
Rate for Payer: EmblemHealth Commercial	$55.62
Rate for Payer: Humana Medicare Advantage	$19.10
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.80
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$14.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.54
Rate for Payer: Wellcare Medicare Advantage	$18.54
Rate for Payer: Wellpoint Medicaid Managed Care	$5.09

PAP SMEAR (NON-REVIEW CERVICAL

Facility

$192.00

Service Code	HCPCS 88150
Hospital Charge Code	38474022
Hospital Revenue Code	311
Min. Negotiated Rate	$28.80
Max. Negotiated Rate	$28.80
Rate for Payer: Qualcare PPO/HMO/WC	$28.80

PAPVERINE INJ/30MG/ML

Facility

$18.00

Hospital Charge Code	60634266
Hospital Revenue Code	636
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

PAPVERINE INJ/30MG/ML

Facility

$18.00

Hospital Charge Code	60634266
Hospital Revenue Code	636
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$166.50
Rate for Payer: Aetna Commercial	$126.54
Rate for Payer: Aetna Medicare Advantage	$99.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.92
Rate for Payer: Cigna Commercial	$166.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.03
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

PARA-AMINOBENZOIC ACID (PABA)

Facility

$333.00

Service Code	HCPCS 84999
Hospital Charge Code	38472521
Hospital Revenue Code	301
Min. Negotiated Rate	$49.95
Max. Negotiated Rate	$49.95
Rate for Payer: Qualcare PPO/HMO/WC	$49.95

PARACENTESES******

Facility

$168.00

Hospital Charge Code	8002321
Hospital Revenue Code	279
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$63.84
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.40
Rate for Payer: Oxford Commercial	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$33.60
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: Wellpoint Medicaid Managed Care	$4.45

PARACENTESES******

Facility

$168.00

Hospital Charge Code	8002321
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

Know your out-of-pocket cost for care.

All Charges