Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ENDOPRASTHESIS AORTIC 28X30

Facility

$13,950.00

Hospital Charge Code	270645165
Hospital Revenue Code	278
Min. Negotiated Rate	$2,092.50
Max. Negotiated Rate	$3,375.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,790.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,375.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,069.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,092.50

ENDOPRASTHESIS AORTIC 28X30

Facility

$13,950.00

Hospital Charge Code	270645165
Hospital Revenue Code	278
Min. Negotiated Rate	$336.19
Max. Negotiated Rate	$6,975.00
Rate for Payer: Aetna Commercial	$5,301.00
Rate for Payer: Aetna Medicare Advantage	$4,185.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,557.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,557.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,790.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,557.25
Rate for Payer: Cigna Commercial	$6,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,375.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,069.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,092.50
Rate for Payer: UnitedHealthcare Community & State	$336.19
Rate for Payer: Wellpoint Medicaid Managed Care	$369.68

ENDOPRO EXCLR 14x10 PXC141000

Facility

$17,955.00

Hospital Charge Code	270638318V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,693.25
Max. Negotiated Rate	$4,345.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,950.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25

ENDOPRO EXCLR 14x10 PXC141000

Facility

$17,955.00

Hospital Charge Code	270638318V
Hospital Revenue Code	278
Min. Negotiated Rate	$432.72
Max. Negotiated Rate	$8,977.50
Rate for Payer: Aetna Commercial	$6,822.90
Rate for Payer: Aetna Medicare Advantage	$5,386.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,578.52
Rate for Payer: Cigna Commercial	$8,977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,950.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25
Rate for Payer: UnitedHealthcare Community & State	$432.72
Rate for Payer: Wellpoint Medicaid Managed Care	$475.81

ENDOPRO EXCLR 23x14 PXT231414

Facility

$38,895.00

Hospital Charge Code	270638317V
Hospital Revenue Code	278
Min. Negotiated Rate	$937.37
Max. Negotiated Rate	$19,447.50
Rate for Payer: Aetna Commercial	$14,780.10
Rate for Payer: Aetna Medicare Advantage	$11,668.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,918.23
Rate for Payer: Cigna Commercial	$19,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,556.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25
Rate for Payer: UnitedHealthcare Community & State	$937.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1,030.72

ENDOPRO EXCLR 23x14 PXT231414

Facility

$38,895.00

Hospital Charge Code	270638317V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$9,412.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,556.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPROS EXCL 12X18 PXC181000

Facility

$16,845.00

Hospital Charge Code	270637949V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$4,076.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,705.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCL 12X18 PXC181000

Facility

$16,845.00

Hospital Charge Code	270637949V
Hospital Revenue Code	278
Min. Negotiated Rate	$405.96
Max. Negotiated Rate	$8,422.50
Rate for Payer: Aetna Commercial	$6,401.10
Rate for Payer: Aetna Medicare Advantage	$5,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,295.48
Rate for Payer: Cigna Commercial	$8,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,705.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75
Rate for Payer: UnitedHealthcare Community & State	$405.96
Rate for Payer: Wellpoint Medicaid Managed Care	$446.39

ENDOPROS EXCL 12X18 PXT261218

Facility

$38,895.00

Hospital Charge Code	270637948V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,834.25
Max. Negotiated Rate	$9,412.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,556.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25

ENDOPROS EXCL 12X18 PXT261218

Facility

$38,895.00

Hospital Charge Code	270637948V
Hospital Revenue Code	278
Min. Negotiated Rate	$937.37
Max. Negotiated Rate	$19,447.50
Rate for Payer: Aetna Commercial	$14,780.10
Rate for Payer: Aetna Medicare Advantage	$11,668.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,918.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,779.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,918.23
Rate for Payer: Cigna Commercial	$19,447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,412.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,556.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,834.25
Rate for Payer: UnitedHealthcare Community & State	$937.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1,030.72

ENDOPROS EXCLU 12x7 PXL161207

Facility

$13,225.00

Hospital Charge Code	270637685V
Hospital Revenue Code	278
Min. Negotiated Rate	$318.72
Max. Negotiated Rate	$6,612.50
Rate for Payer: Aetna Commercial	$5,025.50
Rate for Payer: Aetna Medicare Advantage	$3,967.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,372.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,372.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,372.38
Rate for Payer: Cigna Commercial	$6,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,200.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,909.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,983.75
Rate for Payer: UnitedHealthcare Community & State	$318.72
Rate for Payer: Wellpoint Medicaid Managed Care	$350.46

ENDOPROS EXCLU 12x7 PXL161207

Facility

$13,225.00

Hospital Charge Code	270637685V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,983.75
Max. Negotiated Rate	$3,200.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,200.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,909.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,983.75

