Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO L 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674511
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674515
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674515
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO L 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674518
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO L 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674518
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO M 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674510
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO M 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674510
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO M 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674514
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO M 2.2MM HD LGTH 3.7

Facility

$490.00

Hospital Charge Code	270674514
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO M 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674517
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO M 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674517
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO S 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674509
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO S 1.7MM HD LGTH 2.3

Facility

$490.00

Hospital Charge Code	270674509
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO S 2.2MM HD LGHT 3.7

Facility

$490.00

Hospital Charge Code	270674513
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BURR NEURO S 2.2MM HD LGHT 3.7

Facility

$490.00

Hospital Charge Code	270674513
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO S 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674516
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

BURR NEURO S 2.9MM HD LGTH 3.8

Facility

$490.00

Hospital Charge Code	270674516
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

BUR ROUND 12 FLUTE 4mm RMFG

Facility

$190.00

Hospital Charge Code	270651703
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

BUR ROUND 12 FLUTE 4mm RMFG

Facility

$190.00

Hospital Charge Code	270651703
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BUR ROUND 4.8x5.5MM 6-FLUTE

Facility

$108.30

Hospital Charge Code	270673338
Hospital Revenue Code	272
Min. Negotiated Rate	$2.61
Max. Negotiated Rate	$54.15
Rate for Payer: Aetna Commercial	$41.15
Rate for Payer: Aetna Medicare Advantage	$32.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.62
Rate for Payer: Cigna Commercial	$54.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.49
Rate for Payer: Oxford Commercial	$21.66
Rate for Payer: Qualcare PPO/HMO/WC	$16.25
Rate for Payer: UnitedHealthcare Commercial	$21.66
Rate for Payer: UnitedHealthcare Community & State	$2.61
Rate for Payer: Wellpoint Medicaid Managed Care	$2.87

BUR ROUND 4.8x5.5MM 6-FLUTE

Facility

$108.30

Hospital Charge Code	270673338
Hospital Revenue Code	272
Min. Negotiated Rate	$16.25
Max. Negotiated Rate	$16.25
Rate for Payer: Qualcare PPO/HMO/WC	$16.25

BUR ROUND 4x5.5MM 12-FLUTE

Facility

$156.65

Hospital Charge Code	270673337
Hospital Revenue Code	272
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$23.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.50

BUR ROUND 4x5.5MM 12-FLUTE

Facility

$156.65

Hospital Charge Code	270673337
Hospital Revenue Code	272
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$78.33
Rate for Payer: Aetna Commercial	$59.53
Rate for Payer: Aetna Medicare Advantage	$46.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.95
Rate for Payer: Cigna Commercial	$78.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.99
Rate for Payer: Oxford Commercial	$31.33
Rate for Payer: Qualcare PPO/HMO/WC	$23.50
Rate for Payer: UnitedHealthcare Commercial	$31.33
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.15

BUR ROUND 4x5.5MM 8-FLUTE

Facility

$93.75

Hospital Charge Code	270673335
Hospital Revenue Code	272
Min. Negotiated Rate	$14.06
Max. Negotiated Rate	$14.06
Rate for Payer: Qualcare PPO/HMO/WC	$14.06

Know your out-of-pocket cost for care.

All Charges