Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PARASITE IDENTIFICATION

Facility

$100.00

Service Code	HCPCS 87177
Hospital Charge Code	3009578
Hospital Revenue Code	309
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

PARASITE ID, WORM MISC

Facility

$390.00

Service Code	HCPCS 87169
Hospital Charge Code	401387169
Hospital Revenue Code	306
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.72
Rate for Payer: Aetna Medicare Advantage	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.56
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$4.09
Rate for Payer: EmblemHealth Commercial	$12.93
Rate for Payer: Humana Medicare Advantage	$4.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.31
Rate for Payer: Wellcare Medicare Advantage	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

PARASITE ID, WORM MISC

Facility

$390.00

Service Code	HCPCS 87169
Hospital Charge Code	401387169
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

PARASITE ID, WORM-SEND OUT

Facility

$35.00

Service Code	HCPCS 87169
Hospital Charge Code	3036032
Hospital Revenue Code	309
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.72
Rate for Payer: Aetna Medicare Advantage	$13.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.56
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: Cigna Medicare Advantage	$4.31
Rate for Payer: Clover Medicare Advantage	$4.09
Rate for Payer: EmblemHealth Commercial	$12.93
Rate for Payer: Humana Medicare Advantage	$4.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.31
Rate for Payer: Wellcare Medicare Advantage	$4.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

PARASITE ID, WORM-SEND OUT

Facility

$35.00

Service Code	HCPCS 87169
Hospital Charge Code	3036032
Hospital Revenue Code	309
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

PARASITE SCREEN

Facility

$244.85

Hospital Charge Code	3009740
Hospital Revenue Code	306
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$36.73
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

PARASITE SCREEN

Facility

$244.85

Hospital Charge Code	3009740
Hospital Revenue Code	306
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$93.04
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

PARATHYROID HORMONE

Facility

$1,997.80

Service Code	HCPCS 83970
Hospital Charge Code	38472524
Hospital Revenue Code	301
Min. Negotiated Rate	$299.67
Max. Negotiated Rate	$299.67
Rate for Payer: Qualcare PPO/HMO/WC	$299.67

PARATHYROID HORMONE

Facility

$1,997.80

Service Code	HCPCS 83970
Hospital Charge Code	38472524
Hospital Revenue Code	301
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$998.90
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.01
Rate for Payer: Cigna Commercial	$998.90
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$599.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$299.67
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$52.94

PARATHYROID HORMONE,INTACT PTH

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	3006335
Hospital Revenue Code	301
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

PARATHYROID HORMONE,INTACT PTH

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	3006335
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$197.22
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.01
Rate for Payer: Cigna Commercial	$197.22
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.45

PARATHYROID HORMONE (MID PTH)

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	3004355
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$197.22
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.01
Rate for Payer: Cigna Commercial	$197.22
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.45

PARATHYROID HORMONE (MID PTH)

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	3004355
Hospital Revenue Code	301
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

Parathyroid Hormone (PTH), Int

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	39888011
Hospital Revenue Code	301
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$197.22
Rate for Payer: Aetna Commercial	$112.28
Rate for Payer: Aetna Medicare Advantage	$133.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.01
Rate for Payer: Cigna Commercial	$197.22
Rate for Payer: Cigna Medicare Advantage	$41.28
Rate for Payer: Clover Medicare Advantage	$39.22
Rate for Payer: EmblemHealth Commercial	$123.84
Rate for Payer: Humana Medicare Advantage	$42.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$41.28
Rate for Payer: Wellcare Medicare Advantage	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.45

Parathyroid Hormone (PTH), Int

Facility

$394.45

Service Code	HCPCS 83970
Hospital Charge Code	39888011
Hospital Revenue Code	301
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$59.17
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

PARATHYROID HORMONE RELTD PEPT

Facility

$585.17

Service Code	HCPCS 82397
Hospital Charge Code	3009983
Hospital Revenue Code	301
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$87.78
Rate for Payer: Qualcare PPO/HMO/WC	$87.78

