Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM V40 132 DEG 30 MM SZ 8

Facility

$11,954.55

Service Code	HCPCS C1776
Hospital Charge Code	270691036
Hospital Revenue Code	278
Min. Negotiated Rate	$288.10
Max. Negotiated Rate	$5,977.27
Rate for Payer: Aetna Commercial	$4,542.73
Rate for Payer: Aetna Medicare Advantage	$3,586.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,048.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,048.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,390.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,048.41
Rate for Payer: Cigna Commercial	$5,977.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,893.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,630.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,793.18
Rate for Payer: UnitedHealthcare Community & State	$288.10
Rate for Payer: Wellpoint Medicaid Managed Care	$316.80

STEM VERSA DIAL 6MM GLEN

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697934
Hospital Revenue Code	278
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$1,452.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00

STEM VERSA DIAL 6MM GLEN

Facility

$6,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270697934
Hospital Revenue Code	278
Min. Negotiated Rate	$144.60
Max. Negotiated Rate	$3,000.00
Rate for Payer: Aetna Commercial	$2,280.00
Rate for Payer: Aetna Medicare Advantage	$1,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,530.00
Rate for Payer: Cigna Commercial	$3,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,452.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$900.00
Rate for Payer: UnitedHealthcare Community & State	$144.60
Rate for Payer: Wellpoint Medicaid Managed Care	$159.00

STEM VIVACIT-E HIGHLY CROSSED

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690938
Hospital Revenue Code	278
Min. Negotiated Rate	$325.35
Max. Negotiated Rate	$6,750.00
Rate for Payer: Aetna Commercial	$5,130.00
Rate for Payer: Aetna Medicare Advantage	$4,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,442.50
Rate for Payer: Cigna Commercial	$6,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00
Rate for Payer: UnitedHealthcare Community & State	$325.35
Rate for Payer: Wellpoint Medicaid Managed Care	$357.75

STEM VIVACIT-E HIGHLY CROSSED

Facility

$13,500.00

Service Code	HCPCS C1776
Hospital Charge Code	270690938
Hospital Revenue Code	278
Min. Negotiated Rate	$2,025.00
Max. Negotiated Rate	$3,267.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,267.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,970.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,025.00

STEM ZIM FEM 11 120MM 7853-11

Facility

$11,316.75

Hospital Charge Code	270616638
Hospital Revenue Code	278
Min. Negotiated Rate	$1,697.51
Max. Negotiated Rate	$2,738.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,489.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51

STEM ZIM FEM 11 120MM 7853-11

Facility

$11,316.75

Hospital Charge Code	270616638
Hospital Revenue Code	278
Min. Negotiated Rate	$272.73
Max. Negotiated Rate	$5,658.38
Rate for Payer: Aetna Commercial	$4,300.36
Rate for Payer: Aetna Medicare Advantage	$3,395.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,885.77
Rate for Payer: Cigna Commercial	$5,658.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,489.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51
Rate for Payer: UnitedHealthcare Community & State	$272.73
Rate for Payer: Wellpoint Medicaid Managed Care	$299.89

STEM ZIM FEM 11 130MM 7841-11

Facility

$26,378.45

Hospital Charge Code	270621552
Hospital Revenue Code	278
Min. Negotiated Rate	$635.72
Max. Negotiated Rate	$13,189.23
Rate for Payer: Aetna Commercial	$10,023.81
Rate for Payer: Aetna Medicare Advantage	$7,913.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,726.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,726.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,275.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,726.50
Rate for Payer: Cigna Commercial	$13,189.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,383.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,803.26
Rate for Payer: Qualcare PPO/HMO/WC	$3,956.77
Rate for Payer: UnitedHealthcare Community & State	$635.72
Rate for Payer: Wellpoint Medicaid Managed Care	$699.03

