Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

UREA 40GM

Facility

$306.60

Hospital Charge Code	6017032
Hospital Revenue Code	636
Min. Negotiated Rate	$45.99
Max. Negotiated Rate	$74.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.99

UREA 40GM

Facility

$306.60

Hospital Charge Code	6017032
Hospital Revenue Code	636
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$153.30
Rate for Payer: Aetna Commercial	$116.51
Rate for Payer: Aetna Medicare Advantage	$91.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.18
Rate for Payer: Cigna Commercial	$153.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.20
Rate for Payer: Qualcare PPO/HMO/WC	$45.99
Rate for Payer: UnitedHealthcare Community & State	$7.39
Rate for Payer: Wellpoint Medicaid Managed Care	$8.12

UREA NITROGEN, 24 HOUR URINE

Facility

$390.00

Service Code	HCPCS 84540
Hospital Charge Code	3030864
Hospital Revenue Code	301
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.12
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.07
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.56
Rate for Payer: Clover Medicare Advantage	$5.28
Rate for Payer: EmblemHealth Commercial	$16.68
Rate for Payer: Humana Medicare Advantage	$5.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.56
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	$4.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.56
Rate for Payer: Wellcare Medicare Advantage	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

UREA NITROGEN, 24 HOUR URINE

Facility

$390.00

Service Code	HCPCS 84540
Hospital Charge Code	3030864
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

UREA NITROGEN, CLEARANCE

Facility

$46.75

Service Code	HCPCS 84545
Hospital Charge Code	38477047
Hospital Revenue Code	301
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$7.01
Rate for Payer: Qualcare PPO/HMO/WC	$7.01

UREA NITROGEN, CLEARANCE

Facility

$46.75

Service Code	HCPCS 84545
Hospital Charge Code	38477047
Hospital Revenue Code	301
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$19.58
Rate for Payer: Aetna Medicare Advantage	$23.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.99
Rate for Payer: Cigna Commercial	$23.38
Rate for Payer: Cigna Medicare Advantage	$7.20
Rate for Payer: Clover Medicare Advantage	$6.84
Rate for Payer: EmblemHealth Commercial	$21.60
Rate for Payer: Humana Medicare Advantage	$7.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.03
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.01
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.20
Rate for Payer: Wellcare Medicare Advantage	$7.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

UREA NITROGEN PERITONEAL FLUID

Facility

$51.11

Service Code	HCPCS 84520
Hospital Charge Code	401184520
Hospital Revenue Code	306
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$25.55
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.33
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.67
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

UREA NITROGEN PERITONEAL FLUID

Facility

$51.11

Service Code	HCPCS 84520
Hospital Charge Code	401184520
Hospital Revenue Code	306
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$7.67
Rate for Payer: Qualcare PPO/HMO/WC	$7.67

UREA NITROGEN, URINE

Facility

$390.00

Service Code	HCPCS 84540
Hospital Charge Code	3030863
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

UREA NITROGEN, URINE

Facility

$160.00

Service Code	HCPCS 84540
Hospital Charge Code	38472655
Hospital Revenue Code	301
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

UREA NITROGEN, URINE

Facility

$160.00

Service Code	HCPCS 84540
Hospital Charge Code	38472655
Hospital Revenue Code	301
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$15.12
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.07
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: Cigna Medicare Advantage	$5.56
Rate for Payer: Clover Medicare Advantage	$5.28
Rate for Payer: EmblemHealth Commercial	$16.68
Rate for Payer: Humana Medicare Advantage	$5.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.56
Rate for Payer: Wellcare Medicare Advantage	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

UREA NITROGEN, URINE

Facility

$390.00

Service Code	HCPCS 84540
Hospital Charge Code	3030863
Hospital Revenue Code	301
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$15.12
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.07
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$5.56
Rate for Payer: Clover Medicare Advantage	$5.28
Rate for Payer: EmblemHealth Commercial	$16.68
Rate for Payer: Humana Medicare Advantage	$5.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.56
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	$4.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.56
Rate for Payer: Wellcare Medicare Advantage	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