ENDOPROS EXCLU 12x7 PXL161207

Facility

$11,810.00

Hospital Charge Code	270637685
Hospital Revenue Code	278
Min. Negotiated Rate	$284.62
Max. Negotiated Rate	$5,905.00
Rate for Payer: Aetna Commercial	$4,487.80
Rate for Payer: Aetna Medicare Advantage	$3,543.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,362.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,011.55
Rate for Payer: Cigna Commercial	$5,905.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,858.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,598.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.50
Rate for Payer: UnitedHealthcare Community & State	$284.62
Rate for Payer: Wellpoint Medicaid Managed Care	$312.96

ENDOPROS EXCLU 12x7 PXL161207

Facility

$11,810.00

Hospital Charge Code	270637685
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.50
Max. Negotiated Rate	$2,858.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,858.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,598.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.50

ENDOPROS EXCLU 14x12 PXC141200

Facility

$16,845.00

Hospital Charge Code	270637684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,526.75
Max. Negotiated Rate	$4,076.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,705.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75

ENDOPROS EXCLU 14x12 PXC141200

Facility

$17,955.00

Hospital Charge Code	270637684V
Hospital Revenue Code	278
Min. Negotiated Rate	$432.72
Max. Negotiated Rate	$8,977.50
Rate for Payer: Aetna Commercial	$6,822.90
Rate for Payer: Aetna Medicare Advantage	$5,386.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,578.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,578.52
Rate for Payer: Cigna Commercial	$8,977.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,950.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25
Rate for Payer: UnitedHealthcare Community & State	$432.72
Rate for Payer: Wellpoint Medicaid Managed Care	$475.81

ENDOPROS EXCLU 14x12 PXC141200

Facility

$16,845.00

Hospital Charge Code	270637684
Hospital Revenue Code	278
Min. Negotiated Rate	$405.96
Max. Negotiated Rate	$8,422.50
Rate for Payer: Aetna Commercial	$6,401.10
Rate for Payer: Aetna Medicare Advantage	$5,053.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,295.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,295.48
Rate for Payer: Cigna Commercial	$8,422.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,076.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,705.90
Rate for Payer: Qualcare PPO/HMO/WC	$2,526.75
Rate for Payer: UnitedHealthcare Community & State	$405.96
Rate for Payer: Wellpoint Medicaid Managed Care	$446.39

ENDOPROS EXCLU 14x12 PXC141200

Facility

$17,955.00

Hospital Charge Code	270637684V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,693.25
Max. Negotiated Rate	$4,345.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,591.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,345.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,950.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,693.25

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$8,830.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,027.80
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,473.50
Max. Negotiated Rate	$8,830.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,027.80
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683
Hospital Revenue Code	278
Min. Negotiated Rate	$879.41
Max. Negotiated Rate	$18,245.00
Rate for Payer: Aetna Commercial	$13,866.20
Rate for Payer: Aetna Medicare Advantage	$10,947.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,304.95
Rate for Payer: Cigna Commercial	$18,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,027.80
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50
Rate for Payer: UnitedHealthcare Community & State	$879.41
Rate for Payer: Wellpoint Medicaid Managed Care	$966.99

ENDOPROS EXCLU 26x14 PXT261414

Facility

$36,490.00

Hospital Charge Code	270637683V
Hospital Revenue Code	278
Min. Negotiated Rate	$879.41
Max. Negotiated Rate	$18,245.00
Rate for Payer: Aetna Commercial	$13,866.20
Rate for Payer: Aetna Medicare Advantage	$10,947.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,304.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,298.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,304.95
Rate for Payer: Cigna Commercial	$18,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,830.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,027.80
Rate for Payer: Qualcare PPO/HMO/WC	$5,473.50
Rate for Payer: UnitedHealthcare Community & State	$879.41
Rate for Payer: Wellpoint Medicaid Managed Care	$966.99

ENDOPROS EXCLUD14x7cmPXL161407

Facility

$12,585.00

Hospital Charge Code	270635769
Hospital Revenue Code	278
Min. Negotiated Rate	$303.30
Max. Negotiated Rate	$6,292.50
Rate for Payer: Aetna Commercial	$4,782.30
Rate for Payer: Aetna Medicare Advantage	$3,775.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,209.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,209.18
Rate for Payer: Cigna Commercial	$6,292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,768.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75
Rate for Payer: UnitedHealthcare Community & State	$303.30
Rate for Payer: Wellpoint Medicaid Managed Care	$333.50

ENDOPROS EXCLUD14x7cmPXL161407

Facility

$12,585.00

Hospital Charge Code	270635769
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$3,045.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,768.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

ENDOPROSTHESIS AORTIC 23X30

Facility

$12,585.00

Hospital Charge Code	270640081
Hospital Revenue Code	278
Min. Negotiated Rate	$1,887.75
Max. Negotiated Rate	$3,045.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,517.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,045.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,768.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,887.75

Know your out-of-pocket cost for care.

All Charges