Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STIMULATOR

Facility

$6,950.00

Hospital Charge Code	270657323
Hospital Revenue Code	278
Min. Negotiated Rate	$167.50
Max. Negotiated Rate	$3,475.00
Rate for Payer: Aetna Commercial	$2,641.00
Rate for Payer: Aetna Medicare Advantage	$2,085.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,772.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,772.25
Rate for Payer: Cigna Commercial	$3,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50
Rate for Payer: UnitedHealthcare Community & State	$167.50
Rate for Payer: Wellpoint Medicaid Managed Care	$184.18

STIMULATOR

Facility

$6,950.00

Hospital Charge Code	270657323
Hospital Revenue Code	278
Min. Negotiated Rate	$1,042.50
Max. Negotiated Rate	$1,681.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,681.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,529.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,042.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21,725.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
Hospital Revenue Code	278
Min. Negotiated Rate	$14,812.50
Max. Negotiated Rate	$23,897.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21,725.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,379.88
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$37,525.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21,725.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50
Rate for Payer: UnitedHealthcare Community & State	$2,379.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2,616.88

STIMULATOR BATTERY SURESCAN

Facility

$98,750.00

Service Code	HCPCS C1820
Hospital Charge Code	270682037
Hospital Revenue Code	278
Min. Negotiated Rate	$2,379.88
Max. Negotiated Rate	$49,375.00
Rate for Payer: Aetna Commercial	$37,525.00
Rate for Payer: Aetna Medicare Advantage	$29,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,181.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,181.25
Rate for Payer: Cigna Commercial	$49,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23,897.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21,725.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,812.50
Rate for Payer: UnitedHealthcare Community & State	$2,379.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2,616.88

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$2,938.80
Max. Negotiated Rate	$2,938.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80

STIMULATOR B G EBI BHS2001

Facility

$19,592.00

Hospital Charge Code	270635999
Hospital Revenue Code	272
Min. Negotiated Rate	$472.17
Max. Negotiated Rate	$9,796.00
Rate for Payer: Aetna Commercial	$7,444.96
Rate for Payer: Aetna Medicare Advantage	$5,877.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,995.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,995.96
Rate for Payer: Cigna Commercial	$9,796.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,877.60
Rate for Payer: Oxford Commercial	$3,918.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,938.80
Rate for Payer: UnitedHealthcare Commercial	$3,918.40
Rate for Payer: UnitedHealthcare Community & State	$472.17
Rate for Payer: Wellpoint Medicaid Managed Care	$519.19

STIMULATOR BONE 3303

Facility

$14,975.00

Hospital Charge Code	270647215
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

STIMULATOR BONE 3303

Facility

$14,975.00

Hospital Charge Code	270647215
Hospital Revenue Code	272
Min. Negotiated Rate	$360.90
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$5,690.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,492.50
Rate for Payer: Oxford Commercial	$2,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Commercial	$2,995.00
Rate for Payer: UnitedHealthcare Community & State	$360.90
Rate for Payer: Wellpoint Medicaid Managed Care	$396.84

STIMULATOR BONE EXTERNAL

Facility

$14,975.00

Hospital Charge Code	270647911
Hospital Revenue Code	272
Min. Negotiated Rate	$360.90
Max. Negotiated Rate	$7,487.50
Rate for Payer: Aetna Commercial	$5,690.50
Rate for Payer: Aetna Medicare Advantage	$4,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,818.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,818.62
Rate for Payer: Cigna Commercial	$7,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,492.50
Rate for Payer: Oxford Commercial	$2,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25
Rate for Payer: UnitedHealthcare Commercial	$2,995.00
Rate for Payer: UnitedHealthcare Community & State	$360.90
Rate for Payer: Wellpoint Medicaid Managed Care	$396.84

STIMULATOR BONE EXTERNAL

Facility

$14,975.00

Hospital Charge Code	270647911
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$355.48
Max. Negotiated Rate	$7,375.00
Rate for Payer: Aetna Commercial	$5,605.00
Rate for Payer: Aetna Medicare Advantage	$4,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,761.25
Rate for Payer: Cigna Commercial	$7,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,245.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50
Rate for Payer: UnitedHealthcare Community & State	$355.48
Rate for Payer: Wellpoint Medicaid Managed Care	$390.88

STIMULATOR BONE GROWTH

Facility

$14,750.00

Service Code	HCPCS E0749
Hospital Charge Code	270678589
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$3,569.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,245.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

STIMULATOR BONE GRW 20S 101320

Facility

$27,400.00

Hospital Charge Code	270637786
Hospital Revenue Code	272
Min. Negotiated Rate	$660.34
Max. Negotiated Rate	$13,700.00
Rate for Payer: Aetna Commercial	$10,412.00
Rate for Payer: Aetna Medicare Advantage	$8,220.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,987.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,987.00
Rate for Payer: Cigna Commercial	$13,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,220.00
Rate for Payer: Oxford Commercial	$5,480.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,110.00
Rate for Payer: UnitedHealthcare Commercial	$5,480.00
Rate for Payer: UnitedHealthcare Community & State	$660.34
Rate for Payer: Wellpoint Medicaid Managed Care	$726.10

