Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ABSB COLLAGEN HEMOSTATIC SPNGE

Facility

$91.25

Hospital Charge Code	60628901
Hospital Revenue Code	250
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

ABSB COLLAGEN HEMOSTATIC SPNGE

Facility

$91.25

Hospital Charge Code	60628901
Hospital Revenue Code	250
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$34.67
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

ABSCESS DRAINAGE

Facility

$4,880.92

Service Code	HCPCS 49406
Hospital Charge Code	2200392
Hospital Revenue Code	361
Min. Negotiated Rate	$732.14
Max. Negotiated Rate	$732.14
Rate for Payer: Qualcare PPO/HMO/WC	$732.14

ABSCESS DRAINAGE

Facility

$4,880.92

Service Code	HCPCS 49406
Hospital Charge Code	2200392
Hospital Revenue Code	361
Min. Negotiated Rate	$117.63
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	$1,626.00
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	$1,464.28
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$732.14
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$117.63
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	$129.34

ABSCESSOGRAM

Facility

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$3,354.00
Rate for Payer: Aetna Commercial	$292.60
Rate for Payer: Aetna Medicare Advantage	$231.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.35
Rate for Payer: Cigna Commercial	$385.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$115.50
Rate for Payer: UnitedHealthcare Commercial	$3,354.00
Rate for Payer: UnitedHealthcare Community & State	$18.56
Rate for Payer: Wellpoint Medicaid Managed Care	$20.41

ABSCESSOGRAM

Facility

$770.00

Hospital Charge Code	2200401
Hospital Revenue Code	350
Min. Negotiated Rate	$115.50
Max. Negotiated Rate	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$115.50

ABS LYMPHO & NAT KILL CELLS

Facility

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$5.00
Max. Negotiated Rate	$136.19
Rate for Payer: Aetna Commercial	$102.63
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.19
Rate for Payer: Cigna Commercial	$94.33
Rate for Payer: Cigna Medicare Advantage	$37.73
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.59
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.30
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Medicare Advantage	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.00

ABS LYMPHO & NAT KILL CELLS

Facility

$188.65

Service Code	HCPCS 86357
Hospital Charge Code	401386357
Hospital Revenue Code	306
Min. Negotiated Rate	$28.30
Max. Negotiated Rate	$28.30
Rate for Payer: Qualcare PPO/HMO/WC	$28.30

ABSOLUTE CD4&CD8 COUNT

Facility

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$16.99
Max. Negotiated Rate	$320.50
Rate for Payer: Aetna Commercial	$127.79
Rate for Payer: Aetna Medicare Advantage	$152.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.58
Rate for Payer: Cigna Commercial	$320.50
Rate for Payer: Cigna Medicare Advantage	$46.98
Rate for Payer: Clover Medicare Advantage	$44.63
Rate for Payer: EmblemHealth Commercial	$140.94
Rate for Payer: Humana Medicare Advantage	$48.39
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$96.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$37.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$46.98
Rate for Payer: Wellcare Medicare Advantage	$46.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.99

ABSOLUTE CD4&CD8 COUNT

Facility

$641.00

Service Code	HCPCS 86360
Hospital Charge Code	38476298
Hospital Revenue Code	302
Min. Negotiated Rate	$96.15
Max. Negotiated Rate	$96.15
Rate for Payer: Qualcare PPO/HMO/WC	$96.15

ABSOLUTE CD4 COUNT

Facility

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$45.90
Max. Negotiated Rate	$45.90
Rate for Payer: Qualcare PPO/HMO/WC	$45.90

ABSOLUTE CD4 COUNT

Facility

$306.00

Service Code	HCPCS 86361
Hospital Charge Code	38476299
Hospital Revenue Code	302
Min. Negotiated Rate	$8.11
Max. Negotiated Rate	$153.00
Rate for Payer: Aetna Commercial	$72.84
Rate for Payer: Aetna Medicare Advantage	$86.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.67
Rate for Payer: Cigna Commercial	$153.00
Rate for Payer: Cigna Medicare Advantage	$26.78
Rate for Payer: Clover Medicare Advantage	$25.44
Rate for Payer: EmblemHealth Commercial	$80.34
Rate for Payer: Humana Medicare Advantage	$27.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.90
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$21.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.78
Rate for Payer: Wellcare Medicare Advantage	$26.78
Rate for Payer: Wellpoint Medicaid Managed Care	$8.11

