Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROBE ULTRASONIC W/OSCILLATING

Facility

$1,260.00

Hospital Charge Code	270666889
Hospital Revenue Code	270
Min. Negotiated Rate	$189.00
Max. Negotiated Rate	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00

PROBE ULTRASONIC W/OSCILLATING

Facility

$1,260.00

Hospital Charge Code	270666889
Hospital Revenue Code	270
Min. Negotiated Rate	$30.37
Max. Negotiated Rate	$630.00
Rate for Payer: Aetna Commercial	$478.80
Rate for Payer: Aetna Medicare Advantage	$378.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$321.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$321.30
Rate for Payer: Cigna Commercial	$630.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$378.00
Rate for Payer: Oxford Commercial	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$189.00
Rate for Payer: UnitedHealthcare Commercial	$252.00
Rate for Payer: UnitedHealthcare Community & State	$30.37
Rate for Payer: Wellpoint Medicaid Managed Care	$33.39

PROBE ULTRASOUND

Facility

$1,545.00

Hospital Charge Code	270690526
Hospital Revenue Code	270
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

PROBE ULTRASOUND

Facility

$1,545.00

Hospital Charge Code	270690526
Hospital Revenue Code	270
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$587.10
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.50
Rate for Payer: Oxford Commercial	$309.00
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Commercial	$309.00
Rate for Payer: UnitedHealthcare Community & State	$37.23
Rate for Payer: Wellpoint Medicaid Managed Care	$40.94

PROBE VACUUM LASER AMBER TIP

Facility

$69.00

Hospital Charge Code	270331178
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

PROBE VACUUM LASER AMBER TIP

Facility

$69.00

Hospital Charge Code	270331178
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$26.22
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Oxford Commercial	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$13.80
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

PROBE VAPORFLEX 32CM

Facility

$2,490.00

Hospital Charge Code	270694898
Hospital Revenue Code	272
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$373.50
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

PROBE VAPORFLEX 32CM

Facility

$2,490.00

Hospital Charge Code	270694898
Hospital Revenue Code	272
Min. Negotiated Rate	$60.01
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$946.20
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.00
Rate for Payer: Oxford Commercial	$498.00
Rate for Payer: Qualcare PPO/HMO/WC	$373.50
Rate for Payer: UnitedHealthcare Commercial	$498.00
Rate for Payer: UnitedHealthcare Community & State	$60.01
Rate for Payer: Wellpoint Medicaid Managed Care	$65.98

PROBE VIT 23 GA

Facility

$7,402.50

Hospital Charge Code	270684101
Hospital Revenue Code	272
Min. Negotiated Rate	$178.40
Max. Negotiated Rate	$3,701.25
Rate for Payer: Aetna Commercial	$2,812.95
Rate for Payer: Aetna Medicare Advantage	$2,220.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,887.64
Rate for Payer: Cigna Commercial	$3,701.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,220.75
Rate for Payer: Oxford Commercial	$1,480.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,110.38
Rate for Payer: UnitedHealthcare Commercial	$1,480.50
Rate for Payer: UnitedHealthcare Community & State	$178.40
Rate for Payer: Wellpoint Medicaid Managed Care	$196.17

PROBE VIT 23 GA

Facility

$7,402.50

Hospital Charge Code	270684101
Hospital Revenue Code	272
Min. Negotiated Rate	$1,110.38
Max. Negotiated Rate	$1,110.38
Rate for Payer: Qualcare PPO/HMO/WC	$1,110.38

PROBE WC BIPOL COAG 10F BCP10B

Facility

$693.65

Hospital Charge Code	270623615
Hospital Revenue Code	272
Min. Negotiated Rate	$16.72
Max. Negotiated Rate	$346.82
Rate for Payer: Aetna Commercial	$263.59
Rate for Payer: Aetna Medicare Advantage	$208.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$176.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$176.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$176.88
Rate for Payer: Cigna Commercial	$346.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.09
Rate for Payer: Oxford Commercial	$138.73
Rate for Payer: Qualcare PPO/HMO/WC	$104.05
Rate for Payer: UnitedHealthcare Commercial	$138.73
Rate for Payer: UnitedHealthcare Community & State	$16.72
Rate for Payer: Wellpoint Medicaid Managed Care	$18.38

PROBE WC BIPOL COAG 10F BCP10B

Facility

$693.65

Hospital Charge Code	270623615
Hospital Revenue Code	272
Min. Negotiated Rate	$104.05
Max. Negotiated Rate	$104.05
Rate for Payer: Qualcare PPO/HMO/WC	$104.05

