Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PUNCH BARRON CORNEA 8.75mm

Facility

$315.00

Hospital Charge Code	270667430
Hospital Revenue Code	272
Min. Negotiated Rate	$7.59
Max. Negotiated Rate	$157.50
Rate for Payer: Aetna Commercial	$119.70
Rate for Payer: Aetna Medicare Advantage	$94.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.33
Rate for Payer: Cigna Commercial	$157.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.50
Rate for Payer: Oxford Commercial	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$47.25
Rate for Payer: UnitedHealthcare Commercial	$63.00
Rate for Payer: UnitedHealthcare Community & State	$7.59
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

PUNCH BIG BITE 2.7MM STRAIGHT

Facility

$3,965.65

Hospital Charge Code	270665788
Hospital Revenue Code	270
Min. Negotiated Rate	$594.85
Max. Negotiated Rate	$594.85
Rate for Payer: Qualcare PPO/HMO/WC	$594.85

PUNCH BIG BITE 2.7MM STRAIGHT

Facility

$3,965.65

Hospital Charge Code	270665788
Hospital Revenue Code	270
Min. Negotiated Rate	$95.57
Max. Negotiated Rate	$1,982.83
Rate for Payer: Aetna Commercial	$1,506.95
Rate for Payer: Aetna Medicare Advantage	$1,189.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,011.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,011.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,011.24
Rate for Payer: Cigna Commercial	$1,982.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,189.69
Rate for Payer: Oxford Commercial	$793.13
Rate for Payer: Qualcare PPO/HMO/WC	$594.85
Rate for Payer: UnitedHealthcare Commercial	$793.13
Rate for Payer: UnitedHealthcare Community & State	$95.57
Rate for Payer: Wellpoint Medicaid Managed Care	$105.09

PUNCH BIG BITE LEFT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665787
Hospital Revenue Code	270
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$2,270.85
Rate for Payer: Aetna Commercial	$1,725.85
Rate for Payer: Aetna Medicare Advantage	$1,362.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,158.13
Rate for Payer: Cigna Commercial	$2,270.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,362.51
Rate for Payer: Oxford Commercial	$908.34
Rate for Payer: Qualcare PPO/HMO/WC	$681.25
Rate for Payer: UnitedHealthcare Commercial	$908.34
Rate for Payer: UnitedHealthcare Community & State	$109.45
Rate for Payer: Wellpoint Medicaid Managed Care	$120.36

PUNCH BIG BITE LEFT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665787
Hospital Revenue Code	270
Min. Negotiated Rate	$681.25
Max. Negotiated Rate	$681.25
Rate for Payer: Qualcare PPO/HMO/WC	$681.25

PUNCH BIG BITE RIGHT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665786
Hospital Revenue Code	270
Min. Negotiated Rate	$109.45
Max. Negotiated Rate	$2,270.85
Rate for Payer: Aetna Commercial	$1,725.85
Rate for Payer: Aetna Medicare Advantage	$1,362.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,158.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,158.13
Rate for Payer: Cigna Commercial	$2,270.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,362.51
Rate for Payer: Oxford Commercial	$908.34
Rate for Payer: Qualcare PPO/HMO/WC	$681.25
Rate for Payer: UnitedHealthcare Commercial	$908.34
Rate for Payer: UnitedHealthcare Community & State	$109.45
Rate for Payer: Wellpoint Medicaid Managed Care	$120.36

PUNCH BIG BITE RIGHT 3.4MM 30

Facility

$4,541.70

Hospital Charge Code	270665786
Hospital Revenue Code	270
Min. Negotiated Rate	$681.25
Max. Negotiated Rate	$681.25
Rate for Payer: Qualcare PPO/HMO/WC	$681.25

PUNCH BIOPSY 2mm DISPOSABLE

Facility

$10.50

Hospital Charge Code	270638939
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

PUNCH BIOPSY 2mm DISPOSABLE

Facility

$10.50

Hospital Charge Code	270638939
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.99
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.10
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

PUNCH BIOPSY 3.5mm DISPOSABLE

Facility

$10.50

Hospital Charge Code	270638940
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.99
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.10
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

PUNCH BIOPSY 3.5mm DISPOSABLE

Facility

$10.50

Hospital Charge Code	270638940
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

PUNCH BIOPSY 3 MM DISPOSABLE

Facility

$8.75

Hospital Charge Code	270666413
Hospital Revenue Code	270
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$3.33
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.62
Rate for Payer: Oxford Commercial	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$1.75
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

PUNCH BIOPSY 3 MM DISPOSABLE

Facility

$8.75

Hospital Charge Code	270666413
Hospital Revenue Code	270
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

PUNCH BIOPSY 6MM DISP

Facility

$29.60

Hospital Charge Code	270676957
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

PUNCH BIOPSY 6MM DISP

Facility

$29.60

Hospital Charge Code	270676957
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.88
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$5.92
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

PUNCH BIOPSY EPPEN 8 X4MM 9CM

Facility

$1,875.00

Hospital Charge Code	270662673
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

PUNCH BIOPSY EPPEN 8 X4MM 9CM

Facility

$1,875.00

Hospital Charge Code	270662673
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	450211104
Hospital Revenue Code	761
Min. Negotiated Rate	$155.17
Max. Negotiated Rate	$155.17
Rate for Payer: Qualcare PPO/HMO/WC	$155.17

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	450211104
Hospital Revenue Code	761
Min. Negotiated Rate	$24.93
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.35
Rate for Payer: Oxford Commercial	$206.90
Rate for Payer: Qualcare PPO/HMO/WC	$155.17
Rate for Payer: UnitedHealthcare Commercial	$206.90
Rate for Payer: UnitedHealthcare Community & State	$24.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.41

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	412311104
Hospital Revenue Code	361
Min. Negotiated Rate	$155.17
Max. Negotiated Rate	$155.17
Rate for Payer: Qualcare PPO/HMO/WC	$155.17

PUNCH BX SKIN 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 11104
Hospital Charge Code	404311104
Hospital Revenue Code	361
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$2,850.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	412311104
Hospital Revenue Code	361
Min. Negotiated Rate	$24.93
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.35
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$24.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.41

PUNCH BX SKIN 1ST LESION

Facility

$9,500.00

Service Code	HCPCS 11104
Hospital Charge Code	404311104
Hospital Revenue Code	361
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	393011104
Hospital Revenue Code	761
Min. Negotiated Rate	$155.17
Max. Negotiated Rate	$155.17
Rate for Payer: Qualcare PPO/HMO/WC	$155.17

PUNCH BX SKIN 1ST LESION

Facility

$1,034.49

Service Code	HCPCS 11104
Hospital Charge Code	393011104
Hospital Revenue Code	761
Min. Negotiated Rate	$24.93
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.35
Rate for Payer: Oxford Commercial	$206.90
Rate for Payer: Qualcare PPO/HMO/WC	$155.17
Rate for Payer: UnitedHealthcare Commercial	$206.90
Rate for Payer: UnitedHealthcare Community & State	$24.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.41

Know your out-of-pocket cost for care.

All Charges