Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PENCIL ELECTROSURGICAL

Facility

$16.05

Hospital Charge Code	270061165N
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$2.41
Rate for Payer: Qualcare PPO/HMO/WC	$2.41

PENCIL ELECTROSURGICAL

Facility

$15.56

Hospital Charge Code	270061165
Hospital Revenue Code	270
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$2.33

PENCIL ELECTROSURGICAL

Facility

$15.56

Hospital Charge Code	270061165S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.78
Rate for Payer: Aetna Commercial	$5.91
Rate for Payer: Aetna Medicare Advantage	$4.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.97
Rate for Payer: Cigna Commercial	$7.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.67
Rate for Payer: Oxford Commercial	$3.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.33
Rate for Payer: UnitedHealthcare Commercial	$3.11
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

PENCIL ELECTRO-SURGICAL E2515H

Facility

$21.79

Hospital Charge Code	270100702
Hospital Revenue Code	272
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$10.89
Rate for Payer: Aetna Commercial	$8.28
Rate for Payer: Aetna Medicare Advantage	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.56
Rate for Payer: Cigna Commercial	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.54
Rate for Payer: Oxford Commercial	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$3.27
Rate for Payer: UnitedHealthcare Commercial	$4.36
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

PENCIL ELECTRO-SURGICAL E2515H

Facility

$21.79

Hospital Charge Code	270100702
Hospital Revenue Code	272
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.27

PENCILLIN G IVPB 2MU/NS 100ML

Facility

$42.25

Hospital Charge Code	60627310
Hospital Revenue Code	250
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.12
Rate for Payer: Aetna Commercial	$16.05
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.77
Rate for Payer: Cigna Commercial	$21.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.68
Rate for Payer: Oxford Commercial	$8.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.45
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

PENCILLIN G IVPB 2MU/NS 100ML

Facility

$42.25

Hospital Charge Code	60627310
Hospital Revenue Code	250
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

PENCIL PROBE 9.2MHZ

Facility

$650.00

Hospital Charge Code	270662649
Hospital Revenue Code	272
Min. Negotiated Rate	$15.66
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$130.00
Rate for Payer: UnitedHealthcare Community & State	$15.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.23

PENCIL PROBE 9.2MHZ

Facility

$650.00

Hospital Charge Code	270662649
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

PENCIL ROCKERSWITCH TROLL

Facility

$33.18

Hospital Charge Code	270651700
Hospital Revenue Code	270
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.59
Rate for Payer: Aetna Commercial	$12.61
Rate for Payer: Aetna Medicare Advantage	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.46
Rate for Payer: Cigna Commercial	$16.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.95
Rate for Payer: Oxford Commercial	$6.64
Rate for Payer: Qualcare PPO/HMO/WC	$4.98
Rate for Payer: UnitedHealthcare Commercial	$6.64
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

PENCIL ROCKERSWITCH TROLL

Facility

$33.18

Hospital Charge Code	270651700
Hospital Revenue Code	270
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$4.98
Rate for Payer: Qualcare PPO/HMO/WC	$4.98

PENCIL SMOKE EVACUATION NEPTUR

Facility

$150.00

Hospital Charge Code	270688981
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.00
Rate for Payer: Oxford Commercial	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Commercial	$30.00
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

PENCIL SMOKE EVACUATION NEPTUR

Facility

$150.00

Hospital Charge Code	270688981
Hospital Revenue Code	272
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

PENCIL TIP EZCN 2.5BLADE 0012

Facility

$25.10

Hospital Charge Code	270630469
Hospital Revenue Code	272
Min. Negotiated Rate	$3.77
Max. Negotiated Rate	$3.77
Rate for Payer: Qualcare PPO/HMO/WC	$3.77

PENCIL TIP EZCN 2.5BLADE 0012

Facility

$25.10

Hospital Charge Code	270630469
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.55
Rate for Payer: Aetna Commercial	$9.54
Rate for Payer: Aetna Medicare Advantage	$7.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.40
Rate for Payer: Cigna Commercial	$12.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.53
Rate for Payer: Oxford Commercial	$5.02
Rate for Payer: Qualcare PPO/HMO/WC	$3.77
Rate for Payer: UnitedHealthcare Commercial	$5.02
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

PENEOPLASTY REPR PEMEUM NONOB

Facility

$2,961.70

Service Code	HCPCS 56810
Hospital Charge Code	1600000453
Hospital Revenue Code	360
Min. Negotiated Rate	$71.38
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$888.51
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$444.25
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$71.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$78.49

PENEOPLASTY REPR PEMEUM NONOB

Facility

$2,961.70

Service Code	HCPCS 56810
Hospital Charge Code	1600000453
Hospital Revenue Code	360
Min. Negotiated Rate	$444.25
Max. Negotiated Rate	$444.25
Rate for Payer: Qualcare PPO/HMO/WC	$444.25

PENEVAC BODY BLADE ELECTRODE**

Facility

$104.00

Hospital Charge Code	1608504
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

PENEVAC BODY BLADE ELECTRODE**

Facility

$104.00

Hospital Charge Code	1608504
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$39.52
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$20.80
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

PEN G BENZ/PROCAN 1.2 MIL U/2M

Facility

$558.65

Service Code	HCPCS J0558
Hospital Charge Code	6063943226
Hospital Revenue Code	636
Min. Negotiated Rate	$83.80
Max. Negotiated Rate	$135.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$83.80

PEN G BENZ/PROCAN 1.2 MIL U/2M

Facility

$558.65

Service Code	HCPCS J0558
Hospital Charge Code	6063943226
Hospital Revenue Code	636
Min. Negotiated Rate	$13.46
Max. Negotiated Rate	$135.19
Rate for Payer: Aetna Commercial	$53.09
Rate for Payer: Aetna Medicare Advantage	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.46
Rate for Payer: Cigna Medicare Advantage	$19.52
Rate for Payer: Clover Medicare Advantage	$18.54
Rate for Payer: EmblemHealth Commercial	$58.56
Rate for Payer: Humana Medicare Advantage	$20.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$83.80
Rate for Payer: UnitedHealthcare Community & State	$13.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.52
Rate for Payer: Wellcare Medicare Advantage	$19.52
Rate for Payer: Wellpoint Medicaid Managed Care	$14.80

PENG POT PREMIX 2MIL UNIT

Facility

$12.00

Hospital Charge Code	60635369
Hospital Revenue Code	250
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

PENG POT PREMIX 2MIL UNIT

Facility

$12.00

Hospital Charge Code	60635369
Hospital Revenue Code	250
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

PENICIL G PRO 600,000U/ML 2ML

Facility

$64.00

Hospital Charge Code	6004113
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

PENICIL G PRO 600,000U/ML 2ML

Facility

$64.00

Hospital Charge Code	6004113
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

Know your out-of-pocket cost for care.

All Charges