Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRANSCAT PLACE STENT OPEN ADDL

Facility

$41,896.20

Hospital Charge Code	74110042
Hospital Revenue Code	361
Min. Negotiated Rate	$6,284.43
Max. Negotiated Rate	$6,284.43
Rate for Payer: Qualcare PPO/HMO/WC	$6,284.43

TRANSCAT RETRIEVAL FB S&I

Facility

$1,648.00

Service Code	HCPCS 75961
Hospital Charge Code	5100347
Hospital Revenue Code	320
Min. Negotiated Rate	$39.72
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.40
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$39.72
Rate for Payer: Wellpoint Medicaid Managed Care	$43.67

TRANSCAT RETRIEVAL FB S&I

Facility

$1,648.00

Service Code	HCPCS 75961
Hospital Charge Code	5100347
Hospital Revenue Code	320
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

TRANSCAT RETRIEV FOREIGN BODY

Facility

$2,571.55

Service Code	HCPCS 37203
Hospital Charge Code	5100335
Hospital Revenue Code	761
Min. Negotiated Rate	$385.73
Max. Negotiated Rate	$385.73
Rate for Payer: Qualcare PPO/HMO/WC	$385.73

TRANSCAT RETRIEV FOREIGN BODY

Facility

$2,571.55

Service Code	HCPCS 37203
Hospital Charge Code	5100335
Hospital Revenue Code	761
Min. Negotiated Rate	$61.97
Max. Negotiated Rate	$1,285.78
Rate for Payer: Aetna Commercial	$977.19
Rate for Payer: Aetna Medicare Advantage	$771.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$655.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$655.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$655.75
Rate for Payer: Cigna Commercial	$1,285.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$771.47
Rate for Payer: Oxford Commercial	$514.31
Rate for Payer: Qualcare PPO/HMO/WC	$385.73
Rate for Payer: UnitedHealthcare Commercial	$514.31
Rate for Payer: UnitedHealthcare Community & State	$61.97
Rate for Payer: Wellpoint Medicaid Managed Care	$68.15

TRANSCORTIN(CORTISOL BINDG GLO

Facility

$127.00

Service Code	HCPCS 84449
Hospital Charge Code	38477148
Hospital Revenue Code	301
Min. Negotiated Rate	$19.05
Max. Negotiated Rate	$19.05
Rate for Payer: Qualcare PPO/HMO/WC	$19.05

TRANSCORTIN(CORTISOL BINDG GLO

Facility

$127.00

Service Code	HCPCS 84449
Hospital Charge Code	38477148
Hospital Revenue Code	301
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.96
Rate for Payer: Aetna Medicare Advantage	$58.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.97
Rate for Payer: Cigna Commercial	$63.50
Rate for Payer: Cigna Medicare Advantage	$18.00
Rate for Payer: Clover Medicare Advantage	$17.10
Rate for Payer: EmblemHealth Commercial	$54.00
Rate for Payer: Humana Medicare Advantage	$18.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.00
Rate for Payer: Wellcare Medicare Advantage	$18.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3.37

TRANSDERM-SCOP/1.5MG/EACH

Facility

$23.00

Hospital Charge Code	60634048
Hospital Revenue Code	250
Min. Negotiated Rate	$0.55
Max. Negotiated Rate	$11.50
Rate for Payer: Aetna Commercial	$8.74
Rate for Payer: Aetna Medicare Advantage	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.87
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$4.60
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$4.60
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

TRANSDERM-SCOP/1.5MG/EACH

Facility

$23.00

Hospital Charge Code	60634048
Hospital Revenue Code	250
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

TRANSDUCER COBE CDX 3 DISPOS.

Facility

$382.00

Hospital Charge Code	270331151
Hospital Revenue Code	272
Min. Negotiated Rate	$57.30
Max. Negotiated Rate	$57.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.30

TRANSDUCER COBE CDX 3 DISPOS.