PARATHYROID HORMONE RELTD PEPT

Facility

$585.17

Service Code	HCPCS 82397
Hospital Charge Code	3009983
Hospital Revenue Code	301
Min. Negotiated Rate	$11.30
Max. Negotiated Rate	$292.58
Rate for Payer: Aetna Commercial	$38.41
Rate for Payer: Aetna Medicare Advantage	$45.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.97
Rate for Payer: Cigna Commercial	$292.58
Rate for Payer: Cigna Medicare Advantage	$14.12
Rate for Payer: Clover Medicare Advantage	$13.41
Rate for Payer: EmblemHealth Commercial	$42.36
Rate for Payer: Humana Medicare Advantage	$14.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.55
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.78
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.12
Rate for Payer: Wellcare Medicare Advantage	$14.12
Rate for Payer: Wellpoint Medicaid Managed Care	$15.51

PARATROOPER PLANTR PLT WEIL KT

Facility

$4,725.00

Hospital Charge Code	270700501
Hospital Revenue Code	272
Min. Negotiated Rate	$113.87
Max. Negotiated Rate	$2,362.50
Rate for Payer: Aetna Commercial	$1,795.50
Rate for Payer: Aetna Medicare Advantage	$1,417.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,204.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,204.88
Rate for Payer: Cigna Commercial	$2,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,417.50
Rate for Payer: Oxford Commercial	$945.00
Rate for Payer: Qualcare PPO/HMO/WC	$708.75
Rate for Payer: UnitedHealthcare Commercial	$945.00
Rate for Payer: UnitedHealthcare Community & State	$113.87
Rate for Payer: Wellpoint Medicaid Managed Care	$125.21

PARATROOPER PLANTR PLT WEIL KT

Facility

$4,725.00

Hospital Charge Code	270700501
Hospital Revenue Code	272
Min. Negotiated Rate	$708.75
Max. Negotiated Rate	$708.75
Rate for Payer: Qualcare PPO/HMO/WC	$708.75

PARAVERTEBRAL BLK THOR SINGLE

Facility

$4,077.75

Hospital Charge Code	1650122
Hospital Revenue Code	361
Min. Negotiated Rate	$98.27
Max. Negotiated Rate	$2,038.88
Rate for Payer: Aetna Commercial	$1,549.55
Rate for Payer: Aetna Medicare Advantage	$1,223.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,039.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,039.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,039.83
Rate for Payer: Cigna Commercial	$2,038.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,223.33
Rate for Payer: Qualcare PPO/HMO/WC	$611.66
Rate for Payer: UnitedHealthcare Community & State	$98.27
Rate for Payer: Wellpoint Medicaid Managed Care	$108.06

PARAVERTEBRAL BLK THOR SINGLE

Facility

$4,077.75

Hospital Charge Code	1650122
Hospital Revenue Code	361
Min. Negotiated Rate	$611.66
Max. Negotiated Rate	$611.66
Rate for Payer: Qualcare PPO/HMO/WC	$611.66

PARAVERTEBRL BLK THOR CONT INF

Facility

$690.18

Hospital Charge Code	1650124
Hospital Revenue Code	361
Min. Negotiated Rate	$103.53
Max. Negotiated Rate	$103.53
Rate for Payer: Qualcare PPO/HMO/WC	$103.53

PARAVERTEBRL BLK THOR CONT INF

Facility

$690.18

Hospital Charge Code	1650124
Hospital Revenue Code	361
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$262.27
Rate for Payer: Aetna Medicare Advantage	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.00
Rate for Payer: Cigna Commercial	$345.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.05
Rate for Payer: Qualcare PPO/HMO/WC	$103.53
Rate for Payer: UnitedHealthcare Community & State	$16.63
Rate for Payer: Wellpoint Medicaid Managed Care	$18.29

PAREGORIC 60ML (ANNYARUUS MORP

Facility

$7.70

Hospital Charge Code	6023378
Hospital Revenue Code	251
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

PAREGORIC 60ML (ANNYARUUS MORP

Facility

$7.70

Hospital Charge Code	6023378
Hospital Revenue Code	251
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

Know your out-of-pocket cost for care.

All Charges