Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STONETOME MCV 8 3518

Facility

$1,992.85

Hospital Charge Code	270604761
Hospital Revenue Code	270
Min. Negotiated Rate	$48.03
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$757.28
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.86
Rate for Payer: Oxford Commercial	$398.57
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$398.57
Rate for Payer: UnitedHealthcare Community & State	$48.03
Rate for Payer: Wellpoint Medicaid Managed Care	$52.81

STONETOME MCV 8 3518

Facility

$1,992.85

Hospital Charge Code	270604761
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STONETOME MCV 9 3519

Facility

$1,992.85

Hospital Charge Code	270604762
Hospital Revenue Code	270
Min. Negotiated Rate	$48.03
Max. Negotiated Rate	$996.42
Rate for Payer: Aetna Commercial	$757.28
Rate for Payer: Aetna Medicare Advantage	$597.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$508.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$508.18
Rate for Payer: Cigna Commercial	$996.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.86
Rate for Payer: Oxford Commercial	$398.57
Rate for Payer: Qualcare PPO/HMO/WC	$298.93
Rate for Payer: UnitedHealthcare Commercial	$398.57
Rate for Payer: UnitedHealthcare Community & State	$48.03
Rate for Payer: Wellpoint Medicaid Managed Care	$52.81

STONETOME MCV 9 3519

Facility

$1,992.85

Hospital Charge Code	270604762
Hospital Revenue Code	270
Min. Negotiated Rate	$298.93
Max. Negotiated Rate	$298.93
Rate for Payer: Qualcare PPO/HMO/WC	$298.93

STOOL CULTURE

Facility

$508.00

Service Code	HCPCS 87045
Hospital Charge Code	38475062
Hospital Revenue Code	309
Min. Negotiated Rate	$76.20
Max. Negotiated Rate	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$76.20

STOOL CULTURE

Facility

$508.00

Service Code	HCPCS 87045
Hospital Charge Code	38475062
Hospital Revenue Code	309
Min. Negotiated Rate	$7.55
Max. Negotiated Rate	$254.00
Rate for Payer: Aetna Commercial	$25.68
Rate for Payer: Aetna Medicare Advantage	$30.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$254.00
Rate for Payer: Cigna Medicare Advantage	$9.44
Rate for Payer: Clover Medicare Advantage	$8.97
Rate for Payer: EmblemHealth Commercial	$28.32
Rate for Payer: Humana Medicare Advantage	$9.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$152.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$76.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.44
Rate for Payer: Wellcare Medicare Advantage	$9.44
Rate for Payer: Wellpoint Medicaid Managed Care	$13.46

STOOL MNGT SYSTEM DIGNICARE

Facility

$866.13

Hospital Charge Code	270650193
Hospital Revenue Code	272
Min. Negotiated Rate	$129.92
Max. Negotiated Rate	$129.92
Rate for Payer: Qualcare PPO/HMO/WC	$129.92

STOOL MNGT SYSTEM DIGNICARE

Facility

$866.13

Hospital Charge Code	270650193
Hospital Revenue Code	272
Min. Negotiated Rate	$20.87
Max. Negotiated Rate	$433.06
Rate for Payer: Aetna Commercial	$329.13
Rate for Payer: Aetna Medicare Advantage	$259.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.86
Rate for Payer: Cigna Commercial	$433.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.84
Rate for Payer: Oxford Commercial	$173.23
Rate for Payer: Qualcare PPO/HMO/WC	$129.92
Rate for Payer: UnitedHealthcare Commercial	$173.23
Rate for Payer: UnitedHealthcare Community & State	$20.87
Rate for Payer: Wellpoint Medicaid Managed Care	$22.95

Stool Reducing substance

Facility

$390.00

Service Code	HCPCS 84376
Hospital Charge Code	39708020
Hospital Revenue Code	301
Min. Negotiated Rate	$4.40
Max. Negotiated Rate	$195.00
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	$195.00
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	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
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	$10.34

Stool Reducing substance

Facility

$390.00

Service Code	HCPCS 84376
Hospital Charge Code	39708020
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