STEM ZIM FEM 11 130MM 7841-11

Facility

$26,378.45

Hospital Charge Code	270621552
Hospital Revenue Code	278
Min. Negotiated Rate	$3,956.77
Max. Negotiated Rate	$6,383.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,275.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,383.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,803.26
Rate for Payer: Qualcare PPO/HMO/WC	$3,956.77

STEM ZIM FEM 12 125MM 7833-12

Facility

$4,017.65

Hospital Charge Code	270628372
Hospital Revenue Code	278
Min. Negotiated Rate	$96.83
Max. Negotiated Rate	$2,008.83
Rate for Payer: Aetna Commercial	$1,526.71
Rate for Payer: Aetna Medicare Advantage	$1,205.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,024.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,024.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$803.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,024.50
Rate for Payer: Cigna Commercial	$2,008.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$972.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$883.88
Rate for Payer: Qualcare PPO/HMO/WC	$602.65
Rate for Payer: UnitedHealthcare Community & State	$96.83
Rate for Payer: Wellpoint Medicaid Managed Care	$106.47

STEM ZIM FEM 12 125MM 7833-12

Facility

$4,017.65

Hospital Charge Code	270628372
Hospital Revenue Code	278
Min. Negotiated Rate	$602.65
Max. Negotiated Rate	$972.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$803.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$972.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$883.88
Rate for Payer: Qualcare PPO/HMO/WC	$602.65

STEM ZIM FEM 12 125MM 7853-12

Facility

$11,316.75

Hospital Charge Code	270616592
Hospital Revenue Code	278
Min. Negotiated Rate	$272.73
Max. Negotiated Rate	$5,658.38
Rate for Payer: Aetna Commercial	$4,300.36
Rate for Payer: Aetna Medicare Advantage	$3,395.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,885.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,885.77
Rate for Payer: Cigna Commercial	$5,658.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,489.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51
Rate for Payer: UnitedHealthcare Community & State	$272.73
Rate for Payer: Wellpoint Medicaid Managed Care	$299.89

STEM ZIM FEM 12 125MM 7853-12

Facility

$11,316.75

Hospital Charge Code	270616592
Hospital Revenue Code	278
Min. Negotiated Rate	$1,697.51
Max. Negotiated Rate	$2,738.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,263.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,738.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,489.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,697.51

STEM ZIM FEM 12 140MM 7841-12

Facility

$19,519.40

Hospital Charge Code	270611864
Hospital Revenue Code	278
Min. Negotiated Rate	$2,927.91
Max. Negotiated Rate	$4,723.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,903.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,723.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,294.27
Rate for Payer: Qualcare PPO/HMO/WC	$2,927.91

STEM ZIM FEM 12 140MM 7841-12

Facility

$19,519.40

Hospital Charge Code	270611864
Hospital Revenue Code	278
Min. Negotiated Rate	$470.42
Max. Negotiated Rate	$9,759.70
Rate for Payer: Aetna Commercial	$7,417.37
Rate for Payer: Aetna Medicare Advantage	$5,855.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,977.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,977.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,903.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,977.45
Rate for Payer: Cigna Commercial	$9,759.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,723.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,294.27
Rate for Payer: Qualcare PPO/HMO/WC	$2,927.91
Rate for Payer: UnitedHealthcare Community & State	$470.42
Rate for Payer: Wellpoint Medicaid Managed Care	$517.26

STEM ZIM FEM 13 130MM 7852-13

Facility

$11,520.00

Hospital Charge Code	270609816
Hospital Revenue Code	278
Min. Negotiated Rate	$1,728.00
Max. Negotiated Rate	$2,787.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,787.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,534.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.00

STEM ZIM FEM 13 130MM 7852-13

Facility

$11,520.00

Hospital Charge Code	270609816
Hospital Revenue Code	278
Min. Negotiated Rate	$277.63
Max. Negotiated Rate	$5,760.00
Rate for Payer: Aetna Commercial	$4,377.60
Rate for Payer: Aetna Medicare Advantage	$3,456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,937.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,937.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,937.60
Rate for Payer: Cigna Commercial	$5,760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,787.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,534.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.00
Rate for Payer: UnitedHealthcare Community & State	$277.63
Rate for Payer: Wellpoint Medicaid Managed Care	$305.28

