Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRAY BIOPSY EXPANDED

Facility

$734.95

Hospital Charge Code	270653753
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	$3.54
Max. Negotiated Rate	$73.50
Rate for Payer: Aetna Commercial	$55.86
Rate for Payer: Aetna Medicare Advantage	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.48
Rate for Payer: Cigna Commercial	$73.50
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
Rate for Payer: UnitedHealthcare Community & State	$3.54
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$16.30

TRAY BIOPSY PROCEDURE

Facility

$108.70

Hospital Charge Code	270654130
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$54.35
Rate for Payer: Aetna Commercial	$41.31
Rate for Payer: Aetna Medicare Advantage	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.72
Rate for Payer: Cigna Commercial	$54.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.61
Rate for Payer: Oxford Commercial	$21.74
Rate for Payer: Qualcare PPO/HMO/WC	$16.30
Rate for Payer: UnitedHealthcare Commercial	$21.74
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

TRAY BIOPSY SOFT TISSUE *****

Facility

$153.00

Hospital Charge Code	8003014
Hospital Revenue Code	279
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

TRAY BIOPSY SOFT TISSUE *****

Facility

$153.00

Hospital Charge Code	8003014
Hospital Revenue Code	279
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.90
Rate for Payer: Oxford Commercial	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$30.60
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

TRAY BIO-TENODESIS RENTA

Facility

$496.00

Hospital Charge Code	270636066
Hospital Revenue Code	272
Min. Negotiated Rate	$11.95
Max. Negotiated Rate	$248.00
Rate for Payer: Aetna Commercial	$188.48
Rate for Payer: Aetna Medicare Advantage	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.48
Rate for Payer: Cigna Commercial	$248.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.80
Rate for Payer: Oxford Commercial	$99.20
Rate for Payer: Qualcare PPO/HMO/WC	$74.40
Rate for Payer: UnitedHealthcare Commercial	$99.20
Rate for Payer: UnitedHealthcare Community & State	$11.95
Rate for Payer: Wellpoint Medicaid Managed Care	$13.14

TRAY BIO-TENODESIS RENTA

Facility

$496.00

Hospital Charge Code	270636066
Hospital Revenue Code	272
Min. Negotiated Rate	$74.40
Max. Negotiated Rate	$74.40
Rate for Payer: Qualcare PPO/HMO/WC	$74.40

TRAY BIPOLAR****

Facility

$168.00

Hospital Charge Code	8002230
Hospital Revenue Code	279
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

TRAY BIPOLAR****

Facility

$168.00

Hospital Charge Code	8002230
Hospital Revenue Code	279
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$63.84
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.40
Rate for Payer: Oxford Commercial	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$33.60
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: Wellpoint Medicaid Managed Care	$4.45

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.51
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna Medicare Advantage	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.30
Rate for Payer: Cigna Commercial	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.71
Rate for Payer: Oxford Commercial	$1.81
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.81
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

TRAY BLOOD GAS

Facility

$9.03

Hospital Charge Code	270200190
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

TRAY BLUE RHINO TRACH INTRODCR

Facility

$1,940.00

Hospital Charge Code	270660193
Hospital Revenue Code	272
Min. Negotiated Rate	$46.75
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.00
Rate for Payer: Oxford Commercial	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$388.00
Rate for Payer: UnitedHealthcare Community & State	$46.75
Rate for Payer: Wellpoint Medicaid Managed Care	$51.41

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$101.70
Max. Negotiated Rate	$2,110.00
Rate for Payer: Aetna Commercial	$1,603.60
Rate for Payer: Aetna Medicare Advantage	$1,266.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,076.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,076.10
Rate for Payer: Cigna Commercial	$2,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,266.00
Rate for Payer: Oxford Commercial	$844.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00
Rate for Payer: UnitedHealthcare Commercial	$844.00
Rate for Payer: UnitedHealthcare Community & State	$101.70
Rate for Payer: Wellpoint Medicaid Managed Care	$111.83

TRAY BONE BIOPSY 152MM

Facility

$4,220.00

Hospital Charge Code	270668448
Hospital Revenue Code	272
Min. Negotiated Rate	$633.00
Max. Negotiated Rate	$633.00
Rate for Payer: Qualcare PPO/HMO/WC	$633.00

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

TRAY BONE BX 10X14 CM

Facility

$2,000.00

Hospital Charge Code	270668449
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$74.88
Rate for Payer: Aetna Commercial	$56.91
Rate for Payer: Aetna Medicare Advantage	$44.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.19
Rate for Payer: Cigna Commercial	$74.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.92
Rate for Payer: Oxford Commercial	$29.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.46
Rate for Payer: UnitedHealthcare Commercial	$29.95
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

TRAY BONE MARROW

Facility

$149.75

Hospital Charge Code	270652290
Hospital Revenue Code	272
Min. Negotiated Rate	$22.46
Max. Negotiated Rate	$22.46
Rate for Payer: Qualcare PPO/HMO/WC	$22.46

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$49.99
Rate for Payer: Aetna Commercial	$37.99
Rate for Payer: Aetna Medicare Advantage	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.49
Rate for Payer: Cigna Commercial	$49.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.99
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

TRAY BONE MARROW

Facility

$99.98

Hospital Charge Code	270302219
Hospital Revenue Code	272
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$117.93
Rate for Payer: Aetna Commercial	$89.63
Rate for Payer: Aetna Medicare Advantage	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.14
Rate for Payer: Cigna Commercial	$117.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.76
Rate for Payer: Oxford Commercial	$47.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.38
Rate for Payer: UnitedHealthcare Commercial	$47.17
Rate for Payer: UnitedHealthcare Community & State	$5.68
Rate for Payer: Wellpoint Medicaid Managed Care	$6.25

TRAY BONE MARROW 15G NEEDLE

Facility

$235.86

Hospital Charge Code	270649736
Hospital Revenue Code	270
Min. Negotiated Rate	$35.38
Max. Negotiated Rate	$35.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.38

TRAY BONE MARROW BIOPSY

Facility

$214.98

Hospital Charge Code	270658281
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

Know your out-of-pocket cost for care.

All Charges