Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SPEECH THERAPY SESSION DBL****

Facility

$65.00

Service Code	HCPCS 92507GN
Hospital Charge Code	9000324
Hospital Revenue Code	449
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.50
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

SPEEDAKIN RAP COMP IMP 9MMX9MM

Facility

$9,370.00

Hospital Charge Code	270702792
Hospital Revenue Code	278
Min. Negotiated Rate	$225.82
Max. Negotiated Rate	$4,685.00
Rate for Payer: Aetna Commercial	$3,560.60
Rate for Payer: Aetna Medicare Advantage	$2,811.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,389.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,389.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,874.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,389.35
Rate for Payer: Cigna Commercial	$4,685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,267.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,061.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,405.50
Rate for Payer: UnitedHealthcare Community & State	$225.82
Rate for Payer: Wellpoint Medicaid Managed Care	$248.31

SPEEDAKIN RAP COMP IMP 9MMX9MM

Facility

$9,370.00

Hospital Charge Code	270702792
Hospital Revenue Code	278
Min. Negotiated Rate	$1,405.50
Max. Negotiated Rate	$2,267.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,874.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,267.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,061.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,405.50

SPEEDBAND MCV 6500

Facility

$3,064.85

Hospital Charge Code	270603918
Hospital Revenue Code	270
Min. Negotiated Rate	$73.86
Max. Negotiated Rate	$1,532.42
Rate for Payer: Aetna Commercial	$1,164.64
Rate for Payer: Aetna Medicare Advantage	$919.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$781.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$781.54
Rate for Payer: Cigna Commercial	$1,532.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$919.46
Rate for Payer: Oxford Commercial	$612.97
Rate for Payer: Qualcare PPO/HMO/WC	$459.73
Rate for Payer: UnitedHealthcare Commercial	$612.97
Rate for Payer: UnitedHealthcare Community & State	$73.86
Rate for Payer: Wellpoint Medicaid Managed Care	$81.22

SPEEDBAND MCV 6500

Facility

$3,064.85

Hospital Charge Code	270603918
Hospital Revenue Code	270
Min. Negotiated Rate	$459.73
Max. Negotiated Rate	$459.73
Rate for Payer: Qualcare PPO/HMO/WC	$459.73

SPEEDBRG IMP SYS W/BIO

Facility

$1,910.00

Hospital Charge Code	270687030
Hospital Revenue Code	272
Min. Negotiated Rate	$46.03
Max. Negotiated Rate	$955.00
Rate for Payer: Aetna Commercial	$725.80
Rate for Payer: Aetna Medicare Advantage	$573.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$487.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$487.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$487.05
Rate for Payer: Cigna Commercial	$955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$573.00
Rate for Payer: Oxford Commercial	$382.00
Rate for Payer: Qualcare PPO/HMO/WC	$286.50
Rate for Payer: UnitedHealthcare Commercial	$382.00
Rate for Payer: UnitedHealthcare Community & State	$46.03
Rate for Payer: Wellpoint Medicaid Managed Care	$50.62

SPEEDBRG IMP SYS W/BIO

Facility

$1,910.00

Hospital Charge Code	270687030
Hospital Revenue Code	272
Min. Negotiated Rate	$286.50
Max. Negotiated Rate	$286.50
Rate for Payer: Qualcare PPO/HMO/WC	$286.50

SPEEDBRIDGE, ACHILLES

Facility

$14,160.00

Hospital Charge Code	270701993
Hospital Revenue Code	278
Min. Negotiated Rate	$2,124.00
Max. Negotiated Rate	$3,426.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,115.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00

SPEEDBRIDGE, ACHILLES

Facility

$14,160.00

Hospital Charge Code	270701993
Hospital Revenue Code	278
Min. Negotiated Rate	$341.26
Max. Negotiated Rate	$7,080.00
Rate for Payer: Aetna Commercial	$5,380.80
Rate for Payer: Aetna Medicare Advantage	$4,248.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,610.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,832.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,610.80
Rate for Payer: Cigna Commercial	$7,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,426.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,115.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,124.00
Rate for Payer: UnitedHealthcare Community & State	$341.26
Rate for Payer: Wellpoint Medicaid Managed Care	$375.24

SPEEDBRIDGE IMP SYS 4.75/5.5MM

Facility

$9,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270699520
Hospital Revenue Code	278
Min. Negotiated Rate	$230.16
Max. Negotiated Rate	$4,775.00
Rate for Payer: Aetna Commercial	$3,629.00
Rate for Payer: Aetna Medicare Advantage	$2,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,435.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,435.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,435.25
Rate for Payer: Cigna Commercial	$4,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,311.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.50
Rate for Payer: UnitedHealthcare Community & State	$230.16
Rate for Payer: Wellpoint Medicaid Managed Care	$253.07

SPEEDBRIDGE IMP SYS 4.75/5.5MM

Facility

$9,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270699520
Hospital Revenue Code	278
Min. Negotiated Rate	$1,432.50
Max. Negotiated Rate	$2,311.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,311.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,432.50

