Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SPINAL DISORDERS AND INJURIES WITH CC/MCC

Facility

$60,678.29

Service Code	MSDRG 052
Min. Negotiated Rate	$18,475.76
Max. Negotiated Rate	$60,678.29
Rate for Payer: Aetna Medicare Advantage	$60,678.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45,126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45,126.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,448.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45,126.34
Rate for Payer: Cigna Commercial	$33,325.89
Rate for Payer: Cigna Medicare Advantage	$19,448.17
Rate for Payer: Clover Medicare Advantage	$18,475.76
Rate for Payer: EmblemHealth Commercial	$58,344.51
Rate for Payer: Humana Medicare Advantage	$20,031.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,448.17
Rate for Payer: Oxford Commercial	$23,951.76
Rate for Payer: UnitedHealthcare Commercial	$42,000.17
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,448.17
Rate for Payer: Wellcare Medicare Advantage	$19,448.17

SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

Facility

$33,783.45

Service Code	MSDRG 053
Min. Negotiated Rate	$10,286.63
Max. Negotiated Rate	$33,783.45
Rate for Payer: Aetna Medicare Advantage	$33,783.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,795.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,795.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,828.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,795.78
Rate for Payer: Cigna Commercial	$18,324.75
Rate for Payer: Cigna Medicare Advantage	$10,828.03
Rate for Payer: Clover Medicare Advantage	$10,286.63
Rate for Payer: EmblemHealth Commercial	$32,484.09
Rate for Payer: Humana Medicare Advantage	$11,152.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,828.03
Rate for Payer: Oxford Commercial	$13,170.24
Rate for Payer: UnitedHealthcare Commercial	$23,094.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,828.03
Rate for Payer: Wellcare Medicare Advantage	$10,828.03

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	366862270
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	411062270
Hospital Revenue Code	361
Min. Negotiated Rate	$69.02
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.22
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$69.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$75.90

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	411062270
Hospital Revenue Code	361
Min. Negotiated Rate	$429.61
Max. Negotiated Rate	$429.61
Rate for Payer: Qualcare PPO/HMO/WC	$429.61

SPINAL FLUID TAP DIAGNOSTIC

Facility

$2,864.05

Service Code	HCPCS 62270
Hospital Charge Code	366862270
Hospital Revenue Code	361
Min. Negotiated Rate	$69.02
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$859.22
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$429.61
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$69.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$75.90

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$36,172.99

Service Code	APR-DRG 3213
Min. Negotiated Rate	$35,463.72
Max. Negotiated Rate	$36,172.99
Rate for Payer: UnitedHealthcare Community & State	$35,463.72
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,172.99
Rate for Payer: Wellpoint Medicaid Managed Care	$35,463.72

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$22,101.13

Service Code	APR-DRG 3211
Min. Negotiated Rate	$21,667.77
Max. Negotiated Rate	$22,101.13
Rate for Payer: UnitedHealthcare Community & State	$21,667.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,101.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21,667.77

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$26,481.53

Service Code	APR-DRG 3212
Min. Negotiated Rate	$25,962.28
Max. Negotiated Rate	$26,481.53
Rate for Payer: UnitedHealthcare Community & State	$25,962.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,481.53
Rate for Payer: Wellpoint Medicaid Managed Care	$25,962.28

SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES

Facility

$57,953.69

Service Code	APR-DRG 3214
Min. Negotiated Rate	$56,817.34
Max. Negotiated Rate	$57,953.69
Rate for Payer: UnitedHealthcare Community & State	$56,817.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,953.69
Rate for Payer: Wellpoint Medicaid Managed Care	$56,817.34

SPINAL FUSION EXCEPT CERVICAL WITH MCC

Facility

$154,220.43

Service Code	MSDRG 459
Min. Negotiated Rate	$154,220.43
Max. Negotiated Rate	$154,220.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154,220.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154,220.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154,220.43

SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility

$85,135.26

Service Code	MSDRG 460
Min. Negotiated Rate	$85,135.26
Max. Negotiated Rate	$85,135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85,135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85,135.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85,135.26

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility

$194,871.33

Service Code	MSDRG 457
Min. Negotiated Rate	$59,335.82
Max. Negotiated Rate	$194,871.33
Rate for Payer: Aetna Commercial	$134,156.16
Rate for Payer: Aetna Medicare Advantage	$194,871.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141,426.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141,426.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$62,458.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141,426.88
Rate for Payer: Cigna Commercial	$111,593.45
Rate for Payer: Cigna Medicare Advantage	$62,458.76
Rate for Payer: Clover Medicare Advantage	$59,335.82
Rate for Payer: EmblemHealth Commercial	$187,376.28
Rate for Payer: Humana Medicare Advantage	$64,332.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$62,458.76
Rate for Payer: Oxford Commercial	$80,203.70
Rate for Payer: UnitedHealthcare Commercial	$140,639.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$62,458.76
Rate for Payer: Wellcare Medicare Advantage	$62,458.76

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility

$273,745.87

Service Code	MSDRG 456
Min. Negotiated Rate	$83,352.11
Max. Negotiated Rate	$273,745.87
Rate for Payer: Aetna Commercial	$188,351.93
Rate for Payer: Aetna Medicare Advantage	$273,745.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196,090.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196,090.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$87,739.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196,090.23
Rate for Payer: Cigna Commercial	$157,261.23
Rate for Payer: Cigna Medicare Advantage	$87,739.06
Rate for Payer: Clover Medicare Advantage	$83,352.11
Rate for Payer: EmblemHealth Commercial	$263,217.18
Rate for Payer: Humana Medicare Advantage	$90,371.23
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$87,739.06
Rate for Payer: Oxford Commercial	$113,025.73
Rate for Payer: UnitedHealthcare Commercial	$198,194.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$87,739.06
Rate for Payer: Wellcare Medicare Advantage	$87,739.06

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility

$136,999.39

Service Code	MSDRG 458
Min. Negotiated Rate	$41,714.56
Max. Negotiated Rate	$136,999.39
Rate for Payer: Aetna Commercial	$94,391.54
Rate for Payer: Aetna Medicare Advantage	$136,999.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105,372.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105,372.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43,910.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105,372.33
Rate for Payer: Cigna Commercial	$78,086.04
Rate for Payer: Cigna Medicare Advantage	$43,910.06
Rate for Payer: Clover Medicare Advantage	$41,714.56
Rate for Payer: EmblemHealth Commercial	$131,730.18
Rate for Payer: Humana Medicare Advantage	$45,227.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$43,910.06
Rate for Payer: Oxford Commercial	$56,121.47
Rate for Payer: UnitedHealthcare Commercial	$98,410.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$43,910.06
Rate for Payer: Wellcare Medicare Advantage	$43,910.06

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

SPINAL NEEDLE 18GX8 DISP

Facility

$92.00

Hospital Charge Code	270332330
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SPINAL NEEDLE 20G 3-1/2YELLOW

Facility

$15.00

Hospital Charge Code	270332214
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 20G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332331
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

SPINAL NEEDLE 22G 8 DISP.

Facility

$92.00

Hospital Charge Code	270332332
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

SPINAL NEEDLE 22GA X 3-1/2

Facility

$6.64

Hospital Charge Code	270651363
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.32
Rate for Payer: Aetna Commercial	$2.52
Rate for Payer: Aetna Medicare Advantage	$1.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.69
Rate for Payer: Cigna Commercial	$3.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.99
Rate for Payer: Oxford Commercial	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.00
Rate for Payer: UnitedHealthcare Commercial	$1.33
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SPINAL NEEDLE 22GA X 3-1/2

Facility

$6.64

Hospital Charge Code	270651363
Hospital Revenue Code	270
Min. Negotiated Rate	$1.00
Max. Negotiated Rate	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.00

Know your out-of-pocket cost for care.

All Charges