Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIOPSY KIDNEY-LT

Facility

$7,071.40

Service Code	HCPCS 50200LT
Hospital Charge Code	2250442
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

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-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
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

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2101206
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-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
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

BIOPSY KIDNEY-RT

Facility

$7,071.40

Service Code	HCPCS 50200RT
Hospital Charge Code	2250443
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

BIOPSYNEDDLEFRANLUNG22G 10CM

Facility

$121.75

Hospital Charge Code	2709006402
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

BIOPSYNEDDLEFRANLUNG22G 10CM

Facility

$121.75

Hospital Charge Code	2709006402
Hospital Revenue Code	272
Min. Negotiated Rate	$18.26
Max. Negotiated Rate	$18.26
Rate for Payer: Qualcare PPO/HMO/WC	$18.26

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$40.35
Max. Negotiated Rate	$40.35
Rate for Payer: Qualcare PPO/HMO/WC	$40.35

BIOPSY NEEDLE

Facility

$269.00

Hospital Charge Code	270330792
Hospital Revenue Code	272
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$134.50
Rate for Payer: Aetna Commercial	$102.22
Rate for Payer: Aetna Medicare Advantage	$80.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.59
Rate for Payer: Cigna Commercial	$134.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.70
Rate for Payer: Oxford Commercial	$53.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.35
Rate for Payer: UnitedHealthcare Commercial	$53.80
Rate for Payer: UnitedHealthcare Community & State	$6.48
Rate for Payer: Wellpoint Medicaid Managed Care	$7.13

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$138.70
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.50
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$73.00
Rate for Payer: UnitedHealthcare Community & State	$8.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9.67

BIOPSY NEEDLE 10CM

Facility

$365.00

Hospital Charge Code	270332420
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.40
Rate for Payer: Aetna Commercial	$93.02
Rate for Payer: Aetna Medicare Advantage	$73.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.42
Rate for Payer: Cigna Commercial	$122.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.44
Rate for Payer: Oxford Commercial	$48.96
Rate for Payer: Qualcare PPO/HMO/WC	$36.72
Rate for Payer: UnitedHealthcare Commercial	$48.96
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

BIOPSY NEEDLE/INTRODUCER 18X15

Facility

$244.80

Hospital Charge Code	270682310
Hospital Revenue Code	272
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$36.72
Rate for Payer: Qualcare PPO/HMO/WC	$36.72

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$224.59
Max. Negotiated Rate	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$224.59

BIOPSY NEEDLE/INTRODUCER 20X11

Facility

$1,497.25

Hospital Charge Code	270682308
Hospital Revenue Code	272
Min. Negotiated Rate	$36.08
Max. Negotiated Rate	$748.62
Rate for Payer: Aetna Commercial	$568.96
Rate for Payer: Aetna Medicare Advantage	$449.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.80
Rate for Payer: Cigna Commercial	$748.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$449.18
Rate for Payer: Oxford Commercial	$299.45
Rate for Payer: Qualcare PPO/HMO/WC	$224.59
Rate for Payer: UnitedHealthcare Commercial	$299.45
Rate for Payer: UnitedHealthcare Community & State	$36.08
Rate for Payer: Wellpoint Medicaid Managed Care	$39.68

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$21.72
Rate for Payer: Qualcare PPO/HMO/WC	$21.72

BIOPSY NEEDLE/INTRODUCER 20X20

Facility

$144.78

Hospital Charge Code	270682309
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.39
Rate for Payer: Aetna Commercial	$55.02
Rate for Payer: Aetna Medicare Advantage	$43.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.92
Rate for Payer: Cigna Commercial	$72.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.43
Rate for Payer: Oxford Commercial	$28.96
Rate for Payer: Qualcare PPO/HMO/WC	$21.72
Rate for Payer: UnitedHealthcare Commercial	$28.96
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$506.20
Max. Negotiated Rate	$506.20
Rate for Payer: Qualcare PPO/HMO/WC	$506.20

BIOPSY OF CERVIX

Facility

$3,374.65

Service Code	HCPCS 57500
Hospital Charge Code	412357500
Hospital Revenue Code	361
Min. Negotiated Rate	$81.33
Max. Negotiated Rate	$3,949.84
Rate for Payer: Aetna Commercial	$2,976.31
Rate for Payer: Aetna Medicare Advantage	$3,545.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,949.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,949.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,094.23
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	$3,949.84
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: Cigna Medicare Advantage	$1,094.23
Rate for Payer: Clover Medicare Advantage	$1,039.52
Rate for Payer: EmblemHealth Commercial	$3,282.69
Rate for Payer: Humana Medicare Advantage	$1,127.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,094.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,012.39
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.20
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$81.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,094.23
Rate for Payer: Wellcare Medicare Advantage	$1,094.23
Rate for Payer: Wellpoint Medicaid Managed Care	$89.43

BIOPSY OF CERVIX-

Facility

$4,384.70

Service Code	HCPCS 57500
Hospital Charge Code	160000185
Hospital Revenue Code	360
Min. Negotiated Rate	$657.71
Max. Negotiated Rate	$657.71
Rate for Payer: Qualcare PPO/HMO/WC	$657.71

BIOPSY OF CERVIX-

Facility

$4,384.70

Service Code	HCPCS 57500
Hospital Charge Code	160000185
Hospital Revenue Code	360
Min. Negotiated Rate	$105.67
Max. Negotiated Rate	$3,949.84
Rate for Payer: Aetna Commercial	$2,976.31
Rate for Payer: Aetna Medicare Advantage	$3,545.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,949.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,949.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,094.23
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	$3,949.84
Rate for Payer: Cigna Commercial	$2,193.38
Rate for Payer: Cigna Medicare Advantage	$1,094.23
Rate for Payer: Clover Medicare Advantage	$1,039.52
Rate for Payer: EmblemHealth Commercial	$3,282.69
Rate for Payer: Humana Medicare Advantage	$1,127.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,094.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,315.41
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$657.71
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$105.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,094.23
Rate for Payer: Wellcare Medicare Advantage	$1,094.23
Rate for Payer: Wellpoint Medicaid Managed Care	$116.19

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

BIOPSY OF HEART LINING

Facility

$6,070.00

Service Code	HCPCS 93505
Hospital Charge Code	411093505
Hospital Revenue Code	481
Min. Negotiated Rate	$146.29
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,821.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$146.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$160.85

BIOPSY OF PENIS

Facility

$7,632.36

Service Code	HCPCS 54100
Hospital Charge Code	1600000254
Hospital Revenue Code	360
Min. Negotiated Rate	$1,144.85
Max. Negotiated Rate	$1,144.85
Rate for Payer: Qualcare PPO/HMO/WC	$1,144.85

Know your out-of-pocket cost for care.

All Charges