Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

THORACIC CATH RT. ANGLE 36FR

Facility

$42.00

Hospital Charge Code	270331012
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$6.30
Rate for Payer: Qualcare PPO/HMO/WC	$6.30

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$36.11
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

THORACIC SPINE 2 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72070
Hospital Charge Code	94061061
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

THORACIC SPINE 4VW

Facility

$204.00

Service Code	HCPCS 72074
Hospital Charge Code	2009355
Hospital Revenue Code	320
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

THORACIC SPINE 4VW

Facility

$204.00

Service Code	HCPCS 72074
Hospital Charge Code	2009355
Hospital Revenue Code	320
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.20
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

THORACIC TROCAR 12MM

Facility

$99.00

Hospital Charge Code	270338723
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.70
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

THORACOPORT 11.5MM********

Facility

$174.00

Hospital Charge Code	1606029
Hospital Revenue Code	272
Min. Negotiated Rate	$26.10
Max. Negotiated Rate	$26.10
Rate for Payer: Qualcare PPO/HMO/WC	$26.10

THORACOPORT 11.5MM********

Facility

$174.00

Hospital Charge Code	1606029
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$87.00
Rate for Payer: Aetna Commercial	$66.12
Rate for Payer: Aetna Medicare Advantage	$52.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.37
Rate for Payer: Cigna Commercial	$87.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.20
Rate for Payer: Oxford Commercial	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$26.10
Rate for Payer: UnitedHealthcare Commercial	$34.80
Rate for Payer: UnitedHealthcare Community & State	$4.19
Rate for Payer: Wellpoint Medicaid Managed Care	$4.61

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.40
Rate for Payer: Oxford Commercial	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Commercial	$39.60
Rate for Payer: UnitedHealthcare Community & State	$4.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5.25

THORACOPORT 15MM TROCAR

Facility

$198.00

Hospital Charge Code	270330812
Hospital Revenue Code	272
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$3,340.71
Max. Negotiated Rate	$3,340.71
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71

THORACOSCOPY REMOV FB/FIBRIN

Facility

$22,271.40

Service Code	HCPCS 32653
Hospital Charge Code	1600000512
Hospital Revenue Code	360
Min. Negotiated Rate	$536.74
Max. Negotiated Rate	$14,834.00
Rate for Payer: Aetna Commercial	$8,463.13
Rate for Payer: Aetna Medicare Advantage	$6,681.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,679.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,679.21
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	$5,679.21
Rate for Payer: Cigna Commercial	$11,135.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,681.42
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,340.71
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$536.74
Rate for Payer: Wellpoint Medicaid Managed Care	$590.19

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$1,477.44
Max. Negotiated Rate	$45,585.17
Rate for Payer: Aetna Commercial	$34,349.57
Rate for Payer: Aetna Medicare Advantage	$40,916.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,585.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,585.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,628.52
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	$45,585.17
Rate for Payer: Cigna Commercial	$25,313.84
Rate for Payer: Cigna Medicare Advantage	$12,628.52
Rate for Payer: Clover Medicare Advantage	$11,997.09
Rate for Payer: EmblemHealth Commercial	$37,885.56
Rate for Payer: Humana Medicare Advantage	$13,007.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,628.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,391.32
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$1,477.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,628.52
Rate for Payer: Wellcare Medicare Advantage	$12,628.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1,624.57

THORACOSCOPY W/BX INFILTRATE

Facility

$61,304.40

Service Code	HCPCS 32607
Hospital Charge Code	1600000368
Hospital Revenue Code	360
Min. Negotiated Rate	$9,195.66
Max. Negotiated Rate	$9,195.66
Rate for Payer: Qualcare PPO/HMO/WC	$9,195.66

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$2,548.08
Max. Negotiated Rate	$2,548.08
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08

THORACOSCOPY W/PLEURECTOMY

Facility

$16,987.20

Service Code	HCPCS 32656
Hospital Charge Code	1600000720
Hospital Revenue Code	360
Min. Negotiated Rate	$409.39
Max. Negotiated Rate	$16,605.00
Rate for Payer: Aetna Commercial	$6,455.14
Rate for Payer: Aetna Medicare Advantage	$5,096.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,331.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,331.74
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	$4,331.74
Rate for Payer: Cigna Commercial	$8,493.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,096.16
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,548.08
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$409.39
Rate for Payer: Wellpoint Medicaid Managed Care	$450.16

THORACOSCOPY W/PLEURODESIS

Facility

$7,506.90

Service Code	HCPCS 32650
Hospital Charge Code	1600000367
Hospital Revenue Code	360
Min. Negotiated Rate	$180.92
Max. Negotiated Rate	$16,605.00
Rate for Payer: Aetna Commercial	$2,852.62
Rate for Payer: Aetna Medicare Advantage	$2,252.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,914.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,914.26
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	$1,914.26
Rate for Payer: Cigna Commercial	$3,753.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,252.07
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.04
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$180.92
Rate for Payer: Wellpoint Medicaid Managed Care	$198.93

THORACOSCOPY W/PLEURODESIS

Facility

$7,506.90

Service Code	HCPCS 32650
Hospital Charge Code	1600000367
Hospital Revenue Code	360
Min. Negotiated Rate	$1,126.04
Max. Negotiated Rate	$1,126.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,126.04

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$236.26
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$3,725.29
Rate for Payer: Aetna Medicare Advantage	$2,941.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,499.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,499.87
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	$2,499.87
Rate for Payer: Cigna Commercial	$4,901.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,941.02
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$236.26
Rate for Payer: Wellpoint Medicaid Managed Care	$259.79

THORACOSCOPY W/WEDGE RESECT

Facility

$9,803.40

Service Code	HCPCS 32666
Hospital Charge Code	1600000780
Hospital Revenue Code	360
Min. Negotiated Rate	$1,470.51
Max. Negotiated Rate	$1,470.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,470.51

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$836.45
Max. Negotiated Rate	$17,353.70
Rate for Payer: Aetna Commercial	$13,188.81
Rate for Payer: Aetna Medicare Advantage	$10,412.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,850.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,850.39
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	$8,850.39
Rate for Payer: Cigna Commercial	$17,353.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,412.22
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$836.45
Rate for Payer: Wellpoint Medicaid Managed Care	$919.75

THORACSCOPY REM TOTL CORTEX

Facility

$34,707.40

Service Code	HCPCS 32652
Hospital Charge Code	1600000511
Hospital Revenue Code	360
Min. Negotiated Rate	$5,206.11
Max. Negotiated Rate	$5,206.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,206.11

THORAZINE/100MG/1ML

Facility

$76.00

Hospital Charge Code	60634022
Hospital Revenue Code	250
Min. Negotiated Rate	$11.40
Max. Negotiated Rate	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$11.40

THORAZINE/100MG/1ML

Facility

$76.00

Hospital Charge Code	60634022
Hospital Revenue Code	250
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$38.00
Rate for Payer: Aetna Commercial	$28.88
Rate for Payer: Aetna Medicare Advantage	$22.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.38
Rate for Payer: Cigna Commercial	$38.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.80
Rate for Payer: Oxford Commercial	$15.20
Rate for Payer: Qualcare PPO/HMO/WC	$11.40
Rate for Payer: UnitedHealthcare Commercial	$15.20
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

Know your out-of-pocket cost for care.

All Charges