Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM 9MM DIA X 0MM TR

Facility

$9,820.00

Hospital Charge Code	270666834
Hospital Revenue Code	278
Min. Negotiated Rate	$236.66
Max. Negotiated Rate	$4,910.00
Rate for Payer: Aetna Commercial	$3,731.60
Rate for Payer: Aetna Medicare Advantage	$2,946.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,504.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,504.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,964.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,504.10
Rate for Payer: Cigna Commercial	$4,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,376.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,160.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,473.00
Rate for Payer: UnitedHealthcare Community & State	$236.66
Rate for Payer: Wellpoint Medicaid Managed Care	$260.23

STEM ACCOLADE 127DEGxSZ7x37MM

Facility

$11,760.95

Service Code	HCPCS C1776
Hospital Charge Code	270681084
Hospital Revenue Code	278
Min. Negotiated Rate	$283.44
Max. Negotiated Rate	$5,880.48
Rate for Payer: Aetna Commercial	$4,469.16
Rate for Payer: Aetna Medicare Advantage	$3,528.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,999.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,999.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,352.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,999.04
Rate for Payer: Cigna Commercial	$5,880.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,846.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,587.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,764.14
Rate for Payer: UnitedHealthcare Community & State	$283.44
Rate for Payer: Wellpoint Medicaid Managed Care	$311.67

STEM ACCOLADE 127DEGxSZ7x37MM

Facility

$11,760.95

Service Code	HCPCS C1776
Hospital Charge Code	270681084
Hospital Revenue Code	278
Min. Negotiated Rate	$1,764.14
Max. Negotiated Rate	$2,846.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,352.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,846.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,587.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,764.14

STEM ACCOLADE II SZ7 132D

Facility

$12,723.60

Service Code	HCPCS C1776
Hospital Charge Code	270700759
Hospital Revenue Code	278
Min. Negotiated Rate	$1,908.54
Max. Negotiated Rate	$3,079.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,544.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,079.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,799.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,908.54

STEM ACCOLADE II SZ7 132D

Facility

$12,723.60

Service Code	HCPCS C1776
Hospital Charge Code	270700759
Hospital Revenue Code	278
Min. Negotiated Rate	$306.64
Max. Negotiated Rate	$6,361.80
Rate for Payer: Aetna Commercial	$4,834.97
Rate for Payer: Aetna Medicare Advantage	$3,817.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,244.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,244.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,544.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,244.52
Rate for Payer: Cigna Commercial	$6,361.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,079.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,799.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,908.54
Rate for Payer: UnitedHealthcare Community & State	$306.64
Rate for Payer: Wellpoint Medicaid Managed Care	$337.18

STEM ACTIS COLLAR

Facility

$14,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270694116
Hospital Revenue Code	278
Min. Negotiated Rate	$2,137.50
Max. Negotiated Rate	$3,448.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,448.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,135.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,137.50

STEM ACTIS COLLAR

Facility

$14,250.00

Service Code	HCPCS C1776
Hospital Charge Code	270694116
Hospital Revenue Code	278
Min. Negotiated Rate	$343.43
Max. Negotiated Rate	$7,125.00
Rate for Payer: Aetna Commercial	$5,415.00
Rate for Payer: Aetna Medicare Advantage	$4,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,633.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,633.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,633.75
Rate for Payer: Cigna Commercial	$7,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,448.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,135.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,137.50
Rate for Payer: UnitedHealthcare Community & State	$343.43
Rate for Payer: Wellpoint Medicaid Managed Care	$377.62

STEM ADAPTER 5 DEG OPTETRAK

Facility

$1,284.00

Service Code	HCPCS C1776
Hospital Charge Code	270679525
Hospital Revenue Code	278
Min. Negotiated Rate	$30.94
Max. Negotiated Rate	$642.00
Rate for Payer: Aetna Commercial	$487.92
Rate for Payer: Aetna Medicare Advantage	$385.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.42
Rate for Payer: Cigna Commercial	$642.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.48
Rate for Payer: Qualcare PPO/HMO/WC	$192.60
Rate for Payer: UnitedHealthcare Community & State	$30.94
Rate for Payer: Wellpoint Medicaid Managed Care	$34.03

STEM ADAPTER 5 DEG OPTETRAK

Facility

$1,284.00

Service Code	HCPCS C1776
Hospital Charge Code	270679525
Hospital Revenue Code	278
Min. Negotiated Rate	$192.60
Max. Negotiated Rate	$310.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.48
Rate for Payer: Qualcare PPO/HMO/WC	$192.60

