Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457R
Hospital Revenue Code	272
Min. Negotiated Rate	$30.22
Max. Negotiated Rate	$626.88
Rate for Payer: Aetna Commercial	$476.43
Rate for Payer: Aetna Medicare Advantage	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.71
Rate for Payer: Cigna Commercial	$626.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.12
Rate for Payer: Oxford Commercial	$250.75
Rate for Payer: Qualcare PPO/HMO/WC	$188.06
Rate for Payer: UnitedHealthcare Commercial	$250.75
Rate for Payer: UnitedHealthcare Community & State	$30.22
Rate for Payer: Wellpoint Medicaid Managed Care	$33.22

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457R
Hospital Revenue Code	272
Min. Negotiated Rate	$188.06
Max. Negotiated Rate	$188.06
Rate for Payer: Qualcare PPO/HMO/WC	$188.06

PROBE 13 G (MAMMOTOME SYSTEM)

Facility

$1,253.75

Hospital Charge Code	270663457
Hospital Revenue Code	272
Min. Negotiated Rate	$30.22
Max. Negotiated Rate	$626.88
Rate for Payer: Aetna Commercial	$476.43
Rate for Payer: Aetna Medicare Advantage	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$319.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$319.71
Rate for Payer: Cigna Commercial	$626.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$376.12
Rate for Payer: Oxford Commercial	$250.75
Rate for Payer: Qualcare PPO/HMO/WC	$188.06
Rate for Payer: UnitedHealthcare Commercial	$250.75
Rate for Payer: UnitedHealthcare Community & State	$30.22
Rate for Payer: Wellpoint Medicaid Managed Care	$33.22

PROBE 24-HR PH

Facility

$460.85

Hospital Charge Code	270600967
Hospital Revenue Code	270
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.25
Rate for Payer: Oxford Commercial	$92.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$92.17
Rate for Payer: UnitedHealthcare Community & State	$11.11
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

PROBE 24-HR PH

Facility

$460.85

Hospital Charge Code	270600967
Hospital Revenue Code	270
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

PROBE 3 PERCTNEOUS DISCECTOMY

Facility

$16,000.00

Hospital Charge Code	270644974
Hospital Revenue Code	278
Min. Negotiated Rate	$385.60
Max. Negotiated Rate	$8,000.00
Rate for Payer: Aetna Commercial	$6,080.00
Rate for Payer: Aetna Medicare Advantage	$4,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,080.00
Rate for Payer: Cigna Commercial	$8,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,872.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,520.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.00
Rate for Payer: UnitedHealthcare Community & State	$385.60
Rate for Payer: Wellpoint Medicaid Managed Care	$424.00

PROBE 3 PERCTNEOUS DISCECTOMY

Facility

$16,000.00

Hospital Charge Code	270644974
Hospital Revenue Code	278
Min. Negotiated Rate	$2,400.00
Max. Negotiated Rate	$3,872.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,872.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,520.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,400.00

PROBE 40CM

Facility

$3,750.00

Hospital Charge Code	270688484
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

PROBE 40CM

Facility

$3,750.00

Hospital Charge Code	270688484
Hospital Revenue Code	272
Min. Negotiated Rate	$90.38
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,125.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$750.00
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.38

PROBE 50S XL

Facility

$1,205.00

Hospital Charge Code	270685910
Hospital Revenue Code	272
Min. Negotiated Rate	$29.04
Max. Negotiated Rate	$602.50
Rate for Payer: Aetna Commercial	$457.90
Rate for Payer: Aetna Medicare Advantage	$361.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$307.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$307.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$307.27
Rate for Payer: Cigna Commercial	$602.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.50
Rate for Payer: Oxford Commercial	$241.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.75
Rate for Payer: UnitedHealthcare Commercial	$241.00
Rate for Payer: UnitedHealthcare Community & State	$29.04
Rate for Payer: Wellpoint Medicaid Managed Care	$31.93

PROBE 50S XL

Facility

$1,205.00

Hospital Charge Code	270685910
Hospital Revenue Code	272
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$180.75
Rate for Payer: Qualcare PPO/HMO/WC	$180.75

PROBE 5MM LAPAROSCOPIC ABC

Facility

$511.50

Hospital Charge Code	270685469
Hospital Revenue Code	272
Min. Negotiated Rate	$12.33
Max. Negotiated Rate	$255.75
Rate for Payer: Aetna Commercial	$194.37
Rate for Payer: Aetna Medicare Advantage	$153.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.43
Rate for Payer: Cigna Commercial	$255.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.45
Rate for Payer: Oxford Commercial	$102.30
Rate for Payer: Qualcare PPO/HMO/WC	$76.72
Rate for Payer: UnitedHealthcare Commercial	$102.30
Rate for Payer: UnitedHealthcare Community & State	$12.33
Rate for Payer: Wellpoint Medicaid Managed Care	$13.55

PROBE 5MM LAPAROSCOPIC ABC

Facility

$511.50

Hospital Charge Code	270685469
Hospital Revenue Code	272
Min. Negotiated Rate	$76.72
Max. Negotiated Rate	$76.72
Rate for Payer: Qualcare PPO/HMO/WC	$76.72

PROBE 6.0F 2.0 SWISS LH 840220

Facility

$2,875.00

Hospital Charge Code	270627732
Hospital Revenue Code	272
Min. Negotiated Rate	$69.29
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$862.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$69.29
Rate for Payer: Wellpoint Medicaid Managed Care	$76.19

