Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROD STRAIGHT 5.5MM 130MM

Facility

$1,790.00

Hospital Charge Code	270670397
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 140MM

Facility

$1,790.00

Hospital Charge Code	270670398
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 140MM

Facility

$1,790.00

Hospital Charge Code	270670398
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 150MM

Facility

$1,790.00

Hospital Charge Code	270670399
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 150MM

Facility

$1,790.00

Hospital Charge Code	270670399
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 200MM

Facility

$1,790.00

Hospital Charge Code	270670400
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 200MM

Facility

$1,790.00

Hospital Charge Code	270670400
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 300MM

Facility

$1,790.00

Hospital Charge Code	270670401
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 300MM

Facility

$1,790.00

Hospital Charge Code	270670401
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 30MM

Facility

$1,345.00

Hospital Charge Code	270670349
Hospital Revenue Code	278
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.90
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Community & State	$32.41
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

ROD STRAIGHT 5.5MM 30MM

Facility

$1,345.00

Hospital Charge Code	270670349
Hospital Revenue Code	278
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$325.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$269.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.90
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

ROD STRAIGHT 5.5MM 400MM

Facility

$1,790.00

Hospital Charge Code	270670402
Hospital Revenue Code	278
Min. Negotiated Rate	$268.50
Max. Negotiated Rate	$433.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50

ROD STRAIGHT 5.5MM 400MM

Facility

$1,790.00

Hospital Charge Code	270670402
Hospital Revenue Code	278
Min. Negotiated Rate	$43.14
Max. Negotiated Rate	$895.00
Rate for Payer: Aetna Commercial	$680.20
Rate for Payer: Aetna Medicare Advantage	$537.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$358.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.45
Rate for Payer: Cigna Commercial	$895.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.80
Rate for Payer: Qualcare PPO/HMO/WC	$268.50
Rate for Payer: UnitedHealthcare Community & State	$43.14
Rate for Payer: Wellpoint Medicaid Managed Care	$47.44

ROD STRAIGHT 5.5MM 40MM

Facility

$1,325.00

Hospital Charge Code	270670350
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 40MM

Facility

$1,325.00

Hospital Charge Code	270670350
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 45MM

Facility

$1,325.00

Hospital Charge Code	270670351
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 45MM

Facility

$1,325.00

Hospital Charge Code	270670351
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 500MM

Facility

$2,310.00

Hospital Charge Code	270670403
Hospital Revenue Code	278
Min. Negotiated Rate	$346.50
Max. Negotiated Rate	$559.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$559.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$346.50

ROD STRAIGHT 5.5MM 500MM

Facility

$2,310.00

Hospital Charge Code	270670403
Hospital Revenue Code	278
Min. Negotiated Rate	$55.67
Max. Negotiated Rate	$1,155.00
Rate for Payer: Aetna Commercial	$877.80
Rate for Payer: Aetna Medicare Advantage	$693.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$589.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$589.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$462.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$589.05
Rate for Payer: Cigna Commercial	$1,155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$559.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.20
Rate for Payer: Qualcare PPO/HMO/WC	$346.50
Rate for Payer: UnitedHealthcare Community & State	$55.67
Rate for Payer: Wellpoint Medicaid Managed Care	$61.22

ROD STRAIGHT 5.5MM 50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670352
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 50MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670352
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 55MM

Facility

$1,325.00

Hospital Charge Code	270670353
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 55MM

Facility

$1,325.00

Hospital Charge Code	270670353
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

ROD STRAIGHT 5.5MM 60MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670354
Hospital Revenue Code	278
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$320.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

ROD STRAIGHT 5.5MM 60MM

Facility

$1,325.00

Service Code	HCPCS C1713
Hospital Charge Code	270670354
Hospital Revenue Code	278
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$265.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.50
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

Know your out-of-pocket cost for care.

All Charges