Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER MEDT 7108***

Facility

$12,960.00

Hospital Charge Code	270602711
Hospital Revenue Code	275
Min. Negotiated Rate	$312.34
Max. Negotiated Rate	$6,480.00
Rate for Payer: Aetna Commercial	$4,924.80
Rate for Payer: Aetna Medicare Advantage	$3,888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,304.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,592.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,304.80
Rate for Payer: Cigna Commercial	$6,480.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,136.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,851.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,944.00
Rate for Payer: UnitedHealthcare Community & State	$312.34
Rate for Payer: Wellpoint Medicaid Managed Care	$343.44

PACEMAKER MEDT 7445*****

Facility

$24,192.00

Hospital Charge Code	270602708
Hospital Revenue Code	275
Min. Negotiated Rate	$3,628.80
Max. Negotiated Rate	$5,854.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80

PACEMAKER MEDT 7445*****

Facility

$24,192.00

Hospital Charge Code	270602708
Hospital Revenue Code	275
Min. Negotiated Rate	$583.03
Max. Negotiated Rate	$12,096.00
Rate for Payer: Aetna Commercial	$9,192.96
Rate for Payer: Aetna Medicare Advantage	$7,257.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,168.96
Rate for Payer: Cigna Commercial	$12,096.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80
Rate for Payer: UnitedHealthcare Community & State	$583.03
Rate for Payer: Wellpoint Medicaid Managed Care	$641.09

PACEMAKER MEDT 7940B***

Facility

$17,820.00

Hospital Charge Code	270602697
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$4,312.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

PACEMAKER MEDT 7940B***

Facility

$17,820.00

Hospital Charge Code	270602697
Hospital Revenue Code	275
Min. Negotiated Rate	$429.46
Max. Negotiated Rate	$8,910.00
Rate for Payer: Aetna Commercial	$6,771.60
Rate for Payer: Aetna Medicare Advantage	$5,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,544.10
Rate for Payer: Cigna Commercial	$8,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00
Rate for Payer: UnitedHealthcare Community & State	$429.46
Rate for Payer: Wellpoint Medicaid Managed Care	$472.23

PACEMAKER MEDT 7940U***

Facility

$17,820.00

Hospital Charge Code	270602698
Hospital Revenue Code	275
Min. Negotiated Rate	$429.46
Max. Negotiated Rate	$8,910.00
Rate for Payer: Aetna Commercial	$6,771.60
Rate for Payer: Aetna Medicare Advantage	$5,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,544.10
Rate for Payer: Cigna Commercial	$8,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00
Rate for Payer: UnitedHealthcare Community & State	$429.46
Rate for Payer: Wellpoint Medicaid Managed Care	$472.23

PACEMAKER MEDT 7940U***

Facility

$17,820.00

Hospital Charge Code	270602698
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$4,312.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

PACEMAKER MEDT 7941***

Facility

$17,820.00

Hospital Charge Code	270602699
Hospital Revenue Code	275
Min. Negotiated Rate	$429.46
Max. Negotiated Rate	$8,910.00
Rate for Payer: Aetna Commercial	$6,771.60
Rate for Payer: Aetna Medicare Advantage	$5,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,544.10
Rate for Payer: Cigna Commercial	$8,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00
Rate for Payer: UnitedHealthcare Community & State	$429.46
Rate for Payer: Wellpoint Medicaid Managed Care	$472.23

PACEMAKER MEDT 7941***

Facility

$17,820.00

Hospital Charge Code	270602699
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$4,312.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

PACEMAKER MEDT 7942***

Facility

$17,820.00

Hospital Charge Code	270602700
Hospital Revenue Code	275
Min. Negotiated Rate	$429.46
Max. Negotiated Rate	$8,910.00
Rate for Payer: Aetna Commercial	$6,771.60
Rate for Payer: Aetna Medicare Advantage	$5,346.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,544.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,544.10
Rate for Payer: Cigna Commercial	$8,910.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00
Rate for Payer: UnitedHealthcare Community & State	$429.46
Rate for Payer: Wellpoint Medicaid Managed Care	$472.23

PACEMAKER MEDT 7942***

Facility

$17,820.00

Hospital Charge Code	270602700
Hospital Revenue Code	275
Min. Negotiated Rate	$2,673.00
Max. Negotiated Rate	$4,312.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,564.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,312.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,920.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,673.00

PACEMAKER MEDT 7944B***

Facility

$17,280.00

Hospital Charge Code	270602706
Hospital Revenue Code	275
Min. Negotiated Rate	$2,592.00
Max. Negotiated Rate	$4,181.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00

PACEMAKER MEDT 7944B***

Facility

$17,280.00

Hospital Charge Code	270602706
Hospital Revenue Code	275
Min. Negotiated Rate	$416.45
Max. Negotiated Rate	$8,640.00
Rate for Payer: Aetna Commercial	$6,566.40
Rate for Payer: Aetna Medicare Advantage	$5,184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,406.40
Rate for Payer: Cigna Commercial	$8,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00
Rate for Payer: UnitedHealthcare Community & State	$416.45
Rate for Payer: Wellpoint Medicaid Managed Care	$457.92

