Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN STEINMAN 1/8 & 9/64****

Facility

$22.00

Hospital Charge Code	1602168
Hospital Revenue Code	274
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$11.00
Rate for Payer: Aetna Commercial	$8.36
Rate for Payer: Aetna Medicare Advantage	$6.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.61
Rate for Payer: Cigna Commercial	$11.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.84
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

PIN STEINMAN 1/8 & 9/64****

Facility

$22.00

Hospital Charge Code	1602168
Hospital Revenue Code	274
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$5.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.84
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

PIN STEINMAN 3/16 & 5/32****

Facility

$27.00

Hospital Charge Code	1602176
Hospital Revenue Code	274
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$6.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

PIN STEINMAN 3/16 & 5/32****

Facility

$27.00

Hospital Charge Code	1602176
Hospital Revenue Code	274
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

PIN STEINMAN 3/32, 5/64 7/64**

Facility

$17.00

Hospital Charge Code	1602150
Hospital Revenue Code	274
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$4.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.55

PIN STEINMAN 3/32, 5/64 7/64**

Facility

$17.00

Hospital Charge Code	1602150
Hospital Revenue Code	274
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.50
Rate for Payer: Aetna Commercial	$6.46
Rate for Payer: Aetna Medicare Advantage	$5.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.33
Rate for Payer: Cigna Commercial	$8.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.55
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

PIN STEINMAN 3.6MM

Facility

$101.40

Hospital Charge Code	270659130
Hospital Revenue Code	278
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$50.70
Rate for Payer: Aetna Commercial	$38.53
Rate for Payer: Aetna Medicare Advantage	$30.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.86
Rate for Payer: Cigna Commercial	$50.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.21
Rate for Payer: UnitedHealthcare Community & State	$2.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.69

PIN STEINMAN 3.6MM

Facility

$101.40

Hospital Charge Code	270659130
Hospital Revenue Code	278
Min. Negotiated Rate	$15.21
Max. Negotiated Rate	$24.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.21

PIN STEINMAN 4.5X 150MM

Facility

$351.00

Hospital Charge Code	270656309
Hospital Revenue Code	272
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

PIN STEINMAN 4.5X 150MM

Facility

$351.00

Hospital Charge Code	270656309
Hospital Revenue Code	272
Min. Negotiated Rate	$8.46
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$133.38
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$70.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$70.20
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

PIN STEINMAN 5.0x150mm

Facility

$351.00

Hospital Charge Code	270668382
Hospital Revenue Code	272
Min. Negotiated Rate	$8.46
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$133.38
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$70.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$70.20
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

PIN STEINMAN 5.0x150mm

Facility

$351.00

Hospital Charge Code	270668382
Hospital Revenue Code	272
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639903
Hospital Revenue Code	272
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$180.78
Rate for Payer: Aetna Commercial	$137.39
Rate for Payer: Aetna Medicare Advantage	$108.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.20
Rate for Payer: Cigna Commercial	$180.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.47
Rate for Payer: Oxford Commercial	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$54.23
Rate for Payer: UnitedHealthcare Commercial	$72.31
Rate for Payer: UnitedHealthcare Community & State	$8.71
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639902
Hospital Revenue Code	272
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$180.78
Rate for Payer: Aetna Commercial	$137.39
Rate for Payer: Aetna Medicare Advantage	$108.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.20
Rate for Payer: Cigna Commercial	$180.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.47
Rate for Payer: Oxford Commercial	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$54.23
Rate for Payer: UnitedHealthcare Commercial	$72.31
Rate for Payer: UnitedHealthcare Community & State	$8.71
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639902
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$54.23
Rate for Payer: Qualcare PPO/HMO/WC	$54.23

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639901
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$54.23
Rate for Payer: Qualcare PPO/HMO/WC	$54.23

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639901
Hospital Revenue Code	272
Min. Negotiated Rate	$8.71
Max. Negotiated Rate	$180.78
Rate for Payer: Aetna Commercial	$137.39
Rate for Payer: Aetna Medicare Advantage	$108.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.20
Rate for Payer: Cigna Commercial	$180.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.47
Rate for Payer: Oxford Commercial	$72.31
Rate for Payer: Qualcare PPO/HMO/WC	$54.23
Rate for Payer: UnitedHealthcare Commercial	$72.31
Rate for Payer: UnitedHealthcare Community & State	$8.71
Rate for Payer: Wellpoint Medicaid Managed Care	$9.58

PIN STEINMAN F/LG EXTERNAL FI-

Facility

$361.55

Hospital Charge Code	270639903
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$54.23
Rate for Payer: Qualcare PPO/HMO/WC	$54.23

PIN STEINMANN 2.4MM

Facility

$120.00

Hospital Charge Code	270670890
Hospital Revenue Code	272
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$60.00
Rate for Payer: Aetna Commercial	$45.60
Rate for Payer: Aetna Medicare Advantage	$36.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.60
Rate for Payer: Cigna Commercial	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.00
Rate for Payer: Oxford Commercial	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00
Rate for Payer: UnitedHealthcare Commercial	$24.00
Rate for Payer: UnitedHealthcare Community & State	$2.89
Rate for Payer: Wellpoint Medicaid Managed Care	$3.18

PIN STEINMANN 2.4MM

Facility

$120.00

Hospital Charge Code	270670890
Hospital Revenue Code	272
Min. Negotiated Rate	$18.00
Max. Negotiated Rate	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.00

PIN STEINMANN 3.2mm 9

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270674702
Hospital Revenue Code	272
Min. Negotiated Rate	$80.25
Max. Negotiated Rate	$80.25
Rate for Payer: Qualcare PPO/HMO/WC	$80.25

PIN STEINMANN 3.2mm 9

Facility

$535.00

Service Code	HCPCS C1713
Hospital Charge Code	270674702
Hospital Revenue Code	272
Min. Negotiated Rate	$12.89
Max. Negotiated Rate	$267.50
Rate for Payer: Aetna Commercial	$203.30
Rate for Payer: Aetna Medicare Advantage	$160.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.43
Rate for Payer: Cigna Commercial	$267.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.50
Rate for Payer: Oxford Commercial	$107.00
Rate for Payer: Qualcare PPO/HMO/WC	$80.25
Rate for Payer: UnitedHealthcare Commercial	$107.00
Rate for Payer: UnitedHealthcare Community & State	$12.89
Rate for Payer: Wellpoint Medicaid Managed Care	$14.18

PIN STEINMANN 3/32 IN

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270685368
Hospital Revenue Code	278
Min. Negotiated Rate	$99.00
Max. Negotiated Rate	$159.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00

PIN STEINMANN 3/32 IN

Facility

$660.00

Service Code	HCPCS C1713
Hospital Charge Code	270685368
Hospital Revenue Code	278
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$330.00
Rate for Payer: Aetna Commercial	$250.80
Rate for Payer: Aetna Medicare Advantage	$198.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.30
Rate for Payer: Cigna Commercial	$330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.20
Rate for Payer: Qualcare PPO/HMO/WC	$99.00
Rate for Payer: UnitedHealthcare Community & State	$15.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17.49

PIN STEINMANN #5 9 x 7/64

Facility

$85.29

Service Code	HCPCS C1713
Hospital Charge Code	270678365
Hospital Revenue Code	278
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$42.65
Rate for Payer: Aetna Commercial	$32.41
Rate for Payer: Aetna Medicare Advantage	$25.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.75
Rate for Payer: Cigna Commercial	$42.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.76
Rate for Payer: Qualcare PPO/HMO/WC	$12.79
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.26

Know your out-of-pocket cost for care.

All Charges