Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$55.22
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,288.28
Rate for Payer: Aetna Medicare Advantage	$2,725.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,036.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$841.28
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	$3,036.77
Rate for Payer: Cigna Commercial	$1,686.34
Rate for Payer: Cigna Medicare Advantage	$841.28
Rate for Payer: Clover Medicare Advantage	$799.22
Rate for Payer: EmblemHealth Commercial	$2,523.84
Rate for Payer: Humana Medicare Advantage	$866.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$841.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$687.42
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$343.71
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$55.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$841.28
Rate for Payer: Wellcare Medicare Advantage	$841.28
Rate for Payer: Wellpoint Medicaid Managed Care	$60.72

BIOPSY OF SALIVARY GLAND

Facility

$2,291.40

Service Code	HCPCS 42400
Hospital Charge Code	16000742
Hospital Revenue Code	360
Min. Negotiated Rate	$343.71
Max. Negotiated Rate	$343.71
Rate for Payer: Qualcare PPO/HMO/WC	$343.71

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$1,112.22
Max. Negotiated Rate	$1,112.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22

Biopsy of soft tissues

Facility

$7,414.80

Service Code	HCPCS 27040
Hospital Charge Code	412357501
Hospital Revenue Code	361
Min. Negotiated Rate	$178.70
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	$862.00
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	$2,224.44
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,112.22
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$178.70
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	$196.49

BIOPSY OF TESTIS

Facility

$20,308.55

Service Code	HCPCS 54505
Hospital Charge Code	1600000745
Hospital Revenue Code	360
Min. Negotiated Rate	$489.44
Max. Negotiated Rate	$15,116.59
Rate for Payer: Aetna Commercial	$11,390.73
Rate for Payer: Aetna Medicare Advantage	$13,568.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,116.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,187.77
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	$15,116.59
Rate for Payer: Cigna Commercial	$8,394.37
Rate for Payer: Cigna Medicare Advantage	$4,187.77
Rate for Payer: Clover Medicare Advantage	$3,978.38
Rate for Payer: EmblemHealth Commercial	$12,563.31
Rate for Payer: Humana Medicare Advantage	$4,313.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,187.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,092.56
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$489.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,187.77
Rate for Payer: Wellcare Medicare Advantage	$4,187.77
Rate for Payer: Wellpoint Medicaid Managed Care	$538.18

BIOPSY OF TESTIS

Facility

$20,308.55

Service Code	HCPCS 54505
Hospital Charge Code	1600000745
Hospital Revenue Code	360
Min. Negotiated Rate	$3,046.28
Max. Negotiated Rate	$3,046.28
Rate for Payer: Qualcare PPO/HMO/WC	$3,046.28

BIOPSY OF THE VAGINA SIMPLE

Facility

$3,267.85

Service Code	HCPCS 57100
Hospital Charge Code	412357100
Hospital Revenue Code	361
Min. Negotiated Rate	$78.76
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	$1,626.00
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	$980.36
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$490.18
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$78.76
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	$86.60

BIOPSY OF THE VAGINA SIMPLE

Facility

$3,267.85

Service Code	HCPCS 57100
Hospital Charge Code	412357100
Hospital Revenue Code	361
Min. Negotiated Rate	$490.18
Max. Negotiated Rate	$490.18
Rate for Payer: Qualcare PPO/HMO/WC	$490.18

BIOPSY PETITE 14G MAMMOSTAR

Facility

$1,968.00

Hospital Charge Code	270663459
Hospital Revenue Code	272
Min. Negotiated Rate	$47.43
Max. Negotiated Rate	$984.00
Rate for Payer: Aetna Commercial	$747.84
Rate for Payer: Aetna Medicare Advantage	$590.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.84
Rate for Payer: Cigna Commercial	$984.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$590.40
Rate for Payer: Oxford Commercial	$393.60
Rate for Payer: Qualcare PPO/HMO/WC	$295.20
Rate for Payer: UnitedHealthcare Commercial	$393.60
Rate for Payer: UnitedHealthcare Community & State	$47.43
Rate for Payer: Wellpoint Medicaid Managed Care	$52.15

BIOPSY PETITE 14G MAMMOSTAR

Facility

$393.60

Hospital Charge Code	270663459R
Hospital Revenue Code	272
Min. Negotiated Rate	$59.04
Max. Negotiated Rate	$59.04
Rate for Payer: Qualcare PPO/HMO/WC	$59.04

BIOPSY PETITE 14G MAMMOSTAR

Facility

$1,968.00

Hospital Charge Code	270663459
Hospital Revenue Code	272
Min. Negotiated Rate	$295.20
Max. Negotiated Rate	$295.20
Rate for Payer: Qualcare PPO/HMO/WC	$295.20

BIOPSY PETITE 14G MAMMOSTAR

Facility

$393.60

Hospital Charge Code	270663459R
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$196.80
Rate for Payer: Aetna Commercial	$149.57
Rate for Payer: Aetna Medicare Advantage	$118.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.37
Rate for Payer: Cigna Commercial	$196.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.08
Rate for Payer: Oxford Commercial	$78.72
Rate for Payer: Qualcare PPO/HMO/WC	$59.04
Rate for Payer: UnitedHealthcare Commercial	$78.72
Rate for Payer: UnitedHealthcare Community & State	$9.49
Rate for Payer: Wellpoint Medicaid Managed Care	$10.43

