Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REMOVE INTRVAS FOREIGN BODY

Facility

$15,468.50

Service Code	HCPCS 37197
Hospital Charge Code	321037197
Hospital Revenue Code	361
Min. Negotiated Rate	$372.79
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$372.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$409.92

REMOVE INTRVAS FOREIGN BODY

Facility

$13,125.82

Service Code	HCPCS 37197
Hospital Charge Code	411037197
Hospital Revenue Code	361
Min. Negotiated Rate	$316.33
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.75
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,968.87
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$316.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$347.83

REMOVE INTRVAS FOREIGN BODY

Facility

$15,468.50

Service Code	HCPCS 37197
Hospital Charge Code	5600228
Hospital Revenue Code	361
Min. Negotiated Rate	$372.79
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
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	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,640.55
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,320.28
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$372.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$409.92

REMOVE INTRVAS FOREIGN BODY

Facility

$13,125.82

Service Code	HCPCS 37197
Hospital Charge Code	366837197
Hospital Revenue Code	361
Min. Negotiated Rate	$1,968.87
Max. Negotiated Rate	$1,968.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,968.87

REMOVE INTRVAS FOREIGN BODY

Facility

$13,125.82

Service Code	HCPCS 37197
Hospital Charge Code	411037197
Hospital Revenue Code	361
Min. Negotiated Rate	$1,968.87
Max. Negotiated Rate	$1,968.87
Rate for Payer: Qualcare PPO/HMO/WC	$1,968.87

REMOVE IUD

Facility

$2,913.65

Service Code	HCPCS 58301
Hospital Charge Code	160000204
Hospital Revenue Code	360
Min. Negotiated Rate	$70.22
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$984.72
Rate for Payer: Aetna Medicare Advantage	$1,172.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,306.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,306.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$362.03
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	$1,306.82
Rate for Payer: Cigna Commercial	$725.69
Rate for Payer: Cigna Medicare Advantage	$362.03
Rate for Payer: Clover Medicare Advantage	$343.93
Rate for Payer: EmblemHealth Commercial	$1,086.09
Rate for Payer: Humana Medicare Advantage	$372.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$362.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$874.10
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$437.05
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$70.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$362.03
Rate for Payer: Wellcare Medicare Advantage	$362.03
Rate for Payer: Wellpoint Medicaid Managed Care	$77.21

REMOVE IUD

Facility

$2,913.65

Service Code	HCPCS 58301
Hospital Charge Code	160000204
Hospital Revenue Code	360
Min. Negotiated Rate	$437.05
Max. Negotiated Rate	$437.05
Rate for Payer: Qualcare PPO/HMO/WC	$437.05

REMOVE KIDNEY OPEN

Facility

$35,934.16

Service Code	HCPCS 50220
Hospital Charge Code	160000202
Hospital Revenue Code	360
Min. Negotiated Rate	$866.01
Max. Negotiated Rate	$17,967.08
Rate for Payer: Aetna Commercial	$13,654.98
Rate for Payer: Aetna Medicare Advantage	$10,780.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,163.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,163.21
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	$9,163.21
Rate for Payer: Cigna Commercial	$17,967.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,780.25
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,390.12
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$866.01
Rate for Payer: Wellpoint Medicaid Managed Care	$952.26

REMOVE KIDNEY OPEN

Facility

$35,934.16

Service Code	HCPCS 50220
Hospital Charge Code	160000202
Hospital Revenue Code	360
Min. Negotiated Rate	$5,390.12
Max. Negotiated Rate	$5,390.12
Rate for Payer: Qualcare PPO/HMO/WC	$5,390.12

Remove knee joint lining

Facility

$33,638.52

Service Code	HCPCS 27335
Hospital Charge Code	16000508
Hospital Revenue Code	360
Min. Negotiated Rate	$810.69
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,091.56
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,045.78
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$810.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$891.42

Remove knee joint lining

Facility

$33,638.52

Service Code	HCPCS 27335
Hospital Charge Code	16000508
Hospital Revenue Code	360
Min. Negotiated Rate	$5,045.78
Max. Negotiated Rate	$5,045.78
Rate for Payer: Qualcare PPO/HMO/WC	$5,045.78

