Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

COMPNT BMT FEM RT 60MM 145111

Facility

$8,154.45

Hospital Charge Code	270609694
Hospital Revenue Code	278
Min. Negotiated Rate	$196.52
Max. Negotiated Rate	$4,077.22
Rate for Payer: Aetna Commercial	$3,098.69
Rate for Payer: Aetna Medicare Advantage	$2,446.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,079.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,079.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,630.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,079.38
Rate for Payer: Cigna Commercial	$4,077.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,973.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,793.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.17
Rate for Payer: UnitedHealthcare Community & State	$196.52
Rate for Payer: Wellpoint Medicaid Managed Care	$216.09

COMPNT BMT FEM RT 60MM 145111

Facility

$8,154.45

Hospital Charge Code	270609694
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.17
Max. Negotiated Rate	$1,973.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,630.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,973.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,793.98
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.17

COMPNT BMT FEM RT 65MM 145112

Facility

$6,900.85

Hospital Charge Code	270609080
Hospital Revenue Code	278
Min. Negotiated Rate	$166.31
Max. Negotiated Rate	$3,450.43
Rate for Payer: Aetna Commercial	$2,622.32
Rate for Payer: Aetna Medicare Advantage	$2,070.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,759.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,759.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,380.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,759.72
Rate for Payer: Cigna Commercial	$3,450.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,670.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,518.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.13
Rate for Payer: UnitedHealthcare Community & State	$166.31
Rate for Payer: Wellpoint Medicaid Managed Care	$182.87

COMPNT BMT FEM RT 65MM 145112

Facility

$6,900.85

Hospital Charge Code	270609080
Hospital Revenue Code	278
Min. Negotiated Rate	$1,035.13
Max. Negotiated Rate	$1,670.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,380.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,670.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,518.19
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.13

COMPNT BMT FEM RT 65MM 145152

Facility

$13,420.00

Hospital Charge Code	270629062
Hospital Revenue Code	278
Min. Negotiated Rate	$323.42
Max. Negotiated Rate	$6,710.00
Rate for Payer: Aetna Commercial	$5,099.60
Rate for Payer: Aetna Medicare Advantage	$4,026.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,422.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,422.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,684.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,422.10
Rate for Payer: Cigna Commercial	$6,710.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,247.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,952.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,013.00
Rate for Payer: UnitedHealthcare Community & State	$323.42
Rate for Payer: Wellpoint Medicaid Managed Care	$355.63

COMPNT BMT FEM RT 65MM 145152

Facility

$13,420.00

Hospital Charge Code	270629062
Hospital Revenue Code	278
Min. Negotiated Rate	$2,013.00
Max. Negotiated Rate	$3,247.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,684.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,247.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,952.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,013.00

COMPNT BMT FEM RT 70MM 145113

Facility

$7,396.00

Hospital Charge Code	270621914
Hospital Revenue Code	278
Min. Negotiated Rate	$1,109.40
Max. Negotiated Rate	$1,789.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,479.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,789.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,627.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,109.40

COMPNT BMT FEM RT 70MM 145113

Facility

$7,396.00

Hospital Charge Code	270621914
Hospital Revenue Code	278
Min. Negotiated Rate	$178.24
Max. Negotiated Rate	$3,698.00
Rate for Payer: Aetna Commercial	$2,810.48
Rate for Payer: Aetna Medicare Advantage	$2,218.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,885.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,885.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,479.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,885.98
Rate for Payer: Cigna Commercial	$3,698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,789.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,627.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,109.40
Rate for Payer: UnitedHealthcare Community & State	$178.24
Rate for Payer: Wellpoint Medicaid Managed Care	$195.99

COMPNT ZIM CR TIB 6 59704502

Facility

$4,629.65

Hospital Charge Code	270617732
Hospital Revenue Code	278
Min. Negotiated Rate	$694.45
Max. Negotiated Rate	$1,120.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$925.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,120.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,018.52
Rate for Payer: Qualcare PPO/HMO/WC	$694.45

