Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LPS-FLEX GSF OPTION FEMORAL

Facility

$12,166.15

Hospital Charge Code	270657848
Hospital Revenue Code	278
Min. Negotiated Rate	$293.20
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$4,623.14
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92
Rate for Payer: UnitedHealthcare Community & State	$293.20
Rate for Payer: Wellpoint Medicaid Managed Care	$322.40

LPS-FLEX GSF OPTION FEMORAL

Facility

$12,166.15

Hospital Charge Code	270657848
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270657034
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270657035
Hospital Revenue Code	278
Min. Negotiated Rate	$293.20
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$4,623.14
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92
Rate for Payer: UnitedHealthcare Community & State	$293.20
Rate for Payer: Wellpoint Medicaid Managed Care	$322.40

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270662344
Hospital Revenue Code	272
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$1,824.92
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270662344
Hospital Revenue Code	272
Min. Negotiated Rate	$293.20
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$4,623.14
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,649.84
Rate for Payer: Oxford Commercial	$2,433.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92
Rate for Payer: UnitedHealthcare Commercial	$2,433.23
Rate for Payer: UnitedHealthcare Community & State	$293.20
Rate for Payer: Wellpoint Medicaid Managed Care	$322.40

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270657034
Hospital Revenue Code	278
Min. Negotiated Rate	$293.20
Max. Negotiated Rate	$6,083.07
Rate for Payer: Aetna Commercial	$4,623.14
Rate for Payer: Aetna Medicare Advantage	$3,649.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,102.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,102.37
Rate for Payer: Cigna Commercial	$6,083.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92
Rate for Payer: UnitedHealthcare Community & State	$293.20
Rate for Payer: Wellpoint Medicaid Managed Care	$322.40

LPS-FLEX GSF OPTION FEMORAL, S

Facility

$12,166.15

Hospital Charge Code	270657035
Hospital Revenue Code	278
Min. Negotiated Rate	$1,824.92
Max. Negotiated Rate	$2,944.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,433.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,944.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,676.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,824.92

LPS POR FEM SIZE GRT5992-17-92

Facility

$15,134.75

Hospital Charge Code	270635684
Hospital Revenue Code	278
Min. Negotiated Rate	$364.75
Max. Negotiated Rate	$7,567.38
Rate for Payer: Aetna Commercial	$5,751.20
Rate for Payer: Aetna Medicare Advantage	$4,540.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,026.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,859.36
Rate for Payer: Cigna Commercial	$7,567.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,662.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,329.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,270.21
Rate for Payer: UnitedHealthcare Community & State	$364.75
Rate for Payer: Wellpoint Medicaid Managed Care	$401.07

LPS POR FEM SIZE GRT5992-17-92

Facility

$15,134.75

Hospital Charge Code	270635684
Hospital Revenue Code	278
Min. Negotiated Rate	$2,270.21
Max. Negotiated Rate	$3,662.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,026.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,662.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,329.64
Rate for Payer: Qualcare PPO/HMO/WC	$2,270.21

LPV STD HI PRES NL850-4430

Facility

$3,028.00

Hospital Charge Code	270600293
Hospital Revenue Code	272
Min. Negotiated Rate	$454.20
Max. Negotiated Rate	$454.20
Rate for Payer: Qualcare PPO/HMO/WC	$454.20

LPV STD HI PRES NL850-4430

Facility

$3,028.00

Hospital Charge Code	270600293
Hospital Revenue Code	272
Min. Negotiated Rate	$72.97
Max. Negotiated Rate	$1,514.00
Rate for Payer: Aetna Commercial	$1,150.64
Rate for Payer: Aetna Medicare Advantage	$908.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.14
Rate for Payer: Cigna Commercial	$1,514.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$908.40
Rate for Payer: Oxford Commercial	$605.60
Rate for Payer: Qualcare PPO/HMO/WC	$454.20
Rate for Payer: UnitedHealthcare Commercial	$605.60
Rate for Payer: UnitedHealthcare Community & State	$72.97
Rate for Payer: Wellpoint Medicaid Managed Care	$80.24

LPV STD HI PRES NL850-4431

Facility

$3,807.25

Hospital Charge Code	270600296
Hospital Revenue Code	278
Min. Negotiated Rate	$91.75
Max. Negotiated Rate	$1,903.62
Rate for Payer: Aetna Commercial	$1,446.76
Rate for Payer: Aetna Medicare Advantage	$1,142.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$970.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$970.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$970.85
Rate for Payer: Cigna Commercial	$1,903.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$921.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$837.60
Rate for Payer: Qualcare PPO/HMO/WC	$571.09
Rate for Payer: UnitedHealthcare Community & State	$91.75
Rate for Payer: Wellpoint Medicaid Managed Care	$100.89

