Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PATELLOFERMORAL RIGHT SZ 8

Facility

$12,580.00

Hospital Charge Code	270668866
Hospital Revenue Code	278
Min. Negotiated Rate	$303.18
Max. Negotiated Rate	$6,290.00
Rate for Payer: Aetna Commercial	$4,780.40
Rate for Payer: Aetna Medicare Advantage	$3,774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,207.90
Rate for Payer: Cigna Commercial	$6,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,044.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,767.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.00
Rate for Payer: UnitedHealthcare Community & State	$303.18
Rate for Payer: Wellpoint Medicaid Managed Care	$333.37

PATEL STAND 34m X 8.5m 184766

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270639972
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

PATEL STAND 34m X 8.5m 184766

Facility

$1,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270639972
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

PATH CONSLT SURG CYT EXAM INIT

Facility

$101.00

Service Code	HCPCS 88333
Hospital Charge Code	38477124
Hospital Revenue Code	312
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$3,455.10
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,455.10
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$73.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

PATH CONSLT SURG CYT EXAM INIT

Facility

$101.00

Service Code	HCPCS 88333
Hospital Charge Code	38477124
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATH CONSULT LIMITED

Facility

$101.00

Service Code	HCPCS 80500
Hospital Charge Code	38477122
Hospital Revenue Code	310
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

PATH CONSULT LIMITED

Facility

$101.00

Service Code	HCPCS 80500
Hospital Charge Code	38477122
Hospital Revenue Code	310
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$38.38
Rate for Payer: Aetna Medicare Advantage	$30.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.75
Rate for Payer: Cigna Commercial	$50.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.15
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$44.52
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

PATH COSULT/SURG/CYT/EXAM-@ AD

Facility

$101.00

Service Code	HCPCS 88334
Hospital Charge Code	38477125
Hospital Revenue Code	312
Min. Negotiated Rate	$15.15
Max. Negotiated Rate	$15.15
Rate for Payer: Qualcare PPO/HMO/WC	$15.15

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$4.46
Max. Negotiated Rate	$92.50
Rate for Payer: Aetna Commercial	$70.30
Rate for Payer: Aetna Medicare Advantage	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.17
Rate for Payer: Cigna Commercial	$92.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.50
Rate for Payer: Oxford Commercial	$37.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.75
Rate for Payer: UnitedHealthcare Commercial	$37.00
Rate for Payer: UnitedHealthcare Community & State	$4.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4.90

PATHFINDER PLUS CMI

Facility

$185.00

Hospital Charge Code	270650838
Hospital Revenue Code	272
Min. Negotiated Rate	$27.75
Max. Negotiated Rate	$27.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.75

PATH/NEUROPATH

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	3005389
Hospital Revenue Code	310
Min. Negotiated Rate	$100.80
Max. Negotiated Rate	$100.80
Rate for Payer: Qualcare PPO/HMO/WC	$100.80

PATH/NEUROPATH

Facility

$672.00

Service Code	HCPCS 88313
Hospital Charge Code	3005389
Hospital Revenue Code	310
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$570.55
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
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	$68.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$17.81

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

Facility

$35,360.71

Service Code	MSDRG 543
Min. Negotiated Rate	$10,766.88
Max. Negotiated Rate	$35,360.71
Rate for Payer: Aetna Commercial	$24,554.17
Rate for Payer: Aetna Medicare Advantage	$35,360.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,333.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,354.49
Rate for Payer: Cigna Commercial	$19,237.99
Rate for Payer: Cigna Medicare Advantage	$11,333.56
Rate for Payer: Clover Medicare Advantage	$10,766.88
Rate for Payer: EmblemHealth Commercial	$34,000.68
Rate for Payer: Humana Medicare Advantage	$11,673.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,333.56
Rate for Payer: Oxford Commercial	$13,826.60
Rate for Payer: UnitedHealthcare Commercial	$24,245.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,333.56
Rate for Payer: Wellcare Medicare Advantage	$11,333.56

