Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PRQ D-E COR REVASC W AMI S

Facility

$45,735.33

Hospital Charge Code	74110098
Hospital Revenue Code	480
Min. Negotiated Rate	$1,102.22
Max. Negotiated Rate	$22,867.67
Rate for Payer: Aetna Commercial	$17,379.43
Rate for Payer: Aetna Medicare Advantage	$13,720.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,662.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,662.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,662.51
Rate for Payer: Cigna Commercial	$22,867.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13,720.60
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.30
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.99

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	$1,580.00
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) 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	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$14,088.65
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$2,263.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2,489.00

PRQ D-E COR STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	5100802
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 STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	5100802
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 STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	74110095
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 STENT ATHER BR

Facility

$45,735.22

Hospital Charge Code	74110095
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	74110094
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	74110094
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	5100801
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 STENT ATHER S

Facility

$45,735.22

Hospital Charge Code	5100801
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
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: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$1,102.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1,211.98

PRQ DRUG-EL COR STENT BRAN

Facility

$47,735.22

Service Code	HCPCS C9601
Hospital Charge Code	4110C9601
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Hospital Charge Code	74110093
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Hospital Charge Code	74110093
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 DRUG-EL COR STENT BRAN

Facility

$45,735.22

Service Code	HCPCS C9601
Hospital Charge Code	5100800
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 DRUG-EL COR STENT BRAN

Facility

$47,735.22

Service Code	HCPCS C9601
Hospital Charge Code	4110C9601
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Service Code	HCPCS C9600
Hospital Charge Code	5100799
Hospital Revenue Code	481
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) NJ Health	$3,194.00
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: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$6,860.28
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Service Code	HCPCS C9600
Hospital Charge Code	5100799
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Hospital Charge Code	74110092
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 DRUG-EL COR STENT SING

Facility

$45,735.22

Hospital Charge Code	74110092
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 REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	74110087
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	5100794
Hospital Revenue Code	481
Min. Negotiated Rate	$867.56
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) NJ Health	$3,194.00
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	$10,799.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$867.56
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	$953.96

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	74110087
Hospital Revenue Code	481
Min. Negotiated Rate	$867.56
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) NJ Health	$3,194.00
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	$10,799.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$867.56
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	$953.96

PRQ REVASC BYP GRAFT 1 VSL

Facility

$35,998.44

Service Code	HCPCS 92937
Hospital Charge Code	5100794
Hospital Revenue Code	481
Min. Negotiated Rate	$5,399.77
Max. Negotiated Rate	$5,399.77
Rate for Payer: Qualcare PPO/HMO/WC	$5,399.77

PRQ REVASC BYP GRAFT ADDL

Facility

$92,938.00

Service Code	HCPCS 92938
Hospital Charge Code	5100795
Hospital Revenue Code	481
Min. Negotiated Rate	$13,940.70
Max. Negotiated Rate	$13,940.70
Rate for Payer: Qualcare PPO/HMO/WC	$13,940.70

Know your out-of-pocket cost for care.

All Charges