Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL BMT HUMERAL 8 26CM 340626

Facility

$2,690.45

Hospital Charge Code	270610793
Hospital Revenue Code	278
Min. Negotiated Rate	$64.84
Max. Negotiated Rate	$1,345.22
Rate for Payer: Aetna Commercial	$1,022.37
Rate for Payer: Aetna Medicare Advantage	$807.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$686.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$686.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$538.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$686.06
Rate for Payer: Cigna Commercial	$1,345.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$651.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$591.90
Rate for Payer: Qualcare PPO/HMO/WC	$403.57
Rate for Payer: UnitedHealthcare Community & State	$64.84
Rate for Payer: Wellpoint Medicaid Managed Care	$71.30

NAIL BMT HUMERAL 9 22CM 340722

Facility

$3,174.45

Hospital Charge Code	270614910
Hospital Revenue Code	278
Min. Negotiated Rate	$476.17
Max. Negotiated Rate	$768.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$698.38
Rate for Payer: Qualcare PPO/HMO/WC	$476.17

NAIL BMT HUMERAL 9 22CM 340722

Facility

$3,174.45

Hospital Charge Code	270614910
Hospital Revenue Code	278
Min. Negotiated Rate	$76.50
Max. Negotiated Rate	$1,587.22
Rate for Payer: Aetna Commercial	$1,206.29
Rate for Payer: Aetna Medicare Advantage	$952.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$634.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.48
Rate for Payer: Cigna Commercial	$1,587.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$698.38
Rate for Payer: Qualcare PPO/HMO/WC	$476.17
Rate for Payer: UnitedHealthcare Community & State	$76.50
Rate for Payer: Wellpoint Medicaid Managed Care	$84.12

NAIL BMT HUMERAL 9 26CM 340726

Facility

$2,690.45

Hospital Charge Code	270610874
Hospital Revenue Code	278
Min. Negotiated Rate	$403.57
Max. Negotiated Rate	$651.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$538.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$651.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$591.90
Rate for Payer: Qualcare PPO/HMO/WC	$403.57

NAIL BMT HUMERAL 9 26CM 340726

Facility

$2,690.45

Hospital Charge Code	270610874
Hospital Revenue Code	278
Min. Negotiated Rate	$64.84
Max. Negotiated Rate	$1,345.22
Rate for Payer: Aetna Commercial	$1,022.37
Rate for Payer: Aetna Medicare Advantage	$807.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$686.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$686.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$538.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$686.06
Rate for Payer: Cigna Commercial	$1,345.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$651.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$591.90
Rate for Payer: Qualcare PPO/HMO/WC	$403.57
Rate for Payer: UnitedHealthcare Community & State	$64.84
Rate for Payer: Wellpoint Medicaid Managed Care	$71.30

NAIL BMT HUMERAL 9 28CM 340728

Facility

$5,317.20

Hospital Charge Code	270624981
Hospital Revenue Code	278
Min. Negotiated Rate	$797.58
Max. Negotiated Rate	$1,286.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,063.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,286.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,169.78
Rate for Payer: Qualcare PPO/HMO/WC	$797.58

NAIL BMT HUMERAL 9 28CM 340728

Facility

$5,317.20

Hospital Charge Code	270624981
Hospital Revenue Code	278
Min. Negotiated Rate	$128.14
Max. Negotiated Rate	$2,658.60
Rate for Payer: Aetna Commercial	$2,020.54
Rate for Payer: Aetna Medicare Advantage	$1,595.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,355.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,355.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,063.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,355.89
Rate for Payer: Cigna Commercial	$2,658.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,286.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,169.78
Rate for Payer: Qualcare PPO/HMO/WC	$797.58
Rate for Payer: UnitedHealthcare Community & State	$128.14
Rate for Payer: Wellpoint Medicaid Managed Care	$140.91

NAIL BMT TIB 10 26 33344226

Facility

$2,940.85

Hospital Charge Code	270626570
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$711.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAIL BMT TIB 10 26 33344226

