Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GRAFT ZENITH AAA LEG EXTENSION

Facility

$14,980.00

Hospital Charge Code	270642373
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

GRAFT ZENITH AAA LEG EXTENSION

Facility

$14,320.00

Hospital Charge Code	270639809
Hospital Revenue Code	278
Min. Negotiated Rate	$345.11
Max. Negotiated Rate	$7,160.00
Rate for Payer: Aetna Commercial	$5,441.60
Rate for Payer: Aetna Medicare Advantage	$4,296.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,651.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,651.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,864.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,651.60
Rate for Payer: Cigna Commercial	$7,160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,465.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,150.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,148.00
Rate for Payer: UnitedHealthcare Community & State	$345.11
Rate for Payer: Wellpoint Medicaid Managed Care	$379.48

GRAFT ZENITH AAA LEG EXTENSION

Facility

$14,980.00

Hospital Charge Code	270642374
Hospital Revenue Code	278
Min. Negotiated Rate	$361.02
Max. Negotiated Rate	$7,490.00
Rate for Payer: Aetna Commercial	$5,692.40
Rate for Payer: Aetna Medicare Advantage	$4,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,819.90
Rate for Payer: Cigna Commercial	$7,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00
Rate for Payer: UnitedHealthcare Community & State	$361.02
Rate for Payer: Wellpoint Medicaid Managed Care	$396.97

GRAFT ZENITH AAA LEG EXTENSION

Facility

$14,320.00

Hospital Charge Code	270639809
Hospital Revenue Code	278
Min. Negotiated Rate	$2,148.00
Max. Negotiated Rate	$3,465.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,864.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,465.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,150.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,148.00

GRAFT ZENITH AAA LEG EXTENSION

Facility

$14,980.00

Hospital Charge Code	270642395
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

GRAFT ZENITH AAA LEG TFLE1654

Facility

$14,980.00

Hospital Charge Code	270634660V
Hospital Revenue Code	278
Min. Negotiated Rate	$361.02
Max. Negotiated Rate	$7,490.00
Rate for Payer: Aetna Commercial	$5,692.40
Rate for Payer: Aetna Medicare Advantage	$4,494.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,819.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,819.90
Rate for Payer: Cigna Commercial	$7,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00
Rate for Payer: UnitedHealthcare Community & State	$361.02
Rate for Payer: Wellpoint Medicaid Managed Care	$396.97

GRAFT ZENITH AAA LEG TFLE1654

Facility

$13,392.00

Hospital Charge Code	270634660
Hospital Revenue Code	278
Min. Negotiated Rate	$322.75
Max. Negotiated Rate	$6,696.00
Rate for Payer: Aetna Commercial	$5,088.96
Rate for Payer: Aetna Medicare Advantage	$4,017.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,414.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,414.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,678.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,414.96
Rate for Payer: Cigna Commercial	$6,696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,240.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,946.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,008.80
Rate for Payer: UnitedHealthcare Community & State	$322.75
Rate for Payer: Wellpoint Medicaid Managed Care	$354.89

GRAFT ZENITH AAA LEG TFLE1654

Facility

$13,392.00

Hospital Charge Code	270634660
Hospital Revenue Code	278
Min. Negotiated Rate	$2,008.80
Max. Negotiated Rate	$3,240.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,678.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,240.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,946.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,008.80

GRAFT ZENITH AAA LEG TFLE1654

Facility

$14,980.00

Hospital Charge Code	270634660V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,247.00
Max. Negotiated Rate	$3,625.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,996.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,625.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,295.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,247.00

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270640605
Hospital Revenue Code	278
Min. Negotiated Rate	$5,888.25
Max. Negotiated Rate	$9,499.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270639242
Hospital Revenue Code	278
Min. Negotiated Rate	$6,159.00
Max. Negotiated Rate	$9,936.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270640605
Hospital Revenue Code	278
Min. Negotiated Rate	$946.05
Max. Negotiated Rate	$19,627.50
Rate for Payer: Aetna Commercial	$14,916.90
Rate for Payer: Aetna Medicare Advantage	$11,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,010.02
Rate for Payer: Cigna Commercial	$19,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25
Rate for Payer: UnitedHealthcare Community & State	$946.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1,040.26

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270639808
Hospital Revenue Code	278
Min. Negotiated Rate	$5,888.25
Max. Negotiated Rate	$9,499.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25