STEM AMI P LATERAL SZ4

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692573
Hospital Revenue Code	278
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

STEM AMI P LATERAL SZ4

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692573
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STEM AMISTEM C LAT SZ 6

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692927
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STEM AMISTEM C LAT SZ 6

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270692927
Hospital Revenue Code	278
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

STEM AMISTEM-H HA SIZE 4

Facility

$12,240.00

Service Code	HCPCS C1776
Hospital Charge Code	270678721
Hospital Revenue Code	278
Min. Negotiated Rate	$294.98
Max. Negotiated Rate	$6,120.00
Rate for Payer: Aetna Commercial	$4,651.20
Rate for Payer: Aetna Medicare Advantage	$3,672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,121.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,121.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,448.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,121.20
Rate for Payer: Cigna Commercial	$6,120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,962.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,692.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,836.00
Rate for Payer: UnitedHealthcare Community & State	$294.98
Rate for Payer: Wellpoint Medicaid Managed Care	$324.36

STEM AMISTEM-H HA SIZE 4

Facility

$12,240.00

Service Code	HCPCS C1776
Hospital Charge Code	270678721
Hospital Revenue Code	278
Min. Negotiated Rate	$1,836.00
Max. Negotiated Rate	$2,962.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,448.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,962.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,692.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,836.00

STEM AMISTEM P STD SZ 7

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270694394
Hospital Revenue Code	278
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,936.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

STEM AMISTEM P STD SZ 7

Facility

$8,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270694394
Hospital Revenue Code	278
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,936.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,760.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

STEM AML MMA FEM 10.5 MM

Facility

$14,000.00

Hospital Charge Code	270657393
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM AML MMA FEM 10.5 MM

Facility

$14,000.00

Hospital Charge Code	270657393
Hospital Revenue Code	278
Min. Negotiated Rate	$337.40
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$337.40
Rate for Payer: Wellpoint Medicaid Managed Care	$371.00

STEM AML MMA FEM 13.5 MM

Facility

$14,775.00

Hospital Charge Code	270657395
Hospital Revenue Code	278
Min. Negotiated Rate	$356.08
Max. Negotiated Rate	$7,387.50
Rate for Payer: Aetna Commercial	$5,614.50
Rate for Payer: Aetna Medicare Advantage	$4,432.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,767.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,955.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,767.62
Rate for Payer: Cigna Commercial	$7,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,575.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,250.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,216.25
Rate for Payer: UnitedHealthcare Community & State	$356.08
Rate for Payer: Wellpoint Medicaid Managed Care	$391.54

STEM AML MMA FEM 13.5 MM

Facility

$14,775.00

Hospital Charge Code	270657395
Hospital Revenue Code	278
Min. Negotiated Rate	$2,216.25
Max. Negotiated Rate	$3,575.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,955.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,575.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,250.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,216.25

STEM AML MMA FEM 15.0 MM

Facility

$14,000.00

Hospital Charge Code	270657396
Hospital Revenue Code	278
Min. Negotiated Rate	$337.40
Max. Negotiated Rate	$7,000.00
Rate for Payer: Aetna Commercial	$5,320.00
Rate for Payer: Aetna Medicare Advantage	$4,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,570.00
Rate for Payer: Cigna Commercial	$7,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00
Rate for Payer: UnitedHealthcare Community & State	$337.40
Rate for Payer: Wellpoint Medicaid Managed Care	$371.00

STEM AML MMA FEM 15.0 MM

Facility

$14,000.00

Hospital Charge Code	270657396
Hospital Revenue Code	278
Min. Negotiated Rate	$2,100.00
Max. Negotiated Rate	$3,388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,388.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,080.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,100.00

STEM ARCOS SPL TPR 14X150MM

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270694538
Hospital Revenue Code	278
Min. Negotiated Rate	$2,799.00
Max. Negotiated Rate	$4,515.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,105.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00

STEM ARCOS SPL TPR 14X150MM

Facility

$18,660.00

Service Code	HCPCS C1776
Hospital Charge Code	270694538
Hospital Revenue Code	278
Min. Negotiated Rate	$449.71
Max. Negotiated Rate	$9,330.00
Rate for Payer: Aetna Commercial	$7,090.80
Rate for Payer: Aetna Medicare Advantage	$5,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,758.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,758.30
Rate for Payer: Cigna Commercial	$9,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,515.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,105.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,799.00
Rate for Payer: UnitedHealthcare Community & State	$449.71
Rate for Payer: Wellpoint Medicaid Managed Care	$494.49

Know your out-of-pocket cost for care.

All Charges