Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE ZIM FRL 6H 145 11811450

Facility

$1,941.65

Hospital Charge Code	270601397
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$469.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$427.16
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 145 11811450

Facility

$1,941.65

Hospital Charge Code	270601397
Hospital Revenue Code	278
Min. Negotiated Rate	$46.79
Max. Negotiated Rate	$970.83
Rate for Payer: Aetna Commercial	$737.83
Rate for Payer: Aetna Medicare Advantage	$582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.12
Rate for Payer: Cigna Commercial	$970.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$427.16
Rate for Payer: Qualcare PPO/HMO/WC	$291.25
Rate for Payer: UnitedHealthcare Community & State	$46.79
Rate for Payer: Wellpoint Medicaid Managed Care	$51.45

PLATE ZIM FRL 6H 150 1181150

Facility

$1,941.65

Hospital Charge Code	270601399
Hospital Revenue Code	278
Min. Negotiated Rate	$291.25
Max. Negotiated Rate	$469.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$427.16
Rate for Payer: Qualcare PPO/HMO/WC	$291.25

PLATE ZIM FRL 6H 150 1181150

Facility

$1,941.65

Hospital Charge Code	270601399
Hospital Revenue Code	278
Min. Negotiated Rate	$46.79
Max. Negotiated Rate	$970.83
Rate for Payer: Aetna Commercial	$737.83
Rate for Payer: Aetna Medicare Advantage	$582.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.12
Rate for Payer: Cigna Commercial	$970.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$427.16
Rate for Payer: Qualcare PPO/HMO/WC	$291.25
Rate for Payer: UnitedHealthcare Community & State	$46.79
Rate for Payer: Wellpoint Medicaid Managed Care	$51.45

PLATE ZIM FRL 8H 135 118113508

Facility

$1,932.00

Hospital Charge Code	270608818
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE ZIM FRL 8H 135 118113508

Facility

$1,932.00

Hospital Charge Code	270608818
Hospital Revenue Code	278
Min. Negotiated Rate	$46.56
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$734.16
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80
Rate for Payer: UnitedHealthcare Community & State	$46.56
Rate for Payer: Wellpoint Medicaid Managed Care	$51.20

PLATE ZIM MINI 5H 2420-037-05

Facility

$200.85

Hospital Charge Code	270610147
Hospital Revenue Code	278
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$76.32
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.19
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Community & State	$4.84
Rate for Payer: Wellpoint Medicaid Managed Care	$5.32

PLATE ZIM MINI 5H 2420-037-05

Facility

$200.85

Hospital Charge Code	270610147
Hospital Revenue Code	278
Min. Negotiated Rate	$30.13
Max. Negotiated Rate	$48.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.19
Rate for Payer: Qualcare PPO/HMO/WC	$30.13

PLATE ZIM PRTC 10H 23470110

Facility

$4,023.25

Hospital Charge Code	270611485
Hospital Revenue Code	278
Min. Negotiated Rate	$96.96
Max. Negotiated Rate	$2,011.62
Rate for Payer: Aetna Commercial	$1,528.84
Rate for Payer: Aetna Medicare Advantage	$1,206.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,025.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,025.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$804.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,025.93
Rate for Payer: Cigna Commercial	$2,011.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$973.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$885.12
Rate for Payer: Qualcare PPO/HMO/WC	$603.49
Rate for Payer: UnitedHealthcare Community & State	$96.96
Rate for Payer: Wellpoint Medicaid Managed Care	$106.62

PLATE ZIM PRTC 10H 23470110

Facility

$4,023.25

Hospital Charge Code	270611485
Hospital Revenue Code	278
Min. Negotiated Rate	$603.49
Max. Negotiated Rate	$973.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$804.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$973.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$885.12
Rate for Payer: Qualcare PPO/HMO/WC	$603.49

PLATE ZIM PRTC 4H 234700604

Facility

$3,977.65

Hospital Charge Code	270615644
Hospital Revenue Code	278
Min. Negotiated Rate	$95.86
Max. Negotiated Rate	$1,988.83
Rate for Payer: Aetna Commercial	$1,511.51
Rate for Payer: Aetna Medicare Advantage	$1,193.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,014.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,014.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,014.30
Rate for Payer: Cigna Commercial	$1,988.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$962.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$875.08
Rate for Payer: Qualcare PPO/HMO/WC	$596.65
Rate for Payer: UnitedHealthcare Community & State	$95.86
Rate for Payer: Wellpoint Medicaid Managed Care	$105.41

PLATE ZIM PRTC 4H 234700604

Facility

$3,977.65

Hospital Charge Code	270615644
Hospital Revenue Code	278
Min. Negotiated Rate	$596.65
Max. Negotiated Rate	$962.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$795.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$962.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$875.08
Rate for Payer: Qualcare PPO/HMO/WC	$596.65

PLATE ZIM PRTC 6H 23470106

Facility

$3,793.65

Hospital Charge Code	270611484
Hospital Revenue Code	278
Min. Negotiated Rate	$91.43
Max. Negotiated Rate	$1,896.83
Rate for Payer: Aetna Commercial	$1,441.59
Rate for Payer: Aetna Medicare Advantage	$1,138.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.38
Rate for Payer: Cigna Commercial	$1,896.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.60
Rate for Payer: Qualcare PPO/HMO/WC	$569.05
Rate for Payer: UnitedHealthcare Community & State	$91.43
Rate for Payer: Wellpoint Medicaid Managed Care	$100.53