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$6.72
Max. Negotiated Rate	$139.50
Rate for Payer: Aetna Commercial	$106.02
Rate for Payer: Aetna Medicare Advantage	$83.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.14
Rate for Payer: Cigna Commercial	$139.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.85
Rate for Payer: UnitedHealthcare Community & State	$6.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7.39

ABSORABLE PIN (50MM X 1.3MM)

Facility

$279.00

Hospital Charge Code	270335505
Hospital Revenue Code	278
Min. Negotiated Rate	$41.85
Max. Negotiated Rate	$67.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.38
Rate for Payer: Qualcare PPO/HMO/WC	$41.85

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$83.25
Max. Negotiated Rate	$134.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.10
Rate for Payer: Qualcare PPO/HMO/WC	$83.25

ABSORBABLE ANCHORS

Facility

$555.00

Hospital Charge Code	270335620
Hospital Revenue Code	278
Min. Negotiated Rate	$13.38
Max. Negotiated Rate	$277.50
Rate for Payer: Aetna Commercial	$210.90
Rate for Payer: Aetna Medicare Advantage	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.53
Rate for Payer: Cigna Commercial	$277.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$122.10
Rate for Payer: Qualcare PPO/HMO/WC	$83.25
Rate for Payer: UnitedHealthcare Community & State	$13.38
Rate for Payer: Wellpoint Medicaid Managed Care	$14.71

ABSORBABLE GELATIN POWDER

Facility

$380.00

Hospital Charge Code	60627524
Hospital Revenue Code	250
Min. Negotiated Rate	$57.00
Max. Negotiated Rate	$57.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00

ABSORBABLE GELATIN POWDER

Facility

$380.00

Hospital Charge Code	60627524
Hospital Revenue Code	250
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$190.00
Rate for Payer: Aetna Commercial	$144.40
Rate for Payer: Aetna Medicare Advantage	$114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.90
Rate for Payer: Cigna Commercial	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.00
Rate for Payer: Oxford Commercial	$76.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.00
Rate for Payer: UnitedHealthcare Commercial	$76.00
Rate for Payer: UnitedHealthcare Community & State	$9.16
Rate for Payer: Wellpoint Medicaid Managed Care	$10.07

ABSORBABLE GELATIN POWDER 1GM

Facility

$245.80

Hospital Charge Code	6017735
Hospital Revenue Code	250
Min. Negotiated Rate	$36.87
Max. Negotiated Rate	$36.87
Rate for Payer: Qualcare PPO/HMO/WC	$36.87

ABSORBABLE GELATIN POWDER 1GM

Facility

$245.80

Hospital Charge Code	6017735
Hospital Revenue Code	250
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$122.90
Rate for Payer: Aetna Commercial	$93.40
Rate for Payer: Aetna Medicare Advantage	$73.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.68
Rate for Payer: Cigna Commercial	$122.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.74
Rate for Payer: Oxford Commercial	$49.16
Rate for Payer: Qualcare PPO/HMO/WC	$36.87
Rate for Payer: UnitedHealthcare Commercial	$49.16
Rate for Payer: UnitedHealthcare Community & State	$5.92
Rate for Payer: Wellpoint Medicaid Managed Care	$6.51

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

ABSORBATCK30 ABSATACK

Facility

$21.40

Hospital Charge Code	270659393
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

ABSORB COLLAGEN HEMOSTA SPONGE

Facility

$217.65

Hospital Charge Code	60627522
Hospital Revenue Code	250
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$108.83
Rate for Payer: Aetna Commercial	$82.71
Rate for Payer: Aetna Medicare Advantage	$65.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.50
Rate for Payer: Cigna Commercial	$108.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.30
Rate for Payer: Oxford Commercial	$43.53
Rate for Payer: Qualcare PPO/HMO/WC	$32.65
Rate for Payer: UnitedHealthcare Commercial	$43.53
Rate for Payer: UnitedHealthcare Community & State	$5.25
Rate for Payer: Wellpoint Medicaid Managed Care	$5.77

ABSORB COLLAGEN HEMOSTA SPONGE

Facility

$217.65

Hospital Charge Code	60627522
Hospital Revenue Code	250
Min. Negotiated Rate	$32.65
Max. Negotiated Rate	$32.65
Rate for Payer: Qualcare PPO/HMO/WC	$32.65

ABSORB COLLAGEN HEMOSTAT 1X2

Facility

$88.00

Hospital Charge Code	6016109
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.40
Rate for Payer: Oxford Commercial	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$17.60
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

Know your out-of-pocket cost for care.

All Charges