Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REC - VAG DELIVERY

Facility

$1,162.00

Hospital Charge Code	73190152
Hospital Revenue Code	710
Min. Negotiated Rate	$174.30
Max. Negotiated Rate	$174.30
Rate for Payer: Qualcare PPO/HMO/WC	$174.30

RED BLOOD CELL CMV NEG LEUKO

Facility

$1,119.34

Hospital Charge Code	38471208
Hospital Revenue Code	390
Min. Negotiated Rate	$26.98
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$425.35
Rate for Payer: Aetna Medicare Advantage	$335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.43
Rate for Payer: Cigna Commercial	$559.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$335.80
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$167.90
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$26.98
Rate for Payer: Wellpoint Medicaid Managed Care	$29.66

RED BLOOD CELL CMV NEG LEUKO

Facility

$1,119.34

Hospital Charge Code	38471208
Hospital Revenue Code	390
Min. Negotiated Rate	$167.90
Max. Negotiated Rate	$167.90
Rate for Payer: Qualcare PPO/HMO/WC	$167.90

RED BLOOD CELL DEGLY LEUKO IRR

Facility

$2,664.30

Hospital Charge Code	38471214
Hospital Revenue Code	390
Min. Negotiated Rate	$399.64
Max. Negotiated Rate	$399.64
Rate for Payer: Qualcare PPO/HMO/WC	$399.64

RED BLOOD CELL DEGLY LEUKO IRR

Facility

$2,664.30

Hospital Charge Code	38471214
Hospital Revenue Code	390
Min. Negotiated Rate	$64.21
Max. Negotiated Rate	$1,332.15
Rate for Payer: Aetna Commercial	$1,012.43
Rate for Payer: Aetna Medicare Advantage	$799.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.40
Rate for Payer: Cigna Commercial	$1,332.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.29
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$399.64
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$64.21
Rate for Payer: Wellpoint Medicaid Managed Care	$70.60

RED BLOOD CELL DISORDERS WITH MCC

Facility

$47,523.40

Service Code	MSDRG 811
Min. Negotiated Rate	$14,470.27
Max. Negotiated Rate	$47,523.40
Rate for Payer: Aetna Commercial	$32,911.33
Rate for Payer: Aetna Medicare Advantage	$47,523.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,231.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,565.40
Rate for Payer: Cigna Commercial	$26,280.07
Rate for Payer: Cigna Medicare Advantage	$15,231.86
Rate for Payer: Clover Medicare Advantage	$14,470.27
Rate for Payer: EmblemHealth Commercial	$45,695.58
Rate for Payer: Humana Medicare Advantage	$15,688.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,231.86
Rate for Payer: Oxford Commercial	$18,887.83
Rate for Payer: UnitedHealthcare Commercial	$33,120.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,231.86
Rate for Payer: Wellcare Medicare Advantage	$15,231.86

RED BLOOD CELL DISORDERS WITHOUT MCC

Facility

$31,811.83

Service Code	MSDRG 812
Min. Negotiated Rate	$9,686.30
Max. Negotiated Rate	$31,811.83
Rate for Payer: Aetna Commercial	$22,115.67
Rate for Payer: Aetna Medicare Advantage	$31,811.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,934.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,934.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,196.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,934.90
Rate for Payer: Cigna Commercial	$17,183.19
Rate for Payer: Cigna Medicare Advantage	$10,196.10
Rate for Payer: Clover Medicare Advantage	$9,686.30
Rate for Payer: EmblemHealth Commercial	$30,588.30
Rate for Payer: Humana Medicare Advantage	$10,501.98
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,196.10
Rate for Payer: Oxford Commercial	$12,349.79
Rate for Payer: UnitedHealthcare Commercial	$21,655.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,196.10
Rate for Payer: Wellcare Medicare Advantage	$10,196.10

RED BLOOD CELL IRAD LEUKORED

Facility

$1,550.66

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$232.60
Max. Negotiated Rate	$232.60
Rate for Payer: Qualcare PPO/HMO/WC	$232.60

RED BLOOD CELL IRAD LEUKORED

Facility

$1,550.66

Hospital Charge Code	38471207
Hospital Revenue Code	390
Min. Negotiated Rate	$37.37
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$589.25
Rate for Payer: Aetna Medicare Advantage	$465.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.42
Rate for Payer: Cigna Commercial	$775.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.20
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.60
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$37.37
Rate for Payer: Wellpoint Medicaid Managed Care	$41.09

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$137.40
Max. Negotiated Rate	$137.40
Rate for Payer: Qualcare PPO/HMO/WC	$137.40

RED BLOOD CELLS EACH UNIT

Facility

$916.00

Hospital Charge Code	38471031
Hospital Revenue Code	390
Min. Negotiated Rate	$22.08
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$348.08
Rate for Payer: Aetna Medicare Advantage	$274.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.58
Rate for Payer: Cigna Commercial	$458.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.80
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.40
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$22.08
Rate for Payer: Wellpoint Medicaid Managed Care	$24.27