LPV STD HI PRES NL850-4431

Facility

$3,807.25

Hospital Charge Code	270600296
Hospital Revenue Code	278
Min. Negotiated Rate	$571.09
Max. Negotiated Rate	$921.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$761.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$921.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$837.60
Rate for Payer: Qualcare PPO/HMO/WC	$571.09

LPV STD LO PRES NL850-4410

Facility

$3,026.45

Hospital Charge Code	270600287
Hospital Revenue Code	272
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LPV STD LO PRES NL850-4410

Facility

$3,026.45

Hospital Charge Code	270600287
Hospital Revenue Code	272
Min. Negotiated Rate	$72.94
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$1,150.05
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.93
Rate for Payer: Oxford Commercial	$605.29
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$605.29
Rate for Payer: UnitedHealthcare Community & State	$72.94
Rate for Payer: Wellpoint Medicaid Managed Care	$80.20

LPV STD LO PRES NL850-4411

Facility

$3,801.65

Hospital Charge Code	270600294
Hospital Revenue Code	272
Min. Negotiated Rate	$570.25
Max. Negotiated Rate	$570.25
Rate for Payer: Qualcare PPO/HMO/WC	$570.25

LPV STD LO PRES NL850-4411

Facility

$3,801.65

Hospital Charge Code	270600294
Hospital Revenue Code	272
Min. Negotiated Rate	$91.62
Max. Negotiated Rate	$1,900.83
Rate for Payer: Aetna Commercial	$1,444.63
Rate for Payer: Aetna Medicare Advantage	$1,140.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$969.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$969.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$969.42
Rate for Payer: Cigna Commercial	$1,900.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,140.49
Rate for Payer: Oxford Commercial	$760.33
Rate for Payer: Qualcare PPO/HMO/WC	$570.25
Rate for Payer: UnitedHealthcare Commercial	$760.33
Rate for Payer: UnitedHealthcare Community & State	$91.62
Rate for Payer: Wellpoint Medicaid Managed Care	$100.74

LPV STD MED PRES NL850-4420

Facility

$3,026.45

Hospital Charge Code	270600290
Hospital Revenue Code	272
Min. Negotiated Rate	$453.97
Max. Negotiated Rate	$453.97
Rate for Payer: Qualcare PPO/HMO/WC	$453.97

LPV STD MED PRES NL850-4420

Facility

$3,026.45

Hospital Charge Code	270600290
Hospital Revenue Code	272
Min. Negotiated Rate	$72.94
Max. Negotiated Rate	$1,513.22
Rate for Payer: Aetna Commercial	$1,150.05
Rate for Payer: Aetna Medicare Advantage	$907.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$771.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$771.74
Rate for Payer: Cigna Commercial	$1,513.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.93
Rate for Payer: Oxford Commercial	$605.29
Rate for Payer: Qualcare PPO/HMO/WC	$453.97
Rate for Payer: UnitedHealthcare Commercial	$605.29
Rate for Payer: UnitedHealthcare Community & State	$72.94
Rate for Payer: Wellpoint Medicaid Managed Care	$80.20

LPV STD MED PRES NL850-4421

Facility

$4,568.00

Hospital Charge Code	270600295
Hospital Revenue Code	272
Min. Negotiated Rate	$110.09
Max. Negotiated Rate	$2,284.00
Rate for Payer: Aetna Commercial	$1,735.84
Rate for Payer: Aetna Medicare Advantage	$1,370.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,164.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,164.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,164.84
Rate for Payer: Cigna Commercial	$2,284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,370.40
Rate for Payer: Oxford Commercial	$913.60
Rate for Payer: Qualcare PPO/HMO/WC	$685.20
Rate for Payer: UnitedHealthcare Commercial	$913.60
Rate for Payer: UnitedHealthcare Community & State	$110.09
Rate for Payer: Wellpoint Medicaid Managed Care	$121.05

LPV STD MED PRES NL850-4421

Facility

$4,568.00

Hospital Charge Code	270600295
Hospital Revenue Code	272
Min. Negotiated Rate	$685.20
Max. Negotiated Rate	$685.20
Rate for Payer: Qualcare PPO/HMO/WC	$685.20

LRG BNE OSCLLTNG BLD 63.0X42MM

Facility

$35.00

Hospital Charge Code	270662588
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

LRG BNE OSCLLTNG BLD 63.0X42MM

Facility

$35.00

Hospital Charge Code	270662588
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

LRG BNE OSCLLTNG BLD 63.0X49MM

Facility

$35.00

Hospital Charge Code	270662589
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

Know your out-of-pocket cost for care.

All Charges