Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VACUUM BARRON TREPHINE 8.25MM

Facility

$445.00

Hospital Charge Code	270669687
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$222.50
Rate for Payer: Aetna Commercial	$169.10
Rate for Payer: Aetna Medicare Advantage	$133.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.47
Rate for Payer: Cigna Commercial	$222.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.50
Rate for Payer: Oxford Commercial	$89.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.75
Rate for Payer: UnitedHealthcare Commercial	$89.00
Rate for Payer: UnitedHealthcare Community & State	$10.72
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

VACUUM BARRON TREPHINE 8.25MM

Facility

$445.00

Hospital Charge Code	270669687
Hospital Revenue Code	272
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$66.75
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

VACUUM BARRON TREPHINE 8.5MM

Facility

$370.00

Hospital Charge Code	270600213
Hospital Revenue Code	272
Min. Negotiated Rate	$8.92
Max. Negotiated Rate	$185.00
Rate for Payer: Aetna Commercial	$140.60
Rate for Payer: Aetna Medicare Advantage	$111.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.35
Rate for Payer: Cigna Commercial	$185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.00
Rate for Payer: Oxford Commercial	$74.00
Rate for Payer: Qualcare PPO/HMO/WC	$55.50
Rate for Payer: UnitedHealthcare Commercial	$74.00
Rate for Payer: UnitedHealthcare Community & State	$8.92
Rate for Payer: Wellpoint Medicaid Managed Care	$9.80

VACUUM BARRON TREPHINE 8.5MM

Facility

$370.00

Hospital Charge Code	270600213
Hospital Revenue Code	272
Min. Negotiated Rate	$55.50
Max. Negotiated Rate	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$55.50

VACUUM BARRON TREPHINE 9.0MM

Facility

$445.00

Hospital Charge Code	270669686
Hospital Revenue Code	272
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$222.50
Rate for Payer: Aetna Commercial	$169.10
Rate for Payer: Aetna Medicare Advantage	$133.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.47
Rate for Payer: Cigna Commercial	$222.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.50
Rate for Payer: Oxford Commercial	$89.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.75
Rate for Payer: UnitedHealthcare Commercial	$89.00
Rate for Payer: UnitedHealthcare Community & State	$10.72
Rate for Payer: Wellpoint Medicaid Managed Care	$11.79

VACUUM BARRON TREPHINE 9.0MM

Facility

$445.00

Hospital Charge Code	270669686
Hospital Revenue Code	272
Min. Negotiated Rate	$66.75
Max. Negotiated Rate	$66.75
Rate for Payer: Qualcare PPO/HMO/WC	$66.75

VACUUM CEMENT MIXING SYSTEM

Facility

$616.90

Hospital Charge Code	270656066
Hospital Revenue Code	270
Min. Negotiated Rate	$14.87
Max. Negotiated Rate	$308.45
Rate for Payer: Aetna Commercial	$234.42
Rate for Payer: Aetna Medicare Advantage	$185.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.31
Rate for Payer: Cigna Commercial	$308.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.07
Rate for Payer: Oxford Commercial	$123.38
Rate for Payer: Qualcare PPO/HMO/WC	$92.53
Rate for Payer: UnitedHealthcare Commercial	$123.38
Rate for Payer: UnitedHealthcare Community & State	$14.87
Rate for Payer: Wellpoint Medicaid Managed Care	$16.35

VACUUM CEMENT MIXING SYSTEM

Facility

$616.90

Hospital Charge Code	270656066
Hospital Revenue Code	270
Min. Negotiated Rate	$92.53
Max. Negotiated Rate	$92.53
Rate for Payer: Qualcare PPO/HMO/WC	$92.53

VAG DELIVERY

Facility

$10,100.00

Hospital Charge Code	73190161
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

