Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LEAD MEDT PCEMKR 5076-52

Facility

$4,324.85

Hospital Charge Code	270623124C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$951.47
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5076-52

Facility

$4,324.85

Hospital Charge Code	270623124C
Hospital Revenue Code	275
Min. Negotiated Rate	$104.23
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,643.44
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$951.47
Rate for Payer: Qualcare PPO/HMO/WC	$648.73
Rate for Payer: UnitedHealthcare Community & State	$104.23
Rate for Payer: Wellpoint Medicaid Managed Care	$114.61

LEAD MEDT PCEMKR 5076-58

Facility

$4,324.85

Hospital Charge Code	270622952C
Hospital Revenue Code	275
Min. Negotiated Rate	$104.23
Max. Negotiated Rate	$2,162.43
Rate for Payer: Aetna Commercial	$1,643.44
Rate for Payer: Aetna Medicare Advantage	$1,297.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,102.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,102.84
Rate for Payer: Cigna Commercial	$2,162.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$951.47
Rate for Payer: Qualcare PPO/HMO/WC	$648.73
Rate for Payer: UnitedHealthcare Community & State	$104.23
Rate for Payer: Wellpoint Medicaid Managed Care	$114.61

LEAD MEDT PCEMKR 5076-58

Facility

$4,324.85

Hospital Charge Code	270622952C
Hospital Revenue Code	275
Min. Negotiated Rate	$648.73
Max. Negotiated Rate	$1,046.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$864.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,046.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$951.47
Rate for Payer: Qualcare PPO/HMO/WC	$648.73

LEAD MEDT PCEMKR 5092-58

Facility

$2,420.00

Service Code	HCPCS C1779
Hospital Charge Code	270611035
Hospital Revenue Code	275
Min. Negotiated Rate	$58.32
Max. Negotiated Rate	$1,210.00
Rate for Payer: Aetna Commercial	$919.60
Rate for Payer: Aetna Medicare Advantage	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.10
Rate for Payer: Cigna Commercial	$1,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.00
Rate for Payer: UnitedHealthcare Community & State	$58.32
Rate for Payer: Wellpoint Medicaid Managed Care	$64.13

LEAD MEDT PCEMKR 5092-58

Facility

$2,420.00

Service Code	HCPCS C1779
Hospital Charge Code	270611035
Hospital Revenue Code	275
Min. Negotiated Rate	$363.00
Max. Negotiated Rate	$585.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$532.40
Rate for Payer: Qualcare PPO/HMO/WC	$363.00

LEAD MEDT PCEMKR 5534

Facility

$3,158.45

Hospital Charge Code	270602739
Hospital Revenue Code	275
Min. Negotiated Rate	$76.12
Max. Negotiated Rate	$1,579.22
Rate for Payer: Aetna Commercial	$1,200.21
Rate for Payer: Aetna Medicare Advantage	$947.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$805.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$805.40
Rate for Payer: Cigna Commercial	$1,579.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$694.86
Rate for Payer: Qualcare PPO/HMO/WC	$473.77
Rate for Payer: UnitedHealthcare Community & State	$76.12
Rate for Payer: Wellpoint Medicaid Managed Care	$83.70

LEAD MEDT PCEMKR 5534

Facility

$3,158.45

Hospital Charge Code	270602739
Hospital Revenue Code	275
Min. Negotiated Rate	$473.77
Max. Negotiated Rate	$764.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$631.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$694.86
Rate for Payer: Qualcare PPO/HMO/WC	$473.77

LEAD MEDT PCEMKR 5534

Facility

$3,625.00

Hospital Charge Code	270602739C
Hospital Revenue Code	275
Min. Negotiated Rate	$543.75
Max. Negotiated Rate	$877.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$543.75