BIOPSY SITE IDENTIFIER 14G

Facility

$471.50

Hospital Charge Code	270645827
Hospital Revenue Code	271
Min. Negotiated Rate	$70.72
Max. Negotiated Rate	$70.72
Rate for Payer: Qualcare PPO/HMO/WC	$70.72

BIOPSY SITE IDENTIFIER 14G

Facility

$471.50

Hospital Charge Code	270645827
Hospital Revenue Code	271
Min. Negotiated Rate	$11.36
Max. Negotiated Rate	$235.75
Rate for Payer: Aetna Commercial	$179.17
Rate for Payer: Aetna Medicare Advantage	$141.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.23
Rate for Payer: Cigna Commercial	$235.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.45
Rate for Payer: Oxford Commercial	$94.30
Rate for Payer: Qualcare PPO/HMO/WC	$70.72
Rate for Payer: UnitedHealthcare Commercial	$94.30
Rate for Payer: UnitedHealthcare Community & State	$11.36
Rate for Payer: Wellpoint Medicaid Managed Care	$12.49

BIOPSY SKIN 1 LESION

Facility

$612.00

Service Code	HCPCS 11100
Hospital Charge Code	93950007
Hospital Revenue Code	761
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$91.80

BIOPSY SKIN 1 LESION

Facility

$612.00

Service Code	HCPCS 11100
Hospital Charge Code	93950007
Hospital Revenue Code	761
Min. Negotiated Rate	$14.75
Max. Negotiated Rate	$1,058.74
Rate for Payer: Aetna Commercial	$232.56
Rate for Payer: Aetna Medicare Advantage	$183.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.06
Rate for Payer: Cigna Commercial	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.60
Rate for Payer: Oxford Commercial	$122.40
Rate for Payer: Qualcare PPO/HMO/WC	$91.80
Rate for Payer: UnitedHealthcare Commercial	$122.40
Rate for Payer: UnitedHealthcare Community & State	$14.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,058.74
Rate for Payer: Wellpoint Medicaid Managed Care	$16.22

BIOPSY SYS E/ECHOGENIC NDL 18G

Facility

$210.00

Hospital Charge Code	270655408
Hospital Revenue Code	271
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

BIOPSY SYS E/ECHOGENIC NDL 18G

Facility

$210.00

Hospital Charge Code	270655408
Hospital Revenue Code	271
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.00
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

BIOPSY SYSTEM ASAP

Facility

$871.25

Hospital Charge Code	270655636
Hospital Revenue Code	271
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$435.62
Rate for Payer: Aetna Commercial	$331.07
Rate for Payer: Aetna Medicare Advantage	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.17
Rate for Payer: Cigna Commercial	$435.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.38
Rate for Payer: Oxford Commercial	$174.25
Rate for Payer: Qualcare PPO/HMO/WC	$130.69
Rate for Payer: UnitedHealthcare Commercial	$174.25
Rate for Payer: UnitedHealthcare Community & State	$21.00
Rate for Payer: Wellpoint Medicaid Managed Care	$23.09

BIOPSY SYSTEM ASAP

Facility

$871.25

Hospital Charge Code	270655636
Hospital Revenue Code	271
Min. Negotiated Rate	$130.69
Max. Negotiated Rate	$130.69
Rate for Payer: Qualcare PPO/HMO/WC	$130.69

BIORAPTOR KNOTLESS ANCHOR SH

Facility

$2,005.00

Hospital Charge Code	270673947
Hospital Revenue Code	272
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$300.75
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

BIORAPTOR KNOTLESS ANCHOR SH

Facility

$2,005.00

Hospital Charge Code	270673947
Hospital Revenue Code	272
Min. Negotiated Rate	$48.32
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$761.90
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$601.50
Rate for Payer: Oxford Commercial	$401.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Commercial	$401.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: Wellpoint Medicaid Managed Care	$53.13

BIORAPTOR SUTURE ANCHOR HIP

Facility

$1,980.00

Hospital Charge Code	270668361
Hospital Revenue Code	272
Min. Negotiated Rate	$297.00
Max. Negotiated Rate	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$297.00

BIORAPTOR SUTURE ANCHOR HIP

Facility

$1,980.00

Hospital Charge Code	270668361
Hospital Revenue Code	272
Min. Negotiated Rate	$47.72
Max. Negotiated Rate	$990.00
Rate for Payer: Aetna Commercial	$752.40
Rate for Payer: Aetna Medicare Advantage	$594.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$504.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$504.90
Rate for Payer: Cigna Commercial	$990.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$594.00
Rate for Payer: Oxford Commercial	$396.00
Rate for Payer: Qualcare PPO/HMO/WC	$297.00
Rate for Payer: UnitedHealthcare Commercial	$396.00
Rate for Payer: UnitedHealthcare Community & State	$47.72
Rate for Payer: Wellpoint Medicaid Managed Care	$52.47

Know your out-of-pocket cost for care.

All Charges