Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRANSESOPOGEAL ECHOCARDIOGRAPH

Facility

$5,900.00

Hospital Charge Code	36540011
Hospital Revenue Code	483
Min. Negotiated Rate	$142.19
Max. Negotiated Rate	$2,950.00
Rate for Payer: Aetna Commercial	$2,242.00
Rate for Payer: Aetna Medicare Advantage	$1,770.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,504.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,504.50
Rate for Payer: Cigna Commercial	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.00
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$142.19
Rate for Payer: Wellpoint Medicaid Managed Care	$156.35

TRANSESOPOGEAL ECHOCARDIOGRAPH

Facility

$5,900.00

Hospital Charge Code	36540011
Hospital Revenue Code	483
Min. Negotiated Rate	$885.00
Max. Negotiated Rate	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00

Transfer Board Plastic Flat, 2

Facility

$230.00

Hospital Charge Code	270665775
Hospital Revenue Code	270
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

Transfer Board Plastic Flat, 2

Facility

$230.00

Hospital Charge Code	270665775
Hospital Revenue Code	270
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.00
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.09

Transferrin

Facility

$667.59

Service Code	HCPCS 84466
Hospital Charge Code	39888030
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

Transferrin

Facility

$667.59

Service Code	HCPCS 84466
Hospital Charge Code	39888030
Hospital Revenue Code	301
Min. Negotiated Rate	$10.21
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.06
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
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	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

TRANSFERRIN

Facility

$235.00

Service Code	HCPCS 84466
Hospital Charge Code	38472653
Hospital Revenue Code	301
Min. Negotiated Rate	$35.25
Max. Negotiated Rate	$35.25
Rate for Payer: Qualcare PPO/HMO/WC	$35.25

TRANSFERRIN

Facility

$235.00

Service Code	HCPCS 84466
Hospital Charge Code	38472653
Hospital Revenue Code	301
Min. Negotiated Rate	$6.23
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.06
Rate for Payer: Cigna Commercial	$117.50
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

TRANSFERRIN

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	39900425
Hospital Revenue Code	301
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$13.16
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

TRANSFERRIN

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	39900425
Hospital Revenue Code	301
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.06
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

TRANSFERRIN-REF LAB

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	3038111
Hospital Revenue Code	300
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.06
Rate for Payer: Cigna Commercial	$43.88
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.32
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.16
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

TRANSFERRIN-REF LAB

Facility

$87.75

Service Code	HCPCS 84466
Hospital Charge Code	3038111
Hospital Revenue Code	300
Min. Negotiated Rate	$13.16
Max. Negotiated Rate	$13.16
Rate for Payer: Qualcare PPO/HMO/WC	$13.16

TRANSFERRIN SATURATION

Facility

$17.97

Service Code	HCPCS 84466
Hospital Charge Code	8200331RS
Hospital Revenue Code	301
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

TRANSFERRIN SATURATION

Facility

$17.97

Service Code	HCPCS 84466
Hospital Charge Code	8200331RS
Hospital Revenue Code	301
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$34.71
Rate for Payer: Aetna Medicare Advantage	$41.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.06
Rate for Payer: Cigna Commercial	$8.98
Rate for Payer: Cigna Medicare Advantage	$12.76
Rate for Payer: Clover Medicare Advantage	$12.12
Rate for Payer: EmblemHealth Commercial	$38.28
Rate for Payer: Humana Medicare Advantage	$13.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.39
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.76
Rate for Payer: Wellcare Medicare Advantage	$12.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

TRANSFIX BIO 40MM

Facility

$760.00

Hospital Charge Code	270653013
Hospital Revenue Code	278
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$183.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$167.20
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

TRANSFIX BIO 40MM

Facility

$760.00

Hospital Charge Code	270653013
Hospital Revenue Code	278
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$167.20
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Community & State	$18.32
Rate for Payer: Wellpoint Medicaid Managed Care	$20.14

TRANSFIXING PIN APX 5/6 40X300

Facility

$1,124.15

Hospital Charge Code	270703804
Hospital Revenue Code	279
Min. Negotiated Rate	$168.62
Max. Negotiated Rate	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$168.62

TRANSFIXING PIN APX 5/6 40X300

Facility

$1,124.15

Hospital Charge Code	270703804
Hospital Revenue Code	279
Min. Negotiated Rate	$27.09
Max. Negotiated Rate	$562.08
Rate for Payer: Aetna Commercial	$427.18
Rate for Payer: Aetna Medicare Advantage	$337.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.66
Rate for Payer: Cigna Commercial	$562.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.25
Rate for Payer: Oxford Commercial	$224.83
Rate for Payer: Qualcare PPO/HMO/WC	$168.62
Rate for Payer: UnitedHealthcare Commercial	$224.83
Rate for Payer: UnitedHealthcare Community & State	$27.09
Rate for Payer: Wellpoint Medicaid Managed Care	$29.79

TRANSFORMER FOR VAGINAL LIGHT

Facility

$340.00

Hospital Charge Code	270332049
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.00
Rate for Payer: Oxford Commercial	$68.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$68.00
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

TRANSFORMER FOR VAGINAL LIGHT

Facility

$340.00

Hospital Charge Code	270332049
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

TRANSF REACTION INVESTIGATION

Facility

$390.00

Service Code	HCPCS 86078
Hospital Charge Code	3100203
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
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	$41.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

TRANSF REACTION INVESTIGATION

Facility

$390.00

Service Code	HCPCS 86078
Hospital Charge Code	3100203
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

TRANSFSN BLD/BLD COMPONENTS

Facility

$3,556.46

Service Code	HCPCS 36430
Hospital Charge Code	1600000658
Hospital Revenue Code	360
Min. Negotiated Rate	$85.71
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,891.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,891.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
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	$1,891.95
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,066.94
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$533.47
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$85.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$94.25

TRANSFSN BLD/BLD COMPONENTS

Facility

$3,556.46

Service Code	HCPCS 36430
Hospital Charge Code	1600000658
Hospital Revenue Code	360
Min. Negotiated Rate	$533.47
Max. Negotiated Rate	$533.47
Rate for Payer: Qualcare PPO/HMO/WC	$533.47

TRANSFUSION REACTION

Facility

$249.00

Service Code	HCPCS 86078
Hospital Charge Code	38471064
Hospital Revenue Code	302
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$41.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

Know your out-of-pocket cost for care.

All Charges