Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INS PICC DEVICE W PORT 5 YRS/>

Facility

$22,851.90

Service Code	HCPCS 36571
Hospital Charge Code	16000736
Hospital Revenue Code	360
Min. Negotiated Rate	$550.73
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$3,751.17
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,855.57
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,427.78
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$550.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$605.58

INS PICC DEVICE W PORT 5 YRS/>

Facility

$22,851.90

Service Code	HCPCS 36571
Hospital Charge Code	16000736
Hospital Revenue Code	360
Min. Negotiated Rate	$3,427.78
Max. Negotiated Rate	$3,427.78
Rate for Payer: Qualcare PPO/HMO/WC	$3,427.78

INSPRA 25MG TAB

Facility

$19.00

Hospital Charge Code	60635556
Hospital Revenue Code	250
Min. Negotiated Rate	$2.85
Max. Negotiated Rate	$2.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.85

INSPRA 25MG TAB

Facility

$19.00

Hospital Charge Code	60635556
Hospital Revenue Code	250
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.50
Rate for Payer: Aetna Commercial	$7.22
Rate for Payer: Aetna Medicare Advantage	$5.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.84
Rate for Payer: Cigna Commercial	$9.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.70
Rate for Payer: Oxford Commercial	$3.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.85
Rate for Payer: UnitedHealthcare Commercial	$3.80
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

INS/RPLC SPI NPG/RCVR POCKET

Facility

$179,437.65

Service Code	HCPCS 63685
Hospital Charge Code	1600000514
Hospital Revenue Code	360
Min. Negotiated Rate	$1,016.00
Max. Negotiated Rate	$132,330.74
Rate for Payer: Aetna Commercial	$99,714.55
Rate for Payer: Aetna Medicare Advantage	$118,777.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132,330.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132,330.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$36,659.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132,330.74
Rate for Payer: Cigna Commercial	$73,484.37
Rate for Payer: Cigna Medicare Advantage	$36,659.76
Rate for Payer: Clover Medicare Advantage	$34,826.77
Rate for Payer: EmblemHealth Commercial	$109,979.28
Rate for Payer: Humana Medicare Advantage	$37,759.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$36,659.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53,831.29
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$26,915.65
Rate for Payer: UnitedHealthcare Commercial	$20,074.00
Rate for Payer: UnitedHealthcare Community & State	$4,324.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$36,659.76
Rate for Payer: Wellcare Medicare Advantage	$36,659.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4,755.10

INS/RPLC SPI NPG/RCVR POCKET

Facility

$179,437.65

Service Code	HCPCS 63685
Hospital Charge Code	1600000514
Hospital Revenue Code	360
Min. Negotiated Rate	$26,915.65
Max. Negotiated Rate	$26,915.65
Rate for Payer: Qualcare PPO/HMO/WC	$26,915.65

INS/RPL PRHP SAC/GASTR NPG/R

Facility

$38,477.00

Service Code	HCPCS 64590
Hospital Charge Code	160000228
Hospital Revenue Code	360
Min. Negotiated Rate	$5,771.55
Max. Negotiated Rate	$5,771.55
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.55

INS/RPL PRHP SAC/GASTR NPG/R

Facility

$38,477.00

Service Code	HCPCS 64590
Hospital Charge Code	160000228
Hospital Revenue Code	360
Min. Negotiated Rate	$927.30
Max. Negotiated Rate	$83,195.82
Rate for Payer: Aetna Commercial	$62,690.15
Rate for Payer: Aetna Medicare Advantage	$74,675.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83,195.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83,195.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,047.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83,195.82
Rate for Payer: Cigna Commercial	$46,199.32
Rate for Payer: Cigna Medicare Advantage	$23,047.85
Rate for Payer: Clover Medicare Advantage	$21,895.46
Rate for Payer: EmblemHealth Commercial	$69,143.55
Rate for Payer: Humana Medicare Advantage	$23,739.29
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,047.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,543.10
Rate for Payer: Oxford Commercial	$11,667.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,771.55
Rate for Payer: UnitedHealthcare Commercial	$20,074.00
Rate for Payer: UnitedHealthcare Community & State	$927.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,047.85
Rate for Payer: Wellcare Medicare Advantage	$23,047.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,019.64

INSRT MDM LINER 22.2/38MM 38D

Facility

$4,465.10

Service Code	HCPCS C1776
Hospital Charge Code	270681299
Hospital Revenue Code	278
Min. Negotiated Rate	$669.76
Max. Negotiated Rate	$1,080.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$893.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$982.32
Rate for Payer: Qualcare PPO/HMO/WC	$669.76

INSRT MDM LINER 22.2/38MM 38D

Facility

$4,465.10

Service Code	HCPCS C1776
Hospital Charge Code	270681299
Hospital Revenue Code	278
Min. Negotiated Rate	$107.61
Max. Negotiated Rate	$2,232.55
Rate for Payer: Aetna Commercial	$1,696.74
Rate for Payer: Aetna Medicare Advantage	$1,339.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,138.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,138.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$893.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,138.60
Rate for Payer: Cigna Commercial	$2,232.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$982.32
Rate for Payer: Qualcare PPO/HMO/WC	$669.76
Rate for Payer: UnitedHealthcare Community & State	$107.61
Rate for Payer: Wellpoint Medicaid Managed Care	$118.33