Facility

$2,940.85

Hospital Charge Code	270626570
Hospital Revenue Code	278
Min. Negotiated Rate	$70.87
Max. Negotiated Rate	$1,470.42
Rate for Payer: Aetna Commercial	$1,117.52
Rate for Payer: Aetna Medicare Advantage	$882.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.92
Rate for Payer: Cigna Commercial	$1,470.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$441.13
Rate for Payer: UnitedHealthcare Community & State	$70.87
Rate for Payer: Wellpoint Medicaid Managed Care	$77.93

NAIL BMT TIB 10 28 33344228

Facility

$2,940.85

Hospital Charge Code	270626571
Hospital Revenue Code	278
Min. Negotiated Rate	$441.13
Max. Negotiated Rate	$711.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$441.13

NAIL BMT TIB 10 28 33344228

Facility

$2,940.85

Hospital Charge Code	270626571
Hospital Revenue Code	278
Min. Negotiated Rate	$70.87
Max. Negotiated Rate	$1,470.42
Rate for Payer: Aetna Commercial	$1,117.52
Rate for Payer: Aetna Medicare Advantage	$882.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$749.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$588.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$749.92
Rate for Payer: Cigna Commercial	$1,470.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$711.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$646.99
Rate for Payer: Qualcare PPO/HMO/WC	$441.13
Rate for Payer: UnitedHealthcare Community & State	$70.87
Rate for Payer: Wellpoint Medicaid Managed Care	$77.93

NAIL BMT TIB 11 34 34344334

Facility

$3,113.65

Hospital Charge Code	270623759
Hospital Revenue Code	278
Min. Negotiated Rate	$75.04
Max. Negotiated Rate	$1,556.83
Rate for Payer: Aetna Commercial	$1,183.19
Rate for Payer: Aetna Medicare Advantage	$934.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$793.98
Rate for Payer: Cigna Commercial	$1,556.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$685.00
Rate for Payer: Qualcare PPO/HMO/WC	$467.05
Rate for Payer: UnitedHealthcare Community & State	$75.04
Rate for Payer: Wellpoint Medicaid Managed Care	$82.51

NAIL BMT TIB 11 34 34344334

Facility

$3,113.65

Hospital Charge Code	270623759
Hospital Revenue Code	278
Min. Negotiated Rate	$467.05
Max. Negotiated Rate	$753.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$685.00
Rate for Payer: Qualcare PPO/HMO/WC	$467.05

NAIL BMT TIB 11 36 34344336

Facility

$3,113.65

Hospital Charge Code	270623758
Hospital Revenue Code	278
Min. Negotiated Rate	$75.04
Max. Negotiated Rate	$1,556.83
Rate for Payer: Aetna Commercial	$1,183.19
Rate for Payer: Aetna Medicare Advantage	$934.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$793.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$793.98
Rate for Payer: Cigna Commercial	$1,556.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$685.00
Rate for Payer: Qualcare PPO/HMO/WC	$467.05
Rate for Payer: UnitedHealthcare Community & State	$75.04
Rate for Payer: Wellpoint Medicaid Managed Care	$82.51

NAIL BMT TIB 11 36 34344336

Facility

$3,113.65

Hospital Charge Code	270623758
Hospital Revenue Code	278
Min. Negotiated Rate	$467.05
Max. Negotiated Rate	$753.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$622.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$753.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$685.00
Rate for Payer: Qualcare PPO/HMO/WC	$467.05

NAIL BMT TIBIAL 100 28 156728

Facility

$3,662.45

Hospital Charge Code	270617540
Hospital Revenue Code	278
Min. Negotiated Rate	$549.37
Max. Negotiated Rate	$886.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$732.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$886.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$805.74
Rate for Payer: Qualcare PPO/HMO/WC	$549.37

NAIL BMT TIBIAL 100 28 156728

Facility

$3,662.45

Hospital Charge Code	270617540
Hospital Revenue Code	278
Min. Negotiated Rate	$88.27
Max. Negotiated Rate	$1,831.22
Rate for Payer: Aetna Commercial	$1,391.73
Rate for Payer: Aetna Medicare Advantage	$1,098.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$933.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$933.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$732.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$933.92
Rate for Payer: Cigna Commercial	$1,831.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$886.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$805.74
Rate for Payer: Qualcare PPO/HMO/WC	$549.37
Rate for Payer: UnitedHealthcare Community & State	$88.27
Rate for Payer: Wellpoint Medicaid Managed Care	$97.05

