Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PRECISION SPECTRA

Facility

$102,500.00

Hospital Charge Code	270675554
Hospital Revenue Code	278
Min. Negotiated Rate	$2,470.25
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$38,950.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00
Rate for Payer: UnitedHealthcare Community & State	$2,470.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2,716.25

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$2,914.65
Max. Negotiated Rate	$60,470.00
Rate for Payer: Aetna Commercial	$45,957.20
Rate for Payer: Aetna Medicare Advantage	$36,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,839.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,839.70
Rate for Payer: Cigna Commercial	$60,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,606.80
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00
Rate for Payer: UnitedHealthcare Community & State	$2,914.65
Rate for Payer: Wellpoint Medicaid Managed Care	$3,204.91

GENERATOR PROCLAIM 7 ELITE

Facility

$120,940.00

Service Code	HCPCS C1822
Hospital Charge Code	270677805
Hospital Revenue Code	278
Min. Negotiated Rate	$18,141.00
Max. Negotiated Rate	$29,267.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,267.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,606.80
Rate for Payer: Qualcare PPO/HMO/WC	$18,141.00

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$3,036.00
Max. Negotiated Rate	$62,987.50
Rate for Payer: Aetna Commercial	$47,870.50
Rate for Payer: Aetna Medicare Advantage	$37,792.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,123.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,123.62
Rate for Payer: Cigna Commercial	$62,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27,714.50
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25
Rate for Payer: UnitedHealthcare Community & State	$3,036.00
Rate for Payer: Wellpoint Medicaid Managed Care	$3,338.34

GENERATOR PULSE INTERNAL

Facility

$125,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270683890
Hospital Revenue Code	278
Min. Negotiated Rate	$18,896.25
Max. Negotiated Rate	$30,485.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25,195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30,485.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27,714.50
Rate for Payer: Qualcare PPO/HMO/WC	$18,896.25

GENERATOR PULSE PGRM 292-05

Facility

$12,364.85

Hospital Charge Code	270606424
Hospital Revenue Code	278
Min. Negotiated Rate	$1,854.73
Max. Negotiated Rate	$2,992.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,472.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,992.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,720.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,854.73

GENERATOR PULSE PGRM 292-05

Facility

$12,364.85

Hospital Charge Code	270606424
Hospital Revenue Code	278
Min. Negotiated Rate	$297.99
Max. Negotiated Rate	$6,182.43
Rate for Payer: Aetna Commercial	$4,698.64
Rate for Payer: Aetna Medicare Advantage	$3,709.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,153.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,153.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,472.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,153.04
Rate for Payer: Cigna Commercial	$6,182.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,992.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,720.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,854.73
Rate for Payer: UnitedHealthcare Community & State	$297.99
Rate for Payer: Wellpoint Medicaid Managed Care	$327.67

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$15,375.00
Max. Negotiated Rate	$24,805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00

GENERATOR PULSE WAVE WRITER

Facility

$102,500.00

Hospital Charge Code	270701878
Hospital Revenue Code	278
Min. Negotiated Rate	$2,470.25
Max. Negotiated Rate	$51,250.00
Rate for Payer: Aetna Commercial	$38,950.00
Rate for Payer: Aetna Medicare Advantage	$30,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,137.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,137.50
Rate for Payer: Cigna Commercial	$51,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24,805.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22,550.00
Rate for Payer: Qualcare PPO/HMO/WC	$15,375.00
Rate for Payer: UnitedHealthcare Community & State	$2,470.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2,716.25

GENERATOR SENSIA DR

Facility

$27,200.00

Hospital Charge Code	2709007530
Hospital Revenue Code	272
Min. Negotiated Rate	$4,080.00
Max. Negotiated Rate	$4,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,080.00

GENERATOR SENSIA DR

Facility

$27,200.00

Hospital Charge Code	2709007530
Hospital Revenue Code	272
Min. Negotiated Rate	$655.52
Max. Negotiated Rate	$13,600.00
Rate for Payer: Aetna Commercial	$10,336.00
Rate for Payer: Aetna Medicare Advantage	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,936.00
Rate for Payer: Cigna Commercial	$13,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,160.00
Rate for Payer: Oxford Commercial	$5,440.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,080.00
Rate for Payer: UnitedHealthcare Commercial	$5,440.00
Rate for Payer: UnitedHealthcare Community & State	$655.52
Rate for Payer: Wellpoint Medicaid Managed Care	$720.80

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,346.25
Max. Negotiated Rate	$7,011.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,374.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25

