Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUP ZIM BIPOL 47MM 5000-47-28

Facility

$3,067.25

Hospital Charge Code	270605478
Hospital Revenue Code	278
Min. Negotiated Rate	$460.09
Max. Negotiated Rate	$742.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$613.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$742.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$674.79
Rate for Payer: Qualcare PPO/HMO/WC	$460.09

CUP ZIM BIPOL 48MM 5000-48-28

Facility

$3,028.85

Hospital Charge Code	270614880
Hospital Revenue Code	278
Min. Negotiated Rate	$454.33
Max. Negotiated Rate	$732.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$666.35
Rate for Payer: Qualcare PPO/HMO/WC	$454.33

CUP ZIM BIPOL 48MM 5000-48-28

Facility

$3,028.85

Hospital Charge Code	270614880
Hospital Revenue Code	278
Min. Negotiated Rate	$73.00
Max. Negotiated Rate	$1,514.42
Rate for Payer: Aetna Commercial	$1,150.96
Rate for Payer: Aetna Medicare Advantage	$908.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.36
Rate for Payer: Cigna Commercial	$1,514.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$666.35
Rate for Payer: Qualcare PPO/HMO/WC	$454.33
Rate for Payer: UnitedHealthcare Community & State	$73.00
Rate for Payer: Wellpoint Medicaid Managed Care	$80.26

CUP ZIM BIPOL 49MM 5000-49-28

Facility

$3,208.00

Hospital Charge Code	270607715
Hospital Revenue Code	278
Min. Negotiated Rate	$481.20
Max. Negotiated Rate	$776.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.76
Rate for Payer: Qualcare PPO/HMO/WC	$481.20

CUP ZIM BIPOL 49MM 5000-49-28

Facility

$3,208.00

Hospital Charge Code	270607715
Hospital Revenue Code	278
Min. Negotiated Rate	$77.31
Max. Negotiated Rate	$1,604.00
Rate for Payer: Aetna Commercial	$1,219.04
Rate for Payer: Aetna Medicare Advantage	$962.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$818.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$818.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$818.04
Rate for Payer: Cigna Commercial	$1,604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.76
Rate for Payer: Qualcare PPO/HMO/WC	$481.20
Rate for Payer: UnitedHealthcare Community & State	$77.31
Rate for Payer: Wellpoint Medicaid Managed Care	$85.01

CUP ZIM BIPOL 50MM 5000-50-28

Facility

$3,033.65

Hospital Charge Code	270616092
Hospital Revenue Code	278
Min. Negotiated Rate	$73.11
Max. Negotiated Rate	$1,516.83
Rate for Payer: Aetna Commercial	$1,152.79
Rate for Payer: Aetna Medicare Advantage	$910.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$773.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$773.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$606.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$773.58
Rate for Payer: Cigna Commercial	$1,516.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$734.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$667.40
Rate for Payer: Qualcare PPO/HMO/WC	$455.05
Rate for Payer: UnitedHealthcare Community & State	$73.11
Rate for Payer: Wellpoint Medicaid Managed Care	$80.39

CUP ZIM BIPOL 50MM 5000-50-28

Facility

$3,033.65

Hospital Charge Code	270616092
Hospital Revenue Code	278
Min. Negotiated Rate	$455.05
Max. Negotiated Rate	$734.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$606.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$734.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$667.40
Rate for Payer: Qualcare PPO/HMO/WC	$455.05

CUP ZIM BIPOL 51MM 5000-51-28

Facility

$3,208.00

Hospital Charge Code	270606559
Hospital Revenue Code	278
Min. Negotiated Rate	$77.31
Max. Negotiated Rate	$1,604.00
Rate for Payer: Aetna Commercial	$1,219.04
Rate for Payer: Aetna Medicare Advantage	$962.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$818.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$818.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$818.04
Rate for Payer: Cigna Commercial	$1,604.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.76
Rate for Payer: Qualcare PPO/HMO/WC	$481.20
Rate for Payer: UnitedHealthcare Community & State	$77.31
Rate for Payer: Wellpoint Medicaid Managed Care	$85.01

