Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PARTIAL REMOVAL OF COLON

Facility

$27,864.00

Service Code	HCPCS 44146
Hospital Charge Code	1600000495
Hospital Revenue Code	360
Min. Negotiated Rate	$671.52
Max. Negotiated Rate	$13,932.00
Rate for Payer: Aetna Commercial	$10,588.32
Rate for Payer: Aetna Medicare Advantage	$8,359.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,105.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,105.32
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	$7,105.32
Rate for Payer: Cigna Commercial	$13,932.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,359.20
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.60
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$671.52
Rate for Payer: Wellpoint Medicaid Managed Care	$738.40

PARTIAL REMOVAL OF COLON

Facility

$27,864.00

Service Code	HCPCS 44146
Hospital Charge Code	1600000495
Hospital Revenue Code	360
Min. Negotiated Rate	$4,179.60
Max. Negotiated Rate	$4,179.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,179.60

PARTIAL REMOVAL OF FIBULA

Facility

$30,595.00

Service Code	HCPCS 27641
Hospital Charge Code	16000892
Hospital Revenue Code	360
Min. Negotiated Rate	$737.34
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,178.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$737.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$810.77

PARTIAL REMOVAL OF FIBULA

Facility

$30,595.00

Service Code	HCPCS 27641
Hospital Charge Code	16000892
Hospital Revenue Code	360
Min. Negotiated Rate	$4,589.25
Max. Negotiated Rate	$4,589.25
Rate for Payer: Qualcare PPO/HMO/WC	$4,589.25

PARTIAL REMOVAL OF KIDNEY

Facility

$21,065.33

Service Code	HCPCS 50240
Hospital Charge Code	1600000600
Hospital Revenue Code	360
Min. Negotiated Rate	$507.67
Max. Negotiated Rate	$10,532.67
Rate for Payer: Aetna Commercial	$8,004.83
Rate for Payer: Aetna Medicare Advantage	$6,319.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,371.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,371.66
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	$5,371.66
Rate for Payer: Cigna Commercial	$10,532.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,319.60
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$507.67
Rate for Payer: Wellpoint Medicaid Managed Care	$558.23

PARTIAL REMOVAL OF KIDNEY

Facility

$21,065.33

Service Code	HCPCS 50240
Hospital Charge Code	1600000600
Hospital Revenue Code	360
Min. Negotiated Rate	$3,159.80
Max. Negotiated Rate	$3,159.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,159.80

PARTIAL REMOVAL OF PANCREAS

Facility

$99,458.44

Service Code	HCPCS 48150
Hospital Charge Code	1600000276
Hospital Revenue Code	360
Min. Negotiated Rate	$14,918.77
Max. Negotiated Rate	$14,918.77
Rate for Payer: Qualcare PPO/HMO/WC	$14,918.77

PARTIAL REMOVAL OF PANCREAS

Facility

$99,458.44

Service Code	HCPCS 48150
Hospital Charge Code	1600000276
Hospital Revenue Code	360
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$49,729.22
Rate for Payer: Aetna Commercial	$37,794.21
Rate for Payer: Aetna Medicare Advantage	$29,837.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,361.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,361.90
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	$25,361.90
Rate for Payer: Cigna Commercial	$49,729.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,837.53
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,918.77
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,396.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2,635.65

PARTIAL REMOVAL OF PENIS

Facility

$20,308.55

Service Code	HCPCS 54120
Hospital Charge Code	1600000701
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

PARTIAL REMOVAL OF PENIS

Facility

$20,308.55

Service Code	HCPCS 54120
Hospital Charge Code	1600000701
Hospital Revenue Code	360
Min. Negotiated Rate	$489.44
Max. Negotiated Rate	$15,116.59
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,116.59
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,092.56
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$489.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$538.18

PARTIAL REMOVAL OF RADIUS

Facility

$12,406.91

Service Code	HCPCS 25230
Hospital Charge Code	16000832
Hospital Revenue Code	360
Min. Negotiated Rate	$299.01
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,722.07
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$299.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$328.78

PARTIAL REMOVAL OF RADIUS

Facility

$12,406.91

Service Code	HCPCS 25230
Hospital Charge Code	16000832
Hospital Revenue Code	360
Min. Negotiated Rate	$1,861.04
Max. Negotiated Rate	$1,861.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,861.04

