Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BEDSIDE PROCEDURE

Facility

$4,950.47

Hospital Charge Code	100033
Hospital Revenue Code	361
Min. Negotiated Rate	$119.31
Max. Negotiated Rate	$2,475.24
Rate for Payer: Aetna Commercial	$1,881.18
Rate for Payer: Aetna Medicare Advantage	$1,485.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,262.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,262.37
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	$1,262.37
Rate for Payer: Cigna Commercial	$2,475.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,485.14
Rate for Payer: Qualcare PPO/HMO/WC	$742.57
Rate for Payer: UnitedHealthcare Community & State	$119.31
Rate for Payer: Wellpoint Medicaid Managed Care	$131.19

BEDSIDE PROCEDURE

Facility

$4,950.47

Hospital Charge Code	100033
Hospital Revenue Code	361
Min. Negotiated Rate	$742.57
Max. Negotiated Rate	$742.57
Rate for Payer: Qualcare PPO/HMO/WC	$742.57

BEEF

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3000198
Hospital Revenue Code	305
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.20
Rate for Payer: Aetna Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.84
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: Cigna Medicare Advantage	$5.22
Rate for Payer: Clover Medicare Advantage	$4.96
Rate for Payer: EmblemHealth Commercial	$15.66
Rate for Payer: Humana Medicare Advantage	$5.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.22
Rate for Payer: Wellcare Medicare Advantage	$5.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

BEEF

Facility

$52.00

Service Code	HCPCS 86003
Hospital Charge Code	3000198
Hospital Revenue Code	305
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	412399407
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	395099407
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	412399407
Hospital Revenue Code	942
Min. Negotiated Rate	$42.28
Max. Negotiated Rate	$1,202.00
Rate for Payer: Aetna Commercial	$121.07
Rate for Payer: Aetna Medicare Advantage	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.67
Rate for Payer: Cigna Commercial	$89.22
Rate for Payer: Cigna Medicare Advantage	$44.51
Rate for Payer: Clover Medicare Advantage	$42.28
Rate for Payer: EmblemHealth Commercial	$133.53
Rate for Payer: Humana Medicare Advantage	$45.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,202.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.51
Rate for Payer: Wellcare Medicare Advantage	$44.51
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

BEHAV CHNG SMOKING > 10 MIN

Facility

$2,700.00

Service Code	HCPCS 99407
Hospital Charge Code	395099407
Hospital Revenue Code	942
Min. Negotiated Rate	$42.28
Max. Negotiated Rate	$1,202.00
Rate for Payer: Aetna Commercial	$121.07
Rate for Payer: Aetna Medicare Advantage	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.67
Rate for Payer: Cigna Commercial	$89.22
Rate for Payer: Cigna Medicare Advantage	$44.51
Rate for Payer: Clover Medicare Advantage	$42.28
Rate for Payer: EmblemHealth Commercial	$133.53
Rate for Payer: Humana Medicare Advantage	$45.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,202.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.51
Rate for Payer: Wellcare Medicare Advantage	$44.51
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

BEHAV CHNG SMOKING 3-10 MIN

Facility

$2,700.00

Service Code	HCPCS 99406
Hospital Charge Code	395099406
Hospital Revenue Code	942
Min. Negotiated Rate	$42.28
Max. Negotiated Rate	$1,202.00
Rate for Payer: Aetna Commercial	$121.07
Rate for Payer: Aetna Medicare Advantage	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.67
Rate for Payer: Cigna Commercial	$89.22
Rate for Payer: Cigna Medicare Advantage	$44.51
Rate for Payer: Clover Medicare Advantage	$42.28
Rate for Payer: EmblemHealth Commercial	$133.53
Rate for Payer: Humana Medicare Advantage	$45.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,202.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.51
Rate for Payer: Wellcare Medicare Advantage	$44.51
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

BEHAV CHNG SMOKING 3-10 MIN

Facility

$2,700.00

Service Code	HCPCS 99406
Hospital Charge Code	395099406
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

