Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER DUAL CHAMBER E2DR01

Facility

$32,488.00

Hospital Charge Code	270633460C
Hospital Revenue Code	275
Min. Negotiated Rate	$782.96
Max. Negotiated Rate	$16,244.00
Rate for Payer: Aetna Commercial	$12,345.44
Rate for Payer: Aetna Medicare Advantage	$9,746.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,284.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,284.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,497.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,284.44
Rate for Payer: Cigna Commercial	$16,244.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,862.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,147.36
Rate for Payer: Qualcare PPO/HMO/WC	$4,873.20
Rate for Payer: UnitedHealthcare Community & State	$782.96
Rate for Payer: Wellpoint Medicaid Managed Care	$860.93

PACEMAKER DUAL CHAMBER E2DR01

Facility

$25,990.40

Hospital Charge Code	270633460
Hospital Revenue Code	275
Min. Negotiated Rate	$626.37
Max. Negotiated Rate	$12,995.20
Rate for Payer: Aetna Commercial	$9,876.35
Rate for Payer: Aetna Medicare Advantage	$7,797.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,627.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,627.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,198.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,627.55
Rate for Payer: Cigna Commercial	$12,995.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,289.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,717.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,898.56
Rate for Payer: UnitedHealthcare Community & State	$626.37
Rate for Payer: Wellpoint Medicaid Managed Care	$688.75

PACEMAKER DUAL CHAMBER E2DR01

Facility

$25,990.40

Hospital Charge Code	270633460
Hospital Revenue Code	275
Min. Negotiated Rate	$3,898.56
Max. Negotiated Rate	$6,289.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,198.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,289.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,717.89
Rate for Payer: Qualcare PPO/HMO/WC	$3,898.56

PACEMAKER DUAL CHAMBER E2DR01

Facility

$32,488.00

Hospital Charge Code	270633460C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,873.20
Max. Negotiated Rate	$7,862.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,497.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,862.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,147.36
Rate for Payer: Qualcare PPO/HMO/WC	$4,873.20

PACEMAKER DUAL CHAMBER KDR903

Facility

$30,692.85

Hospital Charge Code	270625757C
Hospital Revenue Code	275
Min. Negotiated Rate	$739.70
Max. Negotiated Rate	$15,346.42
Rate for Payer: Aetna Commercial	$11,663.28
Rate for Payer: Aetna Medicare Advantage	$9,207.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,138.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,826.68
Rate for Payer: Cigna Commercial	$15,346.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,427.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,752.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,603.93
Rate for Payer: UnitedHealthcare Community & State	$739.70
Rate for Payer: Wellpoint Medicaid Managed Care	$813.36

PACEMAKER DUAL CHAMBER KDR903

Facility

$30,692.85

Hospital Charge Code	270625757
Hospital Revenue Code	275
Min. Negotiated Rate	$4,603.93
Max. Negotiated Rate	$7,427.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,138.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,427.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,752.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,603.93

PACEMAKER DUAL CHAMBER KDR903

Facility

$30,692.85

Hospital Charge Code	270625757C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,603.93
Max. Negotiated Rate	$7,427.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,138.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,427.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,752.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,603.93

PACEMAKER DUAL CHAMBER KDR903

Facility

$30,692.85

Hospital Charge Code	270625757
Hospital Revenue Code	275
Min. Negotiated Rate	$739.70
Max. Negotiated Rate	$15,346.42
Rate for Payer: Aetna Commercial	$11,663.28
Rate for Payer: Aetna Medicare Advantage	$9,207.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,826.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,138.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,826.68
Rate for Payer: Cigna Commercial	$15,346.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,427.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,752.43
Rate for Payer: Qualcare PPO/HMO/WC	$4,603.93
Rate for Payer: UnitedHealthcare Community & State	$739.70
Rate for Payer: Wellpoint Medicaid Managed Care	$813.36

PACEMAKER DUAL CHMBR EVIA DR-T

Facility

$20,815.00

Service Code	HCPCS C1785
Hospital Charge Code	270675164
Hospital Revenue Code	275
Min. Negotiated Rate	$3,122.25
Max. Negotiated Rate	$5,037.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,037.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,579.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,122.25

