Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER ALTURA 60DDDR S603DR

Facility

$32,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270661811
Hospital Revenue Code	275
Min. Negotiated Rate	$771.20
Max. Negotiated Rate	$16,000.00
Rate for Payer: Aetna Commercial	$12,160.00
Rate for Payer: Aetna Medicare Advantage	$9,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,160.00
Rate for Payer: Cigna Commercial	$16,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,744.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,040.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,800.00
Rate for Payer: UnitedHealthcare Community & State	$771.20
Rate for Payer: Wellpoint Medicaid Managed Care	$848.00

PACEMAKER ANALYSIS TELETRACE

Facility

$968.00

Hospital Charge Code	270331423
Hospital Revenue Code	272
Min. Negotiated Rate	$23.33
Max. Negotiated Rate	$484.00
Rate for Payer: Aetna Commercial	$367.84
Rate for Payer: Aetna Medicare Advantage	$290.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.84
Rate for Payer: Cigna Commercial	$484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.40
Rate for Payer: Oxford Commercial	$193.60
Rate for Payer: Qualcare PPO/HMO/WC	$145.20
Rate for Payer: UnitedHealthcare Commercial	$193.60
Rate for Payer: UnitedHealthcare Community & State	$23.33
Rate for Payer: Wellpoint Medicaid Managed Care	$25.65

PACEMAKER ANALYSIS TELETRACE

Facility

$968.00

Hospital Charge Code	270331423
Hospital Revenue Code	272
Min. Negotiated Rate	$145.20
Max. Negotiated Rate	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$145.20

PACEMAKER ANTHEM RF PM3210

Facility

$47,380.00

Hospital Charge Code	270644768C
Hospital Revenue Code	275
Min. Negotiated Rate	$7,107.00
Max. Negotiated Rate	$11,465.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,476.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,465.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,423.60
Rate for Payer: Qualcare PPO/HMO/WC	$7,107.00

PACEMAKER ANTHEM RF PM3210

Facility

$47,380.00

Hospital Charge Code	270644768C
Hospital Revenue Code	275
Min. Negotiated Rate	$1,141.86
Max. Negotiated Rate	$23,690.00
Rate for Payer: Aetna Commercial	$18,004.40
Rate for Payer: Aetna Medicare Advantage	$14,214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,081.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,081.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,476.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,081.90
Rate for Payer: Cigna Commercial	$23,690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,465.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,423.60
Rate for Payer: Qualcare PPO/HMO/WC	$7,107.00
Rate for Payer: UnitedHealthcare Community & State	$1,141.86
Rate for Payer: Wellpoint Medicaid Managed Care	$1,255.57

PACEMAKER ASSURITY DR-RF

Facility

$29,750.00

Service Code	HCPCS C1785
Hospital Charge Code	270675969
Hospital Revenue Code	275
Min. Negotiated Rate	$4,462.50
Max. Negotiated Rate	$7,199.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,545.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50

PACEMAKER ASSURITY DR-RF

Facility

$29,750.00

Service Code	HCPCS C1785
Hospital Charge Code	270675969
Hospital Revenue Code	275
Min. Negotiated Rate	$716.98
Max. Negotiated Rate	$14,875.00
Rate for Payer: Aetna Commercial	$11,305.00
Rate for Payer: Aetna Medicare Advantage	$8,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,586.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,586.25
Rate for Payer: Cigna Commercial	$14,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,199.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,545.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,462.50
Rate for Payer: UnitedHealthcare Community & State	$716.98
Rate for Payer: Wellpoint Medicaid Managed Care	$788.38

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728N
Hospital Revenue Code	275
Min. Negotiated Rate	$662.15
Max. Negotiated Rate	$13,737.50
Rate for Payer: Aetna Commercial	$10,440.50
Rate for Payer: Aetna Medicare Advantage	$8,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,006.12
Rate for Payer: Cigna Commercial	$13,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,044.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25
Rate for Payer: UnitedHealthcare Community & State	$662.15
Rate for Payer: Wellpoint Medicaid Managed Care	$728.09

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728S
Hospital Revenue Code	275
Min. Negotiated Rate	$662.15
Max. Negotiated Rate	$13,737.50
Rate for Payer: Aetna Commercial	$10,440.50
Rate for Payer: Aetna Medicare Advantage	$8,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,006.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,006.12
Rate for Payer: Cigna Commercial	$13,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,044.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25
Rate for Payer: UnitedHealthcare Community & State	$662.15
Rate for Payer: Wellpoint Medicaid Managed Care	$728.09

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728S
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$6,648.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,044.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY MRI

Facility

$27,475.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728N
Hospital Revenue Code	275
Min. Negotiated Rate	$4,121.25
Max. Negotiated Rate	$6,648.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,648.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,044.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,121.25

PACEMAKER ASSURITY MRI

Facility

$17,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728
Hospital Revenue Code	278
Min. Negotiated Rate	$409.70
Max. Negotiated Rate	$8,500.00
Rate for Payer: Aetna Commercial	$6,460.00
Rate for Payer: Aetna Medicare Advantage	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,335.00
Rate for Payer: Cigna Commercial	$8,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00
Rate for Payer: UnitedHealthcare Community & State	$409.70
Rate for Payer: Wellpoint Medicaid Managed Care	$450.50

PACEMAKER ASSURITY MRI

Facility

$17,000.00

Service Code	HCPCS C1785
Hospital Charge Code	270681728
Hospital Revenue Code	278
Min. Negotiated Rate	$2,550.00
Max. Negotiated Rate	$4,114.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,114.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,740.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,550.00

