Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NAIL SHF GAMMA 14/125 33700425

Facility

$4,042.45

Hospital Charge Code	270601376
Hospital Revenue Code	274
Min. Negotiated Rate	$97.42
Max. Negotiated Rate	$2,021.22
Rate for Payer: Aetna Commercial	$1,536.13
Rate for Payer: Aetna Medicare Advantage	$1,212.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.82
Rate for Payer: Cigna Commercial	$2,021.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.34
Rate for Payer: Qualcare PPO/HMO/WC	$606.37
Rate for Payer: UnitedHealthcare Community & State	$97.42
Rate for Payer: Wellpoint Medicaid Managed Care	$107.12

NAIL SHF GAMMA 14/125 33700425

Facility

$4,042.45

Hospital Charge Code	270601376
Hospital Revenue Code	274
Min. Negotiated Rate	$606.37
Max. Negotiated Rate	$978.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.34
Rate for Payer: Qualcare PPO/HMO/WC	$606.37

NAIL SHF GAMMA14/135 33700435*

Facility

$2,193.00

Hospital Charge Code	1605500
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA14/135 33700435*

Facility

$2,193.00

Hospital Charge Code	1605500
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA14/140 33700440*

Facility

$2,193.00

Hospital Charge Code	1605518
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA14/140 33700440*

Facility

$2,193.00

Hospital Charge Code	1605518
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA16/125 33700625*

Facility

$2,193.00

Hospital Charge Code	1605526
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA16/125 33700625*

Facility

$2,193.00

Hospital Charge Code	1605526
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA16/130 33700063*

Facility

$2,193.00

Hospital Charge Code	1605534
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA16/130 33700063*

Facility

$2,193.00

Hospital Charge Code	1605534
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA16/135 33700635*

Facility

$2,193.00

Hospital Charge Code	1605542
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHF GAMMA16/135 33700635*

Facility

$2,193.00

Hospital Charge Code	1605542
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA 16/140 ******

Facility

$2,193.00

Hospital Charge Code	1605559
Hospital Revenue Code	274
Min. Negotiated Rate	$52.85
Max. Negotiated Rate	$1,096.50
Rate for Payer: Aetna Commercial	$833.34
Rate for Payer: Aetna Medicare Advantage	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$559.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$559.22
Rate for Payer: Cigna Commercial	$1,096.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95
Rate for Payer: UnitedHealthcare Community & State	$52.85
Rate for Payer: Wellpoint Medicaid Managed Care	$58.11

NAIL SHF GAMMA 16/140 ******

Facility

$2,193.00

Hospital Charge Code	1605559
Hospital Revenue Code	274
Min. Negotiated Rate	$328.95
Max. Negotiated Rate	$530.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$438.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$530.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$482.46
Rate for Payer: Qualcare PPO/HMO/WC	$328.95

NAIL SHORT TROCH 11mm DC28811

Facility

$4,752.00

Hospital Charge Code	270635346
Hospital Revenue Code	278
Min. Negotiated Rate	$712.80
Max. Negotiated Rate	$1,149.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.44
Rate for Payer: Qualcare PPO/HMO/WC	$712.80

NAIL SHORT TROCH 11mm DC28811

Facility

$4,752.00

Hospital Charge Code	270635346
Hospital Revenue Code	278
Min. Negotiated Rate	$114.52
Max. Negotiated Rate	$2,376.00
Rate for Payer: Aetna Commercial	$1,805.76
Rate for Payer: Aetna Medicare Advantage	$1,425.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,211.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,211.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$950.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,211.76
Rate for Payer: Cigna Commercial	$2,376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,149.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,045.44
Rate for Payer: Qualcare PPO/HMO/WC	$712.80
Rate for Payer: UnitedHealthcare Community & State	$114.52
Rate for Payer: Wellpoint Medicaid Managed Care	$125.93

