Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SPICA THUMB SMALL LEFT

Facility

$73.65

Hospital Charge Code	270653980
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.83
Rate for Payer: Aetna Commercial	$27.99
Rate for Payer: Aetna Medicare Advantage	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.78
Rate for Payer: Cigna Commercial	$36.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.09
Rate for Payer: Oxford Commercial	$14.73
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.73
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

SPICA THUM MED RIGHT

Facility

$73.65

Hospital Charge Code	270653973
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.83
Rate for Payer: Aetna Commercial	$27.99
Rate for Payer: Aetna Medicare Advantage	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.78
Rate for Payer: Cigna Commercial	$36.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.09
Rate for Payer: Oxford Commercial	$14.73
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.73
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

SPICA THUM MED RIGHT

Facility

$73.65

Hospital Charge Code	270653973
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

SPICA THUM SMALL RIGHT

Facility

$73.65

Hospital Charge Code	270653974
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

SPICA THUM SMALL RIGHT

Facility

$73.65

Hospital Charge Code	270653974
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$36.83
Rate for Payer: Aetna Commercial	$27.99
Rate for Payer: Aetna Medicare Advantage	$22.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.78
Rate for Payer: Cigna Commercial	$36.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.09
Rate for Payer: Oxford Commercial	$14.73
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.73
Rate for Payer: UnitedHealthcare Community & State	$1.77
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

SPIDER VEINS LEG-30 MINUTES

Facility

$372.00

Service Code	HCPCS 36468
Hospital Charge Code	75190130
Hospital Revenue Code	510
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$55.80
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

SPIDER VEINS LEG-30 MINUTES

Facility

$372.00

Service Code	HCPCS 36468
Hospital Charge Code	75190130
Hospital Revenue Code	510
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$1,743.30
Rate for Payer: Aetna Commercial	$1,313.62
Rate for Payer: Aetna Medicare Advantage	$1,564.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,743.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$482.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,743.30
Rate for Payer: Cigna Commercial	$968.07
Rate for Payer: Cigna Medicare Advantage	$482.95
Rate for Payer: Clover Medicare Advantage	$458.80
Rate for Payer: EmblemHealth Commercial	$1,448.85
Rate for Payer: Humana Medicare Advantage	$497.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$482.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$482.95
Rate for Payer: Wellcare Medicare Advantage	$482.95
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

SPIDER WRIST ACCESSORY

Facility

$3,865.00

Hospital Charge Code	270688366
Hospital Revenue Code	272
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$579.75
Rate for Payer: Qualcare PPO/HMO/WC	$579.75

SPIDER WRIST ACCESSORY

Facility

$3,865.00

Hospital Charge Code	270688366
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$1,932.50
Rate for Payer: Aetna Commercial	$1,468.70
Rate for Payer: Aetna Medicare Advantage	$1,159.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$985.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$985.58
Rate for Payer: Cigna Commercial	$1,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,159.50
Rate for Payer: Oxford Commercial	$773.00
Rate for Payer: Qualcare PPO/HMO/WC	$579.75
Rate for Payer: UnitedHealthcare Commercial	$773.00
Rate for Payer: UnitedHealthcare Community & State	$93.15
Rate for Payer: Wellpoint Medicaid Managed Care	$102.42

SPI FIL WIRE 6.0M SPD2US060320

Facility

$6,000.00

Hospital Charge Code	270638657
Hospital Revenue Code	272
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

SPI FIL WIRE 6.0M SPD2US060320

Facility

$6,000.00

Hospital Charge Code	270638657
Hospital Revenue Code	272
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) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,800.00
Rate for Payer: Oxford Commercial	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Commercial	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

SPINA LAMINA 1/2 CRVL

Facility

$23,080.70

Service Code	HCPCS 63001
Hospital Charge Code	16001018
Hospital Revenue Code	360
Min. Negotiated Rate	$3,462.11
Max. Negotiated Rate	$3,462.11
Rate for Payer: Qualcare PPO/HMO/WC	$3,462.11

SPINA LAMINA 1/2 CRVL

Facility

$23,080.70

Service Code	HCPCS 63001
Hospital Charge Code	16001018
Hospital Revenue Code	360
Min. Negotiated Rate	$556.24
Max. Negotiated Rate	$31,117.67
Rate for Payer: Aetna Commercial	$23,447.95
Rate for Payer: Aetna Medicare Advantage	$27,930.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,117.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,620.57
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	$31,117.67
Rate for Payer: Cigna Commercial	$17,279.91
Rate for Payer: Cigna Medicare Advantage	$8,620.57
Rate for Payer: Clover Medicare Advantage	$8,189.54
Rate for Payer: EmblemHealth Commercial	$25,861.71
Rate for Payer: Humana Medicare Advantage	$8,879.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,620.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,924.21
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,462.11
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$556.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,620.57
Rate for Payer: Wellcare Medicare Advantage	$8,620.57
Rate for Payer: Wellpoint Medicaid Managed Care	$611.64