REMOVE LAGB

Facility

$144,581.09

Service Code	HCPCS 43772
Hospital Charge Code	1600165
Hospital Revenue Code	361
Min. Negotiated Rate	$21,687.16
Max. Negotiated Rate	$21,687.16
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16

REMOVE LAGB

Facility

$144,581.09

Service Code	HCPCS 43772
Hospital Charge Code	1600165
Hospital Revenue Code	361
Min. Negotiated Rate	$3,484.40
Max. Negotiated Rate	$43,374.33
Rate for Payer: Aetna Commercial	$12,458.69
Rate for Payer: Aetna Medicare Advantage	$14,840.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,580.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,971.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,120.00
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: Cigna Medicare Advantage	$4,580.40
Rate for Payer: Clover Medicare Advantage	$4,351.38
Rate for Payer: EmblemHealth Commercial	$13,741.20
Rate for Payer: Humana Medicare Advantage	$4,717.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,580.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43,374.33
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$21,687.16
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$3,484.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,580.40
Rate for Payer: Wellcare Medicare Advantage	$4,580.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3,831.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	2691085
Hospital Revenue Code	361
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$158.08
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Community & State	$10.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	2691085
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	7411888
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-LT

Facility

$416.00

Service Code	HCPCS 32552LT
Hospital Charge Code	7411888
Hospital Revenue Code	361
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$158.08
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Community & State	$10.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

REMOVE LUNG CATHETER-RT

Facility

$416.00

Service Code	HCPCS 32552RT
Hospital Charge Code	7411889
Hospital Revenue Code	361
Min. Negotiated Rate	$62.40
Max. Negotiated Rate	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$62.40

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	2691090
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	2691090
Hospital Revenue Code	361
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$1,815.35
Rate for Payer: Aetna Commercial	$1,379.67
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,815.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.21
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Community & State	$87.50
Rate for Payer: Wellpoint Medicaid Managed Care	$96.21

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	321032552R
Hospital Revenue Code	361
Min. Negotiated Rate	$87.50
Max. Negotiated Rate	$1,815.35
Rate for Payer: Aetna Commercial	$1,379.67
Rate for Payer: Aetna Medicare Advantage	$1,089.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.83
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	$925.83
Rate for Payer: Cigna Commercial	$1,815.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,089.21
Rate for Payer: Qualcare PPO/HMO/WC	$544.61
Rate for Payer: UnitedHealthcare Community & State	$87.50
Rate for Payer: Wellpoint Medicaid Managed Care	$96.21

REMOVE LUNG CATHETER-RT

Facility

$416.00

Service Code	HCPCS 32552RT
Hospital Charge Code	7411889
Hospital Revenue Code	361
Min. Negotiated Rate	$10.03
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$158.08
Rate for Payer: Aetna Medicare Advantage	$124.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$106.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$106.08
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	$106.08
Rate for Payer: Cigna Commercial	$208.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.80
Rate for Payer: Qualcare PPO/HMO/WC	$62.40
Rate for Payer: UnitedHealthcare Community & State	$10.03
Rate for Payer: Wellpoint Medicaid Managed Care	$11.02

REMOVE LUNG CATHETER-RT

Facility

$3,630.70

Service Code	HCPCS 32552RT
Hospital Charge Code	321032552R
Hospital Revenue Code	361
Min. Negotiated Rate	$544.61
Max. Negotiated Rate	$544.61
Rate for Payer: Qualcare PPO/HMO/WC	$544.61

REMOVE MESHFROMABD WALL

Facility

$1,214.08

Service Code	HCPCS 11008
Hospital Charge Code	1600000570
Hospital Revenue Code	360
Min. Negotiated Rate	$182.11
Max. Negotiated Rate	$182.11
Rate for Payer: Qualcare PPO/HMO/WC	$182.11

REMOVE MESHFROMABD WALL

Facility

$1,214.08

Service Code	HCPCS 11008
Hospital Charge Code	1600000570
Hospital Revenue Code	360
Min. Negotiated Rate	$29.26
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$461.35
Rate for Payer: Aetna Medicare Advantage	$364.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.59
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	$309.59
Rate for Payer: Cigna Commercial	$607.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$364.22
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$182.11
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$29.26
Rate for Payer: Wellpoint Medicaid Managed Care	$32.17

Know your out-of-pocket cost for care.

All Charges