Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

COMPNT ZIM FEM LT SZ E 5992151

Facility

$15,867.05

Hospital Charge Code	270628377
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 F 5972161

Facility

$14,213.65

Hospital Charge Code	270607174
Hospital Revenue Code	278
Min. Negotiated Rate	$342.55
Max. Negotiated Rate	$7,106.82
Rate for Payer: Aetna Commercial	$5,401.19
Rate for Payer: Aetna Medicare Advantage	$4,264.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,624.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,624.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,842.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,624.48
Rate for Payer: Cigna Commercial	$7,106.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,439.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,127.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,132.05
Rate for Payer: UnitedHealthcare Community & State	$342.55
Rate for Payer: Wellpoint Medicaid Managed Care	$376.66

COMPNT ZIM FEM LT SZ F 5972161

Facility

$14,213.65

Hospital Charge Code	270607174
Hospital Revenue Code	278
Min. Negotiated Rate	$2,132.05
Max. Negotiated Rate	$3,439.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,842.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,439.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,127.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,132.05

COMPNT ZIM FEM LT SZ F 5994161

Facility

$13,020.00

Hospital Charge Code	270625218
Hospital Revenue Code	278
Min. Negotiated Rate	$1,953.00
Max. Negotiated Rate	$3,150.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,150.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,864.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,953.00

COMPNT ZIM FEM LT SZ F 5994161

Facility

$13,020.00

Hospital Charge Code	270625218
Hospital Revenue Code	278
Min. Negotiated Rate	$313.78
Max. Negotiated Rate	$6,510.00
Rate for Payer: Aetna Commercial	$4,947.60
Rate for Payer: Aetna Medicare Advantage	$3,906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,320.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,320.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,604.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,320.10
Rate for Payer: Cigna Commercial	$6,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,150.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,864.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,953.00
Rate for Payer: UnitedHealthcare Community & State	$313.78
Rate for Payer: Wellpoint Medicaid Managed Care	$345.03

COMPNT ZIM FEM LT SZ G 5972171

Facility

$13,777.20

Hospital Charge Code	270612872
Hospital Revenue Code	278
Min. Negotiated Rate	$332.03
Max. Negotiated Rate	$6,888.60
Rate for Payer: Aetna Commercial	$5,235.34
Rate for Payer: Aetna Medicare Advantage	$4,133.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,513.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,513.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,755.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,513.19
Rate for Payer: Cigna Commercial	$6,888.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,334.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,030.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,066.58
Rate for Payer: UnitedHealthcare Community & State	$332.03
Rate for Payer: Wellpoint Medicaid Managed Care	$365.10

COMPNT ZIM FEM LT SZ G 5972171

Facility

$13,777.20

Hospital Charge Code	270612872
Hospital Revenue Code	278
Min. Negotiated Rate	$2,066.58
Max. Negotiated Rate	$3,334.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,755.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,334.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,030.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,066.58

COMPNT ZIM FEM LT SZ G 5992171

Facility

$12,681.35

Hospital Charge Code	270619814
Hospital Revenue Code	278
Min. Negotiated Rate	$1,902.20
Max. Negotiated Rate	$3,068.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,536.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,068.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,789.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,902.20

COMPNT ZIM FEM LT SZ G 5992171

Facility

$12,681.35

Hospital Charge Code	270619814
Hospital Revenue Code	278
Min. Negotiated Rate	$305.62
Max. Negotiated Rate	$6,340.68
Rate for Payer: Aetna Commercial	$4,818.91
Rate for Payer: Aetna Medicare Advantage	$3,804.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,233.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,536.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,233.74
Rate for Payer: Cigna Commercial	$6,340.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,068.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,789.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,902.20
Rate for Payer: UnitedHealthcare Community & State	$305.62
Rate for Payer: Wellpoint Medicaid Managed Care	$336.06

COMPNT ZIM FEM LT SZ G 5992179

Facility

$12,812.00

Hospital Charge Code	270626990
Hospital Revenue Code	278
Min. Negotiated Rate	$1,921.80
Max. Negotiated Rate	$3,100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,818.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.80

COMPNT ZIM FEM LT SZ G 5992179

Facility

$12,812.00

Hospital Charge Code	270626990
Hospital Revenue Code	278
Min. Negotiated Rate	$308.77
Max. Negotiated Rate	$6,406.00
Rate for Payer: Aetna Commercial	$4,868.56
Rate for Payer: Aetna Medicare Advantage	$3,843.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,267.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,267.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,267.06
Rate for Payer: Cigna Commercial	$6,406.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,818.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.80
Rate for Payer: UnitedHealthcare Community & State	$308.77
Rate for Payer: Wellpoint Medicaid Managed Care	$339.52

