Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ACCOLADE MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184S
Hospital Revenue Code	278
Min. Negotiated Rate	$7,725.00
Max. Negotiated Rate	$12,463.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,330.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00

ACCOLADE MRI DR

Facility

$51,500.00

Service Code	HCPCS C1785
Hospital Charge Code	270686184S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,241.15
Max. Negotiated Rate	$25,750.00
Rate for Payer: Aetna Commercial	$19,570.00
Rate for Payer: Aetna Medicare Advantage	$15,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,132.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10,300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,132.50
Rate for Payer: Cigna Commercial	$25,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,463.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11,330.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,725.00
Rate for Payer: UnitedHealthcare Community & State	$1,241.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1,364.75

ACCOLATE 20MG TAB UD

Facility

$7.00

Hospital Charge Code	60635153
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ACCOLATE 20MG TAB UD

Facility

$7.00

Hospital Charge Code	60635153
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ACCUCHEK.GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479001
Hospital Revenue Code	301
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$10.69
Rate for Payer: Aetna Medicare Advantage	$12.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.19
Rate for Payer: Cigna Commercial	$78.00
Rate for Payer: Cigna Medicare Advantage	$3.93
Rate for Payer: Clover Medicare Advantage	$3.73
Rate for Payer: EmblemHealth Commercial	$11.79
Rate for Payer: Humana Medicare Advantage	$4.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.93
Rate for Payer: Wellcare Medicare Advantage	$3.93
Rate for Payer: Wellpoint Medicaid Managed Care	$4.13

ACCUCHEK.GLUCOSE

Facility

$156.00

Service Code	HCPCS 82947
Hospital Charge Code	38479001
Hospital Revenue Code	301
Min. Negotiated Rate	$23.40
Max. Negotiated Rate	$23.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.40

ACCUFILL

Facility

$17,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678972
Hospital Revenue Code	278
Min. Negotiated Rate	$409.70
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$6,460.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00
Rate for Payer: UnitedHealthcare Community & State	$409.70
Rate for Payer: Wellpoint Medicaid Managed Care	$450.50

ACCUFILL

Facility

$17,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270678972
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

ACCUFILL PF BSM 3CC

Facility

$16,650.00

Service Code	HCPCS C1765
Hospital Charge Code	270704260
Hospital Revenue Code	278
Min. Negotiated Rate	$2,497.50
Max. Negotiated Rate	$4,029.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,029.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,663.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,497.50

ACCUFILL PF BSM 3CC

Facility

$16,650.00

Service Code	HCPCS C1765
Hospital Charge Code	270704260
Hospital Revenue Code	278
Min. Negotiated Rate	$401.26
Max. Negotiated Rate	$8,325.00
Rate for Payer: Aetna Commercial	$6,327.00
Rate for Payer: Aetna Medicare Advantage	$4,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,245.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,245.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,245.75
Rate for Payer: Cigna Commercial	$8,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,029.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,663.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,497.50
Rate for Payer: UnitedHealthcare Community & State	$401.26
Rate for Payer: Wellpoint Medicaid Managed Care	$441.23

ACCUFILL PF BSM 3CC

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704078
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

ACCUFILL PF BSM 3CC

Facility

$11,250.00

Service Code	HCPCS C1713
Hospital Charge Code	270704078
Hospital Revenue Code	278
Min. Negotiated Rate	$271.12
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$271.12
Rate for Payer: Wellpoint Medicaid Managed Care	$298.12

ACCUNEB INH 1.25MG

Facility

$6.00

Hospital Charge Code	60635530
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ACCUNEB INH 1.25MG

Facility

$6.00

Hospital Charge Code	60635530
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ACCU-PASS DIRECT CRESENT XL

Facility

$5,025.00

Hospital Charge Code	270682257
Hospital Revenue Code	272
Min. Negotiated Rate	$121.10
Max. Negotiated Rate	$2,512.50
Rate for Payer: Aetna Commercial	$1,909.50
Rate for Payer: Aetna Medicare Advantage	$1,507.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,281.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,281.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,281.38
Rate for Payer: Cigna Commercial	$2,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,507.50
Rate for Payer: Oxford Commercial	$1,005.00
Rate for Payer: Qualcare PPO/HMO/WC	$753.75
Rate for Payer: UnitedHealthcare Commercial	$1,005.00
Rate for Payer: UnitedHealthcare Community & State	$121.10
Rate for Payer: Wellpoint Medicaid Managed Care	$133.16

