Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER MEDT 7962B

Facility

$24,192.00

Hospital Charge Code	270608508
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 7962B

Facility

$24,192.00

Hospital Charge Code	270608508
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 7962i***

Facility

$21,600.00

Hospital Charge Code	270604619
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 7962i***

Facility

$21,600.00

Hospital Charge Code	270604619
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 7962iB***

Facility

$21,600.00

Hospital Charge Code	270602696
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 7962iB***

Facility

$21,600.00

Hospital Charge Code	270602696
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 7965i***

Facility

$18,360.00

Hospital Charge Code	270602704
Hospital Revenue Code	275
Min. Negotiated Rate	$2,754.00
Max. Negotiated Rate	$4,443.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,672.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,443.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,039.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,754.00

PACEMAKER MEDT 7965i***

Facility

$18,360.00

Hospital Charge Code	270602704
Hospital Revenue Code	275
Min. Negotiated Rate	$442.48
Max. Negotiated Rate	$9,180.00
Rate for Payer: Aetna Commercial	$6,976.80
Rate for Payer: Aetna Medicare Advantage	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,681.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,681.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,681.80
Rate for Payer: Cigna Commercial	$9,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,443.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,039.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,754.00
Rate for Payer: UnitedHealthcare Community & State	$442.48
Rate for Payer: Wellpoint Medicaid Managed Care	$486.54

PACEMAKER MEDT 7966i***

Facility

$18,360.00

Hospital Charge Code	270602705
Hospital Revenue Code	275
Min. Negotiated Rate	$2,754.00
Max. Negotiated Rate	$4,443.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,672.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,443.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,039.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,754.00

PACEMAKER MEDT 7966i***

Facility

$18,360.00

Hospital Charge Code	270602705
Hospital Revenue Code	275
Min. Negotiated Rate	$442.48
Max. Negotiated Rate	$9,180.00
Rate for Payer: Aetna Commercial	$6,976.80
Rate for Payer: Aetna Medicare Advantage	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,681.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,681.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,672.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,681.80
Rate for Payer: Cigna Commercial	$9,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,443.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,039.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,754.00
Rate for Payer: UnitedHealthcare Community & State	$442.48
Rate for Payer: Wellpoint Medicaid Managed Care	$486.54

PACEMAKER MEDT 8340

Facility

$14,515.25

Hospital Charge Code	270602734
Hospital Revenue Code	275
Min. Negotiated Rate	$349.82
Max. Negotiated Rate	$7,257.62
Rate for Payer: Aetna Commercial	$5,515.80
Rate for Payer: Aetna Medicare Advantage	$4,354.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,701.39
Rate for Payer: Cigna Commercial	$7,257.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29
Rate for Payer: UnitedHealthcare Community & State	$349.82
Rate for Payer: Wellpoint Medicaid Managed Care	$384.65

PACEMAKER MEDT 8340

Facility

$14,515.25

Hospital Charge Code	270602734
Hospital Revenue Code	275
Min. Negotiated Rate	$2,177.29
Max. Negotiated Rate	$3,512.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29

PACEMAKER MEDT 8341

Facility

$14,515.25

Hospital Charge Code	270602735
Hospital Revenue Code	275
Min. Negotiated Rate	$349.82
Max. Negotiated Rate	$7,257.62
Rate for Payer: Aetna Commercial	$5,515.80
Rate for Payer: Aetna Medicare Advantage	$4,354.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,701.39
Rate for Payer: Cigna Commercial	$7,257.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29
Rate for Payer: UnitedHealthcare Community & State	$349.82
Rate for Payer: Wellpoint Medicaid Managed Care	$384.65

PACEMAKER MEDT 8341

Facility

$14,515.25

Hospital Charge Code	270602735
Hospital Revenue Code	275
Min. Negotiated Rate	$2,177.29
Max. Negotiated Rate	$3,512.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29

PACEMAKER MEDT 8341M

Facility

$14,515.25

Hospital Charge Code	270602736
Hospital Revenue Code	275
Min. Negotiated Rate	$2,177.29
Max. Negotiated Rate	$3,512.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29