SPEEDBRIDGE W/BIOCOMP SWLCK SP

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270677723
Hospital Revenue Code	278
Min. Negotiated Rate	$214.49
Max. Negotiated Rate	$4,450.00
Rate for Payer: Aetna Commercial	$3,382.00
Rate for Payer: Aetna Medicare Advantage	$2,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,269.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,269.50
Rate for Payer: Cigna Commercial	$4,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00
Rate for Payer: UnitedHealthcare Community & State	$214.49
Rate for Payer: Wellpoint Medicaid Managed Care	$235.85

SPEEDBRIDGE W/BIOCOMP SWLCK SP

Facility

$8,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270677723
Hospital Revenue Code	278
Min. Negotiated Rate	$1,335.00
Max. Negotiated Rate	$2,153.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,153.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,958.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,335.00

SPEEDBRIDGE W/BIOCOMP SWLOCL

Facility

$8,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270688426
Hospital Revenue Code	278
Min. Negotiated Rate	$1,305.00
Max. Negotiated Rate	$2,105.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,105.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,914.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,305.00

SPEEDBRIDGE W/BIOCOMP SWLOCL

Facility

$8,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270688426
Hospital Revenue Code	278
Min. Negotiated Rate	$209.67
Max. Negotiated Rate	$4,350.00
Rate for Payer: Aetna Commercial	$3,306.00
Rate for Payer: Aetna Medicare Advantage	$2,610.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,218.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,740.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,218.50
Rate for Payer: Cigna Commercial	$4,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,105.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,914.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,305.00
Rate for Payer: UnitedHealthcare Community & State	$209.67
Rate for Payer: Wellpoint Medicaid Managed Care	$230.55

SPEEDBRIDGE W/BIO SWIVELOCK

Facility

$11,430.00

Service Code	HCPCS C1776
Hospital Charge Code	270681385
Hospital Revenue Code	278
Min. Negotiated Rate	$275.46
Max. Negotiated Rate	$5,715.00
Rate for Payer: Aetna Commercial	$4,343.40
Rate for Payer: Aetna Medicare Advantage	$3,429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,914.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,914.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,914.65
Rate for Payer: Cigna Commercial	$5,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,514.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.50
Rate for Payer: UnitedHealthcare Community & State	$275.46
Rate for Payer: Wellpoint Medicaid Managed Care	$302.89

SPEEDBRIDGE W/BIO SWIVELOCK

Facility

$11,430.00

Service Code	HCPCS C1776
Hospital Charge Code	270681385
Hospital Revenue Code	278
Min. Negotiated Rate	$1,714.50
Max. Negotiated Rate	$2,766.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,514.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,714.50

SPEED COMPRESS IMPLANT SIZING

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	270659685
Hospital Revenue Code	278
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$43.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

SPEED COMPRESS IMPLANT SIZING

Facility

$180.00

Service Code	HCPCS C1713
Hospital Charge Code	270659685
Hospital Revenue Code	278
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$39.60
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

SPEEDGRAFT

Facility

$11,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673596
Hospital Revenue Code	278
Min. Negotiated Rate	$1,743.75
Max. Negotiated Rate	$2,813.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,813.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,557.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,743.75

SPEEDGRAFT

Facility

$11,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270673596
Hospital Revenue Code	278
Min. Negotiated Rate	$280.16
Max. Negotiated Rate	$5,812.50
Rate for Payer: Aetna Commercial	$4,417.50
Rate for Payer: Aetna Medicare Advantage	$3,487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,964.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,964.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,325.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,964.38
Rate for Payer: Cigna Commercial	$5,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,813.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,557.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,743.75
Rate for Payer: UnitedHealthcare Community & State	$280.16
Rate for Payer: Wellpoint Medicaid Managed Care	$308.06

SPEEDGUIDE VARIAX T8 2.4 2.7MM

Facility

$2,999.70

Service Code	HCPCS C1713
Hospital Charge Code	270700522
Hospital Revenue Code	272
Min. Negotiated Rate	$72.29
Max. Negotiated Rate	$1,499.85
Rate for Payer: Aetna Commercial	$1,139.89
Rate for Payer: Aetna Medicare Advantage	$899.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.92
Rate for Payer: Cigna Commercial	$1,499.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$899.91
Rate for Payer: Oxford Commercial	$599.94
Rate for Payer: Qualcare PPO/HMO/WC	$449.95
Rate for Payer: UnitedHealthcare Commercial	$599.94
Rate for Payer: UnitedHealthcare Community & State	$72.29
Rate for Payer: Wellpoint Medicaid Managed Care	$79.49

SPEEDGUIDE VARIAX T8 2.4 2.7MM

Facility

$2,999.70

Service Code	HCPCS C1713
Hospital Charge Code	270700522
Hospital Revenue Code	272
Min. Negotiated Rate	$449.95
Max. Negotiated Rate	$449.95
Rate for Payer: Qualcare PPO/HMO/WC	$449.95

SPEED IMPLANT 11x08x08mm

Facility

$3,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270684799
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$943.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$858.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

SPEED IMPLANT 11x08x08mm

Facility

$3,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270684799
Hospital Revenue Code	278
Min. Negotiated Rate	$93.99
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,482.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$858.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00
Rate for Payer: UnitedHealthcare Community & State	$93.99
Rate for Payer: Wellpoint Medicaid Managed Care	$103.35

Know your out-of-pocket cost for care.

All Charges