CUP ZIM BIPOL 51MM 5000-51-28

Facility

$3,208.00

Hospital Charge Code	270606559
Hospital Revenue Code	278
Min. Negotiated Rate	$481.20
Max. Negotiated Rate	$776.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$776.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.76
Rate for Payer: Qualcare PPO/HMO/WC	$481.20

CUP ZIM BIPOL 53MM 5000-53-28

Facility

$3,205.65

Hospital Charge Code	270601273
Hospital Revenue Code	278
Min. Negotiated Rate	$77.26
Max. Negotiated Rate	$1,602.83
Rate for Payer: Aetna Commercial	$1,218.15
Rate for Payer: Aetna Medicare Advantage	$961.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$817.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$817.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$817.44
Rate for Payer: Cigna Commercial	$1,602.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.24
Rate for Payer: Qualcare PPO/HMO/WC	$480.85
Rate for Payer: UnitedHealthcare Community & State	$77.26
Rate for Payer: Wellpoint Medicaid Managed Care	$84.95

CUP ZIM BIPOL 53MM 5000-53-28

Facility

$3,205.65

Hospital Charge Code	270601273
Hospital Revenue Code	278
Min. Negotiated Rate	$480.85
Max. Negotiated Rate	$775.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$641.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$775.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$705.24
Rate for Payer: Qualcare PPO/HMO/WC	$480.85

CUP ZIM BIPOL 55MM 5000-55-28

Facility

$3,121.65

Hospital Charge Code	270619567
Hospital Revenue Code	278
Min. Negotiated Rate	$468.25
Max. Negotiated Rate	$755.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$686.76
Rate for Payer: Qualcare PPO/HMO/WC	$468.25

CUP ZIM BIPOL 55MM 5000-55-28

Facility

$3,121.65

Hospital Charge Code	270619567
Hospital Revenue Code	278
Min. Negotiated Rate	$75.23
Max. Negotiated Rate	$1,560.83
Rate for Payer: Aetna Commercial	$1,186.23
Rate for Payer: Aetna Medicare Advantage	$936.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.02
Rate for Payer: Cigna Commercial	$1,560.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$686.76
Rate for Payer: Qualcare PPO/HMO/WC	$468.25
Rate for Payer: UnitedHealthcare Community & State	$75.23
Rate for Payer: Wellpoint Medicaid Managed Care	$82.72

CUP ZIM TRIL 58 62005820

Facility

$6,537.65

Hospital Charge Code	270606807
Hospital Revenue Code	278
Min. Negotiated Rate	$157.56
Max. Negotiated Rate	$3,268.82
Rate for Payer: Aetna Commercial	$2,484.31
Rate for Payer: Aetna Medicare Advantage	$1,961.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,667.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,667.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,667.10
Rate for Payer: Cigna Commercial	$3,268.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,582.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,438.28
Rate for Payer: Qualcare PPO/HMO/WC	$980.65
Rate for Payer: UnitedHealthcare Community & State	$157.56
Rate for Payer: Wellpoint Medicaid Managed Care	$173.25

CUP ZIM TRIL 58 62005820

Facility

$6,537.65

Hospital Charge Code	270606807
Hospital Revenue Code	278
Min. Negotiated Rate	$980.65
Max. Negotiated Rate	$1,582.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,307.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,582.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,438.28
Rate for Payer: Qualcare PPO/HMO/WC	$980.65

CURCIUT VENT M2290 SINGLE HEAT

Facility

$1,227.60

Hospital Charge Code	270651836
Hospital Revenue Code	270
Min. Negotiated Rate	$184.14
Max. Negotiated Rate	$184.14
Rate for Payer: Qualcare PPO/HMO/WC	$184.14

