Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TSS PRESS FIT STEM SZ 13

Facility

$7,914.75

Service Code	HCPCS C1776
Hospital Charge Code	270690411
Hospital Revenue Code	278
Min. Negotiated Rate	$190.75
Max. Negotiated Rate	$3,957.38
Rate for Payer: Aetna Commercial	$3,007.61
Rate for Payer: Aetna Medicare Advantage	$2,374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,018.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,018.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,582.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,018.26
Rate for Payer: Cigna Commercial	$3,957.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,915.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,741.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,187.21
Rate for Payer: UnitedHealthcare Community & State	$190.75
Rate for Payer: Wellpoint Medicaid Managed Care	$209.74

TSS PRESS FIT STEM SZ 13

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688779
Hospital Revenue Code	278
Min. Negotiated Rate	$1,430.33
Max. Negotiated Rate	$2,307.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,097.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33

TSS PRESS FIT STEM SZ 13

Facility

$9,535.50

Service Code	HCPCS C1776
Hospital Charge Code	270688779
Hospital Revenue Code	278
Min. Negotiated Rate	$229.81
Max. Negotiated Rate	$4,767.75
Rate for Payer: Aetna Commercial	$3,623.49
Rate for Payer: Aetna Medicare Advantage	$2,860.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,431.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,907.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,431.55
Rate for Payer: Cigna Commercial	$4,767.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,307.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,097.81
Rate for Payer: Qualcare PPO/HMO/WC	$1,430.33
Rate for Payer: UnitedHealthcare Community & State	$229.81
Rate for Payer: Wellpoint Medicaid Managed Care	$252.69

TSS PRESS FIT STEM SZ 6

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704897
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

TSS PRESS FIT STEM SZ 6

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704897
Hospital Revenue Code	278
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

TSS PRESS FIT STEM SZ 7

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704896
Hospital Revenue Code	278
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

TSS PRESS FIT STEM SZ 7

Facility

$7,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270704896
Hospital Revenue Code	278
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,815.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,650.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

TTE FOLLOW-UP OR LIMITED

Facility

$1,615.00

Service Code	HCPCS 93308
Hospital Charge Code	395093308
Hospital Revenue Code	480
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,023.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,023.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$873.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,023.24
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.50
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$38.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$42.80

TTE FOLLOW-UP OR LIMITED

Facility

$1,615.00

Service Code	HCPCS 93308
Hospital Charge Code	395093308
Hospital Revenue Code	480
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	5309045
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	5309045
Hospital Revenue Code	483
Min. Negotiated Rate	$98.52
Max. Negotiated Rate	$2,656.00
Rate for Payer: Aetna Commercial	$1,553.40
Rate for Payer: Aetna Medicare Advantage	$1,226.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.41
Rate for Payer: Cigna Commercial	$2,043.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.37
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$613.18
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$98.52
Rate for Payer: Wellpoint Medicaid Managed Care	$108.33

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	44053305
Hospital Revenue Code	483
Min. Negotiated Rate	$98.52
Max. Negotiated Rate	$2,656.00
Rate for Payer: Aetna Commercial	$1,553.40
Rate for Payer: Aetna Medicare Advantage	$1,226.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.41
Rate for Payer: Cigna Commercial	$2,043.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.37
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$613.18
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$98.52
Rate for Payer: Wellpoint Medicaid Managed Care	$108.33

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	44053305
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74116080
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74116080
Hospital Revenue Code	483
Min. Negotiated Rate	$98.52
Max. Negotiated Rate	$2,656.00
Rate for Payer: Aetna Commercial	$1,553.40
Rate for Payer: Aetna Medicare Advantage	$1,226.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.41
Rate for Payer: Cigna Commercial	$2,043.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.37
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$613.18
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$98.52
Rate for Payer: Wellpoint Medicaid Managed Care	$108.33

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74117080
Hospital Revenue Code	483
Min. Negotiated Rate	$98.52
Max. Negotiated Rate	$2,656.00
Rate for Payer: Aetna Commercial	$1,553.40
Rate for Payer: Aetna Medicare Advantage	$1,226.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.41
Rate for Payer: Cigna Commercial	$2,043.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.37
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$613.18
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$98.52
Rate for Payer: Wellpoint Medicaid Managed Care	$108.33

