Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLANKET HYPER/HYPOTHERMIA

Facility

$431.30

Hospital Charge Code	270649709
Hospital Revenue Code	272
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$215.65
Rate for Payer: Aetna Commercial	$163.89
Rate for Payer: Aetna Medicare Advantage	$129.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.98
Rate for Payer: Cigna Commercial	$215.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.39
Rate for Payer: Oxford Commercial	$86.26
Rate for Payer: Qualcare PPO/HMO/WC	$64.69
Rate for Payer: UnitedHealthcare Commercial	$86.26
Rate for Payer: UnitedHealthcare Community & State	$10.39
Rate for Payer: Wellpoint Medicaid Managed Care	$11.43

BLANKET HYPER/HYPOTHERMIA

Facility

$431.30

Hospital Charge Code	270649709
Hospital Revenue Code	272
Min. Negotiated Rate	$64.69
Max. Negotiated Rate	$64.69
Rate for Payer: Qualcare PPO/HMO/WC	$64.69

BLANKET HYPOTHERMIA DISP *****

Facility

$85.00

Hospital Charge Code	8003691
Hospital Revenue Code	279
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

BLANKET HYPOTHERMIA DISP *****

Facility

$85.00

Hospital Charge Code	8003691
Hospital Revenue Code	279
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

BLANKET HYPOTHERMIA DISPOSABLE

Facility

$204.00

Hospital Charge Code	270331148
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.00
Rate for Payer: Aetna Commercial	$77.52
Rate for Payer: Aetna Medicare Advantage	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.02
Rate for Payer: Cigna Commercial	$102.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.20
Rate for Payer: Oxford Commercial	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$30.60
Rate for Payer: UnitedHealthcare Commercial	$40.80
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

BLANKET HYPOTHERMIA DISPOSABLE

Facility

$204.00

Hospital Charge Code	270331148
Hospital Revenue Code	272
Min. Negotiated Rate	$30.60
Max. Negotiated Rate	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.60

BLANKET LOWER BODY 525 *****

Facility

$44.00

Hospital Charge Code	1608306
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

BLANKET LOWER BODY 525 *****

Facility

$44.00

Hospital Charge Code	1608306
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

BLANKET RECEIVING 30x40

Facility

$183.75

Hospital Charge Code	270651610
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

BLANKET RECEIVING 30x40

Facility

$183.75

Hospital Charge Code	270651610
Hospital Revenue Code	272
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.88
Rate for Payer: Aetna Commercial	$69.83
Rate for Payer: Aetna Medicare Advantage	$55.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.86
Rate for Payer: Cigna Commercial	$91.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.12
Rate for Payer: Oxford Commercial	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$36.75
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

BLANKET THERMAL 74x100

Facility

$69.25

Hospital Charge Code	270651611
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.62
Rate for Payer: Aetna Commercial	$26.32
Rate for Payer: Aetna Medicare Advantage	$20.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.66
Rate for Payer: Cigna Commercial	$34.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.77
Rate for Payer: Oxford Commercial	$13.85
Rate for Payer: Qualcare PPO/HMO/WC	$10.39
Rate for Payer: UnitedHealthcare Commercial	$13.85
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

BLANKET THERMAL 74x100

Facility

$69.25

Hospital Charge Code	270651611
Hospital Revenue Code	272
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$10.39
Rate for Payer: Qualcare PPO/HMO/WC	$10.39

BLANKET UPPER BODY 522 ******

Facility

$44.00

Hospital Charge Code	1608280
Hospital Revenue Code	272
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$6.60

BLANKET UPPER BODY 522 ******

Facility

$44.00

Hospital Charge Code	1608280
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$22.00
Rate for Payer: Aetna Commercial	$16.72
Rate for Payer: Aetna Medicare Advantage	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.22
Rate for Payer: Cigna Commercial	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.20
Rate for Payer: Oxford Commercial	$8.80
Rate for Payer: Qualcare PPO/HMO/WC	$6.60
Rate for Payer: UnitedHealthcare Commercial	$8.80
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

