Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CERVICAL PLATE 2 LEVEL 30MM

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704643
Hospital Revenue Code	278
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

CERVICAL PLATE 2 LEVEL 33MM

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704641
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

CERVICAL PLATE 2 LEVEL 33MM

Facility

$5,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704641
Hospital Revenue Code	278
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

CERVICAL PLATE 4.0 MM

Facility

$11,135.00

Hospital Charge Code	270657249
Hospital Revenue Code	278
Min. Negotiated Rate	$268.35
Max. Negotiated Rate	$5,567.50
Rate for Payer: Aetna Commercial	$4,231.30
Rate for Payer: Aetna Medicare Advantage	$3,340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,839.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,839.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,227.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,839.43
Rate for Payer: Cigna Commercial	$5,567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,694.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,449.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,670.25
Rate for Payer: UnitedHealthcare Community & State	$268.35
Rate for Payer: Wellpoint Medicaid Managed Care	$295.08

CERVICAL PLATE 4.0 MM

Facility

$11,135.00

Hospital Charge Code	270657249
Hospital Revenue Code	278
Min. Negotiated Rate	$1,670.25
Max. Negotiated Rate	$2,694.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,694.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,449.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,670.25

CERVICAL PLATE 42MM

Facility

$11,135.00

Hospital Charge Code	270657252
Hospital Revenue Code	278
Min. Negotiated Rate	$1,670.25
Max. Negotiated Rate	$2,694.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,227.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,694.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,449.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,670.25

CERVICAL PLATE 42MM

Facility

$11,135.00

Hospital Charge Code	270657252
Hospital Revenue Code	278
Min. Negotiated Rate	$268.35
Max. Negotiated Rate	$5,567.50
Rate for Payer: Aetna Commercial	$4,231.30
Rate for Payer: Aetna Medicare Advantage	$3,340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,839.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,839.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,227.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,839.43
Rate for Payer: Cigna Commercial	$5,567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,694.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,449.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,670.25
Rate for Payer: UnitedHealthcare Community & State	$268.35
Rate for Payer: Wellpoint Medicaid Managed Care	$295.08

CERVICAL PLATE 46MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699209
Hospital Revenue Code	278
Min. Negotiated Rate	$2,512.12
Max. Negotiated Rate	$4,052.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,684.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12

CERVICAL PLATE 46MM

Facility

$16,747.50

Service Code	HCPCS C1713
Hospital Charge Code	270699209
Hospital Revenue Code	278
Min. Negotiated Rate	$403.61
Max. Negotiated Rate	$8,373.75
Rate for Payer: Aetna Commercial	$6,364.05
Rate for Payer: Aetna Medicare Advantage	$5,024.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,270.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,349.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,270.61
Rate for Payer: Cigna Commercial	$8,373.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,052.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,684.45
Rate for Payer: Qualcare PPO/HMO/WC	$2,512.12
Rate for Payer: UnitedHealthcare Community & State	$403.61
Rate for Payer: Wellpoint Medicaid Managed Care	$443.81

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,090.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

CERVICAL PLATE 7MM MEDIUM

Facility

$9,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270705434
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,090.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

CERVICAL POROUS TI SPACER 6X14

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270706226
Hospital Revenue Code	278
Min. Negotiated Rate	$189.79
Max. Negotiated Rate	$3,937.50
Rate for Payer: Aetna Commercial	$2,992.50
Rate for Payer: Aetna Medicare Advantage	$2,362.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,008.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,008.12
Rate for Payer: Cigna Commercial	$3,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,732.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25
Rate for Payer: UnitedHealthcare Community & State	$189.79
Rate for Payer: Wellpoint Medicaid Managed Care	$208.69

CERVICAL POROUS TI SPACER 6X14

Facility

$7,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270706226
Hospital Revenue Code	278
Min. Negotiated Rate	$1,181.25
Max. Negotiated Rate	$1,905.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,732.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,181.25

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

CERVICAL SCREW, VARIABLE 4X12M

Facility

$625.00

Service Code	HCPCS C1713
Hospital Charge Code	270704644
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CERVICAL SPINAL FUSION WITH CC