PACEMAKER ASSURITY SNG CHAMBER

Facility

$22,475.00

Service Code	HCPCS C1786
Hospital Charge Code	270675853
Hospital Revenue Code	275
Min. Negotiated Rate	$3,371.25
Max. Negotiated Rate	$5,438.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,438.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,944.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,371.25

PACEMAKER ASSURITY SNG CHAMBER

Facility

$22,475.00

Service Code	HCPCS C1786
Hospital Charge Code	270675853
Hospital Revenue Code	275
Min. Negotiated Rate	$541.65
Max. Negotiated Rate	$11,237.50
Rate for Payer: Aetna Commercial	$8,540.50
Rate for Payer: Aetna Medicare Advantage	$6,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,731.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,731.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,731.12
Rate for Payer: Cigna Commercial	$11,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,438.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,944.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,371.25
Rate for Payer: UnitedHealthcare Community & State	$541.65
Rate for Payer: Wellpoint Medicaid Managed Care	$595.59

PACEMAKER AZURE S SR MRI IPG

Facility

$18,683.50

Service Code	HCPCS C1786
Hospital Charge Code	270686726
Hospital Revenue Code	275
Min. Negotiated Rate	$450.27
Max. Negotiated Rate	$9,341.75
Rate for Payer: Aetna Commercial	$7,099.73
Rate for Payer: Aetna Medicare Advantage	$5,605.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,764.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,764.29
Rate for Payer: Cigna Commercial	$9,341.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,110.37
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53
Rate for Payer: UnitedHealthcare Community & State	$450.27
Rate for Payer: Wellpoint Medicaid Managed Care	$495.11

PACEMAKER AZURE S SR MRI IPG

Facility

$18,683.50

Service Code	HCPCS C1786
Hospital Charge Code	270686726
Hospital Revenue Code	275
Min. Negotiated Rate	$2,802.53
Max. Negotiated Rate	$4,521.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,736.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,521.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,110.37
Rate for Payer: Qualcare PPO/HMO/WC	$2,802.53

PACEMAKER CRTP QUADRA ALLURE

Facility

$39,500.00

Service Code	HCPCS C2621
Hospital Charge Code	270699082S
Hospital Revenue Code	275
Min. Negotiated Rate	$5,925.00
Max. Negotiated Rate	$9,559.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,559.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,690.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,925.00

PACEMAKER CRTP QUADRA ALLURE

Facility

$39,500.00

Service Code	HCPCS C2621
Hospital Charge Code	270699082S
Hospital Revenue Code	275
Min. Negotiated Rate	$951.95
Max. Negotiated Rate	$19,750.00
Rate for Payer: Aetna Commercial	$15,010.00
Rate for Payer: Aetna Medicare Advantage	$11,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,072.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,072.50
Rate for Payer: Cigna Commercial	$19,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,559.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,690.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,925.00
Rate for Payer: UnitedHealthcare Community & State	$951.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,046.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662N
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$20,517.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18,652.70
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662
Hospital Revenue Code	275
Min. Negotiated Rate	$2,043.32
Max. Negotiated Rate	$42,392.50
Rate for Payer: Aetna Commercial	$32,218.30
Rate for Payer: Aetna Medicare Advantage	$25,435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,620.17
Rate for Payer: Cigna Commercial	$42,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18,652.70
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75
Rate for Payer: UnitedHealthcare Community & State	$2,043.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2,246.80

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662
Hospital Revenue Code	275
Min. Negotiated Rate	$12,717.75
Max. Negotiated Rate	$20,517.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18,652.70
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75

PACEMAKER DEFIB VISIA AF IS1/D

Facility

$84,785.00

Service Code	HCPCS C1722
Hospital Charge Code	270684662N
Hospital Revenue Code	275
Min. Negotiated Rate	$2,043.32
Max. Negotiated Rate	$42,392.50
Rate for Payer: Aetna Commercial	$32,218.30
Rate for Payer: Aetna Medicare Advantage	$25,435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,620.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16,957.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,620.17
Rate for Payer: Cigna Commercial	$42,392.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20,517.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18,652.70
Rate for Payer: Qualcare PPO/HMO/WC	$12,717.75
Rate for Payer: UnitedHealthcare Community & State	$2,043.32
Rate for Payer: Wellpoint Medicaid Managed Care	$2,246.80

PACEMAKER DR CHAM ICV1122

Facility

$23,213.25

Service Code	HCPCS C1785
Hospital Charge Code	270660759
Hospital Revenue Code	275
Min. Negotiated Rate	$559.44
Max. Negotiated Rate	$11,606.62
Rate for Payer: Aetna Commercial	$8,821.03
Rate for Payer: Aetna Medicare Advantage	$6,963.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,919.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,919.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,642.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,919.38
Rate for Payer: Cigna Commercial	$11,606.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,617.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,106.91
Rate for Payer: Qualcare PPO/HMO/WC	$3,481.99
Rate for Payer: UnitedHealthcare Community & State	$559.44
Rate for Payer: Wellpoint Medicaid Managed Care	$615.15

PACEMAKER DR CHAM ICV1122

Facility

$23,213.25

Service Code	HCPCS C1785
Hospital Charge Code	270660759
Hospital Revenue Code	275
Min. Negotiated Rate	$3,481.99
Max. Negotiated Rate	$5,617.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,642.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,617.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,106.91
Rate for Payer: Qualcare PPO/HMO/WC	$3,481.99

Know your out-of-pocket cost for care.

All Charges