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$2,342.15
Max. Negotiated Rate	$2,342.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15

PARTIAL REMOVAL OF THE COLON

Facility

$15,614.34

Service Code	HCPCS 44143
Hospital Charge Code	160000245
Hospital Revenue Code	360
Min. Negotiated Rate	$376.31
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$5,933.45
Rate for Payer: Aetna Medicare Advantage	$4,684.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,981.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,981.66
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	$3,981.66
Rate for Payer: Cigna Commercial	$7,807.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,684.30
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,342.15
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$376.31
Rate for Payer: Wellpoint Medicaid Managed Care	$413.78

PARTIAL REMOVAL OF TOES

Facility

$19,105.25

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

PARTIAL REMOVAL OF TOES

Facility

$19,105.25

Service Code	HCPCS 28153
Hospital Charge Code	1600000607
Hospital Revenue Code	360
Min. Negotiated Rate	$460.44
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,731.57
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$460.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$506.29

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$2,865.79
Max. Negotiated Rate	$2,865.79
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79

PARTIAL REMOVAL OF ULNA

Facility

$19,105.25

Service Code	HCPCS 25240
Hospital Charge Code	1600000572
Hospital Revenue Code	360
Min. Negotiated Rate	$460.44
Max. Negotiated Rate	$14,031.70
Rate for Payer: Aetna Commercial	$10,573.24
Rate for Payer: Aetna Medicare Advantage	$12,594.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,031.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,887.22
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	$14,031.70
Rate for Payer: Cigna Commercial	$7,791.93
Rate for Payer: Cigna Medicare Advantage	$3,887.22
Rate for Payer: Clover Medicare Advantage	$3,692.86
Rate for Payer: EmblemHealth Commercial	$11,661.66
Rate for Payer: Humana Medicare Advantage	$4,003.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,887.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,731.57
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,865.79
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$460.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,887.22
Rate for Payer: Wellcare Medicare Advantage	$3,887.22
Rate for Payer: Wellpoint Medicaid Managed Care	$506.29

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$4,511.90

Service Code	APR-DRG 8441
Min. Negotiated Rate	$4,423.43
Max. Negotiated Rate	$4,511.90
Rate for Payer: UnitedHealthcare Community & State	$4,423.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,511.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4,423.43

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$13,171.84

Service Code	APR-DRG 8443
Min. Negotiated Rate	$12,913.57
Max. Negotiated Rate	$13,171.84
Rate for Payer: UnitedHealthcare Community & State	$12,913.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,171.84
Rate for Payer: Wellpoint Medicaid Managed Care	$12,913.57

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$7,540.28

Service Code	APR-DRG 8442
Min. Negotiated Rate	$7,392.43
Max. Negotiated Rate	$7,540.28
Rate for Payer: UnitedHealthcare Community & State	$7,392.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,540.28
Rate for Payer: Wellpoint Medicaid Managed Care	$7,392.43

PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT

Facility

$28,788.50

Service Code	APR-DRG 8444
Min. Negotiated Rate	$28,224.02
Max. Negotiated Rate	$28,788.50
Rate for Payer: UnitedHealthcare Community & State	$28,224.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,788.50
Rate for Payer: Wellpoint Medicaid Managed Care	$28,224.02

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$600.60
Max. Negotiated Rate	$25,925.77
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,925.77
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,476.32
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$600.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$660.41

PARTIAL THYROID REMOVAL

Facility

$24,921.08

Service Code	HCPCS 60210
Hospital Charge Code	1600000748
Hospital Revenue Code	360
Min. Negotiated Rate	$3,738.16
Max. Negotiated Rate	$3,738.16
Rate for Payer: Qualcare PPO/HMO/WC	$3,738.16

PARTICLE AGGLUTINATION;TITER,@

Facility

$75.00

Service Code	HCPCS 86406
Hospital Charge Code	38477074
Hospital Revenue Code	302
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$28.94
Rate for Payer: Aetna Medicare Advantage	$34.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.41
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: Cigna Medicare Advantage	$10.64
Rate for Payer: Clover Medicare Advantage	$10.11
Rate for Payer: EmblemHealth Commercial	$31.92
Rate for Payer: Humana Medicare Advantage	$10.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$8.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$10.64
Rate for Payer: Wellcare Medicare Advantage	$10.64
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

Know your out-of-pocket cost for care.

All Charges