Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLOOD TEST SOL - LOW CONTROL

Facility

$7.70

Hospital Charge Code	60628517
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 - LOW CONTROL

Facility

$7.70

Hospital Charge Code	60628517
Hospital Revenue Code	259
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

BLOOD TRANSFER SET FEMALE ADPT

Facility

$4.73

Hospital Charge Code	270650194
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.37
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.21
Rate for Payer: Cigna Commercial	$2.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.42
Rate for Payer: Oxford Commercial	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$0.95
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

BLOOD TRANSFER SET FEMALE ADPT

Facility

$4.73

Hospital Charge Code	270650194
Hospital Revenue Code	270
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$0.71
Rate for Payer: Qualcare PPO/HMO/WC	$0.71

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$33.83
Max. Negotiated Rate	$1,891.95
Rate for Payer: Aetna Commercial	$1,425.63
Rate for Payer: Aetna Medicare Advantage	$1,698.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,891.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,891.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$524.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,891.95
Rate for Payer: Cigna Commercial	$1,050.61
Rate for Payer: Cigna Medicare Advantage	$524.13
Rate for Payer: Clover Medicare Advantage	$497.92
Rate for Payer: EmblemHealth Commercial	$1,572.39
Rate for Payer: Humana Medicare Advantage	$539.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$524.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$421.12
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.56
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$33.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$524.13
Rate for Payer: Wellcare Medicare Advantage	$524.13
Rate for Payer: Wellpoint Medicaid Managed Care	$37.20

BLOOD TRANSFUSION

Facility

$1,403.75

Service Code	HCPCS 36430
Hospital Charge Code	93500141
Hospital Revenue Code	391
Min. Negotiated Rate	$210.56
Max. Negotiated Rate	$210.56
Rate for Payer: Qualcare PPO/HMO/WC	$210.56

BLOOD TYPE

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100617A
Hospital Revenue Code	300
Min. Negotiated Rate	$93.96
Max. Negotiated Rate	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.96

BLOOD TYPE

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100617A
Hospital Revenue Code	300
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.79
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.93
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.96
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.60

BLOOD TYPE:RBC AG NOT ABO,RH(D

Facility

$125.00

Service Code	HCPCS 86905
Hospital Charge Code	38471073
Hospital Revenue Code	309
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$853.60
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$12.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.83
Rate for Payer: Cigna Commercial	$853.60
Rate for Payer: Cigna Medicare Advantage	$3.83
Rate for Payer: Clover Medicare Advantage	$3.64
Rate for Payer: EmblemHealth Commercial	$11.49
Rate for Payer: Humana Medicare Advantage	$3.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.83
Rate for Payer: Wellcare Medicare Advantage	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

BLOOD TYPE:RBC AG NOT ABO,RH(D

Facility

$125.00

Service Code	HCPCS 86905
Hospital Charge Code	38471073
Hospital Revenue Code	309
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

BLOOD TYPE RH

Facility

$71.25

Service Code	HCPCS 86901
Hospital Charge Code	3100617B
Hospital Revenue Code	300
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.79
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.38
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BLOOD TYPE RH

Facility

$71.25

Service Code	HCPCS 86901
Hospital Charge Code	3100617B
Hospital Revenue Code	300
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

BLOOD TYPE & RH (CORD BLOOD)

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100559
Hospital Revenue Code	300
Min. Negotiated Rate	$93.96
Max. Negotiated Rate	$93.96
Rate for Payer: Qualcare PPO/HMO/WC	$93.96

BLOOD TYPE & RH (CORD BLOOD)

Facility

$626.42

Service Code	HCPCS 86900
Hospital Charge Code	3100559
Hospital Revenue Code	300
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.79
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.93
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.96
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.60

BLOOD TYPE & RH PANEL

Facility

$630.21

Service Code	HCPCS 86900
Hospital Charge Code	3100617
Hospital Revenue Code	309
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$316.85
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.79
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$2.99
Rate for Payer: Clover Medicare Advantage	$2.84
Rate for Payer: EmblemHealth Commercial	$8.97
Rate for Payer: Humana Medicare Advantage	$3.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.06
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.53
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.99
Rate for Payer: Wellcare Medicare Advantage	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$16.70

BLOOD TYPE & RH PANEL

Facility

$630.21

Service Code	HCPCS 86900
Hospital Charge Code	3100617
Hospital Revenue Code	309
Min. Negotiated Rate	$94.53
Max. Negotiated Rate	$94.53
Rate for Payer: Qualcare PPO/HMO/WC	$94.53

BLOOD UREA NITROGEN, BUN

Facility

$390.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664
Hospital Revenue Code	301
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
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	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

BLOOD UREA NITROGEN, BUN

Facility

$390.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLOOD UREA NITROGEN PANEL

Facility

$21.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664P
Hospital Revenue Code	301
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

BLOOD UREA NITROGEN PANEL

Facility

$21.00

Service Code	HCPCS 84520
Hospital Charge Code	3002664P
Hospital Revenue Code	301
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.74
Rate for Payer: Aetna Medicare Advantage	$12.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.26
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: Cigna Medicare Advantage	$3.95
Rate for Payer: Clover Medicare Advantage	$3.75
Rate for Payer: EmblemHealth Commercial	$11.85
Rate for Payer: Humana Medicare Advantage	$4.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.95
Rate for Payer: Wellcare Medicare Advantage	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

BLOOD URINE

Facility

$22.45

Service Code	HCPCS 81005
Hospital Charge Code	3003175
Hospital Revenue Code	307
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$5.90
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.83
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: Cigna Medicare Advantage	$2.17
Rate for Payer: Clover Medicare Advantage	$2.06
Rate for Payer: EmblemHealth Commercial	$6.51
Rate for Payer: Humana Medicare Advantage	$2.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$2.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.74
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$2.17
Rate for Payer: Wellcare Medicare Advantage	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

BLOOD URINE

Facility

$22.45

Service Code	HCPCS 81005
Hospital Charge Code	3003175
Hospital Revenue Code	307
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

BLOOD WHOLE LEUKORED IRRAD

Facility

$1,022.00

Hospital Charge Code	38471213
Hospital Revenue Code	390
Min. Negotiated Rate	$24.63
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$388.36
Rate for Payer: Aetna Medicare Advantage	$306.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.61
Rate for Payer: Cigna Commercial	$511.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.60
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.30
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$24.63
Rate for Payer: Wellpoint Medicaid Managed Care	$27.08

BLOOD WHOLE LEUKORED IRRAD

Facility

$1,022.00

Hospital Charge Code	38471213
Hospital Revenue Code	390
Min. Negotiated Rate	$153.30
Max. Negotiated Rate	$153.30
Rate for Payer: Qualcare PPO/HMO/WC	$153.30

BLOWFLY LARVAE

Facility

$247.70

Hospital Charge Code	6010300
Hospital Revenue Code	251
Min. Negotiated Rate	$37.16
Max. Negotiated Rate	$37.16
Rate for Payer: Qualcare PPO/HMO/WC	$37.16

Know your out-of-pocket cost for care.

All Charges