Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LINER ZIM ACETB 10 28 61205028

Facility

$4,137.65

Hospital Charge Code	270612225
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

LINER ZIM ACETB 10 56 61105628

Facility

$4,137.65

Hospital Charge Code	270605649
Hospital Revenue Code	278
Min. Negotiated Rate	$99.72
Max. Negotiated Rate	$2,068.82
Rate for Payer: Aetna Commercial	$1,572.31
Rate for Payer: Aetna Medicare Advantage	$1,241.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,055.10
Rate for Payer: Cigna Commercial	$2,068.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65
Rate for Payer: UnitedHealthcare Community & State	$99.72
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

LINER ZIM ACETB 10 56 61105628

Facility

$4,137.65

Hospital Charge Code	270605649
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

LINER ZIM ACETB 10 58 61105828

Facility

$4,069.65

Hospital Charge Code	270606805
Hospital Revenue Code	278
Min. Negotiated Rate	$98.08
Max. Negotiated Rate	$2,034.83
Rate for Payer: Aetna Commercial	$1,546.47
Rate for Payer: Aetna Medicare Advantage	$1,220.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,037.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,037.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$813.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,037.76
Rate for Payer: Cigna Commercial	$2,034.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$984.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$895.32
Rate for Payer: Qualcare PPO/HMO/WC	$610.45
Rate for Payer: UnitedHealthcare Community & State	$98.08
Rate for Payer: Wellpoint Medicaid Managed Care	$107.85

LINER ZIM ACETB 10 58 61105828

Facility

$4,069.65

Hospital Charge Code	270606805
Hospital Revenue Code	278
Min. Negotiated Rate	$610.45
Max. Negotiated Rate	$984.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$813.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$984.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$895.32
Rate for Payer: Qualcare PPO/HMO/WC	$610.45

LINER ZIM ACETB 10 60 61106028

Facility

$4,069.65

Hospital Charge Code	270605997
Hospital Revenue Code	278
Min. Negotiated Rate	$610.45
Max. Negotiated Rate	$984.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$813.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$984.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$895.32
Rate for Payer: Qualcare PPO/HMO/WC	$610.45

LINER ZIM ACETB 10 60 61106028

Facility

$4,069.65

Hospital Charge Code	270605997
Hospital Revenue Code	278
Min. Negotiated Rate	$98.08
Max. Negotiated Rate	$2,034.83
Rate for Payer: Aetna Commercial	$1,546.47
Rate for Payer: Aetna Medicare Advantage	$1,220.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,037.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,037.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$813.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,037.76
Rate for Payer: Cigna Commercial	$2,034.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$984.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$895.32
Rate for Payer: Qualcare PPO/HMO/WC	$610.45
Rate for Payer: UnitedHealthcare Community & State	$98.08
Rate for Payer: Wellpoint Medicaid Managed Care	$107.85

LINER ZIM ACETB 10 62 61106228

Facility

$4,137.65

Hospital Charge Code	270611865
Hospital Revenue Code	278
Min. Negotiated Rate	$99.72
Max. Negotiated Rate	$2,068.82
Rate for Payer: Aetna Commercial	$1,572.31
Rate for Payer: Aetna Medicare Advantage	$1,241.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,055.10
Rate for Payer: Cigna Commercial	$2,068.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65
Rate for Payer: UnitedHealthcare Community & State	$99.72
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

LINER ZIM ACETB 10 62 61106228

Facility

$4,137.65

Hospital Charge Code	270611865
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

LINER ZIM ACETB 20 56 61205628

Facility

$4,137.65

Hospital Charge Code	270608924
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

LINER ZIM ACETB 20 56 61205628

Facility

$4,137.65

Hospital Charge Code	270608924
Hospital Revenue Code	278
Min. Negotiated Rate	$99.72
Max. Negotiated Rate	$2,068.82
Rate for Payer: Aetna Commercial	$1,572.31
Rate for Payer: Aetna Medicare Advantage	$1,241.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,055.10
Rate for Payer: Cigna Commercial	$2,068.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65
Rate for Payer: UnitedHealthcare Community & State	$99.72
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

LINER ZIM ACETB 28 48 63104828

Facility

$8,091.25

Hospital Charge Code	270621550
Hospital Revenue Code	278
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$4,045.62
Rate for Payer: Aetna Commercial	$3,074.68
Rate for Payer: Aetna Medicare Advantage	$2,427.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,063.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,063.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,618.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,063.27
Rate for Payer: Cigna Commercial	$4,045.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,958.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,780.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,213.69
Rate for Payer: UnitedHealthcare Community & State	$195.00
Rate for Payer: Wellpoint Medicaid Managed Care	$214.42

LINER ZIM ACETB 28 48 63104828

Facility

$8,091.25

Hospital Charge Code	270621550
Hospital Revenue Code	278
Min. Negotiated Rate	$1,213.69
Max. Negotiated Rate	$1,958.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,618.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,958.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,780.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,213.69

LINER ZIM ACETB 28 50 63105028

Facility

$5,654.60

Hospital Charge Code	270619085
Hospital Revenue Code	278
Min. Negotiated Rate	$136.28
Max. Negotiated Rate	$2,827.30
Rate for Payer: Aetna Commercial	$2,148.75
Rate for Payer: Aetna Medicare Advantage	$1,696.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,441.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,441.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,441.92
Rate for Payer: Cigna Commercial	$2,827.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,368.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,244.01
Rate for Payer: Qualcare PPO/HMO/WC	$848.19
Rate for Payer: UnitedHealthcare Community & State	$136.28
Rate for Payer: Wellpoint Medicaid Managed Care	$149.85