BEHAV CHNG SMOKING 3-10 MIN

Facility

$2,700.00

Service Code	HCPCS 99406
Hospital Charge Code	412399406
Hospital Revenue Code	942
Min. Negotiated Rate	$42.28
Max. Negotiated Rate	$1,202.00
Rate for Payer: Aetna Commercial	$121.07
Rate for Payer: Aetna Medicare Advantage	$144.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.67
Rate for Payer: Cigna Commercial	$89.22
Rate for Payer: Cigna Medicare Advantage	$44.51
Rate for Payer: Clover Medicare Advantage	$42.28
Rate for Payer: EmblemHealth Commercial	$133.53
Rate for Payer: Humana Medicare Advantage	$45.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$810.00
Rate for Payer: Oxford Commercial	$686.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00
Rate for Payer: UnitedHealthcare Commercial	$1,202.00
Rate for Payer: UnitedHealthcare Community & State	$65.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.51
Rate for Payer: Wellcare Medicare Advantage	$44.51
Rate for Payer: Wellpoint Medicaid Managed Care	$71.55

BEHAV CHNG SMOKING 3-10 MIN

Facility

$2,700.00

Service Code	HCPCS 99406
Hospital Charge Code	412399406
Hospital Revenue Code	942
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$405.00

BEHAVIORAL AND DEVELOPMENTAL DISORDERS

Facility

$69,211.21

Service Code	MSDRG 886
Min. Negotiated Rate	$3,330.00
Max. Negotiated Rate	$69,211.21
Rate for Payer: Aetna Commercial	$47,813.32
Rate for Payer: Aetna Medicare Advantage	$69,211.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,078.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,078.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,183.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,078.48
Rate for Payer: Cigna Commercial	$38,837.16
Rate for Payer: Cigna Medicare Advantage	$22,183.08
Rate for Payer: Clover Medicare Advantage	$21,073.93
Rate for Payer: EmblemHealth Commercial	$66,549.24
Rate for Payer: Humana Medicare Advantage	$22,848.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,183.08
Rate for Payer: Oxford Commercial	$27,912.78
Rate for Payer: UnitedHealthcare Commercial	$48,945.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,183.08
Rate for Payer: Wellcare Medicare Advantage	$22,183.08

BELLADONNA&OPIUM SUPP

Facility

$15.00

Hospital Charge Code	60635582
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BELLADONNA&OPIUM SUPP

Facility

$15.00

Hospital Charge Code	60635582
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

BELLADONNA PHENOBAR 16MG 4 OZ

Facility

$3.85

Hospital Charge Code	6000566
Hospital Revenue Code	251
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

BELLADONNA PHENOBAR 16MG 4 OZ

Facility

$3.85

Hospital Charge Code	6000566
Hospital Revenue Code	251
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.16
Rate for Payer: Oxford Commercial	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$0.77
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

BELLADONNA-PHENOBARBITAL TAB

Facility

$62.51

Service Code	NDC 42291024501
Hospital Charge Code	60627427
Hospital Revenue Code	251
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BELLADONNA-PHENOBARBITAL TAB

Facility

$62.51

Service Code	NDC 42291024501
Hospital Charge Code	60627427
Hospital Revenue Code	251
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

BELLERGAL-S/TAB

Facility

$6.00

Hospital Charge Code	60632538
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

BELLERGAL-S/TAB

Facility

$6.00

Hospital Charge Code	60632538
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

BELT MONIT PINK & BLUE

Facility

$9.65

Hospital Charge Code	270600598
Hospital Revenue Code	270
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

BELT MONIT PINK & BLUE

Facility

$9.65

Hospital Charge Code	270600598
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

BELT OSTOMY LG 29-49

Facility

$24.46

Hospital Charge Code	270649979
Hospital Revenue Code	272
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$3.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.67

BELT OSTOMY LG 29-49

Facility

$24.46

Hospital Charge Code	270649979
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$12.23
Rate for Payer: Aetna Commercial	$9.29
Rate for Payer: Aetna Medicare Advantage	$7.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.24
Rate for Payer: Cigna Commercial	$12.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.34
Rate for Payer: Oxford Commercial	$4.89
Rate for Payer: Qualcare PPO/HMO/WC	$3.67
Rate for Payer: UnitedHealthcare Commercial	$4.89
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

Know your out-of-pocket cost for care.

All Charges