Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

HEAD ZIM HUM 14 26 4065-49

Facility

$3,084.85

Hospital Charge Code	270621877
Hospital Revenue Code	278
Min. Negotiated Rate	$74.34
Max. Negotiated Rate	$1,542.42
Rate for Payer: Aetna Commercial	$1,172.24
Rate for Payer: Aetna Medicare Advantage	$925.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$786.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$786.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$616.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$786.64
Rate for Payer: Cigna Commercial	$1,542.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$678.67
Rate for Payer: Qualcare PPO/HMO/WC	$462.73
Rate for Payer: UnitedHealthcare Community & State	$74.34
Rate for Payer: Wellpoint Medicaid Managed Care	$81.75

HEAD ZIM HUM 14 26 4065-49

Facility

$3,084.85

Hospital Charge Code	270621877
Hospital Revenue Code	278
Min. Negotiated Rate	$462.73
Max. Negotiated Rate	$746.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$616.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$678.67
Rate for Payer: Qualcare PPO/HMO/WC	$462.73

HEAD ZIM HUM 14 4065-48

Facility

$4,332.85

Hospital Charge Code	270611154
Hospital Revenue Code	278
Min. Negotiated Rate	$104.42
Max. Negotiated Rate	$2,166.43
Rate for Payer: Aetna Commercial	$1,646.48
Rate for Payer: Aetna Medicare Advantage	$1,299.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,104.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,104.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$866.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,104.88
Rate for Payer: Cigna Commercial	$2,166.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,048.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$953.23
Rate for Payer: Qualcare PPO/HMO/WC	$649.93
Rate for Payer: UnitedHealthcare Community & State	$104.42
Rate for Payer: Wellpoint Medicaid Managed Care	$114.82

HEAD ZIM HUM 14 4065-48

Facility

$4,332.85

Hospital Charge Code	270611154
Hospital Revenue Code	278
Min. Negotiated Rate	$649.93
Max. Negotiated Rate	$1,048.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$866.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,048.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$953.23
Rate for Payer: Qualcare PPO/HMO/WC	$649.93

HEAD ZIM HUM 16 4065-50

Facility

$3,084.85

Hospital Charge Code	270620706
Hospital Revenue Code	278
Min. Negotiated Rate	$462.73
Max. Negotiated Rate	$746.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$616.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$678.67
Rate for Payer: Qualcare PPO/HMO/WC	$462.73

HEAD ZIM HUM 16 4065-50

Facility

$3,084.85

Hospital Charge Code	270620706
Hospital Revenue Code	278
Min. Negotiated Rate	$74.34
Max. Negotiated Rate	$1,542.42
Rate for Payer: Aetna Commercial	$1,172.24
Rate for Payer: Aetna Medicare Advantage	$925.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$786.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$786.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$616.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$786.64
Rate for Payer: Cigna Commercial	$1,542.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$746.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$678.67
Rate for Payer: Qualcare PPO/HMO/WC	$462.73
Rate for Payer: UnitedHealthcare Community & State	$74.34
Rate for Payer: Wellpoint Medicaid Managed Care	$81.75

HEAD ZIM HUM 21 4065-51

Facility

$4,769.65

Hospital Charge Code	270613411
Hospital Revenue Code	278
Min. Negotiated Rate	$715.45
Max. Negotiated Rate	$1,154.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,154.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,049.32
Rate for Payer: Qualcare PPO/HMO/WC	$715.45

HEAD ZIM HUM 21 4065-51

Facility

$4,769.65

Hospital Charge Code	270613411
Hospital Revenue Code	278
Min. Negotiated Rate	$114.95
Max. Negotiated Rate	$2,384.82
Rate for Payer: Aetna Commercial	$1,812.47
Rate for Payer: Aetna Medicare Advantage	$1,430.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,216.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,216.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$953.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,216.26
Rate for Payer: Cigna Commercial	$2,384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,154.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,049.32
Rate for Payer: Qualcare PPO/HMO/WC	$715.45
Rate for Payer: UnitedHealthcare Community & State	$114.95
Rate for Payer: Wellpoint Medicaid Managed Care	$126.40

HEAD ZIM HUM 21 46 43004621

Facility

$5,486.45

Hospital Charge Code	270629065
Hospital Revenue Code	278
Min. Negotiated Rate	$132.22
Max. Negotiated Rate	$2,743.22
Rate for Payer: Aetna Commercial	$2,084.85
Rate for Payer: Aetna Medicare Advantage	$1,645.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,399.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,399.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,097.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,399.04
Rate for Payer: Cigna Commercial	$2,743.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,327.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,207.02
Rate for Payer: Qualcare PPO/HMO/WC	$822.97
Rate for Payer: UnitedHealthcare Community & State	$132.22
Rate for Payer: Wellpoint Medicaid Managed Care	$145.39

HEAD ZIM HUM 21 46 43004621

Facility

$5,486.45

Hospital Charge Code	270629065
Hospital Revenue Code	278
Min. Negotiated Rate	$822.97
Max. Negotiated Rate	$1,327.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,097.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,327.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,207.02
Rate for Payer: Qualcare PPO/HMO/WC	$822.97

HEALDESS COMPRES SCREW 2.5 14M

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690412
Hospital Revenue Code	278
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$356.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

HEALDESS COMPRES SCREW 2.5 14M

Facility

$1,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270690412
Hospital Revenue Code	278
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$356.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$324.50
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

HEALICOIL KNOTLESS ANCHOR

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690827
Hospital Revenue Code	278
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$816.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

