Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PIN ZIM GUIDE 3.2 30.5 2246-23

Facility

$134.00

Hospital Charge Code	270620531
Hospital Revenue Code	278
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$67.00
Rate for Payer: Aetna Commercial	$50.92
Rate for Payer: Aetna Medicare Advantage	$40.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.17
Rate for Payer: Cigna Commercial	$67.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.48
Rate for Payer: Qualcare PPO/HMO/WC	$20.10
Rate for Payer: UnitedHealthcare Community & State	$3.23
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

PIN ZIM GUIDE MAG 3.2MM 114615

Facility

$3,834.15

Hospital Charge Code	270605980
Hospital Revenue Code	278
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$1,917.08
Rate for Payer: Aetna Commercial	$1,456.98
Rate for Payer: Aetna Medicare Advantage	$1,150.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$977.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$977.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$977.71
Rate for Payer: Cigna Commercial	$1,917.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$843.51
Rate for Payer: Qualcare PPO/HMO/WC	$575.12
Rate for Payer: UnitedHealthcare Community & State	$92.40
Rate for Payer: Wellpoint Medicaid Managed Care	$101.60

PIN ZIM GUIDE MAG 3.2MM 114615

Facility

$3,834.15

Hospital Charge Code	270605980
Hospital Revenue Code	278
Min. Negotiated Rate	$575.12
Max. Negotiated Rate	$927.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$766.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$927.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$843.51
Rate for Payer: Qualcare PPO/HMO/WC	$575.12

PIN ZIM HOLD HEX HEAD 5061-63

Facility

$52.00

Hospital Charge Code	270613948
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

PIN ZIM HOLD HEX HEAD 5061-63

Facility

$52.00

Hospital Charge Code	270613948
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

PIN ZIM HOLDING 5791-54

Facility

$758.95

Hospital Charge Code	270626742
Hospital Revenue Code	278
Min. Negotiated Rate	$113.84
Max. Negotiated Rate	$183.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.97
Rate for Payer: Qualcare PPO/HMO/WC	$113.84

PIN ZIM HOLDING 5791-54

Facility

$758.95

Hospital Charge Code	270626742
Hospital Revenue Code	278
Min. Negotiated Rate	$18.29
Max. Negotiated Rate	$379.48
Rate for Payer: Aetna Commercial	$288.40
Rate for Payer: Aetna Medicare Advantage	$227.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.53
Rate for Payer: Cigna Commercial	$379.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.97
Rate for Payer: Qualcare PPO/HMO/WC	$113.84
Rate for Payer: UnitedHealthcare Community & State	$18.29
Rate for Payer: Wellpoint Medicaid Managed Care	$20.11

PIN ZIM LOCKING ASSEMBLY SHT

Facility

$328.85

Hospital Charge Code	270601383
Hospital Revenue Code	278
Min. Negotiated Rate	$49.33
Max. Negotiated Rate	$79.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$72.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.33

PIN ZIM LOCKING ASSEMBLY SHT

Facility

$328.85

Hospital Charge Code	270601383
Hospital Revenue Code	278
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$164.43
Rate for Payer: Aetna Commercial	$124.96
Rate for Payer: Aetna Medicare Advantage	$98.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.86
Rate for Payer: Cigna Commercial	$164.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$72.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.33
Rate for Payer: UnitedHealthcare Community & State	$7.93
Rate for Payer: Wellpoint Medicaid Managed Care	$8.71

PIN ZIM RUSH LG B 3/16

Facility

$383.25

Hospital Charge Code	270601386
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH LG B 3/16

Facility

$383.25

Hospital Charge Code	270601386
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG C 3/16 8020104

Facility

$383.25

Hospital Charge Code	270601387
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH LG C 3/16 8020104

Facility

$383.25

Hospital Charge Code	270601387
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG D 3/16

Facility

$383.25

Hospital Charge Code	270601388
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG D 3/16

Facility

$383.25

Hospital Charge Code	270601388
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH LG E

Facility

$383.25

Hospital Charge Code	270601389
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH LG E

Facility

$383.25

Hospital Charge Code	270601389
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH LG S

Facility

$564.85

Hospital Charge Code	270601385
Hospital Revenue Code	278
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$136.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.27
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

PIN ZIM RUSH LG S

Facility

$564.85

Hospital Charge Code	270601385
Hospital Revenue Code	278
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$214.64
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$112.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.27
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

PIN ZIM RUSH MED H

Facility

$383.25

Hospital Charge Code	270601390
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH MED H

Facility

$383.25

Hospital Charge Code	270601390
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH MED I

Facility

$383.25

Hospital Charge Code	270601391
Hospital Revenue Code	278
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

PIN ZIM RUSH MED I

Facility

$383.25

Hospital Charge Code	270601391
Hospital Revenue Code	278
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$92.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.31
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

PIN ZIM RUSH XLG A 1/4 8010102

Facility

$491.25

Hospital Charge Code	270610096
Hospital Revenue Code	278
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$186.68
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.02

PIN ZIM RUSH XLG A 1/4 8010102

Facility

$491.25

Hospital Charge Code	270610096
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

Know your out-of-pocket cost for care.

All Charges