COMPNT ZIM FEM RT SZ C 5980132

Facility

$8,796.00

Hospital Charge Code	270607662
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 RT SZ C 5980132

Facility

$8,796.00

Hospital Charge Code	270607662
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 RT SZ D 5972142

Facility

$14,213.75

Hospital Charge Code	270616332
Hospital Revenue Code	278
Min. Negotiated Rate	$2,132.06
Max. Negotiated Rate	$3,439.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,842.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,439.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,127.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,132.06

COMPNT ZIM FEM RT SZ D 5972142

Facility

$14,213.75

Hospital Charge Code	270616332
Hospital Revenue Code	278
Min. Negotiated Rate	$342.55
Max. Negotiated Rate	$7,106.88
Rate for Payer: Aetna Commercial	$5,401.23
Rate for Payer: Aetna Medicare Advantage	$4,264.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,624.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,624.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,842.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,624.51
Rate for Payer: Cigna Commercial	$7,106.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,439.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,127.03
Rate for Payer: Qualcare PPO/HMO/WC	$2,132.06
Rate for Payer: UnitedHealthcare Community & State	$342.55
Rate for Payer: Wellpoint Medicaid Managed Care	$376.66

COMPNT ZIM FEM RT SZ D 5992142

Facility

$16,501.75

Hospital Charge Code	270623541
Hospital Revenue Code	278
Min. Negotiated Rate	$397.69
Max. Negotiated Rate	$8,250.88
Rate for Payer: Aetna Commercial	$6,270.66
Rate for Payer: Aetna Medicare Advantage	$4,950.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,207.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,207.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,300.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,207.95
Rate for Payer: Cigna Commercial	$8,250.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,993.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,630.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,475.26
Rate for Payer: UnitedHealthcare Community & State	$397.69
Rate for Payer: Wellpoint Medicaid Managed Care	$437.30

COMPNT ZIM FEM RT SZ D 5992142

Facility

$16,501.75

Hospital Charge Code	270623541
Hospital Revenue Code	278
Min. Negotiated Rate	$2,475.26
Max. Negotiated Rate	$3,993.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,300.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,993.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,630.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,475.26

COMPNT ZIM FEM RT SZ E 5972152

Facility

$13,667.00

Hospital Charge Code	270607476
Hospital Revenue Code	278
Min. Negotiated Rate	$329.37
Max. Negotiated Rate	$6,833.50
Rate for Payer: Aetna Commercial	$5,193.46
Rate for Payer: Aetna Medicare Advantage	$4,100.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,485.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,485.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,733.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,485.09
Rate for Payer: Cigna Commercial	$6,833.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,307.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,006.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,050.05
Rate for Payer: UnitedHealthcare Community & State	$329.37
Rate for Payer: Wellpoint Medicaid Managed Care	$362.18

COMPNT ZIM FEM RT SZ E 5972152

Facility

$13,667.00

Hospital Charge Code	270607476
Hospital Revenue Code	278
Min. Negotiated Rate	$2,050.05
Max. Negotiated Rate	$3,307.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,733.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,307.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,006.74
Rate for Payer: Qualcare PPO/HMO/WC	$2,050.05

COMPNT ZIM FEM RT SZ E 5980152

Facility

$7,962.45

Hospital Charge Code	270617627
Hospital Revenue Code	278
Min. Negotiated Rate	$191.90
Max. Negotiated Rate	$3,981.22
Rate for Payer: Aetna Commercial	$3,025.73
Rate for Payer: Aetna Medicare Advantage	$2,388.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,030.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,030.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,592.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,030.42
Rate for Payer: Cigna Commercial	$3,981.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,926.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,751.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,194.37
Rate for Payer: UnitedHealthcare Community & State	$191.90
Rate for Payer: Wellpoint Medicaid Managed Care	$211.00

COMPNT ZIM FEM RT SZ E 5980152

Facility

$7,962.45

Hospital Charge Code	270617627
Hospital Revenue Code	278
Min. Negotiated Rate	$1,194.37
Max. Negotiated Rate	$1,926.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,592.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,926.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,751.74
Rate for Payer: Qualcare PPO/HMO/WC	$1,194.37

COMPNT ZIM FEM RT SZ E 5982152

Facility

$9,928.00

Hospital Charge Code	270615588
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 RT SZ E 5982152

Facility

$9,928.00

Hospital Charge Code	270615588
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 RT SZ E 5992152

Facility

$15,867.05

Hospital Charge Code	270624571
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 RT SZ E 5992152

Facility

$15,867.05

Hospital Charge Code	270624571
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