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74115080
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74115080
Hospital Revenue Code	483
Min. Negotiated Rate	$98.52
Max. Negotiated Rate	$2,656.00
Rate for Payer: Aetna Commercial	$1,553.40
Rate for Payer: Aetna Medicare Advantage	$1,226.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.41
Rate for Payer: Cigna Commercial	$2,043.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,226.37
Rate for Payer: Oxford Commercial	$1,514.00
Rate for Payer: Qualcare PPO/HMO/WC	$613.18
Rate for Payer: UnitedHealthcare Commercial	$2,656.00
Rate for Payer: UnitedHealthcare Community & State	$98.52
Rate for Payer: Wellpoint Medicaid Managed Care	$108.33

TTE W CONTRAST OR W/O & W COMP

Facility

$4,087.90

Hospital Charge Code	74117080
Hospital Revenue Code	483
Min. Negotiated Rate	$613.18
Max. Negotiated Rate	$613.18
Rate for Payer: Qualcare PPO/HMO/WC	$613.18

TTE W CONTRAST W DOPPLER

Facility

$5,900.00

Service Code	HCPCS C8929
Hospital Charge Code	365438929
Hospital Revenue Code	483
Min. Negotiated Rate	$885.00
Max. Negotiated Rate	$885.00
Rate for Payer: Qualcare PPO/HMO/WC	$885.00

TTE W CONTRAST W DOPPLER

Facility

$5,900.00

Service Code	HCPCS C8929
Hospital Charge Code	365438929
Hospital Revenue Code	483
Min. Negotiated Rate	$142.19
Max. Negotiated Rate	$3,361.79
Rate for Payer: Aetna Commercial	$2,533.19
Rate for Payer: Aetna Medicare Advantage	$3,017.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,361.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$931.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,361.79
Rate for Payer: Cigna Commercial	$1,866.82
Rate for Payer: Cigna Medicare Advantage	$931.32
Rate for Payer: Clover Medicare Advantage	$884.75
Rate for Payer: EmblemHealth Commercial	$2,793.96
Rate for Payer: Humana Medicare Advantage	$959.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$931.32
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: UnitedHealthcare Medicare Advantage	$931.32
Rate for Payer: Wellcare Medicare Advantage	$931.32
Rate for Payer: Wellpoint Medicaid Managed Care	$156.35

TTE W/O DOPPLER COMPLETE

Facility

$1,615.00

Service Code	HCPCS 93307
Hospital Charge Code	395093307
Hospital Revenue Code	480
Min. Negotiated Rate	$38.92
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$771.04
Rate for Payer: Aetna Medicare Advantage	$918.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,023.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,023.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$283.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,023.24
Rate for Payer: Cigna Commercial	$568.20
Rate for Payer: Cigna Medicare Advantage	$283.47
Rate for Payer: Clover Medicare Advantage	$269.30
Rate for Payer: EmblemHealth Commercial	$850.41
Rate for Payer: Humana Medicare Advantage	$291.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$283.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.50
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$242.25
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$38.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$283.47
Rate for Payer: Wellcare Medicare Advantage	$283.47
Rate for Payer: Wellpoint Medicaid Managed Care	$42.80

TTE W/O DOPPLER COMPLETE

Facility

$1,615.00

Service Code	HCPCS 93307
Hospital Charge Code	395093307
Hospital Revenue Code	480
Min. Negotiated Rate	$242.25
Max. Negotiated Rate	$242.25
Rate for Payer: Qualcare PPO/HMO/WC	$242.25

TTL THYROID LOBECTMY UNIL

Facility

$47,194.00

Service Code	HCPCS 60220
Hospital Charge Code	1600000307
Hospital Revenue Code	360
Min. Negotiated Rate	$1,016.00
Max. Negotiated Rate	$25,925.77
Rate for Payer: Aetna Commercial	$19,535.72
Rate for Payer: Aetna Medicare Advantage	$23,270.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,925.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,182.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,925.77
Rate for Payer: Cigna Commercial	$14,396.79
Rate for Payer: Cigna Medicare Advantage	$7,182.25
Rate for Payer: Clover Medicare Advantage	$6,823.14
Rate for Payer: EmblemHealth Commercial	$21,546.75
Rate for Payer: Humana Medicare Advantage	$7,397.72
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,182.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,158.20
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,079.10
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$1,137.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,182.25
Rate for Payer: Wellcare Medicare Advantage	$7,182.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1,250.64

TTL THYROID LOBECTMY UNIL

Facility

$47,194.00

Service Code	HCPCS 60220
Hospital Charge Code	1600000307
Hospital Revenue Code	360
Min. Negotiated Rate	$7,079.10
Max. Negotiated Rate	$7,079.10
Rate for Payer: Qualcare PPO/HMO/WC	$7,079.10

Know your out-of-pocket cost for care.

All Charges