Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

POST STAB FEMORAL SZ8 RT PS

Facility

$6,873.10

Service Code	HCPCS C1776
Hospital Charge Code	270698639
Hospital Revenue Code	278
Min. Negotiated Rate	$1,030.96
Max. Negotiated Rate	$1,663.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,374.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,512.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,030.96

POST STRAIGHT HOFFMANN II

Facility

$950.00

Hospital Charge Code	270650717
Hospital Revenue Code	272
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

POST STRAIGHT HOFFMANN II

Facility

$950.00

Hospital Charge Code	270650717
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

POST STRAIGHT MRI 4921-2-120

Facility

$840.00

Hospital Charge Code	270643441
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

POST STRAIGHT MRI 4921-2-120

Facility

$840.00

Hospital Charge Code	270643441
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.00
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$20.24
Rate for Payer: Wellpoint Medicaid Managed Care	$22.26

POST TAPER 9.5MM X 18MM

Facility

$2,580.00

Service Code	HCPCS C1776
Hospital Charge Code	270692681
Hospital Revenue Code	278
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$624.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$567.60
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

POST TAPER 9.5MM X 18MM

Facility

$2,580.00

Service Code	HCPCS C1776
Hospital Charge Code	270692681
Hospital Revenue Code	278
Min. Negotiated Rate	$62.18
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$980.40
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$516.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$624.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$567.60
Rate for Payer: Qualcare PPO/HMO/WC	$387.00
Rate for Payer: UnitedHealthcare Community & State	$62.18
Rate for Payer: Wellpoint Medicaid Managed Care	$68.37

POST-TONSILLECTOMY HEMORRH CRT

Facility

$463.00

Service Code	HCPCS 42960
Hospital Charge Code	5770020
Hospital Revenue Code	450
Min. Negotiated Rate	$12.27
Max. Negotiated Rate	$2,312.88
Rate for Payer: Aetna Commercial	$1,742.81
Rate for Payer: Aetna Medicare Advantage	$2,076.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,312.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,312.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$640.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,312.88
Rate for Payer: Cigna Commercial	$1,284.36
Rate for Payer: Cigna Medicare Advantage	$640.74
Rate for Payer: Clover Medicare Advantage	$608.70
Rate for Payer: EmblemHealth Commercial	$1,922.22
Rate for Payer: Humana Medicare Advantage	$659.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$640.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.45
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$640.74
Rate for Payer: Wellcare Medicare Advantage	$640.74
Rate for Payer: Wellpoint Medicaid Managed Care	$12.27

POST-TONSILLECTOMY HEMORRH CRT

Facility

$463.00

Service Code	HCPCS 42960
Hospital Charge Code	5770020
Hospital Revenue Code	450
Min. Negotiated Rate	$69.45
Max. Negotiated Rate	$69.45
Rate for Payer: Qualcare PPO/HMO/WC	$69.45

POST TOWER 1 HOLE

Facility

$470.00

Hospital Charge Code	270684454
Hospital Revenue Code	272
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.00
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

POST TOWER 1 HOLE

Facility

$470.00

Hospital Charge Code	270684454
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

POST TOWER 2 HOLE

Facility

$470.00

Hospital Charge Code	270684452
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

POST TOWER 2 HOLE

Facility

$470.00

Hospital Charge Code	270684452
Hospital Revenue Code	272
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.00
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

POST VNGD FEM AUG 60X5 LL/RM

Facility

$6,090.00

Service Code	HCPCS C1776
Hospital Charge Code	270686456
Hospital Revenue Code	278
Min. Negotiated Rate	$146.77
Max. Negotiated Rate	$3,045.00
Rate for Payer: Aetna Commercial	$2,314.20
Rate for Payer: Aetna Medicare Advantage	$1,827.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,552.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,218.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,552.95
Rate for Payer: Cigna Commercial	$3,045.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,473.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,339.80
Rate for Payer: Qualcare PPO/HMO/WC	$913.50
Rate for Payer: UnitedHealthcare Community & State	$146.77
Rate for Payer: Wellpoint Medicaid Managed Care	$161.38