PLATE ZIM PRTC 6H 23470106

Facility

$3,793.65

Hospital Charge Code	270611484
Hospital Revenue Code	278
Min. Negotiated Rate	$569.05
Max. Negotiated Rate	$918.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$758.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$918.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$834.60
Rate for Payer: Qualcare PPO/HMO/WC	$569.05

PLATE ZIM RECON 10H 1179-05-10

Facility

$950.45

Hospital Charge Code	270613676
Hospital Revenue Code	278
Min. Negotiated Rate	$142.57
Max. Negotiated Rate	$230.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.10
Rate for Payer: Qualcare PPO/HMO/WC	$142.57

PLATE ZIM RECON 10H 1179-05-10

Facility

$950.45

Hospital Charge Code	270613676
Hospital Revenue Code	278
Min. Negotiated Rate	$22.91
Max. Negotiated Rate	$475.23
Rate for Payer: Aetna Commercial	$361.17
Rate for Payer: Aetna Medicare Advantage	$285.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.36
Rate for Payer: Cigna Commercial	$475.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.10
Rate for Payer: Qualcare PPO/HMO/WC	$142.57
Rate for Payer: UnitedHealthcare Community & State	$22.91
Rate for Payer: Wellpoint Medicaid Managed Care	$25.19

PLATE ZIM SELF CMP 145MM 12H

Facility

$553.65

Hospital Charge Code	270607165
Hospital Revenue Code	278
Min. Negotiated Rate	$13.34
Max. Negotiated Rate	$276.82
Rate for Payer: Aetna Commercial	$210.39
Rate for Payer: Aetna Medicare Advantage	$166.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.18
Rate for Payer: Cigna Commercial	$276.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.80
Rate for Payer: Qualcare PPO/HMO/WC	$83.05
Rate for Payer: UnitedHealthcare Community & State	$13.34
Rate for Payer: Wellpoint Medicaid Managed Care	$14.67

PLATE ZIM SELF CMP 145MM 12H

Facility

$553.65

Hospital Charge Code	270607165
Hospital Revenue Code	278
Min. Negotiated Rate	$83.05
Max. Negotiated Rate	$133.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.80
Rate for Payer: Qualcare PPO/HMO/WC	$83.05

PLATE ZIM SELF CMP BD 140MM 8H

Facility

$704.00

Hospital Charge Code	270605557
Hospital Revenue Code	278
Min. Negotiated Rate	$16.97
Max. Negotiated Rate	$352.00
Rate for Payer: Aetna Commercial	$267.52
Rate for Payer: Aetna Medicare Advantage	$211.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179.52
Rate for Payer: Cigna Commercial	$352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$105.60
Rate for Payer: UnitedHealthcare Community & State	$16.97
Rate for Payer: Wellpoint Medicaid Managed Care	$18.66

PLATE ZIM SELF CMP BD 140MM 8H

Facility

$704.00

Hospital Charge Code	270605557
Hospital Revenue Code	278
Min. Negotiated Rate	$105.60
Max. Negotiated Rate	$170.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.88
Rate for Payer: Qualcare PPO/HMO/WC	$105.60

PLATE ZIM SELF CMP BD 156MM 9H

Facility

$766.45

Hospital Charge Code	270608108
Hospital Revenue Code	278
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$185.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

PLATE ZIM SELF CMP BD 156MM 9H

Facility

$766.45

Hospital Charge Code	270608108
Hospital Revenue Code	278
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$291.25
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Community & State	$18.47
Rate for Payer: Wellpoint Medicaid Managed Care	$20.31

PLATE ZIM SELF CMP NR 124MM 7H

Facility

$466.45

Hospital Charge Code	270605555
Hospital Revenue Code	278
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$233.22
Rate for Payer: Aetna Commercial	$177.25
Rate for Payer: Aetna Medicare Advantage	$139.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.94
Rate for Payer: Cigna Commercial	$233.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.97
Rate for Payer: UnitedHealthcare Community & State	$11.24
Rate for Payer: Wellpoint Medicaid Managed Care	$12.36

PLATE ZIM SELF CMP NR 124MM 7H

Facility

$466.45

Hospital Charge Code	270605555
Hospital Revenue Code	278
Min. Negotiated Rate	$69.97
Max. Negotiated Rate	$112.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.97

PLATE ZIM SELF CMP NR 140MM 8H

Facility

$466.45

Hospital Charge Code	270605556
Hospital Revenue Code	278
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$233.22
Rate for Payer: Aetna Commercial	$177.25
Rate for Payer: Aetna Medicare Advantage	$139.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$93.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.94
Rate for Payer: Cigna Commercial	$233.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.62
Rate for Payer: Qualcare PPO/HMO/WC	$69.97
Rate for Payer: UnitedHealthcare Community & State	$11.24
Rate for Payer: Wellpoint Medicaid Managed Care	$12.36

Know your out-of-pocket cost for care.

All Charges