INSRTR THRD SHAFT STR G7

Facility

$2,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270693276
Hospital Revenue Code	278
Min. Negotiated Rate	$62.66
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$572.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Community & State	$62.66
Rate for Payer: Wellpoint Medicaid Managed Care	$68.90

INSRTR THRD SHAFT STR G7

Facility

$2,600.00

Service Code	HCPCS C1713
Hospital Charge Code	270693276
Hospital Revenue Code	278
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$629.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$629.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$572.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

INSRT SPHERE FLEX LEFT 11MM S4

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270681130
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

INSRT SPHERE FLEX LEFT 11MM S4

Facility

$5,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270681130
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

INSRT SPINE FIXATION DVC POSTR

Facility

$23,774.45

Service Code	HCPCS 22840
Hospital Charge Code	16000360
Hospital Revenue Code	360
Min. Negotiated Rate	$3,566.17
Max. Negotiated Rate	$3,566.17
Rate for Payer: Qualcare PPO/HMO/WC	$3,566.17

INSRT SPINE FIXATION DVC POSTR

Facility

$23,774.45

Service Code	HCPCS 22840
Hospital Charge Code	16000360
Hospital Revenue Code	360
Min. Negotiated Rate	$572.96
Max. Negotiated Rate	$11,887.23
Rate for Payer: Aetna Commercial	$9,034.29
Rate for Payer: Aetna Medicare Advantage	$7,132.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,062.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,062.48
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	$6,062.48
Rate for Payer: Cigna Commercial	$11,887.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,132.34
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,566.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$572.96

INSRT SPINE FXTN DVC4-7SEGMNTS

Facility

$25,282.63

Service Code	HCPCS 22846
Hospital Charge Code	16000808
Hospital Revenue Code	360
Min. Negotiated Rate	$609.31
Max. Negotiated Rate	$14,834.00
Rate for Payer: Aetna Commercial	$9,607.40
Rate for Payer: Aetna Medicare Advantage	$7,584.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,447.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,447.07
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	$6,447.07
Rate for Payer: Cigna Commercial	$12,641.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,584.79
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$609.31

INSRT SPINE FXTN DVC4-7SEGMNTS

Facility

$25,282.63

Service Code	HCPCS 22846
Hospital Charge Code	16000808
Hospital Revenue Code	360
Min. Negotiated Rate	$3,792.39
Max. Negotiated Rate	$3,792.39
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39

INSRT SPN FIXATION DVC7-12SEGS

Facility

$25,282.63

Service Code	HCPCS 22845
Hospital Charge Code	16000375
Hospital Revenue Code	360
Min. Negotiated Rate	$609.31
Max. Negotiated Rate	$14,834.00
Rate for Payer: Aetna Commercial	$9,607.40
Rate for Payer: Aetna Medicare Advantage	$7,584.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,447.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,447.07
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	$6,447.07
Rate for Payer: Cigna Commercial	$12,641.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,584.79
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$609.31

INSRT SPN FIXATION DVC7-12SEGS

Facility

$25,282.63

Service Code	HCPCS 22845
Hospital Charge Code	16000375
Hospital Revenue Code	360
Min. Negotiated Rate	$3,792.39
Max. Negotiated Rate	$3,792.39
Rate for Payer: Qualcare PPO/HMO/WC	$3,792.39

INSRT SPN FXTN DVC 7-12SEGMNTS

Facility

$20,846.25

Service Code	HCPCS 22843
Hospital Charge Code	16000807
Hospital Revenue Code	360
Min. Negotiated Rate	$502.39
Max. Negotiated Rate	$10,423.12
Rate for Payer: Aetna Commercial	$7,921.57
Rate for Payer: Aetna Medicare Advantage	$6,253.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,315.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,315.79
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	$5,315.79
Rate for Payer: Cigna Commercial	$10,423.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,253.88
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,126.94
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$502.39

INSRT SPN FXTN DVC 7-12SEGMNTS

Facility

$20,846.25

Service Code	HCPCS 22843
Hospital Charge Code	16000807
Hospital Revenue Code	360
Min. Negotiated Rate	$3,126.94
Max. Negotiated Rate	$3,126.94
Rate for Payer: Qualcare PPO/HMO/WC	$3,126.94

INSTALLING FAN MOTOR/MOUNTING

Facility

$12,250.00

Hospital Charge Code	270659136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

INSTALLING FAN MOTOR/MOUNTING

Facility

$12,250.00

Hospital Charge Code	270659136
Hospital Revenue Code	278
Min. Negotiated Rate	$295.23
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$295.23
Rate for Payer: Wellpoint Medicaid Managed Care	$324.62

INSTALL STEEL CATWALKS

Facility

$23,500.00

Hospital Charge Code	270647909
Hospital Revenue Code	272
Min. Negotiated Rate	$566.35
Max. Negotiated Rate	$11,750.00
Rate for Payer: Aetna Commercial	$8,930.00
Rate for Payer: Aetna Medicare Advantage	$7,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,992.50
Rate for Payer: Cigna Commercial	$11,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,050.00
Rate for Payer: Oxford Commercial	$4,700.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,525.00
Rate for Payer: UnitedHealthcare Commercial	$4,700.00
Rate for Payer: UnitedHealthcare Community & State	$566.35
Rate for Payer: Wellpoint Medicaid Managed Care	$622.75

Know your out-of-pocket cost for care.

All Charges