Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$5,232.48
Max. Negotiated Rate	$5,232.48
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$36.01
Max. Negotiated Rate	$747.00
Rate for Payer: Aetna Commercial	$567.72
Rate for Payer: Aetna Medicare Advantage	$448.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.97
Rate for Payer: Cigna Commercial	$747.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.20
Rate for Payer: Oxford Commercial	$298.80
Rate for Payer: Qualcare PPO/HMO/WC	$224.10
Rate for Payer: UnitedHealthcare Commercial	$298.80
Rate for Payer: UnitedHealthcare Community & State	$36.01
Rate for Payer: Wellpoint Medicaid Managed Care	$39.59

REC - C-SECTION

Facility

$1,494.00

Hospital Charge Code	73190153
Hospital Revenue Code	710
Min. Negotiated Rate	$224.10
Max. Negotiated Rate	$224.10
Rate for Payer: Qualcare PPO/HMO/WC	$224.10

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$32.00
Max. Negotiated Rate	$664.00
Rate for Payer: Aetna Commercial	$504.64
Rate for Payer: Aetna Medicare Advantage	$398.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.64
Rate for Payer: Cigna Commercial	$664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.40
Rate for Payer: Oxford Commercial	$265.60
Rate for Payer: Qualcare PPO/HMO/WC	$199.20
Rate for Payer: UnitedHealthcare Commercial	$265.60
Rate for Payer: UnitedHealthcare Community & State	$32.00
Rate for Payer: Wellpoint Medicaid Managed Care	$35.19

REC - C-SEC W/ PROC

Facility

$1,328.00

Hospital Charge Code	73190154
Hospital Revenue Code	710
Min. Negotiated Rate	$199.20
Max. Negotiated Rate	$199.20
Rate for Payer: Qualcare PPO/HMO/WC	$199.20

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$1,802.25
Max. Negotiated Rate	$1,802.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25

RECHANNELING OF ARTERY

Facility

$12,015.00

Service Code	HCPCS 35302
Hospital Charge Code	1600000420
Hospital Revenue Code	360
Min. Negotiated Rate	$289.56
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$4,565.70
Rate for Payer: Aetna Medicare Advantage	$3,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,063.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,063.82
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	$3,063.82
Rate for Payer: Cigna Commercial	$6,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,604.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,802.25
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$289.56
Rate for Payer: Wellpoint Medicaid Managed Care	$318.40

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$2,416.20
Max. Negotiated Rate	$2,416.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20

RECHANNELING OF THE ARTERY

Facility

$16,108.00

Service Code	HCPCS 35372
Hospital Charge Code	1600000681
Hospital Revenue Code	360
Min. Negotiated Rate	$388.20
Max. Negotiated Rate	$23,862.86
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,862.86
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,832.40
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,416.20
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$388.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$426.86

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$155.44
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$2,451.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,935.00
Rate for Payer: Oxford Commercial	$1,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$1,290.00
Rate for Payer: UnitedHealthcare Community & State	$155.44
Rate for Payer: Wellpoint Medicaid Managed Care	$170.93

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$155.44
Max. Negotiated Rate	$3,225.00
Rate for Payer: Aetna Commercial	$2,451.00
Rate for Payer: Aetna Medicare Advantage	$1,935.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,644.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,644.75
Rate for Payer: Cigna Commercial	$3,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,935.00
Rate for Payer: Oxford Commercial	$1,290.00
Rate for Payer: Qualcare PPO/HMO/WC	$967.50
Rate for Payer: UnitedHealthcare Commercial	$1,290.00
Rate for Payer: UnitedHealthcare Community & State	$155.44
Rate for Payer: Wellpoint Medicaid Managed Care	$170.93

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECHARGER SURESCAN

Facility

$6,450.00

Hospital Charge Code	270682041N
Hospital Revenue Code	272
Min. Negotiated Rate	$967.50
Max. Negotiated Rate	$967.50
Rate for Payer: Qualcare PPO/HMO/WC	$967.50

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$33.21
Max. Negotiated Rate	$33.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.21

RECIPROCATING BLADE DOUBLE SID

Facility

$221.40

Hospital Charge Code	270655972
Hospital Revenue Code	271
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$110.70
Rate for Payer: Aetna Commercial	$84.13
Rate for Payer: Aetna Medicare Advantage	$66.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.46
Rate for Payer: Cigna Commercial	$110.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.42
Rate for Payer: Oxford Commercial	$44.28
Rate for Payer: Qualcare PPO/HMO/WC	$33.21
Rate for Payer: UnitedHealthcare Commercial	$44.28
Rate for Payer: UnitedHealthcare Community & State	$5.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.87

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

RECIP SAW BLADE 10X40MM

Facility

$645.00

Hospital Charge Code	270674772
Hospital Revenue Code	272
Min. Negotiated Rate	$15.54
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$245.10
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.50
Rate for Payer: Oxford Commercial	$129.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Commercial	$129.00
Rate for Payer: UnitedHealthcare Community & State	$15.54
Rate for Payer: Wellpoint Medicaid Managed Care	$17.09

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 55MMx0.85MM

Facility

$367.50

Hospital Charge Code	270674768
Hospital Revenue Code	272
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.25
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$8.86
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.25
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$8.86
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

RECIP SAW BLADE 55MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674767
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 70MMx1.27MM

Facility

$367.50

Hospital Charge Code	270674766
Hospital Revenue Code	272
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.25
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$8.86
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$55.12
Max. Negotiated Rate	$55.12
Rate for Payer: Qualcare PPO/HMO/WC	$55.12

RECIP SAW BLADE 80MMx1.05MM

Facility

$367.50

Hospital Charge Code	270674765
Hospital Revenue Code	272
Min. Negotiated Rate	$8.86
Max. Negotiated Rate	$183.75
Rate for Payer: Aetna Commercial	$139.65
Rate for Payer: Aetna Medicare Advantage	$110.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.71
Rate for Payer: Cigna Commercial	$183.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.25
Rate for Payer: Oxford Commercial	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.12
Rate for Payer: UnitedHealthcare Commercial	$73.50
Rate for Payer: UnitedHealthcare Community & State	$8.86
Rate for Payer: Wellpoint Medicaid Managed Care	$9.74

Know your out-of-pocket cost for care.

All Charges