PROBE WC BIPOL COAG 7F BCP7A

Facility

$734.45

Hospital Charge Code	270623604
Hospital Revenue Code	272
Min. Negotiated Rate	$110.17
Max. Negotiated Rate	$110.17
Rate for Payer: Qualcare PPO/HMO/WC	$110.17

PROBE WC BIPOL COAG 7F BCP7A

Facility

$734.45

Hospital Charge Code	270623604
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$367.23
Rate for Payer: Aetna Commercial	$279.09
Rate for Payer: Aetna Medicare Advantage	$220.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.28
Rate for Payer: Cigna Commercial	$367.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: Oxford Commercial	$146.89
Rate for Payer: Qualcare PPO/HMO/WC	$110.17
Rate for Payer: UnitedHealthcare Commercial	$146.89
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$19.46

PROBE WIDE HATCH

Facility

$2,400.00

Hospital Charge Code	270675677
Hospital Revenue Code	272
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

PROBE WIDE HATCH

Facility

$2,400.00

Hospital Charge Code	270675677
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

PROBE XMD PROSE SITMUL 8225101

Facility

$541.00

Hospital Charge Code	270621756
Hospital Revenue Code	272
Min. Negotiated Rate	$81.15
Max. Negotiated Rate	$81.15
Rate for Payer: Qualcare PPO/HMO/WC	$81.15

PROBE XMD PROSE SITMUL 8225101

Facility

$541.00

Hospital Charge Code	270621756
Hospital Revenue Code	272
Min. Negotiated Rate	$13.04
Max. Negotiated Rate	$270.50
Rate for Payer: Aetna Commercial	$205.58
Rate for Payer: Aetna Medicare Advantage	$162.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.96
Rate for Payer: Cigna Commercial	$270.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.30
Rate for Payer: Oxford Commercial	$108.20
Rate for Payer: Qualcare PPO/HMO/WC	$81.15
Rate for Payer: UnitedHealthcare Commercial	$108.20
Rate for Payer: UnitedHealthcare Community & State	$13.04
Rate for Payer: Wellpoint Medicaid Managed Care	$14.34

PROBNP

Facility

$659.16

Service Code	HCPCS 83880
Hospital Charge Code	3038142
Hospital Revenue Code	301
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$329.58
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.72
Rate for Payer: Cigna Commercial	$329.58
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$98.87
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$17.47

PROBNP

Facility

$659.16

Service Code	HCPCS 83880
Hospital Charge Code	3038142
Hospital Revenue Code	301
Min. Negotiated Rate	$98.87
Max. Negotiated Rate	$98.87
Rate for Payer: Qualcare PPO/HMO/WC	$98.87

PROCAINAMIDE

Facility

$118.59

Service Code	HCPCS 80190
Hospital Charge Code	38472559
Hospital Revenue Code	301
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$216.58
Rate for Payer: Aetna Commercial	$163.20
Rate for Payer: Aetna Medicare Advantage	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.58
Rate for Payer: Cigna Commercial	$59.30
Rate for Payer: Cigna Medicare Advantage	$60.00
Rate for Payer: Clover Medicare Advantage	$57.00
Rate for Payer: EmblemHealth Commercial	$180.00
Rate for Payer: Humana Medicare Advantage	$61.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.58
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.79
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$48.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$60.00
Rate for Payer: Wellcare Medicare Advantage	$60.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3.14

PROCAINAMIDE

Facility

$118.59

Service Code	HCPCS 80190
Hospital Charge Code	38472559
Hospital Revenue Code	301
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$17.79
Rate for Payer: Qualcare PPO/HMO/WC	$17.79

PROCAINAMIDE

Facility

$153.65

Service Code	HCPCS 80190
Hospital Charge Code	3004645
Hospital Revenue Code	301
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$216.58
Rate for Payer: Aetna Commercial	$163.20
Rate for Payer: Aetna Medicare Advantage	$194.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.58
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: Cigna Medicare Advantage	$60.00
Rate for Payer: Clover Medicare Advantage	$57.00
Rate for Payer: EmblemHealth Commercial	$180.00
Rate for Payer: Humana Medicare Advantage	$61.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$48.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$60.00
Rate for Payer: Wellcare Medicare Advantage	$60.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

PROCAINAMIDE

Facility

$153.65

Service Code	HCPCS 80190
Hospital Charge Code	3004645
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

PROCAINAMIDE 1000MG/2ML INJ

Facility

$365.75

Service Code	HCPCS J2690
Hospital Charge Code	60627590
Hospital Revenue Code	636
Min. Negotiated Rate	$54.86
Max. Negotiated Rate	$88.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.51
Rate for Payer: Qualcare PPO/HMO/WC	$54.86

Know your out-of-pocket cost for care.

All Charges