Facility

$97,356.89

Service Code	MSDRG 472
Min. Negotiated Rate	$29,643.92
Max. Negotiated Rate	$97,356.89
Rate for Payer: Aetna Commercial	$67,152.61
Rate for Payer: Aetna Medicare Advantage	$97,356.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68,852.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68,852.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$31,204.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68,852.56
Rate for Payer: Cigna Commercial	$55,133.32
Rate for Payer: Cigna Medicare Advantage	$31,204.13
Rate for Payer: Clover Medicare Advantage	$29,643.92
Rate for Payer: EmblemHealth Commercial	$93,612.39
Rate for Payer: Humana Medicare Advantage	$32,140.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$31,204.13
Rate for Payer: Oxford Commercial	$39,625.04
Rate for Payer: UnitedHealthcare Commercial	$69,483.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$31,204.13
Rate for Payer: Wellcare Medicare Advantage	$31,204.13

CERVICAL SPINAL FUSION WITH MCC

Facility

$158,205.65

Service Code	MSDRG 471
Min. Negotiated Rate	$48,171.59
Max. Negotiated Rate	$158,205.65
Rate for Payer: Aetna Commercial	$108,962.66
Rate for Payer: Aetna Medicare Advantage	$158,205.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114,444.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114,444.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$50,706.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114,444.12
Rate for Payer: Cigna Commercial	$90,364.29
Rate for Payer: Cigna Medicare Advantage	$50,706.94
Rate for Payer: Clover Medicare Advantage	$48,171.59
Rate for Payer: EmblemHealth Commercial	$152,120.82
Rate for Payer: Humana Medicare Advantage	$52,228.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$50,706.94
Rate for Payer: Oxford Commercial	$64,946.01
Rate for Payer: UnitedHealthcare Commercial	$113,884.89
Rate for Payer: UnitedHealthcare Medicare Advantage	$50,706.94
Rate for Payer: Wellcare Medicare Advantage	$50,706.94

CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility

$81,040.91

Service Code	MSDRG 473
Min. Negotiated Rate	$24,675.92
Max. Negotiated Rate	$81,040.91
Rate for Payer: Aetna Commercial	$55,941.68
Rate for Payer: Aetna Medicare Advantage	$81,040.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,222.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,222.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,974.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,222.06
Rate for Payer: Cigna Commercial	$45,686.49
Rate for Payer: Cigna Medicare Advantage	$25,974.65
Rate for Payer: Clover Medicare Advantage	$24,675.92
Rate for Payer: EmblemHealth Commercial	$77,923.95
Rate for Payer: Humana Medicare Advantage	$26,753.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,974.65
Rate for Payer: Oxford Commercial	$32,835.49
Rate for Payer: UnitedHealthcare Commercial	$57,578.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,974.65
Rate for Payer: Wellcare Medicare Advantage	$25,974.65

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE 2-3 VW

Facility

$5,100.00

Service Code	HCPCS 72040
Hospital Charge Code	94061055
Hospital Revenue Code	320
Min. Negotiated Rate	$34.36
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$281.22
Rate for Payer: Aetna Medicare Advantage	$334.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.21
Rate for Payer: Cigna Commercial	$207.24
Rate for Payer: Cigna Medicare Advantage	$72.37
Rate for Payer: Clover Medicare Advantage	$98.22
Rate for Payer: EmblemHealth Commercial	$310.17
Rate for Payer: Humana Medicare Advantage	$106.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$103.39
Rate for Payer: Wellcare Medicare Advantage	$103.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$247.19
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

CERVICAL SPINE 4-5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72050
Hospital Charge Code	94061057
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE 4-5 VIEWS

Facility

$5,100.00

Service Code	HCPCS 72050
Hospital Charge Code	94061057
Hospital Revenue Code	320
Min. Negotiated Rate	$49.64
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$316.08
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

CERVICAL SPINE COMPLET

Facility

$5,100.00

Service Code	HCPCS 72052
Hospital Charge Code	94061059
Hospital Revenue Code	320
Min. Negotiated Rate	$61.10
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$86.94
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,530.00
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$122.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$316.08
Rate for Payer: Wellpoint Medicaid Managed Care	$135.15

CERVICAL SPINE COMPLET

Facility

$5,100.00

Service Code	HCPCS 72052
Hospital Charge Code	94061059
Hospital Revenue Code	320
Min. Negotiated Rate	$765.00
Max. Negotiated Rate	$765.00
Rate for Payer: Qualcare PPO/HMO/WC	$765.00

CERVICAL SPINE TRUSS SYSTEM

Facility

$20,000.00

Hospital Charge Code	270702553
Hospital Revenue Code	278
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$7,600.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00
Rate for Payer: UnitedHealthcare Community & State	$482.00
Rate for Payer: Wellpoint Medicaid Managed Care	$530.00

Know your out-of-pocket cost for care.

All Charges