Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PATIENT EDUCATION

Facility

$156.20

Hospital Charge Code	50009
Hospital Revenue Code	942
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$1,202.00
Rate for Payer: Aetna Commercial	$59.36
Rate for Payer: Aetna Medicare Advantage	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.83
Rate for Payer: Cigna Commercial	$78.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.86
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.43
Rate for Payer: UnitedHealthcare Commercial	$1,202.00
Rate for Payer: UnitedHealthcare Community & State	$3.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.14

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$990.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

PATIENT PROGRAMMER

Facility

$4,500.00

Hospital Charge Code	270663406
Hospital Revenue Code	278
Min. Negotiated Rate	$108.45
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$990.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Community & State	$108.45
Rate for Payer: Wellpoint Medicaid Managed Care	$119.25

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$143.40
Max. Negotiated Rate	$2,975.00
Rate for Payer: Aetna Commercial	$2,261.00
Rate for Payer: Aetna Medicare Advantage	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,517.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,517.25
Rate for Payer: Cigna Commercial	$2,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,309.00
Rate for Payer: Qualcare PPO/HMO/WC	$892.50
Rate for Payer: UnitedHealthcare Community & State	$143.40
Rate for Payer: Wellpoint Medicaid Managed Care	$157.68

PATIENT PROGRAMMER INTERSTIM

Facility

$5,950.00

Service Code	HCPCS C1787
Hospital Charge Code	270671690
Hospital Revenue Code	278
Min. Negotiated Rate	$892.50
Max. Negotiated Rate	$1,439.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,309.00
Rate for Payer: Qualcare PPO/HMO/WC	$892.50

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

PATIENT TRACTER

Facility

$1,025.00

Hospital Charge Code	270685916
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PATIENT WARMING BLANKET PACU**

Facility

$35.00

Hospital Charge Code	8003535
Hospital Revenue Code	279
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

PATIENT WARMING BLANKET PACU**

Facility

$35.00

Hospital Charge Code	8003535
Hospital Revenue Code	279
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

PATRIENT TRACKER

Facility

$1,025.00

Hospital Charge Code	270685935
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

PATRIENT TRACKER

Facility

$1,025.00

Hospital Charge Code	270685935
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

PATTIES CODMAN SURG 1 X 3IN

Facility

$73.10

Hospital Charge Code	270669006
Hospital Revenue Code	272
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.55
Rate for Payer: Aetna Commercial	$27.78
Rate for Payer: Aetna Medicare Advantage	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.64
Rate for Payer: Cigna Commercial	$36.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.93
Rate for Payer: Oxford Commercial	$14.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.96
Rate for Payer: UnitedHealthcare Commercial	$14.62
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.94

PATTIES CODMAN SURG 1 X 3IN

Facility

$73.10

Hospital Charge Code	270669006
Hospital Revenue Code	272
Min. Negotiated Rate	$10.96
Max. Negotiated Rate	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$10.96

PATTIES NEURAY STRIPS 1/4x6

Facility

$69.75

Hospital Charge Code	270600195
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.88
Rate for Payer: Aetna Commercial	$26.50
Rate for Payer: Aetna Medicare Advantage	$20.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.79
Rate for Payer: Cigna Commercial	$34.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.93
Rate for Payer: Oxford Commercial	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.46
Rate for Payer: UnitedHealthcare Commercial	$13.95
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

PATTIES NEURAY STRIPS 1/4x6

Facility

$69.75

Hospital Charge Code	270600195
Hospital Revenue Code	272
Min. Negotiated Rate	$10.46
Max. Negotiated Rate	$10.46
Rate for Payer: Qualcare PPO/HMO/WC	$10.46

PATTIES NEURAY STRIPS 1 X 3

Facility

$37.50

Hospital Charge Code	270671146
Hospital Revenue Code	272
Min. Negotiated Rate	$5.62
Max. Negotiated Rate	$5.62
Rate for Payer: Qualcare PPO/HMO/WC	$5.62

PATTIES NEURAY STRIPS 1 X 3

Facility

$37.50

Hospital Charge Code	270671146
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.75
Rate for Payer: Aetna Commercial	$14.25
Rate for Payer: Aetna Medicare Advantage	$11.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.56
Rate for Payer: Cigna Commercial	$18.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.25
Rate for Payer: Oxford Commercial	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$5.62
Rate for Payer: UnitedHealthcare Commercial	$7.50
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

PATTIES NEURO 1 1/2X6

Facility

$39.25

Hospital Charge Code	270600402
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

PATTIES NEURO 1 1/2X6

Facility

$39.25

Hospital Charge Code	270600402
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.78
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

PATTIES NEURO 1/2X1/2

Facility

$35.39

Hospital Charge Code	270600401
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.31

PATTIES NEURO 1/2X1/2

Facility

$35.39

Hospital Charge Code	270600401
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$17.70
Rate for Payer: Aetna Commercial	$13.45
Rate for Payer: Aetna Medicare Advantage	$10.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.62
Rate for Payer: Oxford Commercial	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.31
Rate for Payer: UnitedHealthcare Commercial	$7.08
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

PATTIES NEURO 1/2X3 80-04007

Facility

$44.89

Hospital Charge Code	270600208
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.73

PATTIES NEURO 1/2X3 80-04007

Facility

$44.89

Hospital Charge Code	270600208
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.45
Rate for Payer: Aetna Commercial	$17.06
Rate for Payer: Aetna Medicare Advantage	$13.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.45
Rate for Payer: Cigna Commercial	$22.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.47
Rate for Payer: Oxford Commercial	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$6.73
Rate for Payer: UnitedHealthcare Commercial	$8.98
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

PATTIES NEURO 1/2X6

Facility

$41.80

Hospital Charge Code	270600330
Hospital Revenue Code	272
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$20.90
Rate for Payer: Aetna Commercial	$15.88
Rate for Payer: Aetna Medicare Advantage	$12.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.66
Rate for Payer: Cigna Commercial	$20.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.54
Rate for Payer: Oxford Commercial	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.27
Rate for Payer: UnitedHealthcare Commercial	$8.36
Rate for Payer: UnitedHealthcare Community & State	$1.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

PATTIES NEURO 1/2X6

Facility

$41.80

Hospital Charge Code	270600330
Hospital Revenue Code	272
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.27

Know your out-of-pocket cost for care.

All Charges