STEM ZIM FEM 13 130MM 7853-13

Facility

$9,396.00

Hospital Charge Code	270621223
Hospital Revenue Code	278
Min. Negotiated Rate	$1,409.40
Max. Negotiated Rate	$2,273.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,879.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,273.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,067.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,409.40

STEM ZIM FEM 13 130MM 7853-13

Facility

$11,864.25

Hospital Charge Code	270616264
Hospital Revenue Code	278
Min. Negotiated Rate	$1,779.64
Max. Negotiated Rate	$2,871.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,372.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,871.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,610.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,779.64

STEM ZIM FEM 13 130MM 7853-13

Facility

$9,396.00

Hospital Charge Code	270621223
Hospital Revenue Code	278
Min. Negotiated Rate	$226.44
Max. Negotiated Rate	$4,698.00
Rate for Payer: Aetna Commercial	$3,570.48
Rate for Payer: Aetna Medicare Advantage	$2,818.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,395.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,395.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,879.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,395.98
Rate for Payer: Cigna Commercial	$4,698.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,273.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,067.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,409.40
Rate for Payer: UnitedHealthcare Community & State	$226.44
Rate for Payer: Wellpoint Medicaid Managed Care	$248.99

STEM ZIM FEM 13 130MM 7853-13

Facility

$11,864.25

Hospital Charge Code	270616264
Hospital Revenue Code	278
Min. Negotiated Rate	$285.93
Max. Negotiated Rate	$5,932.12
Rate for Payer: Aetna Commercial	$4,508.41
Rate for Payer: Aetna Medicare Advantage	$3,559.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,025.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,025.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,372.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,025.38
Rate for Payer: Cigna Commercial	$5,932.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,871.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,610.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,779.64
Rate for Payer: UnitedHealthcare Community & State	$285.93
Rate for Payer: Wellpoint Medicaid Managed Care	$314.40

STEM ZIM FEM 13 140MM 7841-13

Facility

$13,882.45

Hospital Charge Code	270619084
Hospital Revenue Code	278
Min. Negotiated Rate	$2,082.37
Max. Negotiated Rate	$3,359.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,776.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,359.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,054.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.37

STEM ZIM FEM 13 140MM 7841-13

Facility

$13,882.45

Hospital Charge Code	270619084
Hospital Revenue Code	278
Min. Negotiated Rate	$334.57
Max. Negotiated Rate	$6,941.23
Rate for Payer: Aetna Commercial	$5,275.33
Rate for Payer: Aetna Medicare Advantage	$4,164.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,540.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,540.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,776.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,540.02
Rate for Payer: Cigna Commercial	$6,941.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,359.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,054.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.37
Rate for Payer: UnitedHealthcare Community & State	$334.57
Rate for Payer: Wellpoint Medicaid Managed Care	$367.88

STEM ZIM FEM 13 170MM 7871-13

Facility

$23,298.20

Hospital Charge Code	270622361
Hospital Revenue Code	278
Min. Negotiated Rate	$3,494.73
Max. Negotiated Rate	$5,638.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,659.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,638.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,125.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,494.73

STEM ZIM FEM 13 170MM 7871-13

Facility

$23,298.20

Hospital Charge Code	270622361
Hospital Revenue Code	278
Min. Negotiated Rate	$561.49
Max. Negotiated Rate	$11,649.10
Rate for Payer: Aetna Commercial	$8,853.32
Rate for Payer: Aetna Medicare Advantage	$6,989.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,941.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,941.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,659.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,941.04
Rate for Payer: Cigna Commercial	$11,649.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,638.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,125.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,494.73
Rate for Payer: UnitedHealthcare Community & State	$561.49
Rate for Payer: Wellpoint Medicaid Managed Care	$617.40

Know your out-of-pocket cost for care.

All Charges