PACEMAKER DUAL CHMBR EVIA DR-T

Facility

$20,815.00

Service Code	HCPCS C1785
Hospital Charge Code	270675164
Hospital Revenue Code	275
Min. Negotiated Rate	$501.64
Max. Negotiated Rate	$10,407.50
Rate for Payer: Aetna Commercial	$7,909.70
Rate for Payer: Aetna Medicare Advantage	$6,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,307.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,307.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,307.82
Rate for Payer: Cigna Commercial	$10,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,037.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,579.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,122.25
Rate for Payer: UnitedHealthcare Community & State	$501.64
Rate for Payer: Wellpoint Medicaid Managed Care	$551.60

PACEMAKER EDORA 8 DR-T DUAL

Facility

$34,975.00

Service Code	HCPCS C1785
Hospital Charge Code	270687371
Hospital Revenue Code	275
Min. Negotiated Rate	$5,246.25
Max. Negotiated Rate	$8,463.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,463.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,694.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,246.25

PACEMAKER EDORA 8 DR-T DUAL

Facility

$34,975.00

Service Code	HCPCS C1785
Hospital Charge Code	270687371
Hospital Revenue Code	275
Min. Negotiated Rate	$842.90
Max. Negotiated Rate	$17,487.50
Rate for Payer: Aetna Commercial	$13,290.50
Rate for Payer: Aetna Medicare Advantage	$10,492.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,918.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,918.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,918.62
Rate for Payer: Cigna Commercial	$17,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,463.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,694.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,246.25
Rate for Payer: UnitedHealthcare Community & State	$842.90
Rate for Payer: Wellpoint Medicaid Managed Care	$926.84

PACEMAKER ENPULSE DR E2DR06

Facility

$30,750.00

Hospital Charge Code	270635378C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,612.50
Max. Negotiated Rate	$7,441.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,441.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,765.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,612.50

PACEMAKER ENPULSE DR E2DR06

Facility

$30,750.00

Hospital Charge Code	270635378C
Hospital Revenue Code	275
Min. Negotiated Rate	$741.08
Max. Negotiated Rate	$15,375.00
Rate for Payer: Aetna Commercial	$11,685.00
Rate for Payer: Aetna Medicare Advantage	$9,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,841.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,841.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,841.25
Rate for Payer: Cigna Commercial	$15,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,441.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,765.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,612.50
Rate for Payer: UnitedHealthcare Community & State	$741.08
Rate for Payer: Wellpoint Medicaid Managed Care	$814.88

PACEMAKER ENPULSE DUAL E2DR01

Facility

$30,504.00

Hospital Charge Code	207633460
Hospital Revenue Code	275
Min. Negotiated Rate	$735.15
Max. Negotiated Rate	$15,252.00
Rate for Payer: Aetna Commercial	$11,591.52
Rate for Payer: Aetna Medicare Advantage	$9,151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,778.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,778.52
Rate for Payer: Cigna Commercial	$15,252.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60
Rate for Payer: UnitedHealthcare Community & State	$735.15
Rate for Payer: Wellpoint Medicaid Managed Care	$808.36

PACEMAKER ENPULSE DUAL E2DR01

Facility

$30,504.00

Hospital Charge Code	207633460
Hospital Revenue Code	275
Min. Negotiated Rate	$4,575.60
Max. Negotiated Rate	$7,381.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,100.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,381.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,710.88
Rate for Payer: Qualcare PPO/HMO/WC	$4,575.60

PACEMAKER ENPULSE SR E2SR01

Facility

$24,056.00

Hospital Charge Code	270633602C
Hospital Revenue Code	275
Min. Negotiated Rate	$579.75
Max. Negotiated Rate	$12,028.00
Rate for Payer: Aetna Commercial	$9,141.28
Rate for Payer: Aetna Medicare Advantage	$7,216.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,134.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,134.28
Rate for Payer: Cigna Commercial	$12,028.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,292.32
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40
Rate for Payer: UnitedHealthcare Community & State	$579.75
Rate for Payer: Wellpoint Medicaid Managed Care	$637.48