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

Facility

$59,230.24

Service Code	MSDRG 542
Min. Negotiated Rate	$18,034.85
Max. Negotiated Rate	$59,230.24
Rate for Payer: Aetna Commercial	$40,955.27
Rate for Payer: Aetna Medicare Advantage	$59,230.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,335.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,335.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,984.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,335.02
Rate for Payer: Cigna Commercial	$33,058.28
Rate for Payer: Cigna Medicare Advantage	$18,984.05
Rate for Payer: Clover Medicare Advantage	$18,034.85
Rate for Payer: EmblemHealth Commercial	$56,952.15
Rate for Payer: Humana Medicare Advantage	$19,553.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,984.05
Rate for Payer: Oxford Commercial	$23,759.42
Rate for Payer: UnitedHealthcare Commercial	$41,662.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,984.05
Rate for Payer: Wellcare Medicare Advantage	$18,984.05

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Facility

$26,523.99

Service Code	MSDRG 544
Min. Negotiated Rate	$8,076.22
Max. Negotiated Rate	$26,523.99
Rate for Payer: Aetna Commercial	$18,482.34
Rate for Payer: Aetna Medicare Advantage	$26,523.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,910.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,910.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,501.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,910.97
Rate for Payer: Cigna Commercial	$14,121.58
Rate for Payer: Cigna Medicare Advantage	$8,501.28
Rate for Payer: Clover Medicare Advantage	$8,076.22
Rate for Payer: EmblemHealth Commercial	$25,503.84
Rate for Payer: Humana Medicare Advantage	$8,756.32
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,501.28
Rate for Payer: Oxford Commercial	$10,149.37
Rate for Payer: UnitedHealthcare Commercial	$17,797.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,501.28
Rate for Payer: Wellcare Medicare Advantage	$8,501.28

PATHOLOGIST REVIEW, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3008588
Hospital Revenue Code	301
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

PATHOLOGIST REVIEW, BODY FLUID

Facility

$65.65

Service Code	HCPCS 84155
Hospital Charge Code	3008588
Hospital Revenue Code	301
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$9.98
Rate for Payer: Aetna Medicare Advantage	$11.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.25
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: Cigna Medicare Advantage	$3.67
Rate for Payer: Clover Medicare Advantage	$3.49
Rate for Payer: EmblemHealth Commercial	$11.01
Rate for Payer: Humana Medicare Advantage	$3.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.67
Rate for Payer: Wellcare Medicare Advantage	$3.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

PATHOLOGY CONSULT

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3035020
Hospital Revenue Code	319
Min. Negotiated Rate	$103.81
Max. Negotiated Rate	$103.81
Rate for Payer: Qualcare PPO/HMO/WC	$103.81

PATHOLOGY CONSULT

Facility

$692.10

Service Code	HCPCS 88305
Hospital Charge Code	3035020
Hospital Revenue Code	319
Min. Negotiated Rate	$16.68
Max. Negotiated Rate	$223.48
Rate for Payer: Aetna Commercial	$168.40
Rate for Payer: Aetna Medicare Advantage	$200.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$61.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.48
Rate for Payer: Cigna Commercial	$124.10
Rate for Payer: Cigna Medicare Advantage	$61.91
Rate for Payer: Clover Medicare Advantage	$58.81
Rate for Payer: EmblemHealth Commercial	$185.73
Rate for Payer: Humana Medicare Advantage	$63.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$61.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.63
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.81
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$16.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$61.91
Rate for Payer: Wellcare Medicare Advantage	$61.91
Rate for Payer: Wellpoint Medicaid Managed Care	$18.34

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	270CH0071
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	2709007407
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	270CH0071
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

PATHWAY JETWIRE

Facility

$1,250.00

Hospital Charge Code	2709007407
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

PATIENT EDUCATION

Facility

$156.20

Hospital Charge Code	50009
Hospital Revenue Code	942
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$23.43
Rate for Payer: Qualcare PPO/HMO/WC	$23.43

Know your out-of-pocket cost for care.

All Charges