UREA NITROGEN, URINE, RANDOM

Facility

$18.00

Service Code	HCPCS 84540
Hospital Charge Code	3030897
Hospital Revenue Code	301
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$15.12
Rate for Payer: Aetna Medicare Advantage	$18.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.07
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: Cigna Medicare Advantage	$5.56
Rate for Payer: Clover Medicare Advantage	$5.28
Rate for Payer: EmblemHealth Commercial	$16.68
Rate for Payer: Humana Medicare Advantage	$5.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
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	$4.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.56
Rate for Payer: Wellcare Medicare Advantage	$5.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

UREA NITROGEN, URINE, RANDOM

Facility

$18.00

Service Code	HCPCS 84540
Hospital Charge Code	3030897
Hospital Revenue Code	301
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

UREA REDUCTION RATIO I

Facility

$65.65

Service Code	HCPCS 84520
Hospital Charge Code	3038525A
Hospital Revenue Code	300
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

UREA REDUCTION RATIO I

Facility

$65.65

Service Code	HCPCS 84520
Hospital Charge Code	3038525A
Hospital Revenue Code	300
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

UREA REDUCTION RATIO II

Facility

$65.65

Service Code	HCPCS 84520
Hospital Charge Code	3038525B
Hospital Revenue Code	300
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

UREA REDUCTION RATIO II

Facility

$65.65

Service Code	HCPCS 84520
Hospital Charge Code	3038525B
Hospital Revenue Code	300
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

URECHOLINE INJ/5MG/ML

Facility

$23.00

Hospital Charge Code	60634269
Hospital Revenue Code	636
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$5.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

URECHOLINE INJ/5MG/ML

Facility

$23.00

Hospital Charge Code	60634269
Hospital Revenue Code	636
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	$5.57
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Community & State	$0.55
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

URETERAL ACCESS SHEATH 35 CM

Facility

$577.50

Hospital Charge Code	270682484
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$288.75
Rate for Payer: Aetna Commercial	$219.45
Rate for Payer: Aetna Medicare Advantage	$173.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.26
Rate for Payer: Cigna Commercial	$288.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.25
Rate for Payer: Oxford Commercial	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.62
Rate for Payer: UnitedHealthcare Commercial	$115.50
Rate for Payer: UnitedHealthcare Community & State	$13.92
Rate for Payer: Wellpoint Medicaid Managed Care	$15.30

URETERAL ACCESS SHEATH 35 CM

Facility

$577.50

Hospital Charge Code	270682484
Hospital Revenue Code	272
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$86.62
Rate for Payer: Qualcare PPO/HMO/WC	$86.62

URETERAL ACCESS SHEATH 45 CM

Facility

$577.50

Hospital Charge Code	270682485
Hospital Revenue Code	272
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$86.62
Rate for Payer: Qualcare PPO/HMO/WC	$86.62

URETERAL ACCESS SHEATH 45 CM

Facility

$577.50

Hospital Charge Code	270682485
Hospital Revenue Code	272
Min. Negotiated Rate	$13.92
Max. Negotiated Rate	$288.75
Rate for Payer: Aetna Commercial	$219.45
Rate for Payer: Aetna Medicare Advantage	$173.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.26
Rate for Payer: Cigna Commercial	$288.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.25
Rate for Payer: Oxford Commercial	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$86.62
Rate for Payer: UnitedHealthcare Commercial	$115.50
Rate for Payer: UnitedHealthcare Community & State	$13.92
Rate for Payer: Wellpoint Medicaid Managed Care	$15.30

URETERAL CATH CONE TIP 10FR

Facility

$195.00

Hospital Charge Code	270331130
Hospital Revenue Code	278
Min. Negotiated Rate	$29.25
Max. Negotiated Rate	$47.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.90
Rate for Payer: Qualcare PPO/HMO/WC	$29.25

Know your out-of-pocket cost for care.

All Charges