PACEMAKER ENPULSE SR E2SR01

Facility

$26,263.25

Hospital Charge Code	270633602
Hospital Revenue Code	275
Min. Negotiated Rate	$632.94
Max. Negotiated Rate	$13,131.62
Rate for Payer: Aetna Commercial	$9,980.03
Rate for Payer: Aetna Medicare Advantage	$7,878.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,697.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,697.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,252.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,697.13
Rate for Payer: Cigna Commercial	$13,131.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,355.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,777.91
Rate for Payer: Qualcare PPO/HMO/WC	$3,939.49
Rate for Payer: UnitedHealthcare Community & State	$632.94
Rate for Payer: Wellpoint Medicaid Managed Care	$695.98

PACEMAKER ENPULSE SR E2SR01

Facility

$24,056.00

Hospital Charge Code	270633602C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,608.40
Max. Negotiated Rate	$5,821.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,811.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,821.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,292.32
Rate for Payer: Qualcare PPO/HMO/WC	$3,608.40

PACEMAKER ENPULSE SR E2SR01

Facility

$26,263.25

Hospital Charge Code	270633602
Hospital Revenue Code	275
Min. Negotiated Rate	$3,939.49
Max. Negotiated Rate	$6,355.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,252.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,355.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,777.91
Rate for Payer: Qualcare PPO/HMO/WC	$3,939.49

PACEMAKER ENRHYTHM P1501DR

Facility

$32,984.00

Hospital Charge Code	270635792
Hospital Revenue Code	275
Min. Negotiated Rate	$4,947.60
Max. Negotiated Rate	$7,982.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,596.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,982.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,256.48
Rate for Payer: Qualcare PPO/HMO/WC	$4,947.60

PACEMAKER ENRHYTHM P1501DR

Facility

$32,984.00

Hospital Charge Code	270635792
Hospital Revenue Code	275
Min. Negotiated Rate	$794.91
Max. Negotiated Rate	$16,492.00
Rate for Payer: Aetna Commercial	$12,533.92
Rate for Payer: Aetna Medicare Advantage	$9,895.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,410.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,410.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,596.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,410.92
Rate for Payer: Cigna Commercial	$16,492.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,982.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,256.48
Rate for Payer: Qualcare PPO/HMO/WC	$4,947.60
Rate for Payer: UnitedHealthcare Community & State	$794.91
Rate for Payer: Wellpoint Medicaid Managed Care	$874.08

PACEMAKER ENRHYTHM P1501DR

Facility

$32,984.00

Hospital Charge Code	270635792C
Hospital Revenue Code	275
Min. Negotiated Rate	$794.91
Max. Negotiated Rate	$16,492.00
Rate for Payer: Aetna Commercial	$12,533.92
Rate for Payer: Aetna Medicare Advantage	$9,895.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,410.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,410.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,596.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,410.92
Rate for Payer: Cigna Commercial	$16,492.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,982.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,256.48
Rate for Payer: Qualcare PPO/HMO/WC	$4,947.60
Rate for Payer: UnitedHealthcare Community & State	$794.91
Rate for Payer: Wellpoint Medicaid Managed Care	$874.08

PACEMAKER ENRHYTHM P1501DR

Facility

$32,984.00

Hospital Charge Code	270635792C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,947.60
Max. Negotiated Rate	$7,982.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,596.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,982.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,256.48
Rate for Payer: Qualcare PPO/HMO/WC	$4,947.60

PACEMAKER EVIA DR-T

Facility

$20,815.00

Hospital Charge Code	270675681
Hospital Revenue Code	275
Min. Negotiated Rate	$501.64
Max. Negotiated Rate	$10,407.50
Rate for Payer: Aetna Commercial	$7,909.70
Rate for Payer: Aetna Medicare Advantage	$6,244.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,307.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,307.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,307.82
Rate for Payer: Cigna Commercial	$10,407.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,037.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,579.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,122.25
Rate for Payer: UnitedHealthcare Community & State	$501.64
Rate for Payer: Wellpoint Medicaid Managed Care	$551.60

Know your out-of-pocket cost for care.

All Charges