Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	321042400R
Hospital Revenue Code	361
Min. Negotiated Rate	$81.76
Max. Negotiated Rate	$1,696.28
Rate for Payer: Aetna Commercial	$1,289.17
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,017.76
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Community & State	$81.76
Rate for Payer: Wellpoint Medicaid Managed Care	$89.90

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$81.76
Max. Negotiated Rate	$1,696.28
Rate for Payer: Aetna Commercial	$1,289.17
Rate for Payer: Aetna Medicare Advantage	$1,017.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$865.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$865.10
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	$865.10
Rate for Payer: Cigna Commercial	$1,696.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,017.76
Rate for Payer: Qualcare PPO/HMO/WC	$508.88
Rate for Payer: UnitedHealthcare Community & State	$81.76
Rate for Payer: Wellpoint Medicaid Managed Care	$89.90

BIOP SALIVAR GLAND NDL-RT

Facility

$2,357.00

Service Code	HCPCS 42400RT
Hospital Charge Code	7411951
Hospital Revenue Code	361
Min. Negotiated Rate	$56.80
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$895.66
Rate for Payer: Aetna Medicare Advantage	$707.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$601.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$601.03
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	$601.03
Rate for Payer: Cigna Commercial	$1,178.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$707.10
Rate for Payer: Qualcare PPO/HMO/WC	$353.55
Rate for Payer: UnitedHealthcare Community & State	$56.80
Rate for Payer: Wellpoint Medicaid Managed Care	$62.46

BIOP SALIVAR GLAND NDL-RT

Facility

$3,392.55

Service Code	HCPCS 42400RT
Hospital Charge Code	2691505
Hospital Revenue Code	361
Min. Negotiated Rate	$508.88
Max. Negotiated Rate	$508.88
Rate for Payer: Qualcare PPO/HMO/WC	$508.88

BIOP SALIVAR GLAND NDL-RT

Facility

$2,357.00

Service Code	HCPCS 42400RT
Hospital Charge Code	7411951
Hospital Revenue Code	361
Min. Negotiated Rate	$353.55
Max. Negotiated Rate	$353.55
Rate for Payer: Qualcare PPO/HMO/WC	$353.55

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$81,619.48

Service Code	MSDRG 478
Min. Negotiated Rate	$24,852.09
Max. Negotiated Rate	$81,619.48
Rate for Payer: Aetna Commercial	$56,339.21
Rate for Payer: Aetna Medicare Advantage	$81,619.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,361.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,361.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,160.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,361.18
Rate for Payer: Cigna Commercial	$46,021.47
Rate for Payer: Cigna Medicare Advantage	$26,160.09
Rate for Payer: Clover Medicare Advantage	$24,852.09
Rate for Payer: EmblemHealth Commercial	$78,480.27
Rate for Payer: Humana Medicare Advantage	$26,944.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,160.09
Rate for Payer: Oxford Commercial	$33,076.24
Rate for Payer: UnitedHealthcare Commercial	$58,000.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,160.09
Rate for Payer: Wellcare Medicare Advantage	$26,160.09

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$113,792.48

Service Code	MSDRG 477
Min. Negotiated Rate	$34,648.35
Max. Negotiated Rate	$113,792.48
Rate for Payer: Aetna Commercial	$78,445.74
Rate for Payer: Aetna Medicare Advantage	$113,792.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,389.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,389.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,471.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,389.57
Rate for Payer: Cigna Commercial	$64,649.38
Rate for Payer: Cigna Medicare Advantage	$36,471.95
Rate for Payer: Clover Medicare Advantage	$34,648.35
Rate for Payer: EmblemHealth Commercial	$109,415.85
Rate for Payer: Humana Medicare Advantage	$37,566.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$36,471.95
Rate for Payer: Oxford Commercial	$46,464.37
Rate for Payer: UnitedHealthcare Commercial	$81,476.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,471.95
Rate for Payer: Wellcare Medicare Advantage	$36,471.95

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$62,216.86

Service Code	MSDRG 479
Min. Negotiated Rate	$18,944.24
Max. Negotiated Rate	$62,216.86
Rate for Payer: Aetna Commercial	$43,007.40
Rate for Payer: Aetna Medicare Advantage	$62,216.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,265.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,265.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,941.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,265.46
Rate for Payer: Cigna Commercial	$34,787.45
Rate for Payer: Cigna Medicare Advantage	$19,941.30
Rate for Payer: Clover Medicare Advantage	$18,944.24
Rate for Payer: EmblemHealth Commercial	$59,823.90
Rate for Payer: Humana Medicare Advantage	$20,539.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,941.30
Rate for Payer: Oxford Commercial	$25,002.21
Rate for Payer: UnitedHealthcare Commercial	$43,842.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,941.30
Rate for Payer: Wellcare Medicare Advantage	$19,941.30

BIOPSY 2ND SITE IDENTIFIER 14G

Facility

$449.00

Hospital Charge Code	270645925
Hospital Revenue Code	271
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$170.62
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.70
Rate for Payer: Oxford Commercial	$89.80
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Commercial	$89.80
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.90

