Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PREM CEEA 31 DISP STAPLER GRN

Facility

$1,709.35

Hospital Charge Code	270658678
Hospital Revenue Code	272
Min. Negotiated Rate	$41.20
Max. Negotiated Rate	$854.67
Rate for Payer: Aetna Commercial	$649.55
Rate for Payer: Aetna Medicare Advantage	$512.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.88
Rate for Payer: Cigna Commercial	$854.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$512.80
Rate for Payer: Oxford Commercial	$341.87
Rate for Payer: Qualcare PPO/HMO/WC	$256.40
Rate for Payer: UnitedHealthcare Commercial	$341.87
Rate for Payer: UnitedHealthcare Community & State	$41.20
Rate for Payer: Wellpoint Medicaid Managed Care	$45.30

PREM CEEA 31 DISP STAPLER GRN

Facility

$1,709.35

Hospital Charge Code	270658678
Hospital Revenue Code	272
Min. Negotiated Rate	$256.40
Max. Negotiated Rate	$256.40
Rate for Payer: Qualcare PPO/HMO/WC	$256.40

PREMIUM SURGICAL SM 9.0*******

Facility

$188.00

Hospital Charge Code	1607118
Hospital Revenue Code	272
Min. Negotiated Rate	$28.20
Max. Negotiated Rate	$28.20
Rate for Payer: Qualcare PPO/HMO/WC	$28.20

PREMIUM SURGICAL SM 9.0*******

Facility

$188.00

Hospital Charge Code	1607118
Hospital Revenue Code	272
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$94.00
Rate for Payer: Aetna Commercial	$71.44
Rate for Payer: Aetna Medicare Advantage	$56.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.94
Rate for Payer: Cigna Commercial	$94.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.40
Rate for Payer: Oxford Commercial	$37.60
Rate for Payer: Qualcare PPO/HMO/WC	$28.20
Rate for Payer: UnitedHealthcare Commercial	$37.60
Rate for Payer: UnitedHealthcare Community & State	$4.53
Rate for Payer: Wellpoint Medicaid Managed Care	$4.98

PRENATAL MULTIPLE VITAMIN

Facility

$4.00

Hospital Charge Code	60628510
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

PRENATAL MULTIPLE VITAMIN

Facility

$4.00

Hospital Charge Code	60628510
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

PREPARATION H/EACH

Facility

$1.00

Hospital Charge Code	60633709
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

PREPARATION H/EACH

Facility

$1.00

Hospital Charge Code	60633709
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$82.08
Max. Negotiated Rate	$82.08
Rate for Payer: Qualcare PPO/HMO/WC	$82.08

Pre-pen amp

Facility

$547.20

Hospital Charge Code	606361045
Hospital Revenue Code	250
Min. Negotiated Rate	$13.19
Max. Negotiated Rate	$273.60
Rate for Payer: Aetna Commercial	$207.94
Rate for Payer: Aetna Medicare Advantage	$164.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.54
Rate for Payer: Cigna Commercial	$273.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.16
Rate for Payer: Oxford Commercial	$109.44
Rate for Payer: Qualcare PPO/HMO/WC	$82.08
Rate for Payer: UnitedHealthcare Commercial	$109.44
Rate for Payer: UnitedHealthcare Community & State	$13.19
Rate for Payer: Wellpoint Medicaid Managed Care	$14.50

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$14.24
Max. Negotiated Rate	$295.50
Rate for Payer: Aetna Commercial	$224.58
Rate for Payer: Aetna Medicare Advantage	$177.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.71
Rate for Payer: Cigna Commercial	$295.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.30
Rate for Payer: Oxford Commercial	$118.20
Rate for Payer: Qualcare PPO/HMO/WC	$88.65
Rate for Payer: UnitedHealthcare Commercial	$118.20
Rate for Payer: UnitedHealthcare Community & State	$14.24
Rate for Payer: Wellpoint Medicaid Managed Care	$15.66

PREPERTONEAL BALLOON W/BULB

Facility

$591.00

Hospital Charge Code	270332620
Hospital Revenue Code	272
Min. Negotiated Rate	$88.65
Max. Negotiated Rate	$88.65
Rate for Payer: Qualcare PPO/HMO/WC	$88.65