PACEMAKER MEDT 8341M

Facility

$14,515.25

Hospital Charge Code	270602736
Hospital Revenue Code	275
Min. Negotiated Rate	$349.82
Max. Negotiated Rate	$7,257.62
Rate for Payer: Aetna Commercial	$5,515.80
Rate for Payer: Aetna Medicare Advantage	$4,354.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,701.39
Rate for Payer: Cigna Commercial	$7,257.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29
Rate for Payer: UnitedHealthcare Community & State	$349.82
Rate for Payer: Wellpoint Medicaid Managed Care	$384.65

PACEMAKER MEDT 8342

Facility

$14,515.25

Hospital Charge Code	270602737
Hospital Revenue Code	275
Min. Negotiated Rate	$349.82
Max. Negotiated Rate	$7,257.62
Rate for Payer: Aetna Commercial	$5,515.80
Rate for Payer: Aetna Medicare Advantage	$4,354.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,701.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,701.39
Rate for Payer: Cigna Commercial	$7,257.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29
Rate for Payer: UnitedHealthcare Community & State	$349.82
Rate for Payer: Wellpoint Medicaid Managed Care	$384.65

PACEMAKER MEDT 8342

Facility

$14,515.25

Hospital Charge Code	270602737
Hospital Revenue Code	275
Min. Negotiated Rate	$2,177.29
Max. Negotiated Rate	$3,512.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,903.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,512.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,193.36
Rate for Payer: Qualcare PPO/HMO/WC	$2,177.29

PACEMAKER MEDT 8416

Facility

$16,531.25

Hospital Charge Code	270602723
Hospital Revenue Code	275
Min. Negotiated Rate	$2,479.69
Max. Negotiated Rate	$4,000.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69

PACEMAKER MEDT 8416

Facility

$16,531.25

Hospital Charge Code	270602723
Hospital Revenue Code	275
Min. Negotiated Rate	$398.40
Max. Negotiated Rate	$8,265.62
Rate for Payer: Aetna Commercial	$6,281.88
Rate for Payer: Aetna Medicare Advantage	$4,959.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,215.47
Rate for Payer: Cigna Commercial	$8,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69
Rate for Payer: UnitedHealthcare Community & State	$398.40
Rate for Payer: Wellpoint Medicaid Managed Care	$438.08

PACEMAKER MEDT 8417

Facility

$16,531.25

Hospital Charge Code	270602724
Hospital Revenue Code	275
Min. Negotiated Rate	$2,479.69
Max. Negotiated Rate	$4,000.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69

PACEMAKER MEDT 8417

Facility

$16,531.25

Hospital Charge Code	270602724
Hospital Revenue Code	275
Min. Negotiated Rate	$398.40
Max. Negotiated Rate	$8,265.62
Rate for Payer: Aetna Commercial	$6,281.88
Rate for Payer: Aetna Medicare Advantage	$4,959.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,215.47
Rate for Payer: Cigna Commercial	$8,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69
Rate for Payer: UnitedHealthcare Community & State	$398.40
Rate for Payer: Wellpoint Medicaid Managed Care	$438.08

PACEMAKER MEDT 8418

Facility

$16,531.25

Hospital Charge Code	270602725
Hospital Revenue Code	275
Min. Negotiated Rate	$398.40
Max. Negotiated Rate	$8,265.62
Rate for Payer: Aetna Commercial	$6,281.88
Rate for Payer: Aetna Medicare Advantage	$4,959.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,215.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,215.47
Rate for Payer: Cigna Commercial	$8,265.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69
Rate for Payer: UnitedHealthcare Community & State	$398.40
Rate for Payer: Wellpoint Medicaid Managed Care	$438.08

PACEMAKER MEDT 8418

Facility

$16,531.25

Hospital Charge Code	270602725
Hospital Revenue Code	275
Min. Negotiated Rate	$2,479.69
Max. Negotiated Rate	$4,000.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69

PACEMAKER MEDT 8424

Facility

$16,531.25

Hospital Charge Code	270602720
Hospital Revenue Code	275
Min. Negotiated Rate	$2,479.69
Max. Negotiated Rate	$4,000.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,306.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,000.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,636.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,479.69

Know your out-of-pocket cost for care.

All Charges