Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	270658352
Hospital Revenue Code	272
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$178.97
Rate for Payer: Aetna Commercial	$136.02
Rate for Payer: Aetna Medicare Advantage	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.28
Rate for Payer: Cigna Commercial	$178.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.39
Rate for Payer: Oxford Commercial	$71.59
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$71.59
Rate for Payer: UnitedHealthcare Community & State	$8.63
Rate for Payer: Wellpoint Medicaid Managed Care	$9.49

TRAY ANGIO CHRIST HOSPITAL

Facility

$357.95

Hospital Charge Code	2709002713
Hospital Revenue Code	272
Min. Negotiated Rate	$8.63
Max. Negotiated Rate	$178.97
Rate for Payer: Aetna Commercial	$136.02
Rate for Payer: Aetna Medicare Advantage	$107.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.28
Rate for Payer: Cigna Commercial	$178.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.39
Rate for Payer: Oxford Commercial	$71.59
Rate for Payer: Qualcare PPO/HMO/WC	$53.69
Rate for Payer: UnitedHealthcare Commercial	$71.59
Rate for Payer: UnitedHealthcare Community & State	$8.63
Rate for Payer: Wellpoint Medicaid Managed Care	$9.49

TRAY ANGIO CHRIST HOSPITAL

Facility

$71.59

Hospital Charge Code	270653767
Hospital Revenue Code	272
Min. Negotiated Rate	$10.74
Max. Negotiated Rate	$10.74
Rate for Payer: Qualcare PPO/HMO/WC	$10.74

TRAY ANGIOGRAPHY

Facility

$221.45

Hospital Charge Code	270653945
Hospital Revenue Code	271
Min. Negotiated Rate	$33.22
Max. Negotiated Rate	$33.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.22

TRAY ANGIOGRAPHY

Facility

$221.45

Hospital Charge Code	270653945
Hospital Revenue Code	271
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$110.72
Rate for Payer: Aetna Commercial	$84.15
Rate for Payer: Aetna Medicare Advantage	$66.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.47
Rate for Payer: Cigna Commercial	$110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.44
Rate for Payer: Oxford Commercial	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$33.22
Rate for Payer: UnitedHealthcare Commercial	$44.29
Rate for Payer: UnitedHealthcare Community & State	$5.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.87

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$23.46
Rate for Payer: Aetna Commercial	$17.83
Rate for Payer: Aetna Medicare Advantage	$14.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.96
Rate for Payer: Cigna Commercial	$23.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.08
Rate for Payer: Oxford Commercial	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Commercial	$9.38
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

TRAY ARTHROGRAM

Facility

$46.92

Hospital Charge Code	270616283
Hospital Revenue Code	270
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$7.04
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

TRAY ASPIRATING *******

Facility

$202.00

Hospital Charge Code	8002214
Hospital Revenue Code	279
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$30.30
Rate for Payer: Qualcare PPO/HMO/WC	$30.30

TRAY ASPIRATING *******

Facility

$202.00

Hospital Charge Code	8002214
Hospital Revenue Code	279
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$101.00
Rate for Payer: Aetna Commercial	$76.76
Rate for Payer: Aetna Medicare Advantage	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.51
Rate for Payer: Cigna Commercial	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.60
Rate for Payer: Oxford Commercial	$40.40
Rate for Payer: Qualcare PPO/HMO/WC	$30.30
Rate for Payer: UnitedHealthcare Commercial	$40.40
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5.35

TRAY BASIC PORT A CATH

Facility

$4,267.25

Hospital Charge Code	270606963
Hospital Revenue Code	272
Min. Negotiated Rate	$640.09
Max. Negotiated Rate	$640.09
Rate for Payer: Qualcare PPO/HMO/WC	$640.09

TRAY BASIC PORT A CATH

Facility

$4,267.25

Hospital Charge Code	270606963
Hospital Revenue Code	272
Min. Negotiated Rate	$102.84
Max. Negotiated Rate	$2,133.62
Rate for Payer: Aetna Commercial	$1,621.56
Rate for Payer: Aetna Medicare Advantage	$1,280.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,088.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,088.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,088.15
Rate for Payer: Cigna Commercial	$2,133.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,280.17
Rate for Payer: Oxford Commercial	$853.45
Rate for Payer: Qualcare PPO/HMO/WC	$640.09
Rate for Payer: UnitedHealthcare Commercial	$853.45
Rate for Payer: UnitedHealthcare Community & State	$102.84
Rate for Payer: Wellpoint Medicaid Managed Care	$113.08

