Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$3,302.25
Max. Negotiated Rate	$5,327.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,843.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25

VERSYS EPOCH,14MM STD BODY

Facility

$22,015.00

Hospital Charge Code	270666711
Hospital Revenue Code	278
Min. Negotiated Rate	$530.56
Max. Negotiated Rate	$11,007.50
Rate for Payer: Aetna Commercial	$8,365.70
Rate for Payer: Aetna Medicare Advantage	$6,604.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,613.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,403.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,613.82
Rate for Payer: Cigna Commercial	$11,007.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,327.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,843.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,302.25
Rate for Payer: UnitedHealthcare Community & State	$530.56
Rate for Payer: Wellpoint Medicaid Managed Care	$583.40

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$2,392.28
Max. Negotiated Rate	$2,392.28
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28

VERSYSFMTAPER15X140STDBODYNECK

Facility

$15,948.55

Hospital Charge Code	270662350
Hospital Revenue Code	272
Min. Negotiated Rate	$384.36
Max. Negotiated Rate	$7,974.27
Rate for Payer: Aetna Commercial	$6,060.45
Rate for Payer: Aetna Medicare Advantage	$4,784.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,066.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,066.88
Rate for Payer: Cigna Commercial	$7,974.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,784.56
Rate for Payer: Oxford Commercial	$3,189.71
Rate for Payer: Qualcare PPO/HMO/WC	$2,392.28
Rate for Payer: UnitedHealthcare Commercial	$3,189.71
Rate for Payer: UnitedHealthcare Community & State	$384.36
Rate for Payer: Wellpoint Medicaid Managed Care	$422.64

VERSYS HIP SYSTEM FEMORAL HEAD

Facility

$2,721.90

Hospital Charge Code	270657130
Hospital Revenue Code	278
Min. Negotiated Rate	$65.60
Max. Negotiated Rate	$1,360.95
Rate for Payer: Aetna Commercial	$1,034.32
Rate for Payer: Aetna Medicare Advantage	$816.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.08
Rate for Payer: Cigna Commercial	$1,360.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$598.82
Rate for Payer: Qualcare PPO/HMO/WC	$408.29
Rate for Payer: UnitedHealthcare Community & State	$65.60
Rate for Payer: Wellpoint Medicaid Managed Care	$72.13

VERSYS HIP SYSTEM FEMORAL HEAD

Facility

$2,721.90

Hospital Charge Code	270657130
Hospital Revenue Code	278
Min. Negotiated Rate	$408.29
Max. Negotiated Rate	$658.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$658.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$598.82
Rate for Payer: Qualcare PPO/HMO/WC	$408.29

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$99.41
Max. Negotiated Rate	$2,062.50
Rate for Payer: Aetna Commercial	$1,567.50
Rate for Payer: Aetna Medicare Advantage	$1,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,051.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,051.88
Rate for Payer: Cigna Commercial	$2,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$618.75
Rate for Payer: UnitedHealthcare Community & State	$99.41
Rate for Payer: Wellpoint Medicaid Managed Care	$109.31

VERTAPLEX

Facility

$4,125.00

Service Code	HCPCS C1713
Hospital Charge Code	270692053
Hospital Revenue Code	278
Min. Negotiated Rate	$618.75
Max. Negotiated Rate	$998.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$998.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$907.50
Rate for Payer: Qualcare PPO/HMO/WC	$618.75

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$14,077.03

Service Code	APR-DRG 3101
Min. Negotiated Rate	$13,801.01
Max. Negotiated Rate	$14,077.03
Rate for Payer: UnitedHealthcare Community & State	$13,801.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,077.03
Rate for Payer: Wellpoint Medicaid Managed Care	$13,801.01

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$25,733.39

Service Code	APR-DRG 3103
Min. Negotiated Rate	$25,228.81
Max. Negotiated Rate	$25,733.39
Rate for Payer: UnitedHealthcare Community & State	$25,228.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,733.39
Rate for Payer: Wellpoint Medicaid Managed Care	$25,228.81

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$47,903.40

Service Code	APR-DRG 3104
Min. Negotiated Rate	$46,964.12
Max. Negotiated Rate	$47,903.40
Rate for Payer: UnitedHealthcare Community & State	$46,964.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,903.40
Rate for Payer: Wellpoint Medicaid Managed Care	$46,964.12

VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES

Facility

$18,794.47

Service Code	APR-DRG 3102
Min. Negotiated Rate	$18,425.95
Max. Negotiated Rate	$18,794.47
Rate for Payer: UnitedHealthcare Community & State	$18,425.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,794.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18,425.95

VERTEBRAL INTRACRANIAL-LT

Facility

$5,226.00

Hospital Charge Code	2009265
Hospital Revenue Code	323
Min. Negotiated Rate	$125.95
Max. Negotiated Rate	$2,613.00
Rate for Payer: Aetna Commercial	$1,985.88
Rate for Payer: Aetna Medicare Advantage	$1,567.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.63
Rate for Payer: Cigna Commercial	$2,613.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.80
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.90
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$125.95
Rate for Payer: Wellpoint Medicaid Managed Care	$138.49

VERTEBRAL INTRACRANIAL-LT

Facility

$5,226.00

Hospital Charge Code	2009265
Hospital Revenue Code	323
Min. Negotiated Rate	$783.90
Max. Negotiated Rate	$783.90
Rate for Payer: Qualcare PPO/HMO/WC	$783.90

VERTEBRAL INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2009280
Hospital Revenue Code	323
Min. Negotiated Rate	$82.69
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,303.78
Rate for Payer: Aetna Medicare Advantage	$1,029.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$874.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$874.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$874.90
Rate for Payer: Cigna Commercial	$1,715.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,029.30
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$514.65
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$82.69
Rate for Payer: Wellpoint Medicaid Managed Care	$90.92

VERTEBRAL INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2009280
Hospital Revenue Code	323
Min. Negotiated Rate	$514.65
Max. Negotiated Rate	$514.65
Rate for Payer: Qualcare PPO/HMO/WC	$514.65

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$2,983.84
Max. Negotiated Rate	$2,983.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84

VERTEBR CORPCTMY,CERV SGL SEGT

Facility

$19,892.30

Service Code	HCPCS 63081
Hospital Charge Code	16001029
Hospital Revenue Code	360
Min. Negotiated Rate	$479.40
Max. Negotiated Rate	$14,834.00
Rate for Payer: Aetna Commercial	$7,559.07
Rate for Payer: Aetna Medicare Advantage	$5,967.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,072.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,072.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,072.54
Rate for Payer: Cigna Commercial	$9,946.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,967.69
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,983.84
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$479.40
Rate for Payer: Wellpoint Medicaid Managed Care	$527.15

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$1,250.57
Max. Negotiated Rate	$1,250.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	7411354
Hospital Revenue Code	320
Min. Negotiated Rate	$200.93
Max. Negotiated Rate	$4,168.57
Rate for Payer: Aetna Commercial	$3,168.12
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,118.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$4,168.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,501.14
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$200.93
Rate for Payer: Wellpoint Medicaid Managed Care	$220.93

VERTEBROPLASTY ADDL INJECT

Facility

$8,337.15

Service Code	HCPCS 22512
Hospital Charge Code	5701105
Hospital Revenue Code	320
Min. Negotiated Rate	$200.93
Max. Negotiated Rate	$4,168.57
Rate for Payer: Aetna Commercial	$3,168.12
Rate for Payer: Aetna Medicare Advantage	$2,501.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,118.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,125.97
Rate for Payer: Cigna Commercial	$4,168.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,501.14
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,250.57
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$200.93
Rate for Payer: Wellpoint Medicaid Managed Care	$220.93

VERTICAL BANDED GASTROPLASTY

Facility

$112,126.91

Service Code	HCPCS 43842
Hospital Charge Code	1600181
Hospital Revenue Code	361
Min. Negotiated Rate	$16,819.04
Max. Negotiated Rate	$16,819.04
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04

VERTICAL BANDED GASTROPLASTY

Facility

$112,126.91

Service Code	HCPCS 43842
Hospital Charge Code	1600181
Hospital Revenue Code	361
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$56,063.46
Rate for Payer: Aetna Commercial	$42,608.23
Rate for Payer: Aetna Medicare Advantage	$33,638.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,592.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,592.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,592.36
Rate for Payer: Cigna Commercial	$56,063.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33,638.07
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,819.04
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,702.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2,971.36

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$7,891.35

Service Code	APR-DRG 1112
Min. Negotiated Rate	$7,736.62
Max. Negotiated Rate	$7,891.35
Rate for Payer: UnitedHealthcare Community & State	$7,736.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,891.35
Rate for Payer: Wellpoint Medicaid Managed Care	$7,736.62

Know your out-of-pocket cost for care.

All Charges