VAG DELIVERY

Facility

$10,100.00

Hospital Charge Code	73190161
Hospital Revenue Code	720
Min. Negotiated Rate	$243.41
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,030.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$243.41
Rate for Payer: Wellpoint Medicaid Managed Care	$267.65

VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

Facility

$58,280.01

Service Code	MSDRG 746
Min. Negotiated Rate	$17,745.52
Max. Negotiated Rate	$58,280.01
Rate for Payer: Aetna Commercial	$40,302.33
Rate for Payer: Aetna Medicare Advantage	$58,280.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39,078.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39,078.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,679.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39,078.48
Rate for Payer: Cigna Commercial	$32,508.09
Rate for Payer: Cigna Medicare Advantage	$18,679.49
Rate for Payer: Clover Medicare Advantage	$17,745.52
Rate for Payer: EmblemHealth Commercial	$56,038.47
Rate for Payer: Humana Medicare Advantage	$19,239.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,679.49
Rate for Payer: Oxford Commercial	$23,363.99
Rate for Payer: UnitedHealthcare Commercial	$40,969.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,679.49
Rate for Payer: Wellcare Medicare Advantage	$18,679.49

VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

Facility

$29,920.99

Service Code	MSDRG 747
Min. Negotiated Rate	$9,110.56
Max. Negotiated Rate	$29,920.99
Rate for Payer: Aetna Commercial	$20,816.43
Rate for Payer: Aetna Medicare Advantage	$29,920.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,702.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,590.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,702.29
Rate for Payer: Cigna Commercial	$15,710.40
Rate for Payer: Cigna Medicare Advantage	$9,590.06
Rate for Payer: Clover Medicare Advantage	$9,110.56
Rate for Payer: EmblemHealth Commercial	$28,770.18
Rate for Payer: Humana Medicare Advantage	$9,877.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,590.06
Rate for Payer: Oxford Commercial	$11,291.27
Rate for Payer: UnitedHealthcare Commercial	$19,799.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,590.06
Rate for Payer: Wellcare Medicare Advantage	$9,590.06

VAGINAL DEL AFTER C SECTION

Facility

$4,127.00

Service Code	HCPCS 59614
Hospital Charge Code	73190049
Hospital Revenue Code	720
Min. Negotiated Rate	$99.46
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$1,568.26
Rate for Payer: Aetna Medicare Advantage	$1,238.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,052.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,052.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$852.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,052.38
Rate for Payer: Cigna Commercial	$2,063.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,238.10
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$619.05
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$99.46
Rate for Payer: Wellpoint Medicaid Managed Care	$109.37

VAGINAL DEL AFTER C SECTION

Facility

$4,127.00

Service Code	HCPCS 59614
Hospital Charge Code	73190049
Hospital Revenue Code	720
Min. Negotiated Rate	$619.05
Max. Negotiated Rate	$619.05
Rate for Payer: Qualcare PPO/HMO/WC	$619.05

VAGINAL DELIVERY

Facility

$10,977.18

Service Code	APR-DRG 5604
Min. Negotiated Rate	$10,761.94
Max. Negotiated Rate	$10,977.18
Rate for Payer: UnitedHealthcare Community & State	$10,761.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,977.18
Rate for Payer: Wellpoint Medicaid Managed Care	$10,761.94

VAGINAL DELIVERY

Facility

$6,506.11

Service Code	APR-DRG 5603
Min. Negotiated Rate	$6,378.54
Max. Negotiated Rate	$6,506.11
Rate for Payer: UnitedHealthcare Community & State	$6,378.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,506.11
Rate for Payer: Wellpoint Medicaid Managed Care	$6,378.54

VAGINAL DELIVERY

Facility

$4,983.02

Service Code	APR-DRG 5602
Min. Negotiated Rate	$4,885.31
Max. Negotiated Rate	$4,983.02
Rate for Payer: UnitedHealthcare Community & State	$4,885.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,983.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4,885.31

