Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

CAST PADDING WEBRIL STER 6

Facility

$11.54

Hospital Charge Code	270649180
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.77
Rate for Payer: Aetna Commercial	$4.39
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

CAST SHORT LEG APPLICATION OF

Facility

$374.45

Hospital Charge Code	4000063
Hospital Revenue Code	270
Min. Negotiated Rate	$9.02
Max. Negotiated Rate	$187.22
Rate for Payer: Aetna Commercial	$142.29
Rate for Payer: Aetna Medicare Advantage	$112.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.48
Rate for Payer: Cigna Commercial	$187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.33
Rate for Payer: Oxford Commercial	$74.89
Rate for Payer: Qualcare PPO/HMO/WC	$56.17
Rate for Payer: UnitedHealthcare Commercial	$74.89
Rate for Payer: UnitedHealthcare Community & State	$9.02
Rate for Payer: Wellpoint Medicaid Managed Care	$9.92

CAST SHORT LEG APPLICATION OF

Facility

$374.45

Hospital Charge Code	4000063
Hospital Revenue Code	270
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$56.17
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

CAST WALKER LG

Facility

$63.35

Hospital Charge Code	270649591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$31.68
Rate for Payer: Aetna Commercial	$24.07
Rate for Payer: Aetna Medicare Advantage	$19.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.15
Rate for Payer: Cigna Commercial	$31.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.00
Rate for Payer: Oxford Commercial	$12.67
Rate for Payer: Qualcare PPO/HMO/WC	$9.50
Rate for Payer: UnitedHealthcare Commercial	$12.67
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CAST WALKER LG

Facility

$63.35

Hospital Charge Code	270649591
Hospital Revenue Code	272
Min. Negotiated Rate	$9.50
Max. Negotiated Rate	$9.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.50

CAST WALKER MED

Facility

$65.25

Hospital Charge Code	270649592
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$32.62
Rate for Payer: Aetna Commercial	$24.80
Rate for Payer: Aetna Medicare Advantage	$19.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.64
Rate for Payer: Cigna Commercial	$32.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.57
Rate for Payer: Oxford Commercial	$13.05
Rate for Payer: Qualcare PPO/HMO/WC	$9.79
Rate for Payer: UnitedHealthcare Commercial	$13.05
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

CAST WALKER MED

Facility

$65.25

Hospital Charge Code	270649592
Hospital Revenue Code	272
Min. Negotiated Rate	$9.79
Max. Negotiated Rate	$9.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.79

CATARACT EYE KIT

Facility

$129.00

Hospital Charge Code	270338741
Hospital Revenue Code	272
Min. Negotiated Rate	$19.35
Max. Negotiated Rate	$19.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.35

CATARACT EYE KIT

Facility

$129.00

Hospital Charge Code	270338741
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.50
Rate for Payer: Aetna Commercial	$49.02
Rate for Payer: Aetna Medicare Advantage	$38.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.90
Rate for Payer: Cigna Commercial	$64.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.70
Rate for Payer: Oxford Commercial	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.35
Rate for Payer: UnitedHealthcare Commercial	$25.80
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

CATARACT PATIENT CARE KIT

Facility

$20.00

Hospital Charge Code	270655878
Hospital Revenue Code	270
Min. Negotiated Rate	$3.00
Max. Negotiated Rate	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00

CATARACT PATIENT CARE KIT

Facility

$20.00

Hospital Charge Code	270655878
Hospital Revenue Code	270
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$10.00
Rate for Payer: Aetna Commercial	$7.60
Rate for Payer: Aetna Medicare Advantage	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.10
Rate for Payer: Cigna Commercial	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.00
Rate for Payer: Oxford Commercial	$4.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.00
Rate for Payer: UnitedHealthcare Commercial	$4.00
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

CATECHOLAMINE,FRAC/TOT,PL

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900328
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINE,FRAC/TOT,PL

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900328
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CATECHOLAMINE,FRAC W/O CR

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900057
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CATECHOLAMINE,FRAC W/O CR

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	39900057
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINES;BLOOD

Facility

$177.45

Service Code	HCPCS 82383
Hospital Charge Code	38477178
Hospital Revenue Code	301
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$79.10
Rate for Payer: Aetna Medicare Advantage	$94.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.97
Rate for Payer: Cigna Commercial	$88.72
Rate for Payer: Cigna Medicare Advantage	$29.08
Rate for Payer: Clover Medicare Advantage	$27.63
Rate for Payer: EmblemHealth Commercial	$87.24
Rate for Payer: Humana Medicare Advantage	$29.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.62
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.08
Rate for Payer: Wellcare Medicare Advantage	$29.08
Rate for Payer: Wellpoint Medicaid Managed Care	$4.70

CATECHOLAMINES;BLOOD

Facility

$177.45

Service Code	HCPCS 82383
Hospital Charge Code	38477178
Hospital Revenue Code	301
Min. Negotiated Rate	$26.62
Max. Negotiated Rate	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.62

CATECHOLAMINES FRACTIONATED

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	401182384
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATECHOLAMINES FRACTIONATED

Facility

$390.00

Service Code	HCPCS 82384
Hospital Charge Code	401182384
Hospital Revenue Code	306
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
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	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CATECHOLAMINES FRACTIONATED,PL

Facility

$338.00

Service Code	HCPCS 82384
Hospital Charge Code	38472173
Hospital Revenue Code	301
Min. Negotiated Rate	$8.96
Max. Negotiated Rate	$169.00
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$169.00
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.70
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$8.96

CATECHOLAMINES FRACTIONATED,PL

Facility

$338.00

Service Code	HCPCS 82384
Hospital Charge Code	38472173
Hospital Revenue Code	301
Min. Negotiated Rate	$50.70
Max. Negotiated Rate	$50.70
Rate for Payer: Qualcare PPO/HMO/WC	$50.70

CATECHOLAMINES,FRACTION URINE

Facility

$332.85

Service Code	HCPCS 82384
Hospital Charge Code	3030922
Hospital Revenue Code	301
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$166.43
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

CATECHOLAMINES,FRACTION URINE

Facility

$332.85

Service Code	HCPCS 82384
Hospital Charge Code	3030922
Hospital Revenue Code	301
Min. Negotiated Rate	$49.93
Max. Negotiated Rate	$49.93
Rate for Payer: Qualcare PPO/HMO/WC	$49.93

CATECHOLAMINES, FRACT (PLASMA)

Facility

$332.85

Service Code	HCPCS 82384
Hospital Charge Code	3006137
Hospital Revenue Code	301
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$166.43
Rate for Payer: Aetna Commercial	$68.68
Rate for Payer: Aetna Medicare Advantage	$81.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.14
Rate for Payer: Cigna Commercial	$166.43
Rate for Payer: Cigna Medicare Advantage	$25.25
Rate for Payer: Clover Medicare Advantage	$23.99
Rate for Payer: EmblemHealth Commercial	$75.75
Rate for Payer: Humana Medicare Advantage	$26.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.86
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.93
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.25
Rate for Payer: Wellcare Medicare Advantage	$25.25
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

Know your out-of-pocket cost for care.

All Charges