GRAFT ZENITH AAA MAIN BODY

Facility

$38,110.00

Hospital Charge Code	270639317
Hospital Revenue Code	278
Min. Negotiated Rate	$918.45
Max. Negotiated Rate	$19,055.00
Rate for Payer: Aetna Commercial	$14,481.80
Rate for Payer: Aetna Medicare Advantage	$11,433.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,718.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,718.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,622.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,718.05
Rate for Payer: Cigna Commercial	$19,055.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,222.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,384.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,716.50
Rate for Payer: UnitedHealthcare Community & State	$918.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1,009.91

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270639242
Hospital Revenue Code	278
Min. Negotiated Rate	$989.55
Max. Negotiated Rate	$20,530.00
Rate for Payer: Aetna Commercial	$15,602.80
Rate for Payer: Aetna Medicare Advantage	$12,318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,470.30
Rate for Payer: Cigna Commercial	$20,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00
Rate for Payer: UnitedHealthcare Community & State	$989.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,088.09

GRAFT ZENITH AAA MAIN BODY

Facility

$38,110.00

Hospital Charge Code	270639317
Hospital Revenue Code	278
Min. Negotiated Rate	$5,716.50
Max. Negotiated Rate	$9,222.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,622.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,222.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,384.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,716.50

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270640225
Hospital Revenue Code	278
Min. Negotiated Rate	$989.55
Max. Negotiated Rate	$20,530.00
Rate for Payer: Aetna Commercial	$15,602.80
Rate for Payer: Aetna Medicare Advantage	$12,318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,470.30
Rate for Payer: Cigna Commercial	$20,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00
Rate for Payer: UnitedHealthcare Community & State	$989.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,088.09

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270640225
Hospital Revenue Code	278
Min. Negotiated Rate	$6,159.00
Max. Negotiated Rate	$9,936.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270641632
Hospital Revenue Code	278
Min. Negotiated Rate	$989.55
Max. Negotiated Rate	$20,530.00
Rate for Payer: Aetna Commercial	$15,602.80
Rate for Payer: Aetna Medicare Advantage	$12,318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,470.30
Rate for Payer: Cigna Commercial	$20,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00
Rate for Payer: UnitedHealthcare Community & State	$989.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,088.09

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270639571
Hospital Revenue Code	278
Min. Negotiated Rate	$946.05
Max. Negotiated Rate	$19,627.50
Rate for Payer: Aetna Commercial	$14,916.90
Rate for Payer: Aetna Medicare Advantage	$11,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,010.02
Rate for Payer: Cigna Commercial	$19,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25
Rate for Payer: UnitedHealthcare Community & State	$946.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1,040.26

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270639572
Hospital Revenue Code	278
Min. Negotiated Rate	$989.55
Max. Negotiated Rate	$20,530.00
Rate for Payer: Aetna Commercial	$15,602.80
Rate for Payer: Aetna Medicare Advantage	$12,318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,470.30
Rate for Payer: Cigna Commercial	$20,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00
Rate for Payer: UnitedHealthcare Community & State	$989.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,088.09

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270639808
Hospital Revenue Code	278
Min. Negotiated Rate	$946.05
Max. Negotiated Rate	$19,627.50
Rate for Payer: Aetna Commercial	$14,916.90
Rate for Payer: Aetna Medicare Advantage	$11,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,010.02
Rate for Payer: Cigna Commercial	$19,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25
Rate for Payer: UnitedHealthcare Community & State	$946.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1,040.26

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270639571
Hospital Revenue Code	278
Min. Negotiated Rate	$5,888.25
Max. Negotiated Rate	$9,499.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25

GRAFT ZENITH AAA MAIN BODY

Facility

$41,060.00

Hospital Charge Code	270639572
Hospital Revenue Code	278
Min. Negotiated Rate	$6,159.00
Max. Negotiated Rate	$9,936.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00

GRAFT ZENITH AAA MAIN BODY

Facility

$39,255.00

Hospital Charge Code	270640599
Hospital Revenue Code	278
Min. Negotiated Rate	$946.05
Max. Negotiated Rate	$19,627.50
Rate for Payer: Aetna Commercial	$14,916.90
Rate for Payer: Aetna Medicare Advantage	$11,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,010.02
Rate for Payer: Cigna Commercial	$19,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,499.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,636.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,888.25
Rate for Payer: UnitedHealthcare Community & State	$946.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1,040.26

Know your out-of-pocket cost for care.

All Charges