ACCU-PASS DIRECT CRESENT XL

Facility

$5,025.00

Hospital Charge Code	270682257
Hospital Revenue Code	272
Min. Negotiated Rate	$753.75
Max. Negotiated Rate	$753.75
Rate for Payer: Qualcare PPO/HMO/WC	$753.75

ACCU-PASS STR SHUTTLE 45 DEG U

Facility

$655.20

Hospital Charge Code	270682256
Hospital Revenue Code	272
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.60
Rate for Payer: Aetna Commercial	$248.98
Rate for Payer: Aetna Medicare Advantage	$196.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.08
Rate for Payer: Cigna Commercial	$327.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.56
Rate for Payer: Oxford Commercial	$131.04
Rate for Payer: Qualcare PPO/HMO/WC	$98.28
Rate for Payer: UnitedHealthcare Commercial	$131.04
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

ACCU-PASS STR SHUTTLE 45 DEG U

Facility

$655.20

Hospital Charge Code	270682256
Hospital Revenue Code	272
Min. Negotiated Rate	$98.28
Max. Negotiated Rate	$98.28
Rate for Payer: Qualcare PPO/HMO/WC	$98.28

ACCU-PASS STR SHUTTLE STRAIGHT

Facility

$666.75

Hospital Charge Code	270673677
Hospital Revenue Code	272
Min. Negotiated Rate	$100.01
Max. Negotiated Rate	$100.01
Rate for Payer: Qualcare PPO/HMO/WC	$100.01

ACCU-PASS STR SHUTTLE STRAIGHT

Facility

$666.75

Hospital Charge Code	270673677
Hospital Revenue Code	272
Min. Negotiated Rate	$16.07
Max. Negotiated Rate	$333.38
Rate for Payer: Aetna Commercial	$253.37
Rate for Payer: Aetna Medicare Advantage	$200.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.02
Rate for Payer: Cigna Commercial	$333.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.03
Rate for Payer: Oxford Commercial	$133.35
Rate for Payer: Qualcare PPO/HMO/WC	$100.01
Rate for Payer: UnitedHealthcare Commercial	$133.35
Rate for Payer: UnitedHealthcare Community & State	$16.07
Rate for Payer: Wellpoint Medicaid Managed Care	$17.67

ACCURTHERM

Facility

$10,500.00

Hospital Charge Code	270657279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,575.00
Max. Negotiated Rate	$2,541.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00

ACCURTHERM

Facility

$10,500.00

Hospital Charge Code	270657279
Hospital Revenue Code	278
Min. Negotiated Rate	$253.05
Max. Negotiated Rate	$5,250.00
Rate for Payer: Aetna Commercial	$3,990.00
Rate for Payer: Aetna Medicare Advantage	$3,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,677.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,677.50
Rate for Payer: Cigna Commercial	$5,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,541.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,310.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,575.00
Rate for Payer: UnitedHealthcare Community & State	$253.05
Rate for Payer: Wellpoint Medicaid Managed Care	$278.25

ACCURUS TOTAL PLUS PACK

Facility

$643.00

Hospital Charge Code	270335691
Hospital Revenue Code	272
Min. Negotiated Rate	$15.50
Max. Negotiated Rate	$321.50
Rate for Payer: Aetna Commercial	$244.34
Rate for Payer: Aetna Medicare Advantage	$192.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.97
Rate for Payer: Cigna Commercial	$321.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.90
Rate for Payer: Oxford Commercial	$128.60
Rate for Payer: Qualcare PPO/HMO/WC	$96.45
Rate for Payer: UnitedHealthcare Commercial	$128.60
Rate for Payer: UnitedHealthcare Community & State	$15.50
Rate for Payer: Wellpoint Medicaid Managed Care	$17.04

ACCURUS TOTAL PLUS PACK

Facility

$643.00

Hospital Charge Code	270335691
Hospital Revenue Code	272
Min. Negotiated Rate	$96.45
Max. Negotiated Rate	$96.45
Rate for Payer: Qualcare PPO/HMO/WC	$96.45

ACCUSTICK II INTRODUCER SYSTEM

Facility

$336.70

Hospital Charge Code	2709001642
Hospital Revenue Code	272
Min. Negotiated Rate	$50.51
Max. Negotiated Rate	$50.51
Rate for Payer: Qualcare PPO/HMO/WC	$50.51

Know your out-of-pocket cost for care.

All Charges