POST VNGD FEM AUG 60X5 LL/RM

Facility

$6,090.00

Service Code	HCPCS C1776
Hospital Charge Code	270686456
Hospital Revenue Code	278
Min. Negotiated Rate	$913.50
Max. Negotiated Rate	$1,473.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,218.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,473.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,339.80
Rate for Payer: Qualcare PPO/HMO/WC	$913.50

POST WIRE 4936-2-040

Facility

$1,940.00

Hospital Charge Code	270643405
Hospital Revenue Code	272
Min. Negotiated Rate	$46.75
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.00
Rate for Payer: Oxford Commercial	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$388.00
Rate for Payer: UnitedHealthcare Community & State	$46.75
Rate for Payer: Wellpoint Medicaid Managed Care	$51.41

POST WIRE 4936-2-040

Facility

$1,940.00

Hospital Charge Code	270643405
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

POST WIRE SHORT

Facility

$900.70

Hospital Charge Code	270681233
Hospital Revenue Code	272
Min. Negotiated Rate	$135.10
Max. Negotiated Rate	$135.10
Rate for Payer: Qualcare PPO/HMO/WC	$135.10

POST WIRE SHORT

Facility

$900.70

Hospital Charge Code	270681233
Hospital Revenue Code	272
Min. Negotiated Rate	$21.71
Max. Negotiated Rate	$450.35
Rate for Payer: Aetna Commercial	$342.27
Rate for Payer: Aetna Medicare Advantage	$270.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.68
Rate for Payer: Cigna Commercial	$450.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.21
Rate for Payer: Oxford Commercial	$180.14
Rate for Payer: Qualcare PPO/HMO/WC	$135.10
Rate for Payer: UnitedHealthcare Commercial	$180.14
Rate for Payer: UnitedHealthcare Community & State	$21.71
Rate for Payer: Wellpoint Medicaid Managed Care	$23.87

POST WIRE TALL

Facility

$1,021.65

Hospital Charge Code	270681237
Hospital Revenue Code	272
Min. Negotiated Rate	$24.62
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$388.23
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.50
Rate for Payer: Oxford Commercial	$204.33
Rate for Payer: Qualcare PPO/HMO/WC	$153.25
Rate for Payer: UnitedHealthcare Commercial	$204.33
Rate for Payer: UnitedHealthcare Community & State	$24.62
Rate for Payer: Wellpoint Medicaid Managed Care	$27.07

POST WIRE TALL

Facility

$1,021.65

Hospital Charge Code	270681237
Hospital Revenue Code	272
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$153.25
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

POTASSIUM

Facility

$45.75

Service Code	HCPCS 84132CE
Hospital Charge Code	8200325RS
Hospital Revenue Code	301
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$17.39
Rate for Payer: Aetna Medicare Advantage	$13.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.67
Rate for Payer: Cigna Commercial	$22.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.86
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

POTASSIUM

Facility

$45.75

Service Code	HCPCS 84132CE
Hospital Charge Code	8200325RS
Hospital Revenue Code	301
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.86

POTASSIUM

Facility

$45.75

Service Code	HCPCS 84132
Hospital Charge Code	8200324RS
Hospital Revenue Code	301
Min. Negotiated Rate	$6.86
Max. Negotiated Rate	$6.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.86

POTASSIUM

Facility

$45.75

Service Code	HCPCS 84132
Hospital Charge Code	8200324RS
Hospital Revenue Code	301
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$12.95
Rate for Payer: Aetna Medicare Advantage	$15.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.18
Rate for Payer: Cigna Commercial	$22.88
Rate for Payer: Cigna Medicare Advantage	$4.76
Rate for Payer: Clover Medicare Advantage	$4.52
Rate for Payer: EmblemHealth Commercial	$14.28
Rate for Payer: Humana Medicare Advantage	$4.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.72
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.86
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.76
Rate for Payer: Wellcare Medicare Advantage	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

Know your out-of-pocket cost for care.

All Charges