Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SPRAY TIP GPS APPLICATOR

Facility

$162.50

Hospital Charge Code	270637656
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$81.25
Rate for Payer: Aetna Commercial	$61.75
Rate for Payer: Aetna Medicare Advantage	$48.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.44
Rate for Payer: Cigna Commercial	$81.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.75
Rate for Payer: Oxford Commercial	$32.50
Rate for Payer: Qualcare PPO/HMO/WC	$24.38
Rate for Payer: UnitedHealthcare Commercial	$32.50
Rate for Payer: UnitedHealthcare Community & State	$3.92
Rate for Payer: Wellpoint Medicaid Managed Care	$4.31

SPRING GUIDE 35/150/FC/TF/3J

Facility

$81.00

Hospital Charge Code	270332044
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

SPRING GUIDE 35/150/FC/TF/3J

Facility

$81.00

Hospital Charge Code	270332044
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

SPRING LOADED NUT

Facility

$211.50

Hospital Charge Code	270656305
Hospital Revenue Code	272
Min. Negotiated Rate	$31.73
Max. Negotiated Rate	$31.73
Rate for Payer: Qualcare PPO/HMO/WC	$31.73

SPRING LOADED NUT

Facility

$211.50

Hospital Charge Code	270656305
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$105.75
Rate for Payer: Aetna Commercial	$80.37
Rate for Payer: Aetna Medicare Advantage	$63.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.93
Rate for Payer: Cigna Commercial	$105.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.45
Rate for Payer: Oxford Commercial	$42.30
Rate for Payer: Qualcare PPO/HMO/WC	$31.73
Rate for Payer: UnitedHealthcare Commercial	$42.30
Rate for Payer: UnitedHealthcare Community & State	$5.10
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

SPRINT ENDURA PNS SYSTEM

Facility

$29,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703514
Hospital Revenue Code	278
Min. Negotiated Rate	$698.90
Max. Negotiated Rate	$14,500.00
Rate for Payer: Aetna Commercial	$11,020.00
Rate for Payer: Aetna Medicare Advantage	$8,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,395.00
Rate for Payer: Cigna Commercial	$14,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,018.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,380.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.00
Rate for Payer: UnitedHealthcare Community & State	$698.90
Rate for Payer: Wellpoint Medicaid Managed Care	$768.50

SPRINT ENDURA PNS SYSTEM

Facility

$29,000.00

Service Code	HCPCS C1778
Hospital Charge Code	270703514
Hospital Revenue Code	278
Min. Negotiated Rate	$4,350.00
Max. Negotiated Rate	$7,018.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,018.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,380.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,350.00

SPROTTE SPINAL NEEDLE 22GA

Facility

$157.00

Hospital Charge Code	270332536
Hospital Revenue Code	272
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

SPROTTE SPINAL NEEDLE 22GA

Facility

$157.00

Hospital Charge Code	270332536
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$78.50
Rate for Payer: Aetna Commercial	$59.66
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.10
Rate for Payer: Oxford Commercial	$31.40
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$31.40
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.16

SPR SHEETH XL 10F LRGE DIAMTER

Facility

$512.05

Hospital Charge Code	270662666
Hospital Revenue Code	270
Min. Negotiated Rate	$12.34
Max. Negotiated Rate	$256.02
Rate for Payer: Aetna Commercial	$194.58
Rate for Payer: Aetna Medicare Advantage	$153.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.57
Rate for Payer: Cigna Commercial	$256.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.62
Rate for Payer: Oxford Commercial	$102.41
Rate for Payer: Qualcare PPO/HMO/WC	$76.81
Rate for Payer: UnitedHealthcare Commercial	$102.41
Rate for Payer: UnitedHealthcare Community & State	$12.34
Rate for Payer: Wellpoint Medicaid Managed Care	$13.57

SPR SHEETH XL 10F LRGE DIAMTER

Facility

$512.05

Hospital Charge Code	270662666
Hospital Revenue Code	270
Min. Negotiated Rate	$76.81
Max. Negotiated Rate	$76.81
Rate for Payer: Qualcare PPO/HMO/WC	$76.81

