Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
Hospital Revenue Code	272
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

BURR MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$38.80
Max. Negotiated Rate	$2,155.71
Rate for Payer: Aetna Commercial	$1,624.38
Rate for Payer: Aetna Medicare Advantage	$1,934.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,155.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$597.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,155.71
Rate for Payer: Cigna Commercial	$1,197.08
Rate for Payer: Cigna Medicare Advantage	$597.20
Rate for Payer: Clover Medicare Advantage	$567.34
Rate for Payer: EmblemHealth Commercial	$1,791.60
Rate for Payer: Humana Medicare Advantage	$615.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$597.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50
Rate for Payer: UnitedHealthcare Community & State	$38.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$597.20
Rate for Payer: Wellcare Medicare Advantage	$597.20
Rate for Payer: Wellpoint Medicaid Managed Care	$42.66

BURR MICA 2X20MM MICA

Facility

$1,610.00

Service Code	HCPCS C1716
Hospital Charge Code	270702335
Hospital Revenue Code	278
Min. Negotiated Rate	$241.50
Max. Negotiated Rate	$389.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$322.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$389.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$354.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.50

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$44.43
Max. Negotiated Rate	$921.85
Rate for Payer: Aetna Commercial	$700.61
Rate for Payer: Aetna Medicare Advantage	$553.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$470.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$470.14
Rate for Payer: Cigna Commercial	$921.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$553.11
Rate for Payer: Oxford Commercial	$368.74
Rate for Payer: Qualcare PPO/HMO/WC	$276.56
Rate for Payer: UnitedHealthcare Commercial	$368.74
Rate for Payer: UnitedHealthcare Community & State	$44.43
Rate for Payer: Wellpoint Medicaid Managed Care	$48.86

BURR MICA WEDGE 3.1X13MM DISP

Facility

$1,843.70

Service Code	HCPCS A4649
Hospital Charge Code	270699089
Hospital Revenue Code	272
Min. Negotiated Rate	$276.56
Max. Negotiated Rate	$276.56
Rate for Payer: Qualcare PPO/HMO/WC	$276.56

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$195.75
Max. Negotiated Rate	$195.75
Rate for Payer: Qualcare PPO/HMO/WC	$195.75

BURR MIDAS REX MR8

Facility

$1,305.00

Hospital Charge Code	270694454
Hospital Revenue Code	272
Min. Negotiated Rate	$31.45
Max. Negotiated Rate	$652.50
Rate for Payer: Aetna Commercial	$495.90
Rate for Payer: Aetna Medicare Advantage	$391.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$332.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$332.77
Rate for Payer: Cigna Commercial	$652.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$391.50
Rate for Payer: Oxford Commercial	$261.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.75
Rate for Payer: UnitedHealthcare Commercial	$261.00
Rate for Payer: UnitedHealthcare Community & State	$31.45
Rate for Payer: Wellpoint Medicaid Managed Care	$34.58

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$27.35
Max. Negotiated Rate	$567.50
Rate for Payer: Aetna Commercial	$431.30
Rate for Payer: Aetna Medicare Advantage	$340.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$289.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$289.43
Rate for Payer: Cigna Commercial	$567.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$340.50
Rate for Payer: Oxford Commercial	$227.00
Rate for Payer: Qualcare PPO/HMO/WC	$170.25
Rate for Payer: UnitedHealthcare Commercial	$227.00
Rate for Payer: UnitedHealthcare Community & State	$27.35
Rate for Payer: Wellpoint Medicaid Managed Care	$30.08

BURR MR8 TAPER SPIRAL 1.5 7CM

Facility

$1,135.00

Service Code	HCPCS A4649
Hospital Charge Code	270696498
Hospital Revenue Code	272
Min. Negotiated Rate	$170.25
Max. Negotiated Rate	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$170.25

