Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LENS IO CHIRON CIIVB 20.0

Facility

$1,659.25

Hospital Charge Code	270602096
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 20.0

Facility

$1,659.25

Hospital Charge Code	270602096
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 20.5

Facility

$1,659.25

Hospital Charge Code	270602097
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 20.5

Facility

$1,659.25

Hospital Charge Code	270602097
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 21.0

Facility

$1,659.25

Hospital Charge Code	270602098
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 21.0

Facility

$1,659.25

Hospital Charge Code	270602098
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 21.5

Facility

$1,659.25

Hospital Charge Code	270602128
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 21.5

Facility

$1,659.25

Hospital Charge Code	270602128
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 22.0

Facility

$1,659.25

Hospital Charge Code	270602099
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 22.0

Facility

$1,659.25

Hospital Charge Code	270602099
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 22.5

Facility

$1,659.25

Hospital Charge Code	270602100
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 22.5

Facility

$1,659.25

Hospital Charge Code	270602100
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 23.0

Facility

$1,659.25

Hospital Charge Code	270602007
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 23.0

Facility

$1,659.25

Hospital Charge Code	270602007
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 23.5

Facility

$1,659.25

Hospital Charge Code	270602006
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 23.5

Facility

$1,659.25

Hospital Charge Code	270602006
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 24.0

Facility

$1,659.25

Hospital Charge Code	270602101
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 24.0

Facility

$1,659.25

Hospital Charge Code	270602101
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 24.5

Facility

$1,659.25

Hospital Charge Code	270611019
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 24.5

Facility

$1,659.25

Hospital Charge Code	270611019
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 25.0

Facility

$1,659.25

Hospital Charge Code	270602102
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 25.0

Facility

$1,659.25

Hospital Charge Code	270602102
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 25.5

Facility

$1,659.25

Hospital Charge Code	270602103
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

LENS IO CHIRON CIIVB 25.5

Facility

$1,659.25

Hospital Charge Code	270602103
Hospital Revenue Code	276
Min. Negotiated Rate	$39.99
Max. Negotiated Rate	$829.62
Rate for Payer: Aetna Commercial	$630.51
Rate for Payer: Aetna Medicare Advantage	$497.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.11
Rate for Payer: Cigna Commercial	$829.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89
Rate for Payer: UnitedHealthcare Community & State	$39.99
Rate for Payer: Wellpoint Medicaid Managed Care	$43.97

LENS IO CHIRON CIIVB 26.0

Facility

$1,659.25

Hospital Charge Code	270602104
Hospital Revenue Code	276
Min. Negotiated Rate	$248.89
Max. Negotiated Rate	$401.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$401.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$365.04
Rate for Payer: Qualcare PPO/HMO/WC	$248.89

Know your out-of-pocket cost for care.

All Charges