TRAY BBL PROCEDRL AEROBIC PLUS

Facility

$15.05

Hospital Charge Code	270649879
Hospital Revenue Code	272
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$2.26
Rate for Payer: Qualcare PPO/HMO/WC	$2.26

TRAY BBL PROCEDRL AEROBIC PLUS

Facility

$15.05

Hospital Charge Code	270649879
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.53
Rate for Payer: Aetna Commercial	$5.72
Rate for Payer: Aetna Medicare Advantage	$4.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.84
Rate for Payer: Cigna Commercial	$7.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$3.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.26
Rate for Payer: UnitedHealthcare Commercial	$3.01
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

TRAY BBL PROCEDURAL ANAEROBIC

Facility

$11.90

Hospital Charge Code	270649880
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

TRAY BBL PROCEDURAL ANAEROBIC

Facility

$11.90

Hospital Charge Code	270649880
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.95
Rate for Payer: Aetna Commercial	$4.52
Rate for Payer: Aetna Medicare Advantage	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.57
Rate for Payer: Oxford Commercial	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$2.38
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$341.26
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$5,380.80
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,115.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00
Rate for Payer: UnitedHealthcare Community & State	$341.26
Rate for Payer: Wellpoint Medicaid Managed Care	$375.24

TRAY BIOMET ILOK STM TIB 63MM

Facility

$14,160.00

Service Code	HCPCS C1776
Hospital Charge Code	270635586
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,115.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

TRAY BIOPSY

Facility

$87.50

Hospital Charge Code	270662676
Hospital Revenue Code	270
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.75
Rate for Payer: Aetna Commercial	$33.25
Rate for Payer: Aetna Medicare Advantage	$26.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.31
Rate for Payer: Cigna Commercial	$43.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.25
Rate for Payer: Oxford Commercial	$17.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.12
Rate for Payer: UnitedHealthcare Commercial	$17.50
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.32

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.08
Rate for Payer: Aetna Commercial	$34.26
Rate for Payer: Aetna Medicare Advantage	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.99
Rate for Payer: Cigna Commercial	$45.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.05
Rate for Payer: Oxford Commercial	$18.03
Rate for Payer: Qualcare PPO/HMO/WC	$13.52
Rate for Payer: UnitedHealthcare Commercial	$18.03
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.39

TRAY BIOPSY

Facility

$87.50

Hospital Charge Code	270662676
Hospital Revenue Code	270
Min. Negotiated Rate	$13.12
Max. Negotiated Rate	$13.12
Rate for Payer: Qualcare PPO/HMO/WC	$13.12

TRAY BIOPSY

Facility

$90.15

Hospital Charge Code	270662672
Hospital Revenue Code	272
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$13.52
Rate for Payer: Qualcare PPO/HMO/WC	$13.52

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
Hospital Revenue Code	272
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$367.48
Rate for Payer: Aetna Commercial	$279.28
Rate for Payer: Aetna Medicare Advantage	$220.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.41
Rate for Payer: Cigna Commercial	$367.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.49
Rate for Payer: Oxford Commercial	$146.99
Rate for Payer: Qualcare PPO/HMO/WC	$110.24
Rate for Payer: UnitedHealthcare Commercial	$146.99
Rate for Payer: UnitedHealthcare Community & State	$17.71
Rate for Payer: Wellpoint Medicaid Managed Care	$19.48

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	2706000670
Hospital Revenue Code	272
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$367.48
Rate for Payer: Aetna Commercial	$279.28
Rate for Payer: Aetna Medicare Advantage	$220.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.41
Rate for Payer: Cigna Commercial	$367.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.49
Rate for Payer: Oxford Commercial	$146.99
Rate for Payer: Qualcare PPO/HMO/WC	$110.24
Rate for Payer: UnitedHealthcare Commercial	$146.99
Rate for Payer: UnitedHealthcare Community & State	$17.71
Rate for Payer: Wellpoint Medicaid Managed Care	$19.48

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	2706000670
Hospital Revenue Code	272
Min. Negotiated Rate	$110.24
Max. Negotiated Rate	$110.24
Rate for Payer: Qualcare PPO/HMO/WC	$110.24

TRAY BIOPSY EXPANDED

Facility

$146.99

Hospital Charge Code	270617003
Hospital Revenue Code	278
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$35.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.34
Rate for Payer: Qualcare PPO/HMO/WC	$22.05

Know your out-of-pocket cost for care.

All Charges