LINER ZIM ACETB 28 50 63105028

Facility

$5,654.60

Hospital Charge Code	270619085
Hospital Revenue Code	278
Min. Negotiated Rate	$848.19
Max. Negotiated Rate	$1,368.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,130.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,368.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,244.01
Rate for Payer: Qualcare PPO/HMO/WC	$848.19

LINER ZIM ACETB 28 56 63105628

Facility

$5,393.65

Hospital Charge Code	270621171
Hospital Revenue Code	278
Min. Negotiated Rate	$809.05
Max. Negotiated Rate	$1,305.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,186.60
Rate for Payer: Qualcare PPO/HMO/WC	$809.05

LINER ZIM ACETB 28 56 63105628

Facility

$5,393.65

Hospital Charge Code	270621171
Hospital Revenue Code	278
Min. Negotiated Rate	$129.99
Max. Negotiated Rate	$2,696.82
Rate for Payer: Aetna Commercial	$2,049.59
Rate for Payer: Aetna Medicare Advantage	$1,618.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,375.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,078.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,375.38
Rate for Payer: Cigna Commercial	$2,696.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,186.60
Rate for Payer: Qualcare PPO/HMO/WC	$809.05
Rate for Payer: UnitedHealthcare Community & State	$129.99
Rate for Payer: Wellpoint Medicaid Managed Care	$142.93

LINER ZIM ACETB 28 58 63105828

Facility

$5,880.80

Hospital Charge Code	270619924
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$2,940.40
Rate for Payer: Aetna Commercial	$2,234.70
Rate for Payer: Aetna Medicare Advantage	$1,764.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,499.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,499.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,176.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,499.60
Rate for Payer: Cigna Commercial	$2,940.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,423.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$882.12
Rate for Payer: UnitedHealthcare Community & State	$141.73
Rate for Payer: Wellpoint Medicaid Managed Care	$155.84

LINER ZIM ACETB 28 58 63105828

Facility

$5,880.80

Hospital Charge Code	270619924
Hospital Revenue Code	278
Min. Negotiated Rate	$882.12
Max. Negotiated Rate	$1,423.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,176.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,423.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$882.12

LINER ZIM ACETB 28 62 63106228

Facility

$4,173.65

Hospital Charge Code	270616874
Hospital Revenue Code	278
Min. Negotiated Rate	$626.05
Max. Negotiated Rate	$1,010.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$834.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,010.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$918.20
Rate for Payer: Qualcare PPO/HMO/WC	$626.05

LINER ZIM ACETB 28 62 63106228

Facility

$4,173.65

Hospital Charge Code	270616874
Hospital Revenue Code	278
Min. Negotiated Rate	$100.58
Max. Negotiated Rate	$2,086.82
Rate for Payer: Aetna Commercial	$1,585.99
Rate for Payer: Aetna Medicare Advantage	$1,252.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,064.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,064.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$834.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,064.28
Rate for Payer: Cigna Commercial	$2,086.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,010.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$918.20
Rate for Payer: Qualcare PPO/HMO/WC	$626.05
Rate for Payer: UnitedHealthcare Community & State	$100.58
Rate for Payer: Wellpoint Medicaid Managed Care	$110.60

LINER ZIM BIPOLAR 44 50014428

Facility

$1,666.55

Hospital Charge Code	270626160
Hospital Revenue Code	278
Min. Negotiated Rate	$249.98
Max. Negotiated Rate	$403.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$366.64
Rate for Payer: Qualcare PPO/HMO/WC	$249.98

LINER ZIM BIPOLAR 44 50014428

Facility

$1,666.55

Hospital Charge Code	270626160
Hospital Revenue Code	278
Min. Negotiated Rate	$40.16
Max. Negotiated Rate	$833.27
Rate for Payer: Aetna Commercial	$633.29
Rate for Payer: Aetna Medicare Advantage	$499.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.97
Rate for Payer: Cigna Commercial	$833.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$366.64
Rate for Payer: Qualcare PPO/HMO/WC	$249.98
Rate for Payer: UnitedHealthcare Community & State	$40.16
Rate for Payer: Wellpoint Medicaid Managed Care	$44.16

LINER ZIM CUP HIP 28 50014728

Facility

$1,666.55

Hospital Charge Code	270625371
Hospital Revenue Code	278
Min. Negotiated Rate	$40.16
Max. Negotiated Rate	$833.27
Rate for Payer: Aetna Commercial	$633.29
Rate for Payer: Aetna Medicare Advantage	$499.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.97
Rate for Payer: Cigna Commercial	$833.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$366.64
Rate for Payer: Qualcare PPO/HMO/WC	$249.98
Rate for Payer: UnitedHealthcare Community & State	$40.16
Rate for Payer: Wellpoint Medicaid Managed Care	$44.16

LINER ZIM CUP HIP 28 50014728

Facility

$1,666.55

Hospital Charge Code	270625371
Hospital Revenue Code	278
Min. Negotiated Rate	$249.98
Max. Negotiated Rate	$403.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$333.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$366.64
Rate for Payer: Qualcare PPO/HMO/WC	$249.98

Know your out-of-pocket cost for care.

All Charges