GENERATOR SINGLE CHAMBER RATE

Facility

$28,975.00

Service Code	HCPCS C1820
Hospital Charge Code	270657514
Hospital Revenue Code	278
Min. Negotiated Rate	$698.30
Max. Negotiated Rate	$14,487.50
Rate for Payer: Aetna Commercial	$11,010.50
Rate for Payer: Aetna Medicare Advantage	$8,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,388.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,388.62
Rate for Payer: Cigna Commercial	$14,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,011.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,374.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,346.25
Rate for Payer: UnitedHealthcare Community & State	$698.30
Rate for Payer: Wellpoint Medicaid Managed Care	$767.84

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$3,155.65
Max. Negotiated Rate	$65,470.00
Rate for Payer: Aetna Commercial	$49,757.20
Rate for Payer: Aetna Medicare Advantage	$39,282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,389.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,389.70
Rate for Payer: Cigna Commercial	$65,470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28,806.80
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00
Rate for Payer: UnitedHealthcare Community & State	$3,155.65
Rate for Payer: Wellpoint Medicaid Managed Care	$3,469.91

GENERATOR SPINAL CORD ETERNA

Facility

$130,940.00

Service Code	HCPCS C1820
Hospital Charge Code	270701508
Hospital Revenue Code	278
Min. Negotiated Rate	$19,641.00
Max. Negotiated Rate	$31,687.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26,188.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31,687.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$28,806.80
Rate for Payer: Qualcare PPO/HMO/WC	$19,641.00

GENERATOR SYN IPG-PAIN 7427

Facility

$58,800.85

Hospital Charge Code	270632005
Hospital Revenue Code	278
Min. Negotiated Rate	$1,417.10
Max. Negotiated Rate	$29,400.42
Rate for Payer: Aetna Commercial	$22,344.32
Rate for Payer: Aetna Medicare Advantage	$17,640.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,994.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,994.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,760.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,994.22
Rate for Payer: Cigna Commercial	$29,400.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,229.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,936.19
Rate for Payer: Qualcare PPO/HMO/WC	$8,820.13
Rate for Payer: UnitedHealthcare Community & State	$1,417.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1,558.22

GENERATOR SYN IPG-PAIN 7427

Facility

$58,800.85

Hospital Charge Code	270632005
Hospital Revenue Code	278
Min. Negotiated Rate	$8,820.13
Max. Negotiated Rate	$14,229.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11,760.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,229.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12,936.19
Rate for Payer: Qualcare PPO/HMO/WC	$8,820.13

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

GENESYS 1 LEVEL PLATE

Facility

$6,000.00

Hospital Charge Code	270667750
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

GENETIC EXAMINIATION

Facility

$111.00

Hospital Charge Code	3004168E
Hospital Revenue Code	301
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$42.18
Rate for Payer: Aetna Medicare Advantage	$33.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.30
Rate for Payer: Cigna Commercial	$55.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.94

GENETIC EXAMINIATION

Facility

$111.00

Hospital Charge Code	3004168E
Hospital Revenue Code	301
Min. Negotiated Rate	$16.65
Max. Negotiated Rate	$16.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.65

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$196.59
Max. Negotiated Rate	$196.59
Rate for Payer: Qualcare PPO/HMO/WC	$196.59

GENITAL SURGERY PROCEDURE

Facility

$1,310.60

Service Code	HCPCS 55899
Hospital Charge Code	16000758
Hospital Revenue Code	360
Min. Negotiated Rate	$31.59
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$807.38
Rate for Payer: Aetna Medicare Advantage	$961.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,071.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$296.83
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	$1,071.47
Rate for Payer: Cigna Commercial	$594.98
Rate for Payer: Cigna Medicare Advantage	$296.83
Rate for Payer: Clover Medicare Advantage	$281.99
Rate for Payer: EmblemHealth Commercial	$890.49
Rate for Payer: Humana Medicare Advantage	$305.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$296.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.18
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$196.59
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$31.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$296.83
Rate for Payer: Wellcare Medicare Advantage	$296.83
Rate for Payer: Wellpoint Medicaid Managed Care	$34.73

GENIUS PRP SYSTEM

Facility

$4,000.00

Hospital Charge Code	270679233
Hospital Revenue Code	272
Min. Negotiated Rate	$96.40
Max. Negotiated Rate	$2,000.00
Rate for Payer: Aetna Commercial	$1,520.00
Rate for Payer: Aetna Medicare Advantage	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,020.00
Rate for Payer: Cigna Commercial	$2,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,200.00
Rate for Payer: Oxford Commercial	$800.00
Rate for Payer: Qualcare PPO/HMO/WC	$600.00
Rate for Payer: UnitedHealthcare Commercial	$800.00
Rate for Payer: UnitedHealthcare Community & State	$96.40
Rate for Payer: Wellpoint Medicaid Managed Care	$106.00

Know your out-of-pocket cost for care.

All Charges