LEAD MEDT PCEMKR 5534

Facility

$3,625.00

Hospital Charge Code	270602739C
Hospital Revenue Code	275
Min. Negotiated Rate	$87.36
Max. Negotiated Rate	$1,812.50
Rate for Payer: Aetna Commercial	$1,377.50
Rate for Payer: Aetna Medicare Advantage	$1,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$924.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$924.38
Rate for Payer: Cigna Commercial	$1,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$877.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$797.50
Rate for Payer: Qualcare PPO/HMO/WC	$543.75
Rate for Payer: UnitedHealthcare Community & State	$87.36
Rate for Payer: Wellpoint Medicaid Managed Care	$96.06

LEAD MEDT PCEMKR 5558

Facility

$2,724.00

Hospital Charge Code	270602754
Hospital Revenue Code	275
Min. Negotiated Rate	$408.60
Max. Negotiated Rate	$659.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.28
Rate for Payer: Qualcare PPO/HMO/WC	$408.60

LEAD MEDT PCEMKR 5558

Facility

$2,724.00

Hospital Charge Code	270602754
Hospital Revenue Code	275
Min. Negotiated Rate	$65.65
Max. Negotiated Rate	$1,362.00
Rate for Payer: Aetna Commercial	$1,035.12
Rate for Payer: Aetna Medicare Advantage	$817.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$694.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$694.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$544.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$694.62
Rate for Payer: Cigna Commercial	$1,362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$659.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$599.28
Rate for Payer: Qualcare PPO/HMO/WC	$408.60
Rate for Payer: UnitedHealthcare Community & State	$65.65
Rate for Payer: Wellpoint Medicaid Managed Care	$72.19

LEAD MEDT PCEMKR 5568

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270609354
Hospital Revenue Code	275
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

LEAD MEDT PCEMKR 5568

Facility

$3,000.00

Service Code	HCPCS C1898
Hospital Charge Code	270609354
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD MEDT PCEMKR 5592-45C

Facility

$3,589.65

Hospital Charge Code	270626469C
Hospital Revenue Code	275
Min. Negotiated Rate	$86.51
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,364.07
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45
Rate for Payer: UnitedHealthcare Community & State	$86.51
Rate for Payer: Wellpoint Medicaid Managed Care	$95.13

LEAD MEDT PCEMKR 5592-45C

Facility

$3,589.65

Hospital Charge Code	270626469C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-45CM

Facility

$3,589.65

Hospital Charge Code	270626469
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-45CM

Facility

$3,589.65

Hospital Charge Code	270626469
Hospital Revenue Code	275
Min. Negotiated Rate	$86.51
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,364.07
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45
Rate for Payer: UnitedHealthcare Community & State	$86.51
Rate for Payer: Wellpoint Medicaid Managed Care	$95.13

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061
Hospital Revenue Code	275
Min. Negotiated Rate	$86.51
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,364.07
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45
Rate for Payer: UnitedHealthcare Community & State	$86.51
Rate for Payer: Wellpoint Medicaid Managed Care	$95.13

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061C
Hospital Revenue Code	275
Min. Negotiated Rate	$86.51
Max. Negotiated Rate	$1,794.83
Rate for Payer: Aetna Commercial	$1,364.07
Rate for Payer: Aetna Medicare Advantage	$1,076.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$915.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$915.36
Rate for Payer: Cigna Commercial	$1,794.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45
Rate for Payer: UnitedHealthcare Community & State	$86.51
Rate for Payer: Wellpoint Medicaid Managed Care	$95.13

LEAD MEDT PCEMKR 5592-53

Facility

$3,589.65

Hospital Charge Code	270625061C
Hospital Revenue Code	275
Min. Negotiated Rate	$538.45
Max. Negotiated Rate	$868.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$717.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$868.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$789.72
Rate for Payer: Qualcare PPO/HMO/WC	$538.45

LEAD MEDT PCEMKR BSP 5024M

Facility

$3,000.00

Hospital Charge Code	270602743
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD MEDT PCEMKR BSP 5024M

Facility

$3,000.00

Hospital Charge Code	270602743
Hospital Revenue Code	275
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

LEAD MEDT PCEMKR ENDCP 5867-3M

Facility

$280.00

Hospital Charge Code	270608507C
Hospital Revenue Code	275
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

Know your out-of-pocket cost for care.

All Charges