BUR RND CARB 2.3mm2296-100-423

Facility

$19.50

Hospital Charge Code	270630056
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.75
Rate for Payer: Aetna Commercial	$7.41
Rate for Payer: Aetna Medicare Advantage	$5.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.97
Rate for Payer: Cigna Commercial	$9.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.85
Rate for Payer: Oxford Commercial	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$3.90
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

BUR RND CARB 2.3mm2296-100-423

Facility

$19.50

Hospital Charge Code	270630056
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

BUR RND CARBIDE 6.5 5093-232

Facility

$142.45

Hospital Charge Code	270647600
Hospital Revenue Code	272
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$21.37
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

BUR RND CARBIDE 6.5 5093-232

Facility

$142.45

Hospital Charge Code	270647600
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.73
Rate for Payer: Oxford Commercial	$28.49
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Commercial	$28.49
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$44.62
Max. Negotiated Rate	$44.62
Rate for Payer: Qualcare PPO/HMO/WC	$44.62

BUR RND DIAMOND MED. 2.0MM

Facility

$297.50

Hospital Charge Code	270679753
Hospital Revenue Code	272
Min. Negotiated Rate	$7.17
Max. Negotiated Rate	$148.75
Rate for Payer: Aetna Commercial	$113.05
Rate for Payer: Aetna Medicare Advantage	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.86
Rate for Payer: Cigna Commercial	$148.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.25
Rate for Payer: Oxford Commercial	$59.50
Rate for Payer: Qualcare PPO/HMO/WC	$44.62
Rate for Payer: UnitedHealthcare Commercial	$59.50
Rate for Payer: UnitedHealthcare Community & State	$7.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7.88

BUR RND EX LNG CRBIDE 5093-230

Facility

$142.45

Hospital Charge Code	270652782
Hospital Revenue Code	272
Min. Negotiated Rate	$21.37
Max. Negotiated Rate	$21.37
Rate for Payer: Qualcare PPO/HMO/WC	$21.37

BUR RND EX LNG CRBIDE 5093-230

Facility

$142.45

Hospital Charge Code	270652782
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.22
Rate for Payer: Aetna Commercial	$54.13
Rate for Payer: Aetna Medicare Advantage	$42.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.32
Rate for Payer: Cigna Commercial	$71.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.73
Rate for Payer: Oxford Commercial	$28.49
Rate for Payer: Qualcare PPO/HMO/WC	$21.37
Rate for Payer: UnitedHealthcare Commercial	$28.49
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.77

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00

BUR RND SOLID CARBIDE LNG 2.0M

Facility

$180.00

Hospital Charge Code	270679754
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.00
Rate for Payer: Aetna Commercial	$68.40
Rate for Payer: Aetna Medicare Advantage	$54.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.90
Rate for Payer: Cigna Commercial	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.00
Rate for Payer: Oxford Commercial	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$27.00
Rate for Payer: UnitedHealthcare Commercial	$36.00
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.77

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.25
Rate for Payer: Aetna Commercial	$42.75
Rate for Payer: Aetna Medicare Advantage	$33.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.69
Rate for Payer: Cigna Commercial	$56.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.75
Rate for Payer: Oxford Commercial	$22.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.88
Rate for Payer: UnitedHealthcare Commercial	$22.50
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

BUR RND SOLID CARBID MED 2.0MM

Facility

$112.50

Hospital Charge Code	270679755
Hospital Revenue Code	272
Min. Negotiated Rate	$16.88
Max. Negotiated Rate	$16.88
Rate for Payer: Qualcare PPO/HMO/WC	$16.88

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

BURR NEURO 4.0X5.1MM

Facility

$1,375.00

Hospital Charge Code	270695383
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$383.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$348.70
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

BURR NEURO HOLE COVER 17MM

Facility

$1,585.00

Hospital Charge Code	270674574
Hospital Revenue Code	278
Min. Negotiated Rate	$38.20
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$317.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$348.70
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Community & State	$38.20
Rate for Payer: Wellpoint Medicaid Managed Care	$42.00

Know your out-of-pocket cost for care.

All Charges