STOPCOCK

Facility

$584.80

Hospital Charge Code	270665008
Hospital Revenue Code	270
Min. Negotiated Rate	$87.72
Max. Negotiated Rate	$87.72
Rate for Payer: Qualcare PPO/HMO/WC	$87.72

STOPCOCK

Facility

$584.80

Hospital Charge Code	270665008
Hospital Revenue Code	270
Min. Negotiated Rate	$14.09
Max. Negotiated Rate	$292.40
Rate for Payer: Aetna Commercial	$222.22
Rate for Payer: Aetna Medicare Advantage	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.12
Rate for Payer: Cigna Commercial	$292.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.44
Rate for Payer: Oxford Commercial	$116.96
Rate for Payer: Qualcare PPO/HMO/WC	$87.72
Rate for Payer: UnitedHealthcare Commercial	$116.96
Rate for Payer: UnitedHealthcare Community & State	$14.09
Rate for Payer: Wellpoint Medicaid Managed Care	$15.50

STOPCOCK 3-WAY ******

Facility

$5.00

Hospital Charge Code	8002701
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

STOPCOCK 3-WAY ******

Facility

$5.00

Hospital Charge Code	8002701
Hospital Revenue Code	279
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

STOPCOCK 3-WAY 4917170030

Facility

$11.25

Hospital Charge Code	270302055
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

STOPCOCK 3-WAY 4917170030

Facility

$11.25

Hospital Charge Code	270302055
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

STOPCOCK 3-WAY 70035002

Facility

$19.25

Hospital Charge Code	270600713
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$7.32
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.78
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

STOPCOCK 3-WAY 70035002

Facility

$19.25

Hospital Charge Code	270600713
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

STOPCOCK 3 WAY ANES W/33 EXT

Facility

$4.07

Hospital Charge Code	270649017
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$0.61
Rate for Payer: Qualcare PPO/HMO/WC	$0.61

STOPCOCK 3 WAY ANES W/33 EXT

Facility

$4.07

Hospital Charge Code	270649017
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.04
Rate for Payer: Aetna Commercial	$1.55
Rate for Payer: Aetna Medicare Advantage	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.04
Rate for Payer: Cigna Commercial	$2.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.22
Rate for Payer: Oxford Commercial	$0.81
Rate for Payer: Qualcare PPO/HMO/WC	$0.61
Rate for Payer: UnitedHealthcare Commercial	$0.81
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

STOPCOCK 3-WAY DISP M3SNC

Facility

$4.80

Hospital Charge Code	270624050
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.40
Rate for Payer: Aetna Commercial	$1.82
Rate for Payer: Aetna Medicare Advantage	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.22
Rate for Payer: Cigna Commercial	$2.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.44
Rate for Payer: Oxford Commercial	$0.96
Rate for Payer: Qualcare PPO/HMO/WC	$0.72
Rate for Payer: UnitedHealthcare Commercial	$0.96
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

STOPCOCK 3-WAY DISP M3SNC

Facility

$4.80

Hospital Charge Code	270624050
Hospital Revenue Code	272
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$0.72
Rate for Payer: Qualcare PPO/HMO/WC	$0.72

STOPCOCK 3WAY HI PRES 70055008

Facility

$6.45

Hospital Charge Code	270632530
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

STOPCOCK 3WAY HI PRES 70055008

Facility

$6.45

Hospital Charge Code	270632530
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

STOPCOCK 3-WAY PLASTIC

Facility

$23.65

Hospital Charge Code	270601461
Hospital Revenue Code	272
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.82
Rate for Payer: Aetna Commercial	$8.99
Rate for Payer: Aetna Medicare Advantage	$7.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.03
Rate for Payer: Cigna Commercial	$11.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.09
Rate for Payer: Oxford Commercial	$4.73
Rate for Payer: Qualcare PPO/HMO/WC	$3.55
Rate for Payer: UnitedHealthcare Commercial	$4.73
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

Know your out-of-pocket cost for care.

All Charges