NAIL SMN IM HIP 10 38 7116308L

Facility

$5,609.65

Hospital Charge Code	270621500
Hospital Revenue Code	278
Min. Negotiated Rate	$841.45
Max. Negotiated Rate	$1,357.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,121.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,357.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,234.12
Rate for Payer: Qualcare PPO/HMO/WC	$841.45

NAIL SMN IM HIP 10 38 7116308L

Facility

$5,609.65

Hospital Charge Code	270621500
Hospital Revenue Code	278
Min. Negotiated Rate	$135.19
Max. Negotiated Rate	$2,804.82
Rate for Payer: Aetna Commercial	$2,131.67
Rate for Payer: Aetna Medicare Advantage	$1,682.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,430.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,430.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,121.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,430.46
Rate for Payer: Cigna Commercial	$2,804.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,357.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,234.12
Rate for Payer: Qualcare PPO/HMO/WC	$841.45
Rate for Payer: UnitedHealthcare Community & State	$135.19
Rate for Payer: Wellpoint Medicaid Managed Care	$148.66

NAIL SMN TIB/HUM 3.5 22 223522

Facility

$1,016.85

Hospital Charge Code	270622928
Hospital Revenue Code	278
Min. Negotiated Rate	$24.51
Max. Negotiated Rate	$508.43
Rate for Payer: Aetna Commercial	$386.40
Rate for Payer: Aetna Medicare Advantage	$305.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.30
Rate for Payer: Cigna Commercial	$508.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.71
Rate for Payer: Qualcare PPO/HMO/WC	$152.53
Rate for Payer: UnitedHealthcare Community & State	$24.51
Rate for Payer: Wellpoint Medicaid Managed Care	$26.95

NAIL SMN TIB/HUM 3.5 22 223522

Facility

$1,016.85

Hospital Charge Code	270622928
Hospital Revenue Code	278
Min. Negotiated Rate	$152.53
Max. Negotiated Rate	$246.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$223.71
Rate for Payer: Qualcare PPO/HMO/WC	$152.53

NAIL SMN TIB/HUM 3.5 25 223525

Facility

$724.00

Hospital Charge Code	270622766
Hospital Revenue Code	278
Min. Negotiated Rate	$17.45
Max. Negotiated Rate	$362.00
Rate for Payer: Aetna Commercial	$275.12
Rate for Payer: Aetna Medicare Advantage	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.62
Rate for Payer: Cigna Commercial	$362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.28
Rate for Payer: Qualcare PPO/HMO/WC	$108.60
Rate for Payer: UnitedHealthcare Community & State	$17.45
Rate for Payer: Wellpoint Medicaid Managed Care	$19.19

NAIL SMN TIB/HUM 3.5 25 223525

Facility

$724.00

Hospital Charge Code	270622766
Hospital Revenue Code	278
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$175.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.28
Rate for Payer: Qualcare PPO/HMO/WC	$108.60

NAIL SMN TIB/HUM 3.5 26 223526

Facility

$724.00

Hospital Charge Code	270622767
Hospital Revenue Code	278
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$175.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.28
Rate for Payer: Qualcare PPO/HMO/WC	$108.60

NAIL SMN TIB/HUM 3.5 26 223526

Facility

$724.00

Hospital Charge Code	270622767
Hospital Revenue Code	278
Min. Negotiated Rate	$17.45
Max. Negotiated Rate	$362.00
Rate for Payer: Aetna Commercial	$275.12
Rate for Payer: Aetna Medicare Advantage	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$144.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.62
Rate for Payer: Cigna Commercial	$362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$159.28
Rate for Payer: Qualcare PPO/HMO/WC	$108.60
Rate for Payer: UnitedHealthcare Community & State	$17.45
Rate for Payer: Wellpoint Medicaid Managed Care	$19.19

NAIL SNR IM SPC 13 25 71122397

Facility

$3,528.00

Hospital Charge Code	270613593
Hospital Revenue Code	278
Min. Negotiated Rate	$529.20
Max. Negotiated Rate	$853.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$776.16
Rate for Payer: Qualcare PPO/HMO/WC	$529.20

Know your out-of-pocket cost for care.

All Charges