SP SPEECH APHASIA EVALUATION

Facility

$6,800.00

Service Code	HCPCS 96105
Hospital Charge Code	9001021
Hospital Revenue Code	918
Min. Negotiated Rate	$1,020.00
Max. Negotiated Rate	$1,020.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00

SP SPEECH APHASIA EVALUATION

Facility

$6,800.00

Service Code	HCPCS 96105
Hospital Charge Code	9001021
Hospital Revenue Code	918
Min. Negotiated Rate	$69.70
Max. Negotiated Rate	$3,400.00
Rate for Payer: Aetna Commercial	$2,584.00
Rate for Payer: Aetna Medicare Advantage	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,734.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,734.00
Rate for Payer: Cigna Commercial	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,040.00
Rate for Payer: Oxford Commercial	$1,757.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.00
Rate for Payer: UnitedHealthcare Commercial	$3,081.00
Rate for Payer: UnitedHealthcare Community & State	$163.88
Rate for Payer: Wellpoint Medicaid Managed Care	$180.20

SP SPEECH EVALUATION

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	9000308
Hospital Revenue Code	444
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SP SPEECH EVALUATION

Facility

$2,400.00

Service Code	HCPCS 92523GN
Hospital Charge Code	9000308
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SP SPEECH TX INDIVIDUAL

Facility

$167.25

Service Code	HCPCS 92507GN
Hospital Charge Code	9000316
Hospital Revenue Code	440
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$63.55
Rate for Payer: Aetna Medicare Advantage	$50.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.65
Rate for Payer: Cigna Commercial	$83.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.17
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$4.03
Rate for Payer: Wellpoint Medicaid Managed Care	$4.43

SP SPEECH TX INDIVIDUAL

Facility

$167.25

Service Code	HCPCS 92507GN
Hospital Charge Code	9000316
Hospital Revenue Code	440
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

SP SWALLOWING FUNCTION EVAL

Facility

$2,400.00

Service Code	HCPCS 92610GN
Hospital Charge Code	9000456
Hospital Revenue Code	444
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

SP SWALLOWING FUNCTION EVAL

Facility

$2,400.00

Service Code	HCPCS 92610GN
Hospital Charge Code	9000456
Hospital Revenue Code	444
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

SP TX OF SWALLOWNG DYSFUNCTION

Facility

$244.85

Service Code	HCPCS 92526GN
Hospital Charge Code	9000480
Hospital Revenue Code	440
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$93.04
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.45
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

SP TX OF SWALLOWNG DYSFUNCTION

Facility

$244.85

Service Code	HCPCS 92526GN
Hospital Charge Code	9000480
Hospital Revenue Code	440
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$36.73
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

SPUTUM AFB CULT SMEAR

Facility

$152.00

Service Code	HCPCS 87206
Hospital Charge Code	38479502
Hospital Revenue Code	309
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SPUTUM AFB CULT SMEAR

Facility

$152.00

Service Code	HCPCS 87206
Hospital Charge Code	38479502
Hospital Revenue Code	309
Min. Negotiated Rate	$4.03
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.66
Rate for Payer: Aetna Medicare Advantage	$17.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.46
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: Cigna Medicare Advantage	$5.39
Rate for Payer: Clover Medicare Advantage	$5.12
Rate for Payer: EmblemHealth Commercial	$16.17
Rate for Payer: Humana Medicare Advantage	$5.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.39
Rate for Payer: Wellcare Medicare Advantage	$5.39
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

SPUTUM CYTOLOGY

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	3005349
Hospital Revenue Code	311
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SPUTUM CYTOLOGY

Facility

$425.00

Service Code	HCPCS 88104
Hospital Charge Code	3005349
Hospital Revenue Code	311
Min. Negotiated Rate	$11.26
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.16
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.50
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$61.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

Know your out-of-pocket cost for care.

All Charges