CURCIUT VENT M2290 SINGLE HEAT

Facility

$1,227.60

Hospital Charge Code	270651836
Hospital Revenue Code	270
Min. Negotiated Rate	$29.59
Max. Negotiated Rate	$613.80
Rate for Payer: Aetna Commercial	$466.49
Rate for Payer: Aetna Medicare Advantage	$368.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.04
Rate for Payer: Cigna Commercial	$613.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$368.28
Rate for Payer: Oxford Commercial	$245.52
Rate for Payer: Qualcare PPO/HMO/WC	$184.14
Rate for Payer: UnitedHealthcare Commercial	$245.52
Rate for Payer: UnitedHealthcare Community & State	$29.59
Rate for Payer: Wellpoint Medicaid Managed Care	$32.53

CURE ACP DRILL S1-700-430-12

Facility

$750.00

Hospital Charge Code	270702196
Hospital Revenue Code	278
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$181.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

CURE ACP DRILL S1-700-430-12

Facility

$750.00

Hospital Charge Code	270702196
Hospital Revenue Code	278
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

CURETTE BMT REVERSE 5MM 423859

Facility

$1,556.85

Hospital Charge Code	270615804
Hospital Revenue Code	272
Min. Negotiated Rate	$37.52
Max. Negotiated Rate	$778.42
Rate for Payer: Aetna Commercial	$591.60
Rate for Payer: Aetna Medicare Advantage	$467.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$397.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$397.00
Rate for Payer: Cigna Commercial	$778.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.06
Rate for Payer: Oxford Commercial	$311.37
Rate for Payer: Qualcare PPO/HMO/WC	$233.53
Rate for Payer: UnitedHealthcare Commercial	$311.37
Rate for Payer: UnitedHealthcare Community & State	$37.52
Rate for Payer: Wellpoint Medicaid Managed Care	$41.26

CURETTE BMT REVERSE 5MM 423859

Facility

$1,556.85

Hospital Charge Code	270615804
Hospital Revenue Code	272
Min. Negotiated Rate	$233.53
Max. Negotiated Rate	$233.53
Rate for Payer: Qualcare PPO/HMO/WC	$233.53

CURETTE LATITUDE 6mm

Facility

$967.25

Hospital Charge Code	270636395
Hospital Revenue Code	272
Min. Negotiated Rate	$145.09
Max. Negotiated Rate	$145.09
Rate for Payer: Qualcare PPO/HMO/WC	$145.09

CURETTE LATITUDE 6mm

Facility

$967.25

Hospital Charge Code	270636395
Hospital Revenue Code	272
Min. Negotiated Rate	$23.31
Max. Negotiated Rate	$483.62
Rate for Payer: Aetna Commercial	$367.56
Rate for Payer: Aetna Medicare Advantage	$290.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.65
Rate for Payer: Cigna Commercial	$483.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.18
Rate for Payer: Oxford Commercial	$193.45
Rate for Payer: Qualcare PPO/HMO/WC	$145.09
Rate for Payer: UnitedHealthcare Commercial	$193.45
Rate for Payer: UnitedHealthcare Community & State	$23.31
Rate for Payer: Wellpoint Medicaid Managed Care	$25.63

CURETTE VAC 7MM CRV 40789-307

Facility

$25.40

Hospital Charge Code	270600251
Hospital Revenue Code	272
Min. Negotiated Rate	$3.81
Max. Negotiated Rate	$3.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.81

CURETTE VAC 7MM CRV 40789-307

Facility

$25.40

Hospital Charge Code	270600251
Hospital Revenue Code	272
Min. Negotiated Rate	$0.61
Max. Negotiated Rate	$12.70
Rate for Payer: Aetna Commercial	$9.65
Rate for Payer: Aetna Medicare Advantage	$7.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.48
Rate for Payer: Cigna Commercial	$12.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.62
Rate for Payer: Oxford Commercial	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$3.81
Rate for Payer: UnitedHealthcare Commercial	$5.08
Rate for Payer: UnitedHealthcare Community & State	$0.61
Rate for Payer: Wellpoint Medicaid Managed Care	$0.67

Know your out-of-pocket cost for care.

All Charges