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$32.08
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$505.78
Rate for Payer: Aetna Medicare Advantage	$399.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$339.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$339.40
Rate for Payer: Cigna Commercial	$665.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$399.30
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$199.65
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$32.08
Rate for Payer: Wellpoint Medicaid Managed Care	$35.27

RED BLOOD CELLS IRRADIATED

Facility

$1,331.00

Hospital Charge Code	38471206
Hospital Revenue Code	390
Min. Negotiated Rate	$199.65
Max. Negotiated Rate	$199.65
Rate for Payer: Qualcare PPO/HMO/WC	$199.65

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$96.75
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

RED HIP (SPONTNS) DISL W/O ANE

Facility

$645.00

Service Code	HCPCS 27256
Hospital Charge Code	5780080
Hospital Revenue Code	450
Min. Negotiated Rate	$17.09
Max. Negotiated Rate	$1,057.82
Rate for Payer: Aetna Commercial	$797.10
Rate for Payer: Aetna Medicare Advantage	$949.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,057.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,057.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$293.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$223.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,057.82
Rate for Payer: Cigna Commercial	$587.42
Rate for Payer: Cigna Medicare Advantage	$293.05
Rate for Payer: Clover Medicare Advantage	$278.40
Rate for Payer: EmblemHealth Commercial	$879.15
Rate for Payer: Humana Medicare Advantage	$301.84
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$293.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$293.05
Rate for Payer: Wellcare Medicare Advantage	$293.05
Rate for Payer: Wellpoint Medicaid Managed Care	$17.09

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$2,724.15
Max. Negotiated Rate	$2,724.15
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15

REDUCE BOWEL OBSTRUCTION

Facility

$18,161.00

Service Code	HCPCS 44050
Hospital Charge Code	1600000325
Hospital Revenue Code	360
Min. Negotiated Rate	$437.68
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$6,901.18
Rate for Payer: Aetna Medicare Advantage	$5,448.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,631.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,631.06
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	$4,631.06
Rate for Payer: Cigna Commercial	$9,080.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,448.30
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,724.15
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$437.68
Rate for Payer: Wellpoint Medicaid Managed Care	$481.27

REDUCER ETH 5/12MM 1SEAL

Facility

$94.45

Hospital Charge Code	27060081
Hospital Revenue Code	272
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$35.89
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$18.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$18.89
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

REDUCER ETH 5/12MM 1SEAL

Facility

$94.45

Hospital Charge Code	27060081
Hospital Revenue Code	272
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

REDUCING SUBSTANCES (STOOL)

Facility

$38.45

Service Code	HCPCS 84377
Hospital Charge Code	3008265
Hospital Revenue Code	301
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.96
Rate for Payer: Aetna Medicare Advantage	$17.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.85
Rate for Payer: Cigna Commercial	$19.23
Rate for Payer: Cigna Medicare Advantage	$5.50
Rate for Payer: Clover Medicare Advantage	$5.22
Rate for Payer: EmblemHealth Commercial	$16.50
Rate for Payer: Humana Medicare Advantage	$5.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.54
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.50
Rate for Payer: Wellcare Medicare Advantage	$5.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

REDUCING SUBSTANCES (STOOL)

Facility

$38.45

Service Code	HCPCS 84377
Hospital Charge Code	3008265
Hospital Revenue Code	301
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$5.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

REDUCTION EXT RELINE

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691363
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

REDUCTION EXT RELINE

Facility

$3,300.00

Service Code	HCPCS C1713
Hospital Charge Code	270691363
Hospital Revenue Code	278
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

REDUCTION FORCEP

Facility

$2,916.95

Hospital Charge Code	270655155
Hospital Revenue Code	272
Min. Negotiated Rate	$70.30
Max. Negotiated Rate	$1,458.47
Rate for Payer: Aetna Commercial	$1,108.44
Rate for Payer: Aetna Medicare Advantage	$875.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$743.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$743.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$743.82
Rate for Payer: Cigna Commercial	$1,458.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$875.09
Rate for Payer: Oxford Commercial	$583.39
Rate for Payer: Qualcare PPO/HMO/WC	$437.54
Rate for Payer: UnitedHealthcare Commercial	$583.39
Rate for Payer: UnitedHealthcare Community & State	$70.30
Rate for Payer: Wellpoint Medicaid Managed Care	$77.30

REDUCTION FORCEP

Facility

$2,685.20

Hospital Charge Code	270655150
Hospital Revenue Code	272
Min. Negotiated Rate	$402.78
Max. Negotiated Rate	$402.78
Rate for Payer: Qualcare PPO/HMO/WC	$402.78

Know your out-of-pocket cost for care.

All Charges