COMPNT ZIM CR TIB 6 59704502

Facility

$4,629.65

Hospital Charge Code	270617732
Hospital Revenue Code	278
Min. Negotiated Rate	$111.57
Max. Negotiated Rate	$2,314.82
Rate for Payer: Aetna Commercial	$1,759.27
Rate for Payer: Aetna Medicare Advantage	$1,388.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,180.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,180.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$925.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,180.56
Rate for Payer: Cigna Commercial	$2,314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,120.38
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,018.52
Rate for Payer: Qualcare PPO/HMO/WC	$694.45
Rate for Payer: UnitedHealthcare Community & State	$111.57
Rate for Payer: Wellpoint Medicaid Managed Care	$122.69

COMPNT ZIM FEM LT 52 5790-28

Facility

$6,623.25

Hospital Charge Code	270626739
Hospital Revenue Code	278
Min. Negotiated Rate	$993.49
Max. Negotiated Rate	$1,602.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,324.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,602.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,457.12
Rate for Payer: Qualcare PPO/HMO/WC	$993.49

COMPNT ZIM FEM LT 52 5790-28

Facility

$6,623.25

Hospital Charge Code	270626739
Hospital Revenue Code	278
Min. Negotiated Rate	$159.62
Max. Negotiated Rate	$3,311.62
Rate for Payer: Aetna Commercial	$2,516.84
Rate for Payer: Aetna Medicare Advantage	$1,986.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,688.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,688.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,324.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,688.93
Rate for Payer: Cigna Commercial	$3,311.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,602.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,457.12
Rate for Payer: Qualcare PPO/HMO/WC	$993.49
Rate for Payer: UnitedHealthcare Community & State	$159.62
Rate for Payer: Wellpoint Medicaid Managed Care	$175.52

COMPNT ZIM FEM LT SZ 5 5992161

Facility

$13,734.25

Hospital Charge Code	270623446
Hospital Revenue Code	278
Min. Negotiated Rate	$2,060.14
Max. Negotiated Rate	$3,323.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,746.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,323.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,021.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,060.14

COMPNT ZIM FEM LT SZ 5 5992161

Facility

$13,734.25

Hospital Charge Code	270623446
Hospital Revenue Code	278
Min. Negotiated Rate	$331.00
Max. Negotiated Rate	$6,867.12
Rate for Payer: Aetna Commercial	$5,219.02
Rate for Payer: Aetna Medicare Advantage	$4,120.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,502.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,502.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,746.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,502.23
Rate for Payer: Cigna Commercial	$6,867.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,323.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,021.53
Rate for Payer: Qualcare PPO/HMO/WC	$2,060.14
Rate for Payer: UnitedHealthcare Community & State	$331.00
Rate for Payer: Wellpoint Medicaid Managed Care	$363.96

COMPNT ZIM FEM LT SZ D 5972141

Facility

$14,901.45

Hospital Charge Code	270608587
Hospital Revenue Code	278
Min. Negotiated Rate	$2,235.22
Max. Negotiated Rate	$3,606.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,980.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,606.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,278.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,235.22

COMPNT ZIM FEM LT SZ D 5972141

Facility

$14,901.45

Hospital Charge Code	270608587
Hospital Revenue Code	278
Min. Negotiated Rate	$359.12
Max. Negotiated Rate	$7,450.73
Rate for Payer: Aetna Commercial	$5,662.55
Rate for Payer: Aetna Medicare Advantage	$4,470.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,799.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,799.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,980.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,799.87
Rate for Payer: Cigna Commercial	$7,450.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,606.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,278.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,235.22
Rate for Payer: UnitedHealthcare Community & State	$359.12
Rate for Payer: Wellpoint Medicaid Managed Care	$394.89