HEALICOIL KNOTLESS ANCHOR

Facility

$3,375.00

Service Code	HCPCS C1713
Hospital Charge Code	270690827
Hospital Revenue Code	278
Min. Negotiated Rate	$81.34
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.50
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Community & State	$81.34
Rate for Payer: Wellpoint Medicaid Managed Care	$89.44

HEALICOIL RG SA 4.75 W/2 UB-BL

Facility

$1,872.00

Hospital Charge Code	270682438
Hospital Revenue Code	272
Min. Negotiated Rate	$280.80
Max. Negotiated Rate	$280.80
Rate for Payer: Qualcare PPO/HMO/WC	$280.80

HEALICOIL RG SA 4.75 W/2 UB-BL

Facility

$1,872.00

Hospital Charge Code	270682438
Hospital Revenue Code	272
Min. Negotiated Rate	$45.12
Max. Negotiated Rate	$936.00
Rate for Payer: Aetna Commercial	$711.36
Rate for Payer: Aetna Medicare Advantage	$561.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$477.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$477.36
Rate for Payer: Cigna Commercial	$936.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$561.60
Rate for Payer: Oxford Commercial	$374.40
Rate for Payer: Qualcare PPO/HMO/WC	$280.80
Rate for Payer: UnitedHealthcare Commercial	$374.40
Rate for Payer: UnitedHealthcare Community & State	$45.12
Rate for Payer: Wellpoint Medicaid Managed Care	$49.61

HEALICOIL RSB 4.75 MM SUTUR UL

Facility

$3,875.00

Hospital Charge Code	270682922
Hospital Revenue Code	272
Min. Negotiated Rate	$581.25
Max. Negotiated Rate	$581.25
Rate for Payer: Qualcare PPO/HMO/WC	$581.25

HEALICOIL RSB 4.75 MM SUTUR UL

Facility

$3,875.00

Hospital Charge Code	270682922
Hospital Revenue Code	272
Min. Negotiated Rate	$93.39
Max. Negotiated Rate	$1,937.50
Rate for Payer: Aetna Commercial	$1,472.50
Rate for Payer: Aetna Medicare Advantage	$1,162.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$988.12
Rate for Payer: Cigna Commercial	$1,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,162.50
Rate for Payer: Oxford Commercial	$775.00
Rate for Payer: Qualcare PPO/HMO/WC	$581.25
Rate for Payer: UnitedHealthcare Commercial	$775.00
Rate for Payer: UnitedHealthcare Community & State	$93.39
Rate for Payer: Wellpoint Medicaid Managed Care	$102.69

HEALIX ADVANCE ANCHOR W/

Facility

$2,230.00

Hospital Charge Code	270657377
Hospital Revenue Code	278
Min. Negotiated Rate	$334.50
Max. Negotiated Rate	$539.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$490.60
Rate for Payer: Qualcare PPO/HMO/WC	$334.50

HEALIX ADVANCE ANCHOR W/

Facility

$2,230.00

Hospital Charge Code	270657377
Hospital Revenue Code	278
Min. Negotiated Rate	$53.74
Max. Negotiated Rate	$1,115.00
Rate for Payer: Aetna Commercial	$847.40
Rate for Payer: Aetna Medicare Advantage	$669.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$568.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$446.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$568.65
Rate for Payer: Cigna Commercial	$1,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$539.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$490.60
Rate for Payer: Qualcare PPO/HMO/WC	$334.50
Rate for Payer: UnitedHealthcare Community & State	$53.74
Rate for Payer: Wellpoint Medicaid Managed Care	$59.09

HEALIX ADVANCE KNOTLESS BR ANC

Facility

$2,525.00

Hospital Charge Code	270663292
Hospital Revenue Code	278
Min. Negotiated Rate	$60.85
Max. Negotiated Rate	$1,262.50
Rate for Payer: Aetna Commercial	$959.50
Rate for Payer: Aetna Medicare Advantage	$757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$643.88
Rate for Payer: Cigna Commercial	$1,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$555.50
Rate for Payer: Qualcare PPO/HMO/WC	$378.75
Rate for Payer: UnitedHealthcare Community & State	$60.85
Rate for Payer: Wellpoint Medicaid Managed Care	$66.91

HEALIX ADVANCE KNOTLESS BR ANC

Facility

$2,525.00

Hospital Charge Code	270663292
Hospital Revenue Code	278
Min. Negotiated Rate	$378.75
Max. Negotiated Rate	$611.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$505.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$611.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$555.50
Rate for Payer: Qualcare PPO/HMO/WC	$378.75

HEALON 4CC VIAL

Facility

$597.00

Hospital Charge Code	270331801
Hospital Revenue Code	272
Min. Negotiated Rate	$14.39
Max. Negotiated Rate	$298.50
Rate for Payer: Aetna Commercial	$226.86
Rate for Payer: Aetna Medicare Advantage	$179.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.24
Rate for Payer: Cigna Commercial	$298.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.10
Rate for Payer: Oxford Commercial	$119.40
Rate for Payer: Qualcare PPO/HMO/WC	$89.55
Rate for Payer: UnitedHealthcare Commercial	$119.40
Rate for Payer: UnitedHealthcare Community & State	$14.39
Rate for Payer: Wellpoint Medicaid Managed Care	$15.82

HEALON 4CC VIAL

Facility

$597.00

Hospital Charge Code	270331801
Hospital Revenue Code	272
Min. Negotiated Rate	$89.55
Max. Negotiated Rate	$89.55
Rate for Payer: Qualcare PPO/HMO/WC	$89.55

HEALON 5 0.6ML SYRINGE

Facility

$414.00

Hospital Charge Code	60635577
Hospital Revenue Code	250
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$62.10
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

Know your out-of-pocket cost for care.

All Charges