Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

THYROID DISORDERS

Facility

$7,725.38

Service Code	APR-DRG 4272
Min. Negotiated Rate	$7,573.90
Max. Negotiated Rate	$7,725.38
Rate for Payer: UnitedHealthcare Community & State	$7,573.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,725.38
Rate for Payer: Wellpoint Medicaid Managed Care	$7,573.90

THYROID DISORDERS

Facility

$12,414.70

Service Code	APR-DRG 4273
Min. Negotiated Rate	$12,171.27
Max. Negotiated Rate	$12,414.70
Rate for Payer: UnitedHealthcare Community & State	$12,171.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,414.70
Rate for Payer: Wellpoint Medicaid Managed Care	$12,171.27

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$16.62
Rate for Payer: Aetna Medicare Advantage	$13.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.16
Rate for Payer: Cigna Commercial	$21.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.12
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.56
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

THYROID PANEL

Facility

$43.75

Hospital Charge Code	39900001
Hospital Revenue Code	301
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$6.56
Rate for Payer: Qualcare PPO/HMO/WC	$6.56

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

THYROID PANEL

Facility

$390.00

Hospital Charge Code	39990058EX
Hospital Revenue Code	301
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
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	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$7.08

THYROID PANEL I

Facility

$47.20

Service Code	HCPCS 84436
Hospital Charge Code	39990058A
Hospital Revenue Code	301
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.69
Rate for Payer: Aetna Medicare Advantage	$22.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.80
Rate for Payer: Cigna Commercial	$23.60
Rate for Payer: Cigna Medicare Advantage	$6.87
Rate for Payer: Clover Medicare Advantage	$6.53
Rate for Payer: EmblemHealth Commercial	$20.61
Rate for Payer: Humana Medicare Advantage	$7.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.16
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.08
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.87
Rate for Payer: Wellcare Medicare Advantage	$6.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$17.60
Rate for Payer: Aetna Medicare Advantage	$20.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.35
Rate for Payer: Cigna Commercial	$22.23
Rate for Payer: Cigna Medicare Advantage	$6.47
Rate for Payer: Clover Medicare Advantage	$6.15
Rate for Payer: EmblemHealth Commercial	$19.41
Rate for Payer: Humana Medicare Advantage	$6.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.34
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.47
Rate for Payer: Wellcare Medicare Advantage	$6.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

THYROID PANEL II

Facility

$44.45

Service Code	HCPCS 84479
Hospital Charge Code	39990058B
Hospital Revenue Code	301
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$6.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$28,088.86

Service Code	APR-DRG 4043
Min. Negotiated Rate	$27,538.10
Max. Negotiated Rate	$28,088.86
Rate for Payer: UnitedHealthcare Community & State	$27,538.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,088.86
Rate for Payer: Wellpoint Medicaid Managed Care	$27,538.10

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$53,534.97

Service Code	APR-DRG 4044
Min. Negotiated Rate	$52,485.26
Max. Negotiated Rate	$53,534.97
Rate for Payer: UnitedHealthcare Community & State	$52,485.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,534.97
Rate for Payer: Wellpoint Medicaid Managed Care	$52,485.26

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$11,780.17

Service Code	APR-DRG 4041
Min. Negotiated Rate	$11,549.19
Max. Negotiated Rate	$11,780.17
Rate for Payer: UnitedHealthcare Community & State	$11,549.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,780.17
Rate for Payer: Wellpoint Medicaid Managed Care	$11,549.19

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES

Facility

$17,119.36

Service Code	APR-DRG 4042
Min. Negotiated Rate	$16,783.69
Max. Negotiated Rate	$17,119.36
Rate for Payer: UnitedHealthcare Community & State	$16,783.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,119.36
Rate for Payer: Wellpoint Medicaid Managed Care	$16,783.69

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

Facility

$50,597.20

Service Code	MSDRG 626
Min. Negotiated Rate	$15,406.20
Max. Negotiated Rate	$50,597.20
Rate for Payer: Aetna Commercial	$35,023.34
Rate for Payer: Aetna Medicare Advantage	$50,597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,217.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,658.89
Rate for Payer: Cigna Commercial	$28,059.77
Rate for Payer: Cigna Medicare Advantage	$16,217.05
Rate for Payer: Clover Medicare Advantage	$15,406.20
Rate for Payer: EmblemHealth Commercial	$48,651.15
Rate for Payer: Humana Medicare Advantage	$16,703.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,217.05
Rate for Payer: Oxford Commercial	$20,166.93
Rate for Payer: UnitedHealthcare Commercial	$35,363.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,217.05
Rate for Payer: Wellcare Medicare Advantage	$16,217.05