COMPNT ZIM FEM LT SZ D 5982141

Facility

$9,928.00

Hospital Charge Code	270614952
Hospital Revenue Code	278
Min. Negotiated Rate	$239.26
Max. Negotiated Rate	$4,964.00
Rate for Payer: Aetna Commercial	$3,772.64
Rate for Payer: Aetna Medicare Advantage	$2,978.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,531.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,531.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,985.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,531.64
Rate for Payer: Cigna Commercial	$4,964.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,402.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,184.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,489.20
Rate for Payer: UnitedHealthcare Community & State	$239.26
Rate for Payer: Wellpoint Medicaid Managed Care	$263.09

COMPNT ZIM FEM LT SZ D 5982141

Facility

$9,928.00

Hospital Charge Code	270614952
Hospital Revenue Code	278
Min. Negotiated Rate	$1,489.20
Max. Negotiated Rate	$2,402.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,985.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,402.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,184.16
Rate for Payer: Qualcare PPO/HMO/WC	$1,489.20

COMPNT ZIM FEM LT SZ D 5992141

Facility

$15,867.05

Hospital Charge Code	270625483
Hospital Revenue Code	278
Min. Negotiated Rate	$382.40
Max. Negotiated Rate	$7,933.52
Rate for Payer: Aetna Commercial	$6,029.48
Rate for Payer: Aetna Medicare Advantage	$4,760.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,046.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,046.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,173.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,046.10
Rate for Payer: Cigna Commercial	$7,933.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,839.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,490.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,380.06
Rate for Payer: UnitedHealthcare Community & State	$382.40
Rate for Payer: Wellpoint Medicaid Managed Care	$420.48

COMPNT ZIM FEM LT SZ D 5992141

Facility

$15,867.05

Hospital Charge Code	270625483
Hospital Revenue Code	278
Min. Negotiated Rate	$2,380.06
Max. Negotiated Rate	$3,839.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,173.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,839.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,490.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,380.06

COMPNT ZIM FEM LT SZ E 5972151

Facility

$14,901.45

Hospital Charge Code	270608719
Hospital Revenue Code	278
Min. Negotiated Rate	$359.12
Max. Negotiated Rate	$7,450.73
Rate for Payer: Aetna Commercial	$5,662.55
Rate for Payer: Aetna Medicare Advantage	$4,470.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,799.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,799.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,980.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,799.87
Rate for Payer: Cigna Commercial	$7,450.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,606.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,278.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,235.22
Rate for Payer: UnitedHealthcare Community & State	$359.12
Rate for Payer: Wellpoint Medicaid Managed Care	$394.89

COMPNT ZIM FEM LT SZ E 5972151

Facility

$14,901.45

Hospital Charge Code	270608719
Hospital Revenue Code	278
Min. Negotiated Rate	$2,235.22
Max. Negotiated Rate	$3,606.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,980.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,606.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,278.32
Rate for Payer: Qualcare PPO/HMO/WC	$2,235.22

COMPNT ZIM FEM LT SZ E 5980151

Facility

$8,796.00

Hospital Charge Code	270608664
Hospital Revenue Code	278
Min. Negotiated Rate	$211.98
Max. Negotiated Rate	$4,398.00
Rate for Payer: Aetna Commercial	$3,342.48
Rate for Payer: Aetna Medicare Advantage	$2,638.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,242.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,242.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,759.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,242.98
Rate for Payer: Cigna Commercial	$4,398.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,128.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,935.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,319.40
Rate for Payer: UnitedHealthcare Community & State	$211.98
Rate for Payer: Wellpoint Medicaid Managed Care	$233.09

COMPNT ZIM FEM LT SZ E 5980151

Facility

$8,796.00

Hospital Charge Code	270608664
Hospital Revenue Code	278
Min. Negotiated Rate	$1,319.40
Max. Negotiated Rate	$2,128.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,759.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,128.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,935.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,319.40

COMPNT ZIM FEM LT SZ E 5992151

Facility

$15,867.05

Hospital Charge Code	270628377
Hospital Revenue Code	278
Min. Negotiated Rate	$2,380.06
Max. Negotiated Rate	$3,839.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,173.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,839.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,490.75
Rate for Payer: Qualcare PPO/HMO/WC	$2,380.06

Know your out-of-pocket cost for care.

All Charges