Facility

$382.00

Hospital Charge Code	270331151
Hospital Revenue Code	272
Min. Negotiated Rate	$9.21
Max. Negotiated Rate	$191.00
Rate for Payer: Aetna Commercial	$145.16
Rate for Payer: Aetna Medicare Advantage	$114.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.41
Rate for Payer: Cigna Commercial	$191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.60
Rate for Payer: Oxford Commercial	$76.40
Rate for Payer: Qualcare PPO/HMO/WC	$57.30
Rate for Payer: UnitedHealthcare Commercial	$76.40
Rate for Payer: UnitedHealthcare Community & State	$9.21
Rate for Payer: Wellpoint Medicaid Managed Care	$10.12

TRANSDUCER DISP PRESSURE

Facility

$45.00

Hospital Charge Code	270669305
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.50
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

TRANSDUCER DISP PRESSURE

Facility

$45.00

Hospital Charge Code	270669305
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

TRANSDUCER LT PRESSURE 1880

Facility

$60.85

Hospital Charge Code	270601238
Hospital Revenue Code	272
Min. Negotiated Rate	$9.13
Max. Negotiated Rate	$9.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.13

TRANSDUCER LT PRESSURE 1880

Facility

$60.85

Hospital Charge Code	270601238
Hospital Revenue Code	272
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.43
Rate for Payer: Aetna Commercial	$23.12
Rate for Payer: Aetna Medicare Advantage	$18.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.25
Rate for Payer: Oxford Commercial	$12.17
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$12.17
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

TRANSDUCER TRANSPAC II 60101

Facility

$71.25

Hospital Charge Code	270600700
Hospital Revenue Code	272
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.38
Rate for Payer: Oxford Commercial	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$14.25
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

TRANSDUCER TRANSPAC II 60101

Facility

$71.25

Hospital Charge Code	270600700
Hospital Revenue Code	272
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

TRANSDUCER TRANSPAC IV

Facility

$39.70

Hospital Charge Code	270641652
Hospital Revenue Code	270
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.85
Rate for Payer: Aetna Commercial	$15.09
Rate for Payer: Aetna Medicare Advantage	$11.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.12
Rate for Payer: Cigna Commercial	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.91
Rate for Payer: Oxford Commercial	$7.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$7.94
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

TRANSDUCER TRANSPAC IV

Facility

$39.70

Hospital Charge Code	270641652
Hospital Revenue Code	270
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

TRANSDUCER W STOPCOCK K1100202

Facility

$54.65

Hospital Charge Code	270629102
Hospital Revenue Code	272
Min. Negotiated Rate	$8.20
Max. Negotiated Rate	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$8.20

TRANSDUCER W STOPCOCK K1100202

Facility

$54.65

Hospital Charge Code	270629102
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$27.32
Rate for Payer: Aetna Commercial	$20.77
Rate for Payer: Aetna Medicare Advantage	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.94
Rate for Payer: Cigna Commercial	$27.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.39
Rate for Payer: Oxford Commercial	$10.93
Rate for Payer: Qualcare PPO/HMO/WC	$8.20
Rate for Payer: UnitedHealthcare Commercial	$10.93
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

TRANSDUC INTRAUTERINE CATH****

Facility

$66.00

Hospital Charge Code	1801000
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.80
Rate for Payer: Oxford Commercial	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Commercial	$13.20
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

TRANSDUC INTRAUTERINE CATH****

Facility

$66.00

Hospital Charge Code	1801000
Hospital Revenue Code	272
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

TRANSESOPHA ECHO****

Facility

$927.00

Service Code	HCPCS 93015
Hospital Charge Code	53000124
Hospital Revenue Code	739
Min. Negotiated Rate	$22.34
Max. Negotiated Rate	$697.00
Rate for Payer: Aetna Commercial	$352.26
Rate for Payer: Aetna Medicare Advantage	$278.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$664.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.38
Rate for Payer: Cigna Commercial	$463.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.10
Rate for Payer: Oxford Commercial	$531.00
Rate for Payer: Qualcare PPO/HMO/WC	$139.05
Rate for Payer: UnitedHealthcare Commercial	$697.00
Rate for Payer: UnitedHealthcare Community & State	$22.34
Rate for Payer: Wellpoint Medicaid Managed Care	$24.57

TRANSESOPHA ECHO****

Facility

$927.00

Service Code	HCPCS 93015
Hospital Charge Code	53000124
Hospital Revenue Code	739
Min. Negotiated Rate	$139.05
Max. Negotiated Rate	$139.05
Rate for Payer: Qualcare PPO/HMO/WC	$139.05

Know your out-of-pocket cost for care.

All Charges