BLANKET VEST SMALL/MED

Facility

$271.35

Hospital Charge Code	270649706
Hospital Revenue Code	272
Min. Negotiated Rate	$40.70
Max. Negotiated Rate	$40.70
Rate for Payer: Qualcare PPO/HMO/WC	$40.70

BLANKET VEST SMALL/MED

Facility

$271.35

Hospital Charge Code	270649706
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$135.68
Rate for Payer: Aetna Commercial	$103.11
Rate for Payer: Aetna Medicare Advantage	$81.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.19
Rate for Payer: Cigna Commercial	$135.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.41
Rate for Payer: Oxford Commercial	$54.27
Rate for Payer: Qualcare PPO/HMO/WC	$40.70
Rate for Payer: UnitedHealthcare Commercial	$54.27
Rate for Payer: UnitedHealthcare Community & State	$6.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.19

BLANKET WARMING LOW BODY BH525

Facility

$26.75

Hospital Charge Code	270600855
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.38
Rate for Payer: Aetna Commercial	$10.16
Rate for Payer: Aetna Medicare Advantage	$8.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.82
Rate for Payer: Cigna Commercial	$13.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$5.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.01
Rate for Payer: UnitedHealthcare Commercial	$5.35
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

BLANKET WARMING LOW BODY BH525

Facility

$26.75

Hospital Charge Code	270600855
Hospital Revenue Code	272
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$4.01
Rate for Payer: Qualcare PPO/HMO/WC	$4.01

BLASTOMYCES AB IMMUNODIFFUSION

Facility

$390.00

Service Code	HCPCS 86612
Hospital Charge Code	3847979
Hospital Revenue Code	302
Min. Negotiated Rate	$10.32
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$41.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.57
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$12.26
Rate for Payer: EmblemHealth Commercial	$38.70
Rate for Payer: Humana Medicare Advantage	$13.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.90
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	$10.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.90
Rate for Payer: Wellcare Medicare Advantage	$12.90
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

BLASTOMYCES AB IMMUNODIFFUSION

Facility

$390.00

Service Code	HCPCS 86612
Hospital Charge Code	3847979
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLASTOMYCES AB, SERUM I

Facility

$121.65

Service Code	HCPCS 86612
Hospital Charge Code	3009545A
Hospital Revenue Code	302
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

BLASTOMYCES AB, SERUM I

Facility

$121.65

Service Code	HCPCS 86612
Hospital Charge Code	3009545A
Hospital Revenue Code	302
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$41.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.57
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$12.26
Rate for Payer: EmblemHealth Commercial	$38.70
Rate for Payer: Humana Medicare Advantage	$13.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.90
Rate for Payer: Wellcare Medicare Advantage	$12.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

BLASTOMYCES AB, SERUM II

Facility

$121.65

Service Code	HCPCS 86612
Hospital Charge Code	3009545B
Hospital Revenue Code	302
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

BLASTOMYCES AB, SERUM II

Facility

$121.65

Service Code	HCPCS 86612
Hospital Charge Code	3009545B
Hospital Revenue Code	302
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$41.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.57
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$12.26
Rate for Payer: EmblemHealth Commercial	$38.70
Rate for Payer: Humana Medicare Advantage	$13.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.90
Rate for Payer: Wellcare Medicare Advantage	$12.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

BLASTOMYCES ANTIBODY

Facility

$148.00

Service Code	HCPCS 86612
Hospital Charge Code	38473069
Hospital Revenue Code	302
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.09
Rate for Payer: Aetna Medicare Advantage	$41.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.57
Rate for Payer: Cigna Commercial	$74.00
Rate for Payer: Cigna Medicare Advantage	$12.90
Rate for Payer: Clover Medicare Advantage	$12.26
Rate for Payer: EmblemHealth Commercial	$38.70
Rate for Payer: Humana Medicare Advantage	$13.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.90
Rate for Payer: Wellcare Medicare Advantage	$12.90
Rate for Payer: Wellpoint Medicaid Managed Care	$3.92

Know your out-of-pocket cost for care.

All Charges