PACEMAKER MEDT 7944U***

Facility

$17,280.00

Hospital Charge Code	270602707
Hospital Revenue Code	275
Min. Negotiated Rate	$2,592.00
Max. Negotiated Rate	$4,181.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00

PACEMAKER MEDT 7944U***

Facility

$17,280.00

Hospital Charge Code	270602707
Hospital Revenue Code	275
Min. Negotiated Rate	$416.45
Max. Negotiated Rate	$8,640.00
Rate for Payer: Aetna Commercial	$6,566.40
Rate for Payer: Aetna Medicare Advantage	$5,184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,406.40
Rate for Payer: Cigna Commercial	$8,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00
Rate for Payer: UnitedHealthcare Community & State	$416.45
Rate for Payer: Wellpoint Medicaid Managed Care	$457.92

PACEMAKER MEDT 7946***

Facility

$17,280.00

Hospital Charge Code	270602709
Hospital Revenue Code	275
Min. Negotiated Rate	$2,592.00
Max. Negotiated Rate	$4,181.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00

PACEMAKER MEDT 7946***

Facility

$17,280.00

Hospital Charge Code	270602709
Hospital Revenue Code	275
Min. Negotiated Rate	$416.45
Max. Negotiated Rate	$8,640.00
Rate for Payer: Aetna Commercial	$6,566.40
Rate for Payer: Aetna Medicare Advantage	$5,184.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,406.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,406.40
Rate for Payer: Cigna Commercial	$8,640.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,181.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,801.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,592.00
Rate for Payer: UnitedHealthcare Community & State	$416.45
Rate for Payer: Wellpoint Medicaid Managed Care	$457.92

PACEMAKER MEDT 7960iB

Facility

$24,192.00

Hospital Charge Code	270602693
Hospital Revenue Code	275
Min. Negotiated Rate	$583.03
Max. Negotiated Rate	$12,096.00
Rate for Payer: Aetna Commercial	$9,192.96
Rate for Payer: Aetna Medicare Advantage	$7,257.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,168.96
Rate for Payer: Cigna Commercial	$12,096.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80
Rate for Payer: UnitedHealthcare Community & State	$583.03
Rate for Payer: Wellpoint Medicaid Managed Care	$641.09

PACEMAKER MEDT 7960iB

Facility

$24,192.00

Hospital Charge Code	270602693
Hospital Revenue Code	275
Min. Negotiated Rate	$3,628.80
Max. Negotiated Rate	$5,854.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80

PACEMAKER MEDT 7960IB

Facility

$24,192.00

Hospital Charge Code	270602693C
Hospital Revenue Code	275
Min. Negotiated Rate	$583.03
Max. Negotiated Rate	$12,096.00
Rate for Payer: Aetna Commercial	$9,192.96
Rate for Payer: Aetna Medicare Advantage	$7,257.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,168.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,168.96
Rate for Payer: Cigna Commercial	$12,096.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80
Rate for Payer: UnitedHealthcare Community & State	$583.03
Rate for Payer: Wellpoint Medicaid Managed Care	$641.09

PACEMAKER MEDT 7960IB

Facility

$24,192.00

Hospital Charge Code	270602693C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,628.80
Max. Negotiated Rate	$5,854.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,838.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,854.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,322.24
Rate for Payer: Qualcare PPO/HMO/WC	$3,628.80

PACEMAKER MEDT 7960iU***

Facility

$21,600.00

Hospital Charge Code	270602694
Hospital Revenue Code	275
Min. Negotiated Rate	$3,240.00
Max. Negotiated Rate	$5,227.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,752.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00

PACEMAKER MEDT 7960iU***

Facility

$21,600.00

Hospital Charge Code	270602694
Hospital Revenue Code	275
Min. Negotiated Rate	$520.56
Max. Negotiated Rate	$10,800.00
Rate for Payer: Aetna Commercial	$8,208.00
Rate for Payer: Aetna Medicare Advantage	$6,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,508.00
Rate for Payer: Cigna Commercial	$10,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,752.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00
Rate for Payer: UnitedHealthcare Community & State	$520.56
Rate for Payer: Wellpoint Medicaid Managed Care	$572.40

PACEMAKER MEDT 7961Li***

Facility

$21,600.00

Hospital Charge Code	270602695
Hospital Revenue Code	275
Min. Negotiated Rate	$520.56
Max. Negotiated Rate	$10,800.00
Rate for Payer: Aetna Commercial	$8,208.00
Rate for Payer: Aetna Medicare Advantage	$6,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,320.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,508.00
Rate for Payer: Cigna Commercial	$10,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,752.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00
Rate for Payer: UnitedHealthcare Community & State	$520.56
Rate for Payer: Wellpoint Medicaid Managed Care	$572.40

PACEMAKER MEDT 7961Li***

Facility

$21,600.00

Hospital Charge Code	270602695
Hospital Revenue Code	275
Min. Negotiated Rate	$3,240.00
Max. Negotiated Rate	$5,227.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,320.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,227.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,752.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00

Know your out-of-pocket cost for care.

All Charges