PREPIDIL GEL

Facility

$396.00

Hospital Charge Code	60634874
Hospital Revenue Code	250
Min. Negotiated Rate	$9.54
Max. Negotiated Rate	$198.00
Rate for Payer: Aetna Commercial	$150.48
Rate for Payer: Aetna Medicare Advantage	$118.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.98
Rate for Payer: Cigna Commercial	$198.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.80
Rate for Payer: Oxford Commercial	$79.20
Rate for Payer: Qualcare PPO/HMO/WC	$59.40
Rate for Payer: UnitedHealthcare Commercial	$79.20
Rate for Payer: UnitedHealthcare Community & State	$9.54
Rate for Payer: Wellpoint Medicaid Managed Care	$10.49

PREPIDIL GEL

Facility

$396.00

Hospital Charge Code	60634874
Hospital Revenue Code	250
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$59.40
Rate for Payer: Qualcare PPO/HMO/WC	$59.40

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

PREP KIT FEMORAL BONE CEMENT

Facility

$1,415.00

Hospital Charge Code	270621222
Hospital Revenue Code	272
Min. Negotiated Rate	$34.10
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$537.70
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.50
Rate for Payer: Oxford Commercial	$283.00
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$283.00
Rate for Payer: UnitedHealthcare Community & State	$34.10
Rate for Payer: Wellpoint Medicaid Managed Care	$37.50

PRE RX RBC W/CHEM/DRG/PER CELL

Facility

$100.00

Service Code	HCPCS 86970
Hospital Charge Code	3100180
Hospital Revenue Code	300
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$252.97
Rate for Payer: Aetna Commercial	$190.62
Rate for Payer: Aetna Medicare Advantage	$227.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.97
Rate for Payer: Cigna Commercial	$140.48
Rate for Payer: Cigna Medicare Advantage	$70.08
Rate for Payer: Clover Medicare Advantage	$66.58
Rate for Payer: EmblemHealth Commercial	$210.24
Rate for Payer: Humana Medicare Advantage	$72.18
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$70.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.08
Rate for Payer: Wellcare Medicare Advantage	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

PRE RX RBC W/CHEM/DRG/PER CELL

Facility

$100.00

Service Code	HCPCS 86970
Hospital Charge Code	3100180
Hospital Revenue Code	300
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$1,430.33
Max. Negotiated Rate	$2,307.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,097.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33

PRESS FIT STEM SZ10

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688877
Hospital Revenue Code	278
Min. Negotiated Rate	$229.81
Max. Negotiated Rate	$4,767.75
Rate for Payer: Aetna Commercial	$3,623.49
Rate for Payer: Aetna Medicare Advantage	$2,860.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,431.55
Rate for Payer: Cigna Commercial	$4,767.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,097.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33
Rate for Payer: UnitedHealthcare Community & State	$229.81
Rate for Payer: Wellpoint Medicaid Managed Care	$252.69

PRESSURE CUFF BARRIER REGULAR

Facility

$2.49

Hospital Charge Code	270644340
Hospital Revenue Code	270
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

PRESSURE CUFF BARRIER REGULAR

Facility

$2.49

Hospital Charge Code	270644340
Hospital Revenue Code	270
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.25
Rate for Payer: Aetna Commercial	$0.95
Rate for Payer: Aetna Medicare Advantage	$0.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.63
Rate for Payer: Cigna Commercial	$1.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.75
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.50
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$189.00
Rate for Payer: Aetna Commercial	$143.64
Rate for Payer: Aetna Medicare Advantage	$113.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.39
Rate for Payer: Cigna Commercial	$189.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.40
Rate for Payer: Oxford Commercial	$75.60
Rate for Payer: Qualcare PPO/HMO/WC	$56.70
Rate for Payer: UnitedHealthcare Commercial	$75.60
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: Wellpoint Medicaid Managed Care	$10.02

PRESSURE MONITORG INTRA-ABDOM

Facility

$378.00

Hospital Charge Code	270672456
Hospital Revenue Code	272
Min. Negotiated Rate	$56.70
Max. Negotiated Rate	$56.70
Rate for Payer: Qualcare PPO/HMO/WC	$56.70

PRESSURE MONITORING ACCY

Facility

$775.00

Hospital Charge Code	270687443
Hospital Revenue Code	272
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

Know your out-of-pocket cost for care.

All Charges