PROBE 6.0F 2.0 SWISS LH 840220

Facility

$2,875.00

Hospital Charge Code	270627732
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

PROBE 90 DEGREE ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689119
Hospital Revenue Code	272
Min. Negotiated Rate	$45.20
Max. Negotiated Rate	$937.75
Rate for Payer: Aetna Commercial	$712.69
Rate for Payer: Aetna Medicare Advantage	$562.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.25
Rate for Payer: Cigna Commercial	$937.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$562.65
Rate for Payer: Oxford Commercial	$375.10
Rate for Payer: Qualcare PPO/HMO/WC	$281.32
Rate for Payer: UnitedHealthcare Commercial	$375.10
Rate for Payer: UnitedHealthcare Community & State	$45.20
Rate for Payer: Wellpoint Medicaid Managed Care	$49.70

PROBE 90 DEGREE ASSY SM JOINT

Facility

$1,875.50

Hospital Charge Code	270689119
Hospital Revenue Code	272
Min. Negotiated Rate	$281.32
Max. Negotiated Rate	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$281.32

PROBE 90-S XL

Facility

$876.85

Hospital Charge Code	270685569
Hospital Revenue Code	272
Min. Negotiated Rate	$131.53
Max. Negotiated Rate	$131.53
Rate for Payer: Qualcare PPO/HMO/WC	$131.53

PROBE 90-S XL

Facility

$876.85

Hospital Charge Code	270685569
Hospital Revenue Code	272
Min. Negotiated Rate	$21.13
Max. Negotiated Rate	$438.43
Rate for Payer: Aetna Commercial	$333.20
Rate for Payer: Aetna Medicare Advantage	$263.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.60
Rate for Payer: Cigna Commercial	$438.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$263.06
Rate for Payer: Oxford Commercial	$175.37
Rate for Payer: Qualcare PPO/HMO/WC	$131.53
Rate for Payer: UnitedHealthcare Commercial	$175.37
Rate for Payer: UnitedHealthcare Community & State	$21.13
Rate for Payer: Wellpoint Medicaid Managed Care	$23.24

PROBE ANTERIOR LUCENT L 180MM

Facility

$3,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270694866
Hospital Revenue Code	272
Min. Negotiated Rate	$480.00
Max. Negotiated Rate	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00

PROBE ANTERIOR LUCENT L 180MM

Facility

$3,200.00

Service Code	HCPCS A4649
Hospital Charge Code	270694866
Hospital Revenue Code	272
Min. Negotiated Rate	$77.12
Max. Negotiated Rate	$1,600.00
Rate for Payer: Aetna Commercial	$1,216.00
Rate for Payer: Aetna Medicare Advantage	$960.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$816.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$816.00
Rate for Payer: Cigna Commercial	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$960.00
Rate for Payer: Oxford Commercial	$640.00
Rate for Payer: Qualcare PPO/HMO/WC	$480.00
Rate for Payer: UnitedHealthcare Commercial	$640.00
Rate for Payer: UnitedHealthcare Community & State	$77.12
Rate for Payer: Wellpoint Medicaid Managed Care	$84.80

PROBE APC ERBE 2.3/6MM

Facility

$1,595.25

Hospital Charge Code	270607682
Hospital Revenue Code	272
Min. Negotiated Rate	$239.29
Max. Negotiated Rate	$239.29
Rate for Payer: Qualcare PPO/HMO/WC	$239.29

PROBE APC ERBE 2.3/6MM

Facility

$1,595.25

Hospital Charge Code	270607682
Hospital Revenue Code	272
Min. Negotiated Rate	$38.45
Max. Negotiated Rate	$797.62
Rate for Payer: Aetna Commercial	$606.20
Rate for Payer: Aetna Medicare Advantage	$478.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.79
Rate for Payer: Cigna Commercial	$797.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.57
Rate for Payer: Oxford Commercial	$319.05
Rate for Payer: Qualcare PPO/HMO/WC	$239.29
Rate for Payer: UnitedHealthcare Commercial	$319.05
Rate for Payer: UnitedHealthcare Community & State	$38.45
Rate for Payer: Wellpoint Medicaid Managed Care	$42.27

PROBE APC ERBE 32/7MM

Facility

$1,449.65

Hospital Charge Code	270607681
Hospital Revenue Code	272
Min. Negotiated Rate	$34.94
Max. Negotiated Rate	$724.83
Rate for Payer: Aetna Commercial	$550.87
Rate for Payer: Aetna Medicare Advantage	$434.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.66
Rate for Payer: Cigna Commercial	$724.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$434.89
Rate for Payer: Oxford Commercial	$289.93
Rate for Payer: Qualcare PPO/HMO/WC	$217.45
Rate for Payer: UnitedHealthcare Commercial	$289.93
Rate for Payer: UnitedHealthcare Community & State	$34.94
Rate for Payer: Wellpoint Medicaid Managed Care	$38.42

PROBE APC ERBE 32/7MM

Facility

$1,449.65

Hospital Charge Code	270607681
Hospital Revenue Code	272
Min. Negotiated Rate	$217.45
Max. Negotiated Rate	$217.45
Rate for Payer: Qualcare PPO/HMO/WC	$217.45

Know your out-of-pocket cost for care.

All Charges