NAIL BMT UX FEM 12 36 341436

Facility

$3,263.25

Hospital Charge Code	270614894
Hospital Revenue Code	278
Min. Negotiated Rate	$78.64
Max. Negotiated Rate	$1,631.62
Rate for Payer: Aetna Commercial	$1,240.04
Rate for Payer: Aetna Medicare Advantage	$978.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$832.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$832.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$652.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$832.13
Rate for Payer: Cigna Commercial	$1,631.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$789.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$717.91
Rate for Payer: Qualcare PPO/HMO/WC	$489.49
Rate for Payer: UnitedHealthcare Community & State	$78.64
Rate for Payer: Wellpoint Medicaid Managed Care	$86.48

NAIL BMT UX FEM 12 36 341436

Facility

$3,263.25

Hospital Charge Code	270614894
Hospital Revenue Code	278
Min. Negotiated Rate	$489.49
Max. Negotiated Rate	$789.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$652.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$789.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$717.91
Rate for Payer: Qualcare PPO/HMO/WC	$489.49

NAIL BMT UX FEM 13 34 343034

Facility

$3,311.25

Hospital Charge Code	270621867
Hospital Revenue Code	278
Min. Negotiated Rate	$496.69
Max. Negotiated Rate	$801.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$662.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$801.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$728.48
Rate for Payer: Qualcare PPO/HMO/WC	$496.69

NAIL BMT UX FEM 13 34 343034

Facility

$3,311.25

Hospital Charge Code	270621867
Hospital Revenue Code	278
Min. Negotiated Rate	$79.80
Max. Negotiated Rate	$1,655.62
Rate for Payer: Aetna Commercial	$1,258.28
Rate for Payer: Aetna Medicare Advantage	$993.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$844.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$844.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$662.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$844.37
Rate for Payer: Cigna Commercial	$1,655.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$801.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$728.48
Rate for Payer: Qualcare PPO/HMO/WC	$496.69
Rate for Payer: UnitedHealthcare Community & State	$79.80
Rate for Payer: Wellpoint Medicaid Managed Care	$87.75

NAIL BMT UX TIB 10 30 33344230

Facility

$2,020.85

Hospital Charge Code	270612855
Hospital Revenue Code	278
Min. Negotiated Rate	$303.13
Max. Negotiated Rate	$489.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$444.59
Rate for Payer: Qualcare PPO/HMO/WC	$303.13

NAIL BMT UX TIB 10 30 33344230

Facility

$2,020.85

Hospital Charge Code	270612855
Hospital Revenue Code	278
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$1,010.42
Rate for Payer: Aetna Commercial	$767.92
Rate for Payer: Aetna Medicare Advantage	$606.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$404.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.32
Rate for Payer: Cigna Commercial	$1,010.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$489.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$444.59
Rate for Payer: Qualcare PPO/HMO/WC	$303.13
Rate for Payer: UnitedHealthcare Community & State	$48.70
Rate for Payer: Wellpoint Medicaid Managed Care	$53.55

NAIL BMT UX TIB 10 32 33344232

Facility

$3,555.25

Hospital Charge Code	270612854
Hospital Revenue Code	278
Min. Negotiated Rate	$85.68
Max. Negotiated Rate	$1,777.62
Rate for Payer: Aetna Commercial	$1,350.99
Rate for Payer: Aetna Medicare Advantage	$1,066.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$906.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$906.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$711.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$906.59
Rate for Payer: Cigna Commercial	$1,777.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$860.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$782.15
Rate for Payer: Qualcare PPO/HMO/WC	$533.29
Rate for Payer: UnitedHealthcare Community & State	$85.68
Rate for Payer: Wellpoint Medicaid Managed Care	$94.21

NAIL BMT UX TIB 10 32 33344232

Facility

$3,555.25

Hospital Charge Code	270612854
Hospital Revenue Code	278
Min. Negotiated Rate	$533.29
Max. Negotiated Rate	$860.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$711.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$860.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$782.15
Rate for Payer: Qualcare PPO/HMO/WC	$533.29

Know your out-of-pocket cost for care.

All Charges