Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROD CONTOURED 5.5MM 100MM

Facility

$1,450.00

Hospital Charge Code	270670380
Hospital Revenue Code	278
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$319.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Community & State	$34.95
Rate for Payer: Wellpoint Medicaid Managed Care	$38.42

ROD CONTOURED 5.5MM 100MM

Facility

$1,450.00

Hospital Charge Code	270670380
Hospital Revenue Code	278
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$350.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$350.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$319.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

ROD CONTOURED 5.5MM 110MM

Facility

$1,915.00

Hospital Charge Code	270670404
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$727.70
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25
Rate for Payer: UnitedHealthcare Community & State	$46.15
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

ROD CONTOURED 5.5MM 110MM

Facility

$1,915.00

Hospital Charge Code	270670404
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 125MM

Facility

$1,915.00

Hospital Charge Code	270670405
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 125MM

Facility

$1,915.00

Hospital Charge Code	270670405
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$727.70
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25
Rate for Payer: UnitedHealthcare Community & State	$46.15
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

ROD CONTOURED 5.5MM 150MM

Facility

$1,915.00

Hospital Charge Code	270670406
Hospital Revenue Code	278
Min. Negotiated Rate	$46.15
Max. Negotiated Rate	$957.50
Rate for Payer: Aetna Commercial	$727.70
Rate for Payer: Aetna Medicare Advantage	$574.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.32
Rate for Payer: Cigna Commercial	$957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25
Rate for Payer: UnitedHealthcare Community & State	$46.15
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

ROD CONTOURED 5.5MM 150MM

Facility

$1,915.00

Hospital Charge Code	270670406
Hospital Revenue Code	278
Min. Negotiated Rate	$287.25
Max. Negotiated Rate	$463.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.30
Rate for Payer: Qualcare PPO/HMO/WC	$287.25

ROD CONTOURED 5.5MM 30MM

Facility

$1,430.00

Hospital Charge Code	270670363
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 30MM

Facility

$1,430.00

Hospital Charge Code	270670363
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 35MM

Facility

$1,430.00

Hospital Charge Code	270670364
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 35MM

Facility

$1,430.00

Hospital Charge Code	270670364
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 40MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670365
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 40MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670365
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 45MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670367
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 45MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670367
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 50MM

Facility

$1,430.00

Hospital Charge Code	270670368
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 50MM

Facility

$1,430.00

Hospital Charge Code	270670368
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 55MM

Facility

$1,430.00

Hospital Charge Code	270670370
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 55MM

Facility

$1,430.00

Hospital Charge Code	270670370
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 60MM

Facility

$1,430.00

Hospital Charge Code	270670371
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 60MM

Facility

$1,430.00

Hospital Charge Code	270670371
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 65MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670372
Hospital Revenue Code	278
Min. Negotiated Rate	$34.46
Max. Negotiated Rate	$715.00
Rate for Payer: Aetna Commercial	$543.40
Rate for Payer: Aetna Medicare Advantage	$429.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.65
Rate for Payer: Cigna Commercial	$715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50
Rate for Payer: UnitedHealthcare Community & State	$34.46
Rate for Payer: Wellpoint Medicaid Managed Care	$37.90

ROD CONTOURED 5.5MM 65MM

Facility

$1,430.00

Service Code	HCPCS C1713
Hospital Charge Code	270670372
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

ROD CONTOURED 5.5MM 70MM

Facility

$1,430.00

Hospital Charge Code	270670373
Hospital Revenue Code	278
Min. Negotiated Rate	$214.50
Max. Negotiated Rate	$346.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.60
Rate for Payer: Qualcare PPO/HMO/WC	$214.50

Know your out-of-pocket cost for care.

All Charges