Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PRQ D-E COR REVASC CHRO ADDL

Facility

$45,735.22

Hospital Charge Code	5100807
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC CHRO SIN

Facility

$47,735.22

Service Code	HCPCS C9607
Hospital Charge Code	4110C9607
Hospital Revenue Code	480
Min. Negotiated Rate	$1,150.42
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,320.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,150.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.98

PRQ D-E COR REVASC CHRO SIN

Facility

$47,735.22

Service Code	HCPCS C9607
Hospital Charge Code	4110C9607
Hospital Revenue Code	480
Min. Negotiated Rate	$7,160.28
Max. Negotiated Rate	$7,160.28
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Service Code	HCPCS C9607
Hospital Charge Code	5100806
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Hospital Charge Code	74110099
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Service Code	HCPCS C9607
Hospital Charge Code	5100806
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC CHRO SING

Facility

$45,735.22

Hospital Charge Code	74110099
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Service Code	HCPCS C9605
Hospital Charge Code	5100804
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG BR

Facility

$47,735.22

Service Code	HCPCS C9605
Hospital Charge Code	4110C9605
Hospital Revenue Code	480
Min. Negotiated Rate	$7,160.28
Max. Negotiated Rate	$7,160.28
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28

PRQ D-E COR REVASC T CABG BR

Facility

$47,735.22

Service Code	HCPCS C9605
Hospital Charge Code	4110C9605
Hospital Revenue Code	480
Min. Negotiated Rate	$1,150.42
Max. Negotiated Rate	$23,867.61
Rate for Payer: Aetna Commercial	$18,139.38
Rate for Payer: Aetna Medicare Advantage	$14,320.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,172.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,172.48
Rate for Payer: Cigna Commercial	$23,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,320.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,150.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.98

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Hospital Charge Code	74110097
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Hospital Charge Code	74110097
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG BR

Facility

$45,735.22

Service Code	HCPCS C9605
Hospital Charge Code	5100804
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Hospital Charge Code	74110096
Hospital Revenue Code	481
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.61
Rate for Payer: Aetna Commercial	$17,379.38
Rate for Payer: Aetna Medicare Advantage	$13,720.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.48
Rate for Payer: Cigna Commercial	$22,867.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC T CABG S

Facility

$47,735.22

Service Code	HCPCS C9604
Hospital Charge Code	4110C9604
Hospital Revenue Code	480
Min. Negotiated Rate	$1,150.42
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,320.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,150.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.98

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Service Code	HCPCS C9604
Hospital Charge Code	5100803
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Service Code	HCPCS C9604
Hospital Charge Code	5100803
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.57
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ D-E COR REVASC T CABG S

Facility

$47,735.22

Service Code	HCPCS C9604
Hospital Charge Code	4110C9604
Hospital Revenue Code	480
Min. Negotiated Rate	$7,160.28
Max. Negotiated Rate	$7,160.28
Rate for Payer: Qualcare PPO/HMO/WC	$7,160.28

PRQ D-E COR REVASC T CABG S

Facility

$45,735.22

Hospital Charge Code	74110096
Hospital Revenue Code	481
Min. Negotiated Rate	$6,860.28
Max. Negotiated Rate	$6,860.28
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28

PRQ D-E COR REVASC W AMI S

Facility

$45,735.33

Hospital Charge Code	74110098
Hospital Revenue Code	480
Min. Negotiated Rate	$6,860.30
Max. Negotiated Rate	$6,860.30
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.30

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	5100805
Hospital Revenue Code	480
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	3668C9606
Hospital Revenue Code	361
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$35,691.25
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,177.31
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,263.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2,489.00

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$46,962.18
Rate for Payer: Aetna Commercial	$35,691.25
Rate for Payer: Aetna Medicare Advantage	$28,177.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,950.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,950.71
Rate for Payer: Cigna Commercial	$46,962.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28,177.31
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,263.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2,489.00

PRQ D-E COR REVASC W AMI S

Facility

$93,924.35

Service Code	HCPCS C9606
Hospital Charge Code	411039606
Hospital Revenue Code	361
Min. Negotiated Rate	$14,088.65
Max. Negotiated Rate	$14,088.65
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65

Know your out-of-pocket cost for care.

All Charges