STIMULATOR BONE GRW 20S 101320

Facility

$27,400.00

Hospital Charge Code	270637786
Hospital Revenue Code	272
Min. Negotiated Rate	$4,110.00
Max. Negotiated Rate	$4,110.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,110.00

STIMULATOR NERVE STIMUPLEX

Facility

$4,908.85

Hospital Charge Code	270645499
Hospital Revenue Code	272
Min. Negotiated Rate	$118.30
Max. Negotiated Rate	$2,454.43
Rate for Payer: Aetna Commercial	$1,865.36
Rate for Payer: Aetna Medicare Advantage	$1,472.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,251.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,251.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,251.76
Rate for Payer: Cigna Commercial	$2,454.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,472.65
Rate for Payer: Oxford Commercial	$981.77
Rate for Payer: Qualcare PPO/HMO/WC	$736.33
Rate for Payer: UnitedHealthcare Commercial	$981.77
Rate for Payer: UnitedHealthcare Community & State	$118.30
Rate for Payer: Wellpoint Medicaid Managed Care	$130.08

STIMULATOR NERVE STIMUPLEX

Facility

$4,908.85

Hospital Charge Code	270645499
Hospital Revenue Code	272
Min. Negotiated Rate	$736.33
Max. Negotiated Rate	$736.33
Rate for Payer: Qualcare PPO/HMO/WC	$736.33

STIMULATOR OSTEOGEN 10-1325M

Facility

$25,172.00

Hospital Charge Code	270619641
Hospital Revenue Code	272
Min. Negotiated Rate	$606.65
Max. Negotiated Rate	$12,586.00
Rate for Payer: Aetna Commercial	$9,565.36
Rate for Payer: Aetna Medicare Advantage	$7,551.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,418.86
Rate for Payer: Cigna Commercial	$12,586.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,551.60
Rate for Payer: Oxford Commercial	$5,034.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,775.80
Rate for Payer: UnitedHealthcare Commercial	$5,034.40
Rate for Payer: UnitedHealthcare Community & State	$606.65
Rate for Payer: Wellpoint Medicaid Managed Care	$667.06

STIMULATOR OSTEOGEN 10-1325M

Facility

$25,172.00

Hospital Charge Code	270619641
Hospital Revenue Code	272
Min. Negotiated Rate	$3,775.80
Max. Negotiated Rate	$3,775.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,775.80

STIMULATOR OSTGEN IMPL 101340M

Facility

$24,552.00

Hospital Charge Code	270631342
Hospital Revenue Code	272
Min. Negotiated Rate	$3,682.80
Max. Negotiated Rate	$3,682.80
Rate for Payer: Qualcare PPO/HMO/WC	$3,682.80

STIMULATOR OSTGEN IMPL 101340M

Facility

$24,552.00

Hospital Charge Code	270631342
Hospital Revenue Code	272
Min. Negotiated Rate	$591.70
Max. Negotiated Rate	$12,276.00
Rate for Payer: Aetna Commercial	$9,329.76
Rate for Payer: Aetna Medicare Advantage	$7,365.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,260.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,260.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,260.76
Rate for Payer: Cigna Commercial	$12,276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,365.60
Rate for Payer: Oxford Commercial	$4,910.40
Rate for Payer: Qualcare PPO/HMO/WC	$3,682.80
Rate for Payer: UnitedHealthcare Commercial	$4,910.40
Rate for Payer: UnitedHealthcare Community & State	$591.70
Rate for Payer: Wellpoint Medicaid Managed Care	$650.63

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$41.33
Rate for Payer: Qualcare PPO/HMO/WC	$41.33

STIMULATOR PULSTRONII NERVE

Facility

$275.50

Hospital Charge Code	270660318
Hospital Revenue Code	270
Min. Negotiated Rate	$6.64
Max. Negotiated Rate	$137.75
Rate for Payer: Aetna Commercial	$104.69
Rate for Payer: Aetna Medicare Advantage	$82.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.25
Rate for Payer: Cigna Commercial	$137.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.65
Rate for Payer: Oxford Commercial	$55.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.33
Rate for Payer: UnitedHealthcare Commercial	$55.10
Rate for Payer: UnitedHealthcare Community & State	$6.64
Rate for Payer: Wellpoint Medicaid Managed Care	$7.30

STIMULATOR SPINAL

Facility

$38,430.00

Service Code	HCPCS C1767
Hospital Charge Code	270665833
Hospital Revenue Code	278
Min. Negotiated Rate	$926.16
Max. Negotiated Rate	$19,215.00
Rate for Payer: Aetna Commercial	$14,603.40
Rate for Payer: Aetna Medicare Advantage	$11,529.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,799.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,686.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,799.65
Rate for Payer: Cigna Commercial	$19,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,300.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,454.60
Rate for Payer: Qualcare PPO/HMO/WC	$5,764.50
Rate for Payer: UnitedHealthcare Community & State	$926.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1,018.39

Know your out-of-pocket cost for care.

All Charges