Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

Benchmark Ber Str 105

Facility

$4,975.00

Hospital Charge Code	270685065S
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

Benchmark Ber Str 95

Facility

$4,975.00

Hospital Charge Code	270685064N
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

Benchmark Ber Str 95

Facility

$4,975.00

Hospital Charge Code	270685064S
Hospital Revenue Code	272
Min. Negotiated Rate	$746.25
Max. Negotiated Rate	$746.25
Rate for Payer: Qualcare PPO/HMO/WC	$746.25

Benchmark Ber Str 95

Facility

$4,975.00

Hospital Charge Code	270685064N
Hospital Revenue Code	272
Min. Negotiated Rate	$119.90
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$119.90
Rate for Payer: Wellpoint Medicaid Managed Care	$131.84

Benchmark Ber Str 95

Facility

$4,975.00

Hospital Charge Code	270685064S
Hospital Revenue Code	272
Min. Negotiated Rate	$119.90
Max. Negotiated Rate	$2,487.50
Rate for Payer: Aetna Commercial	$1,890.50
Rate for Payer: Aetna Medicare Advantage	$1,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,268.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,268.62
Rate for Payer: Cigna Commercial	$2,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,492.50
Rate for Payer: Oxford Commercial	$995.00
Rate for Payer: Qualcare PPO/HMO/WC	$746.25
Rate for Payer: UnitedHealthcare Commercial	$995.00
Rate for Payer: UnitedHealthcare Community & State	$119.90
Rate for Payer: Wellpoint Medicaid Managed Care	$131.84

BENDING IRON F/1.5 & 2mm PLATE

Facility

$795.70

Service Code	HCPCS C1713
Hospital Charge Code	270651502
Hospital Revenue Code	278
Min. Negotiated Rate	$119.36
Max. Negotiated Rate	$192.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.36

BENDING IRON F/1.5 & 2mm PLATE

Facility

$795.70

Service Code	HCPCS C1713
Hospital Charge Code	270651502
Hospital Revenue Code	278
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$397.85
Rate for Payer: Aetna Commercial	$302.37
Rate for Payer: Aetna Medicare Advantage	$238.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.90
Rate for Payer: Cigna Commercial	$397.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.36
Rate for Payer: UnitedHealthcare Community & State	$19.18
Rate for Payer: Wellpoint Medicaid Managed Care	$21.09

BENDING TEMPLATE 7 HOLES

Facility

$136.50

Hospital Charge Code	270675506
Hospital Revenue Code	278
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$68.25
Rate for Payer: Aetna Commercial	$51.87
Rate for Payer: Aetna Medicare Advantage	$40.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.81
Rate for Payer: Cigna Commercial	$68.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.03
Rate for Payer: Qualcare PPO/HMO/WC	$20.48
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

BENDING TEMPLATE 7 HOLES

Facility

$136.50

Hospital Charge Code	270675506
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$33.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.03
Rate for Payer: Qualcare PPO/HMO/WC	$20.48

BENDINI ROD DIGITIZER ARRAY

Facility

$12,350.00

Hospital Charge Code	270696804
Hospital Revenue Code	272
Min. Negotiated Rate	$297.63
Max. Negotiated Rate	$6,175.00
Rate for Payer: Aetna Commercial	$4,693.00
Rate for Payer: Aetna Medicare Advantage	$3,705.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,149.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,149.25
Rate for Payer: Cigna Commercial	$6,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,705.00
Rate for Payer: Oxford Commercial	$2,470.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,852.50
Rate for Payer: UnitedHealthcare Commercial	$2,470.00
Rate for Payer: UnitedHealthcare Community & State	$297.63
Rate for Payer: Wellpoint Medicaid Managed Care	$327.27

BENDINI ROD DIGITIZER ARRAY

Facility

$12,350.00

Hospital Charge Code	270696804
Hospital Revenue Code	272
Min. Negotiated Rate	$1,852.50
Max. Negotiated Rate	$1,852.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,852.50

BENEDRYL, SERUM***

Facility

$200.00

Service Code	HCPCS 80290
Hospital Charge Code	3032349
Hospital Revenue Code	309
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

BENEDRYL, SERUM***

Facility

$200.00

Service Code	HCPCS 80290
Hospital Charge Code	3032349
Hospital Revenue Code	309
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BENEDRYL, URINE***

Facility

$141.00

Service Code	HCPCS 80101
Hospital Charge Code	3032356
Hospital Revenue Code	309
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$21.15
Rate for Payer: Qualcare PPO/HMO/WC	$21.15