BIOPSY 2ND SITE IDENTIFIER 14G

Facility

$449.00

Hospital Charge Code	270645925
Hospital Revenue Code	271
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$67.35
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$143.67
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
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	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,788.39
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$894.20
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$143.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$157.97

BIOPSY BREAST MR GUIDE

Facility

$5,961.30

Service Code	HCPCS 19085
Hospital Charge Code	2409025
Hospital Revenue Code	361
Min. Negotiated Rate	$894.20
Max. Negotiated Rate	$894.20
Rate for Payer: Qualcare PPO/HMO/WC	$894.20

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$1,413.56
Max. Negotiated Rate	$1,413.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56

BIOPSY FINGER JOINT LINING

Facility

$9,423.70

Service Code	HCPCS 26110
Hospital Charge Code	1600000518
Hospital Revenue Code	360
Min. Negotiated Rate	$227.11
Max. Negotiated Rate	$6,895.75
Rate for Payer: Aetna Commercial	$5,196.12
Rate for Payer: Aetna Medicare Advantage	$6,189.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,895.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,910.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,895.75
Rate for Payer: Cigna Commercial	$3,829.26
Rate for Payer: Cigna Medicare Advantage	$1,910.34
Rate for Payer: Clover Medicare Advantage	$1,814.82
Rate for Payer: EmblemHealth Commercial	$5,731.02
Rate for Payer: Humana Medicare Advantage	$1,967.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,910.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,827.11
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,413.56
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$227.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,910.34
Rate for Payer: Wellcare Medicare Advantage	$1,910.34
Rate for Payer: Wellpoint Medicaid Managed Care	$249.73

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

BIOPSY FORCEP 230 CM OVAL

Facility

$21.25

Hospital Charge Code	270700216
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.62
Rate for Payer: Aetna Commercial	$8.07
Rate for Payer: Aetna Medicare Advantage	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.38
Rate for Payer: Oxford Commercial	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$4.25
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

BIOPSY FRAN LUNG22G 15 CM

Facility

$121.75

Hospital Charge Code	2709006403
Hospital Revenue Code	272
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.88
Rate for Payer: Aetna Commercial	$46.27
Rate for Payer: Aetna Medicare Advantage	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.05
Rate for Payer: Cigna Commercial	$60.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.52
Rate for Payer: Oxford Commercial	$24.35
Rate for Payer: Qualcare PPO/HMO/WC	$18.26
Rate for Payer: UnitedHealthcare Commercial	$24.35
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.23

BIOPSY FRAN LUNG22G 15 CM

Facility

$121.75

Hospital Charge Code	2709006403
Hospital Revenue Code	272
Min. Negotiated Rate	$18.26
Max. Negotiated Rate	$18.26
Rate for Payer: Qualcare PPO/HMO/WC	$18.26

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2101204
Hospital Revenue Code	361
Min. Negotiated Rate	$1,591.07
Max. Negotiated Rate	$1,591.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$1,591.07
Max. Negotiated Rate	$1,591.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2250441
Hospital Revenue Code	361
Min. Negotiated Rate	$255.63
Max. Negotiated Rate	$5,303.55
Rate for Payer: Aetna Commercial	$4,030.70
Rate for Payer: Aetna Medicare Advantage	$3,182.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.81
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	$2,704.81
Rate for Payer: Cigna Commercial	$5,303.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,182.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07
Rate for Payer: UnitedHealthcare Community & State	$255.63
Rate for Payer: Wellpoint Medicaid Managed Care	$281.09

BIOPSY KIDNEY-BI

Facility

$10,607.10

Service Code	HCPCS 5020050
Hospital Charge Code	2101204
Hospital Revenue Code	361
Min. Negotiated Rate	$255.63
Max. Negotiated Rate	$5,303.55
Rate for Payer: Aetna Commercial	$4,030.70
Rate for Payer: Aetna Medicare Advantage	$3,182.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,704.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,704.81
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	$2,704.81
Rate for Payer: Cigna Commercial	$5,303.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,182.13
Rate for Payer: Qualcare PPO/HMO/WC	$1,591.07
Rate for Payer: UnitedHealthcare Community & State	$255.63
Rate for Payer: Wellpoint Medicaid Managed Care	$281.09

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$170.42
Max. Negotiated Rate	$3,535.70
Rate for Payer: Aetna Commercial	$2,687.13
Rate for Payer: Aetna Medicare Advantage	$2,121.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,803.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,803.21
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	$1,803.21
Rate for Payer: Cigna Commercial	$3,535.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,121.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71
Rate for Payer: UnitedHealthcare Community & State	$170.42
Rate for Payer: Wellpoint Medicaid Managed Care	$187.39

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2101205
Hospital Revenue Code	361
Min. Negotiated Rate	$1,060.71
Max. Negotiated Rate	$1,060.71
Rate for Payer: Qualcare PPO/HMO/WC	$1,060.71

Know your out-of-pocket cost for care.

All Charges