Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BRUCELLA AGGLUTININS

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3009776
Hospital Revenue Code	302
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$24.29
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.23
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: Cigna Medicare Advantage	$8.93
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.93
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	$7.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Medicare Advantage	$8.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BRUCELLA AGGLUTININS

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3009776
Hospital Revenue Code	302
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

BRUCELLA ANTIBODY

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006541
Hospital Revenue Code	302
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$24.29
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.23
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: Cigna Medicare Advantage	$8.93
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.93
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	$7.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Medicare Advantage	$8.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BRUCELLA ANTIBODY

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006541
Hospital Revenue Code	302
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

BRUCELLA ANTIBODY

Facility

$95.00

Service Code	HCPCS 86622
Hospital Charge Code	38476013
Hospital Revenue Code	302
Min. Negotiated Rate	$14.25
Max. Negotiated Rate	$14.25
Rate for Payer: Qualcare PPO/HMO/WC	$14.25

BRUCELLA ANTIBODY

Facility

$95.00

Service Code	HCPCS 86622
Hospital Charge Code	38476013
Hospital Revenue Code	302
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$24.29
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.23
Rate for Payer: Cigna Commercial	$47.50
Rate for Payer: Cigna Medicare Advantage	$8.93
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$14.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Medicare Advantage	$8.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.52

BRUCELLA IGG IGM

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006546
Hospital Revenue Code	302
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$10.69
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

BRUCELLA IGG IGM

Facility

$71.25

Service Code	HCPCS 86622
Hospital Charge Code	3006546
Hospital Revenue Code	302
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$24.29
Rate for Payer: Aetna Medicare Advantage	$28.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.23
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: Cigna Medicare Advantage	$8.93
Rate for Payer: Clover Medicare Advantage	$8.48
Rate for Payer: EmblemHealth Commercial	$26.79
Rate for Payer: Humana Medicare Advantage	$9.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.93
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	$7.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.93
Rate for Payer: Wellcare Medicare Advantage	$8.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$7.76
Max. Negotiated Rate	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$7.76

BRUCELLA SCREEN VAR BONE MARRW

Facility

$51.74

Service Code	HCPCS 87081
Hospital Charge Code	4013870812
Hospital Revenue Code	309
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$18.03
Rate for Payer: Aetna Medicare Advantage	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.93
Rate for Payer: Cigna Commercial	$25.87
Rate for Payer: Cigna Medicare Advantage	$6.63
Rate for Payer: Clover Medicare Advantage	$6.30
Rate for Payer: EmblemHealth Commercial	$19.89
Rate for Payer: Humana Medicare Advantage	$6.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.52
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.76
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.63
Rate for Payer: Wellcare Medicare Advantage	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.37

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$26.62
Rate for Payer: Aetna Commercial	$20.23
Rate for Payer: Aetna Medicare Advantage	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.58
Rate for Payer: Cigna Commercial	$26.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: Oxford Commercial	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.99
Rate for Payer: UnitedHealthcare Commercial	$10.65
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

BRUSH BD PEG CLEANING 000396

Facility

$53.25

Hospital Charge Code	270614872
Hospital Revenue Code	272
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$7.99
Rate for Payer: Qualcare PPO/HMO/WC	$7.99

BRUSH BETADINE SCRUB *******

Facility

$9.00

Hospital Charge Code	8002586
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BRUSH BETADINE SCRUB *******

Facility

$9.00

Hospital Charge Code	8002586
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

BRUSH BIPOLAR 18G W/CORD ALCON

Facility

$1,415.25

Hospital Charge Code	270600231
Hospital Revenue Code	272
Min. Negotiated Rate	$34.11
Max. Negotiated Rate	$707.62
Rate for Payer: Aetna Commercial	$537.79
Rate for Payer: Aetna Medicare Advantage	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.89
Rate for Payer: Cigna Commercial	$707.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.57
Rate for Payer: Oxford Commercial	$283.05
Rate for Payer: Qualcare PPO/HMO/WC	$212.29
Rate for Payer: UnitedHealthcare Commercial	$283.05
Rate for Payer: UnitedHealthcare Community & State	$34.11
Rate for Payer: Wellpoint Medicaid Managed Care	$37.50

BRUSH BIPOLAR 18G W/CORD ALCON

Facility

$1,415.25

Hospital Charge Code	270600231
Hospital Revenue Code	272
Min. Negotiated Rate	$212.29
Max. Negotiated Rate	$212.29
Rate for Payer: Qualcare PPO/HMO/WC	$212.29

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$12.01
Max. Negotiated Rate	$12.01
Rate for Payer: Qualcare PPO/HMO/WC	$12.01

BRUSH BLD CYTOLOGY ENDO 60318

Facility

$80.04

Hospital Charge Code	270600926
Hospital Revenue Code	270
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.02
Rate for Payer: Aetna Commercial	$30.42
Rate for Payer: Aetna Medicare Advantage	$24.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.41
Rate for Payer: Cigna Commercial	$40.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.01
Rate for Payer: Oxford Commercial	$16.01
Rate for Payer: Qualcare PPO/HMO/WC	$12.01
Rate for Payer: UnitedHealthcare Commercial	$16.01
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$6.11
Max. Negotiated Rate	$126.75
Rate for Payer: Aetna Commercial	$96.33
Rate for Payer: Aetna Medicare Advantage	$76.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.64
Rate for Payer: Cigna Commercial	$126.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.05
Rate for Payer: Oxford Commercial	$50.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.02
Rate for Payer: UnitedHealthcare Commercial	$50.70
Rate for Payer: UnitedHealthcare Community & State	$6.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6.72

BRUSH CHANELL CLEAN 6MM

Facility

$253.50

Hospital Charge Code	270658241
Hospital Revenue Code	270
Min. Negotiated Rate	$38.02
Max. Negotiated Rate	$38.02
Rate for Payer: Qualcare PPO/HMO/WC	$38.02

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.33
Rate for Payer: Aetna Commercial	$25.33
Rate for Payer: Aetna Medicare Advantage	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.00
Rate for Payer: Cigna Commercial	$33.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.00
Rate for Payer: Oxford Commercial	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$13.33
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

BRUSH CLEANING

Facility

$66.65

Hospital Charge Code	270676723
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

BRUSH COMBO CATH CYTOLOGY

Facility

$875.00

Hospital Charge Code	270654331
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BRUSH COMBO CATH CYTOLOGY

Facility

$875.00

Hospital Charge Code	270654331
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

BRUSH CYTOLOGY *****

Facility

$60.00

Hospital Charge Code	2300689
Hospital Revenue Code	279
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

Know your out-of-pocket cost for care.

All Charges