BENEDRYL, URINE***

Facility

$141.00

Service Code	HCPCS 80101
Hospital Charge Code	3032356
Hospital Revenue Code	309
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$53.58
Rate for Payer: Aetna Medicare Advantage	$42.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.95
Rate for Payer: Cigna Commercial	$70.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

BENEMID/0.5GM/TAB

Facility

$18.00

Hospital Charge Code	60632541
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

BENEMID/0.5GM/TAB

Facility

$18.00

Hospital Charge Code	60632541
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

Benicar 20mg

Facility

$14.07

Service Code	NDC 63629339001
Hospital Charge Code	6063943278
Hospital Revenue Code	250
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$7.04
Rate for Payer: Aetna Commercial	$5.35
Rate for Payer: Aetna Medicare Advantage	$4.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.59
Rate for Payer: Cigna Commercial	$7.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.22
Rate for Payer: Oxford Commercial	$2.81
Rate for Payer: Qualcare PPO/HMO/WC	$2.11
Rate for Payer: UnitedHealthcare Commercial	$2.81
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

Benicar 20mg

Facility

$14.07

Service Code	NDC 63629339001
Hospital Charge Code	6063943278
Hospital Revenue Code	250
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$2.11
Rate for Payer: Qualcare PPO/HMO/WC	$2.11

Benicar 40mg

Facility

$16.35

Service Code	NDC 65597010430
Hospital Charge Code	6063943279
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.18
Rate for Payer: Aetna Commercial	$6.21
Rate for Payer: Aetna Medicare Advantage	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.17
Rate for Payer: Cigna Commercial	$8.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.45
Rate for Payer: UnitedHealthcare Commercial	$3.27
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

Benicar 40mg

Facility

$16.35

Service Code	NDC 65597010430
Hospital Charge Code	6063943279
Hospital Revenue Code	250
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.45

Benicar 5mg

Facility

$156.04

Service Code	NDC 35356028720
Hospital Charge Code	6063943277
Hospital Revenue Code	250
Min. Negotiated Rate	$23.41
Max. Negotiated Rate	$23.41
Rate for Payer: Qualcare PPO/HMO/WC	$23.41

Benicar 5mg

Facility

$156.04

Service Code	NDC 35356028720
Hospital Charge Code	6063943277
Hospital Revenue Code	250
Min. Negotiated Rate	$3.76
Max. Negotiated Rate	$78.02
Rate for Payer: Aetna Commercial	$59.30
Rate for Payer: Aetna Medicare Advantage	$46.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.79
Rate for Payer: Cigna Commercial	$78.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.81
Rate for Payer: Oxford Commercial	$31.21
Rate for Payer: Qualcare PPO/HMO/WC	$23.41
Rate for Payer: UnitedHealthcare Commercial	$31.21
Rate for Payer: UnitedHealthcare Community & State	$3.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4.14

BENIGN PROSTATIC HYPERTROPHY WITH MCC

Facility

$39,956.84

Service Code	MSDRG 725
Min. Negotiated Rate	$12,166.35
Max. Negotiated Rate	$39,956.84
Rate for Payer: Aetna Commercial	$27,712.24
Rate for Payer: Aetna Medicare Advantage	$39,956.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,843.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,843.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,806.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,843.64
Rate for Payer: Cigna Commercial	$21,899.12
Rate for Payer: Cigna Medicare Advantage	$12,806.68
Rate for Payer: Clover Medicare Advantage	$12,166.35
Rate for Payer: EmblemHealth Commercial	$38,420.04
Rate for Payer: Humana Medicare Advantage	$13,190.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,806.68
Rate for Payer: Oxford Commercial	$15,739.19
Rate for Payer: UnitedHealthcare Commercial	$27,599.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,806.68
Rate for Payer: Wellcare Medicare Advantage	$12,806.68

BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC

Facility

$25,470.31

Service Code	MSDRG 726
Min. Negotiated Rate	$7,755.38
Max. Negotiated Rate	$25,470.31
Rate for Payer: Aetna Commercial	$17,758.34
Rate for Payer: Aetna Medicare Advantage	$25,470.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,980.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,163.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,980.53
Rate for Payer: Cigna Commercial	$13,511.51
Rate for Payer: Cigna Medicare Advantage	$8,163.56
Rate for Payer: Clover Medicare Advantage	$7,755.38
Rate for Payer: EmblemHealth Commercial	$24,490.68
Rate for Payer: Humana Medicare Advantage	$8,408.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,163.56
Rate for Payer: Oxford Commercial	$9,710.90
Rate for Payer: UnitedHealthcare Commercial	$17,028.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,163.56
Rate for Payer: Wellcare Medicare Advantage	$8,163.56

Know your out-of-pocket cost for care.

All Charges