Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLOOD GASES-CORD BLOOD

Facility

$733.49

Service Code	HCPCS 82803
Hospital Charge Code	95090380
Hospital Revenue Code	301
Min. Negotiated Rate	$110.02
Max. Negotiated Rate	$110.02
Rate for Payer: Qualcare PPO/HMO/WC	$110.02

BLOOD GLUCOSE TEST STRIP

Facility

$7.70

Hospital Charge Code	60628515
Hospital Revenue Code	259
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

BLOOD GLUCOSE TEST STRIP

Facility

$7.70

Hospital Charge Code	60628515
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

BLOOD HLA 58:01 TYPING

Facility

$495.00

Service Code	HCPCS 93932
Hospital Charge Code	399900535
Hospital Revenue Code	302
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$223.05
Max. Negotiated Rate	$223.05
Rate for Payer: Qualcare PPO/HMO/WC	$223.05

BLOOD LEUKORED DEGLYCER WASHED

Facility

$1,487.00

Hospital Charge Code	38471211
Hospital Revenue Code	390
Min. Negotiated Rate	$35.84
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$565.06
Rate for Payer: Aetna Medicare Advantage	$446.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$379.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$379.19
Rate for Payer: Cigna Commercial	$743.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$446.10
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$223.05
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$35.84
Rate for Payer: Wellpoint Medicaid Managed Care	$39.41

BLOOD LEUKO REDUC IRRADIATED

Facility

$1,244.70

Hospital Charge Code	3101532
Hospital Revenue Code	390
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$472.99
Rate for Payer: Aetna Medicare Advantage	$373.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$317.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$317.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$317.40
Rate for Payer: Cigna Commercial	$622.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$373.41
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$186.71
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$30.00
Rate for Payer: Wellpoint Medicaid Managed Care	$32.98

BLOOD LEUKO REDUC IRRADIATED

Facility

$1,244.70

Hospital Charge Code	3101532
Hospital Revenue Code	390
Min. Negotiated Rate	$186.71
Max. Negotiated Rate	$186.71
Rate for Payer: Qualcare PPO/HMO/WC	$186.71

BLOODLINE PREPUMP COMB SET

Facility

$14.25

Hospital Charge Code	270642601
Hospital Revenue Code	270
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$7.12
Rate for Payer: Aetna Commercial	$5.42
Rate for Payer: Aetna Medicare Advantage	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.63
Rate for Payer: Cigna Commercial	$7.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.28
Rate for Payer: Oxford Commercial	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.14
Rate for Payer: UnitedHealthcare Commercial	$2.85
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.38

BLOODLINE PREPUMP COMB SET

Facility

$14.25

Hospital Charge Code	270642601
Hospital Revenue Code	270
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.14

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD OCCULT QUAL FECES 1-3

Facility

$23.00

Service Code	HCPCS 82272
Hospital Charge Code	38477019
Hospital Revenue Code	301
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.51
Rate for Payer: Aetna Medicare Advantage	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.27
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: Cigna Medicare Advantage	$4.23
Rate for Payer: Clover Medicare Advantage	$4.02
Rate for Payer: EmblemHealth Commercial	$12.69
Rate for Payer: Humana Medicare Advantage	$4.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.23
Rate for Payer: Wellcare Medicare Advantage	$4.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.47
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.20
Rate for Payer: Cigna Commercial	$11.50
Rate for Payer: Cigna Medicare Advantage	$5.32
Rate for Payer: Clover Medicare Advantage	$5.05
Rate for Payer: EmblemHealth Commercial	$15.96
Rate for Payer: Humana Medicare Advantage	$5.48
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.45
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.32
Rate for Payer: Wellcare Medicare Advantage	$5.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.61

BLOOD OCCULT QUAL OTHER

Facility

$23.00

Service Code	HCPCS 82271
Hospital Charge Code	38477018
Hospital Revenue Code	301
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$3.45
Rate for Payer: Qualcare PPO/HMO/WC	$3.45

BLOOD PROCESS STORAGE F PLASMA

Facility

$210.63

Service Code	HCPCS P9017BL
Hospital Charge Code	3109025
Hospital Revenue Code	390
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$80.04
Rate for Payer: Aetna Medicare Advantage	$63.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.71
Rate for Payer: Cigna Commercial	$105.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.19
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.59
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.58

BLOOD PROCESS STORAGE F PLASMA

Facility

$210.63

Service Code	HCPCS P9017BL
Hospital Charge Code	3109025
Hospital Revenue Code	390
Min. Negotiated Rate	$31.59
Max. Negotiated Rate	$31.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.59

BLOOD PROCESS STORAGE PLATELET

Facility

$1,466.22

Service Code	HCPCS P9035BL
Hospital Charge Code	3109020
Hospital Revenue Code	390
Min. Negotiated Rate	$219.93
Max. Negotiated Rate	$219.93
Rate for Payer: Qualcare PPO/HMO/WC	$219.93

BLOOD PROCESS STORAGE PLATELET

Facility

$1,466.22

Service Code	HCPCS P9035BL
Hospital Charge Code	3109020
Hospital Revenue Code	390
Min. Negotiated Rate	$35.34
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$557.16
Rate for Payer: Aetna Medicare Advantage	$439.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.89
Rate for Payer: Cigna Commercial	$733.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.87
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.93
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$35.34
Rate for Payer: Wellpoint Medicaid Managed Care	$38.85

BLOOD SERVICE

Facility

$2,390.00

Hospital Charge Code	270657286
Hospital Revenue Code	278
Min. Negotiated Rate	$57.60
Max. Negotiated Rate	$1,195.00
Rate for Payer: Aetna Commercial	$908.20
Rate for Payer: Aetna Medicare Advantage	$717.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$609.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$609.45
Rate for Payer: Cigna Commercial	$1,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50
Rate for Payer: UnitedHealthcare Community & State	$57.60
Rate for Payer: Wellpoint Medicaid Managed Care	$63.34

BLOOD SERVICE

Facility

$2,390.00

Hospital Charge Code	270657286
Hospital Revenue Code	278
Min. Negotiated Rate	$358.50
Max. Negotiated Rate	$578.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$525.80
Rate for Payer: Qualcare PPO/HMO/WC	$358.50

BLOOD, SPLIT UNIT

Facility

$213.95

Hospital Charge Code	3101500
Hospital Revenue Code	390
Min. Negotiated Rate	$32.09
Max. Negotiated Rate	$32.09
Rate for Payer: Qualcare PPO/HMO/WC	$32.09

BLOOD, SPLIT UNIT

Facility

$213.95

Hospital Charge Code	3101500
Hospital Revenue Code	390
Min. Negotiated Rate	$5.16
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$81.30
Rate for Payer: Aetna Medicare Advantage	$64.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.56
Rate for Payer: Cigna Commercial	$106.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.19
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.09
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$5.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5.67

BLOOD TEST SOL - HIGH CONTROL

Facility

$7.70

Hospital Charge Code	60628516
Hospital Revenue Code	259
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

BLOOD TEST SOL - HIGH CONTROL

Facility

$7.70

Hospital Charge Code	60628516
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

Know your out-of-pocket cost for care.

All Charges