SPINAL BLADE 60

Facility

$2,563.85

Hospital Charge Code	270687792
Hospital Revenue Code	272
Min. Negotiated Rate	$61.79
Max. Negotiated Rate	$1,281.92
Rate for Payer: Aetna Commercial	$974.26
Rate for Payer: Aetna Medicare Advantage	$769.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.78
Rate for Payer: Cigna Commercial	$1,281.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$769.15
Rate for Payer: Oxford Commercial	$512.77
Rate for Payer: Qualcare PPO/HMO/WC	$384.58
Rate for Payer: UnitedHealthcare Commercial	$512.77
Rate for Payer: UnitedHealthcare Community & State	$61.79
Rate for Payer: Wellpoint Medicaid Managed Care	$67.94

SPINAL BLADE 60

Facility

$2,563.85

Hospital Charge Code	270687792
Hospital Revenue Code	272
Min. Negotiated Rate	$384.58
Max. Negotiated Rate	$384.58
Rate for Payer: Qualcare PPO/HMO/WC	$384.58

SPINAL CORD STIM GEN IMP VANTA

Facility

$122,085.00

Service Code	HCPCS C1767
Hospital Charge Code	270699096
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$29,544.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,858.70
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL CORD STIM GEN IMP VANTA

Facility

$122,085.00

Service Code	HCPCS C1767
Hospital Charge Code	270699096
Hospital Revenue Code	278
Min. Negotiated Rate	$2,942.25
Max. Negotiated Rate	$61,042.50
Rate for Payer: Aetna Commercial	$46,392.30
Rate for Payer: Aetna Medicare Advantage	$36,625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,131.67
Rate for Payer: Cigna Commercial	$61,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,858.70
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75
Rate for Payer: UnitedHealthcare Community & State	$2,942.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3,235.25

SPINAL CORD STIMULATION IMPLAN

Facility

$122,085.00

Service Code	HCPCS C1889
Hospital Charge Code	270699302
Hospital Revenue Code	278
Min. Negotiated Rate	$18,312.75
Max. Negotiated Rate	$29,544.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,858.70
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75

SPINAL CORD STIMULATION IMPLAN

Facility

$122,085.00

Service Code	HCPCS C1889
Hospital Charge Code	270699302
Hospital Revenue Code	278
Min. Negotiated Rate	$2,942.25
Max. Negotiated Rate	$61,042.50
Rate for Payer: Aetna Commercial	$46,392.30
Rate for Payer: Aetna Medicare Advantage	$36,625.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,131.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,131.67
Rate for Payer: Cigna Commercial	$61,042.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29,544.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26,858.70
Rate for Payer: Qualcare PPO/HMO/WC	$18,312.75
Rate for Payer: UnitedHealthcare Community & State	$2,942.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3,235.25

SPINAL DISK SURGERY ADD-ON

Facility

$29,387.89

Service Code	HCPCS 63035
Hospital Charge Code	16000489
Hospital Revenue Code	360
Min. Negotiated Rate	$4,408.18
Max. Negotiated Rate	$4,408.18
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18

SPINAL DISK SURGERY ADD-ON

Facility

$29,387.89

Service Code	HCPCS 63035
Hospital Charge Code	16000489
Hospital Revenue Code	360
Min. Negotiated Rate	$708.25
Max. Negotiated Rate	$14,693.94
Rate for Payer: Aetna Commercial	$11,167.40
Rate for Payer: Aetna Medicare Advantage	$8,816.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,493.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,493.91
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	$7,493.91
Rate for Payer: Cigna Commercial	$14,693.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,816.37
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,408.18
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$708.25
Rate for Payer: Wellpoint Medicaid Managed Care	$778.78

SPINAL DISORDERS AND INJURIES

Facility

$10,882.67

Service Code	APR-DRG 0401
Min. Negotiated Rate	$10,669.28
Max. Negotiated Rate	$10,882.67
Rate for Payer: UnitedHealthcare Community & State	$10,669.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,882.67
Rate for Payer: Wellpoint Medicaid Managed Care	$10,669.28

SPINAL DISORDERS AND INJURIES

Facility

$15,365.18

Service Code	APR-DRG 0402
Min. Negotiated Rate	$15,063.90
Max. Negotiated Rate	$15,365.18
Rate for Payer: UnitedHealthcare Community & State	$15,063.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,365.18
Rate for Payer: Wellpoint Medicaid Managed Care	$15,063.90

SPINAL DISORDERS AND INJURIES

Facility

$32,009.65

Service Code	APR-DRG 0404
Min. Negotiated Rate	$31,382.01
Max. Negotiated Rate	$32,009.65
Rate for Payer: UnitedHealthcare Community & State	$31,382.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$32,009.65
Rate for Payer: Wellpoint Medicaid Managed Care	$31,382.01

SPINAL DISORDERS AND INJURIES

Facility

$21,564.88

Service Code	APR-DRG 0403
Min. Negotiated Rate	$21,142.04
Max. Negotiated Rate	$21,564.88
Rate for Payer: UnitedHealthcare Community & State	$21,142.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,564.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21,142.04

Know your out-of-pocket cost for care.

All Charges