Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PACEMAKER MEDT KDR901

Facility

$32,177.65

Hospital Charge Code	270626858C
Hospital Revenue Code	275
Min. Negotiated Rate	$775.48
Max. Negotiated Rate	$16,088.83
Rate for Payer: Aetna Commercial	$12,227.51
Rate for Payer: Aetna Medicare Advantage	$9,653.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,205.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,205.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,435.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,205.30
Rate for Payer: Cigna Commercial	$16,088.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,786.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,079.08
Rate for Payer: Qualcare PPO/HMO/WC	$4,826.65
Rate for Payer: UnitedHealthcare Community & State	$775.48
Rate for Payer: Wellpoint Medicaid Managed Care	$852.71

PACEMAKER MEDT KDR901

Facility

$32,177.65

Hospital Charge Code	270626858C
Hospital Revenue Code	275
Min. Negotiated Rate	$4,826.65
Max. Negotiated Rate	$7,786.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,435.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,786.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,079.08
Rate for Payer: Qualcare PPO/HMO/WC	$4,826.65

PACEMAKER MEDT KSR401B

Facility

$20,966.45

Hospital Charge Code	270616039
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR401B

Facility

$20,966.45

Hospital Charge Code	270616039
Hospital Revenue Code	275
Min. Negotiated Rate	$505.29
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$7,967.25
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97
Rate for Payer: UnitedHealthcare Community & State	$505.29
Rate for Payer: Wellpoint Medicaid Managed Care	$555.61

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505C
Hospital Revenue Code	275
Min. Negotiated Rate	$505.29
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$7,967.25
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97
Rate for Payer: UnitedHealthcare Community & State	$505.29
Rate for Payer: Wellpoint Medicaid Managed Care	$555.61

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR403B

Facility

$20,966.45

Hospital Charge Code	270607505
Hospital Revenue Code	275
Min. Negotiated Rate	$505.29
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$7,967.25
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97
Rate for Payer: UnitedHealthcare Community & State	$505.29
Rate for Payer: Wellpoint Medicaid Managed Care	$555.61

PACEMAKER MEDT KSR701

Facility

$26,000.00

Hospital Charge Code	270616653C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Hospital Charge Code	270616653C
Hospital Revenue Code	275
Min. Negotiated Rate	$626.60
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$9,880.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00
Rate for Payer: UnitedHealthcare Community & State	$626.60
Rate for Payer: Wellpoint Medicaid Managed Care	$689.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$3,900.00
Max. Negotiated Rate	$6,292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00

PACEMAKER MEDT KSR701

Facility

$26,000.00

Service Code	HCPCS C1786
Hospital Charge Code	270616653
Hospital Revenue Code	275
Min. Negotiated Rate	$626.60
Max. Negotiated Rate	$13,000.00
Rate for Payer: Aetna Commercial	$9,880.00
Rate for Payer: Aetna Medicare Advantage	$7,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,630.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,630.00
Rate for Payer: Cigna Commercial	$13,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,292.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,720.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,900.00
Rate for Payer: UnitedHealthcare Community & State	$626.60
Rate for Payer: Wellpoint Medicaid Managed Care	$689.00

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562C
Hospital Revenue Code	275
Min. Negotiated Rate	$505.29
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$7,967.25
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97
Rate for Payer: UnitedHealthcare Community & State	$505.29
Rate for Payer: Wellpoint Medicaid Managed Care	$555.61

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562
Hospital Revenue Code	275
Min. Negotiated Rate	$505.29
Max. Negotiated Rate	$10,483.23
Rate for Payer: Aetna Commercial	$7,967.25
Rate for Payer: Aetna Medicare Advantage	$6,289.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,346.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,346.44
Rate for Payer: Cigna Commercial	$10,483.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97
Rate for Payer: UnitedHealthcare Community & State	$505.29
Rate for Payer: Wellpoint Medicaid Managed Care	$555.61

PACEMAKER MEDT KSR703

Facility

$20,966.45

Hospital Charge Code	270616562C
Hospital Revenue Code	275
Min. Negotiated Rate	$3,144.97
Max. Negotiated Rate	$5,073.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,193.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,073.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,612.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,144.97

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$9,640.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,764.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783C
Hospital Revenue Code	275
Min. Negotiated Rate	$5,975.53
Max. Negotiated Rate	$9,640.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,764.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783C
Hospital Revenue Code	275
Min. Negotiated Rate	$960.07
Max. Negotiated Rate	$19,918.42
Rate for Payer: Aetna Commercial	$15,138.00
Rate for Payer: Aetna Medicare Advantage	$11,951.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,158.40
Rate for Payer: Cigna Commercial	$19,918.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,764.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53
Rate for Payer: UnitedHealthcare Community & State	$960.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1,055.68

PACEMAKER MEDT KSR706

Facility

$39,836.85

Hospital Charge Code	270618783
Hospital Revenue Code	275
Min. Negotiated Rate	$960.07
Max. Negotiated Rate	$19,918.42
Rate for Payer: Aetna Commercial	$15,138.00
Rate for Payer: Aetna Medicare Advantage	$11,951.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,158.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,967.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,158.40
Rate for Payer: Cigna Commercial	$19,918.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,640.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,764.11
Rate for Payer: Qualcare PPO/HMO/WC	$5,975.53
Rate for Payer: UnitedHealthcare Community & State	$960.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1,055.68

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$3,947.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,588.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722C
Hospital Revenue Code	275
Min. Negotiated Rate	$2,446.69
Max. Negotiated Rate	$3,947.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,588.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722C
Hospital Revenue Code	275
Min. Negotiated Rate	$393.10
Max. Negotiated Rate	$8,155.62
Rate for Payer: Aetna Commercial	$6,198.27
Rate for Payer: Aetna Medicare Advantage	$4,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,159.37
Rate for Payer: Cigna Commercial	$8,155.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,588.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69
Rate for Payer: UnitedHealthcare Community & State	$393.10
Rate for Payer: Wellpoint Medicaid Managed Care	$432.25

PACEMAKER MEDT SDR203B

Facility

$16,311.25

Hospital Charge Code	270624722
Hospital Revenue Code	275
Min. Negotiated Rate	$393.10
Max. Negotiated Rate	$8,155.62
Rate for Payer: Aetna Commercial	$6,198.27
Rate for Payer: Aetna Medicare Advantage	$4,893.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,159.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,262.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,159.37
Rate for Payer: Cigna Commercial	$8,155.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,947.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,588.47
Rate for Payer: Qualcare PPO/HMO/WC	$2,446.69
Rate for Payer: UnitedHealthcare Community & State	$393.10
Rate for Payer: Wellpoint Medicaid Managed Care	$432.25

PACEMAKER MEDT SDR303

Facility

$18,144.00

Hospital Charge Code	270617980
Hospital Revenue Code	275
Min. Negotiated Rate	$437.27
Max. Negotiated Rate	$9,072.00
Rate for Payer: Aetna Commercial	$6,894.72
Rate for Payer: Aetna Medicare Advantage	$5,443.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,626.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,626.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,628.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,626.72
Rate for Payer: Cigna Commercial	$9,072.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,390.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,991.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,721.60
Rate for Payer: UnitedHealthcare Community & State	$437.27
Rate for Payer: Wellpoint Medicaid Managed Care	$480.82

Know your out-of-pocket cost for care.

All Charges