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

Facility

$99,748.71

Service Code	MSDRG 625
Min. Negotiated Rate	$30,372.20
Max. Negotiated Rate	$99,748.71
Rate for Payer: Aetna Commercial	$68,796.05
Rate for Payer: Aetna Medicare Advantage	$99,748.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67,922.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67,922.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,970.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67,922.12
Rate for Payer: Cigna Commercial	$56,518.15
Rate for Payer: Cigna Medicare Advantage	$31,970.74
Rate for Payer: Clover Medicare Advantage	$30,372.20
Rate for Payer: EmblemHealth Commercial	$95,912.22
Rate for Payer: Humana Medicare Advantage	$32,929.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$31,970.74
Rate for Payer: Oxford Commercial	$40,620.35
Rate for Payer: UnitedHealthcare Commercial	$71,229.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,970.74
Rate for Payer: Wellcare Medicare Advantage	$31,970.74

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

Facility

$45,066.93

Service Code	MSDRG 627
Min. Negotiated Rate	$13,722.30
Max. Negotiated Rate	$45,066.93
Rate for Payer: Aetna Commercial	$31,223.46
Rate for Payer: Aetna Medicare Advantage	$45,066.93
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	$14,444.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,843.64
Rate for Payer: Cigna Commercial	$24,857.81
Rate for Payer: Cigna Medicare Advantage	$14,444.53
Rate for Payer: Clover Medicare Advantage	$13,722.30
Rate for Payer: EmblemHealth Commercial	$43,333.59
Rate for Payer: Humana Medicare Advantage	$14,877.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,444.53
Rate for Payer: Oxford Commercial	$17,865.63
Rate for Payer: UnitedHealthcare Commercial	$31,327.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,444.53
Rate for Payer: Wellcare Medicare Advantage	$14,444.53

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

THYROID PEROXIDASE AB

Facility

$667.59

Service Code	HCPCS 86376
Hospital Charge Code	39900221
Hospital Revenue Code	302
Min. Negotiated Rate	$11.64
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$39.58
Rate for Payer: Aetna Medicare Advantage	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.52
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$14.55
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Medicare Advantage	$14.55
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

THYROID PEROXIDASE TPO AB

Facility

$160.85

Service Code	HCPCS 86376
Hospital Charge Code	3001053
Hospital Revenue Code	302
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$39.58
Rate for Payer: Aetna Medicare Advantage	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.52
Rate for Payer: Cigna Commercial	$80.42
Rate for Payer: Cigna Medicare Advantage	$14.55
Rate for Payer: Clover Medicare Advantage	$13.82
Rate for Payer: EmblemHealth Commercial	$43.65
Rate for Payer: Humana Medicare Advantage	$14.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.26
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.55
Rate for Payer: Wellcare Medicare Advantage	$14.55
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

THYROID PEROXIDASE TPO AB

Facility

$160.85

Service Code	HCPCS 86376
Hospital Charge Code	3001053
Hospital Revenue Code	302
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

THYROID STIM HORMONE, NEONATAL

Facility

$244.26

Service Code	HCPCS 84443
Hospital Charge Code	3002580
Hospital Revenue Code	301
Min. Negotiated Rate	$6.47
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$45.70
Rate for Payer: Aetna Medicare Advantage	$54.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.80
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	$60.64
Rate for Payer: Cigna Commercial	$122.13
Rate for Payer: Cigna Medicare Advantage	$16.80
Rate for Payer: Clover Medicare Advantage	$15.96
Rate for Payer: EmblemHealth Commercial	$50.40
Rate for Payer: Humana Medicare Advantage	$17.30
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.64
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.80
Rate for Payer: Wellcare Medicare Advantage	$16.80
Rate for Payer: Wellpoint Medicaid Managed Care	$6.47

THYROID STIM HORMONE, NEONATAL

Facility

$244.26

Service Code	HCPCS 84443
Hospital Charge Code	3002580
Hospital Revenue Code	301
Min. Negotiated Rate	$36.64
Max. Negotiated Rate	$36.64
Rate for Payer: Qualcare PPO/HMO/WC	$36.64

THYROID STIMU IMMUNOGLOBIN

Facility

$1,454.45

Service Code	HCPCS 84445
Hospital Charge Code	3000528
Hospital Revenue Code	301
Min. Negotiated Rate	$38.54
Max. Negotiated Rate	$727.23
Rate for Payer: Aetna Commercial	$138.34
Rate for Payer: Aetna Medicare Advantage	$164.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.59
Rate for Payer: Cigna Commercial	$727.23
Rate for Payer: Cigna Medicare Advantage	$50.86
Rate for Payer: Clover Medicare Advantage	$48.32
Rate for Payer: EmblemHealth Commercial	$152.58
Rate for Payer: Humana Medicare Advantage	$52.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$50.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.17
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$40.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.86
Rate for Payer: Wellcare Medicare Advantage	$50.86
Rate for Payer: Wellpoint Medicaid Managed Care	$38.54

THYROID STIMU IMMUNOGLOBIN

Facility

$1,454.45

Service Code	HCPCS 84445
Hospital Charge Code	3000528
Hospital Revenue Code	301
Min. Negotiated Rate	$218.17
Max. Negotiated Rate	$218.17
Rate for Payer: Qualcare PPO/HMO/WC	$218.17

Know your out-of-pocket cost for care.

All Charges