VAGINAL DELIVERY

Facility

$4,361.20

Service Code	APR-DRG 5601
Min. Negotiated Rate	$4,275.69
Max. Negotiated Rate	$4,361.20
Rate for Payer: UnitedHealthcare Community & State	$4,275.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,361.20
Rate for Payer: Wellpoint Medicaid Managed Care	$4,275.69

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$24,529.40

Service Code	APR-DRG 5424
Min. Negotiated Rate	$24,048.43
Max. Negotiated Rate	$24,529.40
Rate for Payer: UnitedHealthcare Community & State	$24,048.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,529.40
Rate for Payer: Wellpoint Medicaid Managed Care	$24,048.43

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$5,732.42

Service Code	APR-DRG 5422
Min. Negotiated Rate	$5,620.02
Max. Negotiated Rate	$5,732.42
Rate for Payer: UnitedHealthcare Community & State	$5,620.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,732.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5,620.02

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$8,514.35

Service Code	APR-DRG 5423
Min. Negotiated Rate	$8,347.40
Max. Negotiated Rate	$8,514.35
Rate for Payer: UnitedHealthcare Community & State	$8,347.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,514.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8,347.40

VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C

Facility

$5,040.46

Service Code	APR-DRG 5421
Min. Negotiated Rate	$4,941.63
Max. Negotiated Rate	$5,040.46
Rate for Payer: UnitedHealthcare Community & State	$4,941.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,040.46
Rate for Payer: Wellpoint Medicaid Managed Care	$4,941.63

VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility

$36,769.95

Service Code	MSDRG 768
Min. Negotiated Rate	$3,246.00
Max. Negotiated Rate	$36,769.95
Rate for Payer: Aetna Commercial	$25,522.46
Rate for Payer: Aetna Medicare Advantage	$36,769.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,785.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,378.42
Rate for Payer: Cigna Commercial	$20,053.92
Rate for Payer: Cigna Medicare Advantage	$11,785.24
Rate for Payer: Clover Medicare Advantage	$11,195.98
Rate for Payer: EmblemHealth Commercial	$35,355.72
Rate for Payer: Humana Medicare Advantage	$12,138.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,785.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,246.00
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,785.24
Rate for Payer: Wellcare Medicare Advantage	$11,785.24

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility

$26,545.00

Service Code	MSDRG 806
Min. Negotiated Rate	$8,070.32
Max. Negotiated Rate	$26,545.00
Rate for Payer: Aetna Commercial	$18,469.03
Rate for Payer: Aetna Medicare Advantage	$26,504.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,445.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,445.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,495.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,445.75
Rate for Payer: Cigna Commercial	$14,110.36
Rate for Payer: Cigna Medicare Advantage	$8,495.07
Rate for Payer: Clover Medicare Advantage	$8,070.32
Rate for Payer: EmblemHealth Commercial	$25,485.21
Rate for Payer: Humana Medicare Advantage	$8,749.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,495.07
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,495.07
Rate for Payer: Wellcare Medicare Advantage	$8,495.07

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility

$37,015.62

Service Code	MSDRG 805
Min. Negotiated Rate	$11,270.78
Max. Negotiated Rate	$37,015.62
Rate for Payer: Aetna Commercial	$25,691.27
Rate for Payer: Aetna Medicare Advantage	$37,015.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,863.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,493.61
Rate for Payer: Cigna Commercial	$20,196.15
Rate for Payer: Cigna Medicare Advantage	$11,863.98
Rate for Payer: Clover Medicare Advantage	$11,270.78
Rate for Payer: EmblemHealth Commercial	$35,591.94
Rate for Payer: Humana Medicare Advantage	$12,219.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,863.98
Rate for Payer: Oxford Commercial	$15,138.00
Rate for Payer: UnitedHealthcare Commercial	$26,545.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,863.98
Rate for Payer: Wellcare Medicare Advantage	$11,863.98

Know your out-of-pocket cost for care.

All Charges