Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$6,882.73

Service Code	APR-DRG 1111
Min. Negotiated Rate	$6,747.77
Max. Negotiated Rate	$6,882.73
Rate for Payer: UnitedHealthcare Community & State	$6,747.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,882.73
Rate for Payer: Wellpoint Medicaid Managed Care	$6,747.77

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$19,877.08

Service Code	APR-DRG 1114
Min. Negotiated Rate	$19,487.33
Max. Negotiated Rate	$19,877.08
Rate for Payer: UnitedHealthcare Community & State	$19,487.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,877.08
Rate for Payer: Wellpoint Medicaid Managed Care	$19,487.33

VERTIGO AND OTHER LABYRINTH DISORDERS

Facility

$9,577.90

Service Code	APR-DRG 1113
Min. Negotiated Rate	$9,390.10
Max. Negotiated Rate	$9,577.90
Rate for Payer: UnitedHealthcare Community & State	$9,390.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,577.90
Rate for Payer: Wellpoint Medicaid Managed Care	$9,390.10

VERT INTERBODY 16X14X9MM 7D

Facility

$10,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270693815
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

VERT INTERBODY 16X14X9MM 7D

Facility

$10,250.00

Service Code	HCPCS C1889
Hospital Charge Code	270693815
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

VERT OR INTRACRANIAL-BIL

Facility

$9,104.00

Hospital Charge Code	2690740
Hospital Revenue Code	323
Min. Negotiated Rate	$1,365.60
Max. Negotiated Rate	$1,365.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,365.60

VERT OR INTRACRANIAL-BIL

Facility

$9,104.00

Hospital Charge Code	2690740
Hospital Revenue Code	323
Min. Negotiated Rate	$219.41
Max. Negotiated Rate	$4,552.00
Rate for Payer: Aetna Commercial	$3,459.52
Rate for Payer: Aetna Medicare Advantage	$2,731.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,321.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,321.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,321.52
Rate for Payer: Cigna Commercial	$4,552.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,731.20
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,365.60
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$219.41
Rate for Payer: Wellpoint Medicaid Managed Care	$241.26

VERT OR INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2691850
Hospital Revenue Code	323
Min. Negotiated Rate	$514.65
Max. Negotiated Rate	$514.65
Rate for Payer: Qualcare PPO/HMO/WC	$514.65

VERT OR INTRACRANIAL-RT

Facility

$3,431.00

Hospital Charge Code	2691850
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

VERY LONGCHAIN FATTY ACID

Facility

$124.10

Service Code	HCPCS 82726
Hospital Charge Code	39900079
Hospital Revenue Code	301
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$53.72
Rate for Payer: Aetna Medicare Advantage	$63.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.29
Rate for Payer: Cigna Commercial	$62.05
Rate for Payer: Cigna Medicare Advantage	$19.75
Rate for Payer: Clover Medicare Advantage	$18.76
Rate for Payer: EmblemHealth Commercial	$59.25
Rate for Payer: Humana Medicare Advantage	$20.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.23
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.61
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$15.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.75
Rate for Payer: Wellcare Medicare Advantage	$19.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

VERY LONGCHAIN FATTY ACID

Facility

$124.10

Service Code	HCPCS 82726
Hospital Charge Code	39900079
Hospital Revenue Code	301
Min. Negotiated Rate	$18.61
Max. Negotiated Rate	$18.61
Rate for Payer: Qualcare PPO/HMO/WC	$18.61

VESICA PERCU BLADDER SUSPEN

Facility

$2,588.75

Hospital Charge Code	270657825
Hospital Revenue Code	278
Min. Negotiated Rate	$388.31
Max. Negotiated Rate	$626.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$569.52
Rate for Payer: Qualcare PPO/HMO/WC	$388.31

VESICA PERCU BLADDER SUSPEN

Facility

$3,975.00

Hospital Charge Code	270657820
Hospital Revenue Code	278
Min. Negotiated Rate	$95.80
Max. Negotiated Rate	$1,987.50
Rate for Payer: Aetna Commercial	$1,510.50
Rate for Payer: Aetna Medicare Advantage	$1,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,013.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,013.62
Rate for Payer: Cigna Commercial	$1,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$874.50
Rate for Payer: Qualcare PPO/HMO/WC	$596.25
Rate for Payer: UnitedHealthcare Community & State	$95.80
Rate for Payer: Wellpoint Medicaid Managed Care	$105.34

VESICA PERCU BLADDER SUSPEN

Facility

$2,588.75

Hospital Charge Code	270657825
Hospital Revenue Code	278
Min. Negotiated Rate	$62.39
Max. Negotiated Rate	$1,294.38
Rate for Payer: Aetna Commercial	$983.73
Rate for Payer: Aetna Medicare Advantage	$776.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$517.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.13
Rate for Payer: Cigna Commercial	$1,294.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$626.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$569.52
Rate for Payer: Qualcare PPO/HMO/WC	$388.31
Rate for Payer: UnitedHealthcare Community & State	$62.39
Rate for Payer: Wellpoint Medicaid Managed Care	$68.60

VESICA PERCU BLADDER SUSPEN

Facility

$3,975.00

Hospital Charge Code	270657820
Hospital Revenue Code	278
Min. Negotiated Rate	$596.25
Max. Negotiated Rate	$961.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$961.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$874.50
Rate for Payer: Qualcare PPO/HMO/WC	$596.25

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	5600233
Hospital Revenue Code	361
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
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	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	7411436
Hospital Revenue Code	361
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
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	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	7411436
Hospital Revenue Code	361
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

VESSEL INJECTION PROCEDURE

Facility

$200.00

Service Code	HCPCS 36299
Hospital Charge Code	5600233
Hospital Revenue Code	361
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

VESSEL LOOP BLUE MAXI

Facility

$7.75

Hospital Charge Code	270654606
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

VESSEL LOOP BLUE MAXI

Facility

$7.75

Hospital Charge Code	270654606
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.55
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

VESSEL LOOP MAXI YELLOW STERIL

Facility

$13.73

Hospital Charge Code	270656241
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.87
Rate for Payer: Aetna Commercial	$5.22
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.50
Rate for Payer: Cigna Commercial	$6.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.12
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$2.75
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

VESSEL LOOP MAXI YELLOW STERIL

Facility

$13.73

Hospital Charge Code	270656241
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

VESSEL LOOP MINI RED

Facility

$9.00

Hospital Charge Code	270665983
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

VESSEL LOOP MINI RED

Facility

$9.00

Hospital Charge Code	270665983
Hospital Revenue Code	270
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

Know your out-of-pocket cost for care.

All Charges