Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM ZIM FEM 14 135MM 7833-14

Facility

$3,579.25

Hospital Charge Code	270624976
Hospital Revenue Code	278
Min. Negotiated Rate	$536.89
Max. Negotiated Rate	$866.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$866.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$787.43
Rate for Payer: Qualcare PPO/HMO/WC	$536.89

STEM ZIM FEM 14 135MM 7833-14

Facility

$3,579.25

Hospital Charge Code	270624976
Hospital Revenue Code	278
Min. Negotiated Rate	$86.26
Max. Negotiated Rate	$1,789.62
Rate for Payer: Aetna Commercial	$1,360.12
Rate for Payer: Aetna Medicare Advantage	$1,073.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$912.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$912.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$715.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$912.71
Rate for Payer: Cigna Commercial	$1,789.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$866.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$787.43
Rate for Payer: Qualcare PPO/HMO/WC	$536.89
Rate for Payer: UnitedHealthcare Community & State	$86.26
Rate for Payer: Wellpoint Medicaid Managed Care	$94.85

STEM ZIM FEM 14 135MM 7852-14

Facility

$11,520.00

Hospital Charge Code	270606001
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 14 135MM 7852-14

Facility

$11,520.00

Hospital Charge Code	270606001
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 14 140MM 7841-14

Facility

$20,300.20

Service Code	HCPCS C1776
Hospital Charge Code	270613461
Hospital Revenue Code	278
Min. Negotiated Rate	$3,045.03
Max. Negotiated Rate	$4,912.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,060.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,912.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,466.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.03

STEM ZIM FEM 14 140MM 7841-14

Facility

$20,300.20

Service Code	HCPCS C1776
Hospital Charge Code	270613461
Hospital Revenue Code	278
Min. Negotiated Rate	$489.23
Max. Negotiated Rate	$10,150.10
Rate for Payer: Aetna Commercial	$7,714.08
Rate for Payer: Aetna Medicare Advantage	$6,090.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,176.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,176.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,060.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,176.55
Rate for Payer: Cigna Commercial	$10,150.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,912.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,466.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,045.03
Rate for Payer: UnitedHealthcare Community & State	$489.23
Rate for Payer: Wellpoint Medicaid Managed Care	$537.96

STEM ZIM FEM 14X135MM 78531401

Facility

$14,830.35

Hospital Charge Code	270616875
Hospital Revenue Code	278
Min. Negotiated Rate	$357.41
Max. Negotiated Rate	$7,415.18
Rate for Payer: Aetna Commercial	$5,635.53
Rate for Payer: Aetna Medicare Advantage	$4,449.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,781.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,781.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,966.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,781.74
Rate for Payer: Cigna Commercial	$7,415.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,588.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,262.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,224.55
Rate for Payer: UnitedHealthcare Community & State	$357.41
Rate for Payer: Wellpoint Medicaid Managed Care	$393.00

STEM ZIM FEM 14X135MM 78531401

Facility

$14,830.35

Hospital Charge Code	270616875
Hospital Revenue Code	278
Min. Negotiated Rate	$2,224.55
Max. Negotiated Rate	$3,588.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,966.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,588.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,262.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,224.55

STEM ZIM FEM 15 140MM 7852-15

Facility

$11,520.00

Hospital Charge Code	270608927
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 15 140MM 7852-15

Facility

$11,520.00

Hospital Charge Code	270608927
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 15 140MM 7853-15

Facility

$11,864.25

Hospital Charge Code	270619925
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 15 140MM 7853-15

Facility

$11,864.25

Hospital Charge Code	270619925
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 15 160MM 7841-15

Facility

$18,618.45

Hospital Charge Code	270605653
Hospital Revenue Code	278
Min. Negotiated Rate	$2,792.77
Max. Negotiated Rate	$4,505.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,723.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,505.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,096.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,792.77

STEM ZIM FEM 15 160MM 7841-15

Facility

$18,618.45

Hospital Charge Code	270605653
Hospital Revenue Code	278
Min. Negotiated Rate	$448.70
Max. Negotiated Rate	$9,309.23
Rate for Payer: Aetna Commercial	$7,075.01
Rate for Payer: Aetna Medicare Advantage	$5,585.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,747.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,747.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,723.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,747.70
Rate for Payer: Cigna Commercial	$9,309.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,505.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,096.06
Rate for Payer: Qualcare PPO/HMO/WC	$2,792.77
Rate for Payer: UnitedHealthcare Community & State	$448.70
Rate for Payer: Wellpoint Medicaid Managed Care	$493.39

STEM ZIM FEM 16 145 7853-1601

Facility

$13,664.25

Hospital Charge Code	270616306
Hospital Revenue Code	278
Min. Negotiated Rate	$329.31
Max. Negotiated Rate	$6,832.12
Rate for Payer: Aetna Commercial	$5,192.41
Rate for Payer: Aetna Medicare Advantage	$4,099.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,484.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,484.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,732.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,484.38
Rate for Payer: Cigna Commercial	$6,832.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,306.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,006.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,049.64
Rate for Payer: UnitedHealthcare Community & State	$329.31
Rate for Payer: Wellpoint Medicaid Managed Care	$362.10

STEM ZIM FEM 16 145 7853-1601

Facility

$13,664.25

Hospital Charge Code	270616306
Hospital Revenue Code	278
Min. Negotiated Rate	$2,049.64
Max. Negotiated Rate	$3,306.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,732.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,306.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,006.14
Rate for Payer: Qualcare PPO/HMO/WC	$2,049.64

STEM ZIM FEM 16 145MM 7852-16

Facility

$12,250.00

Hospital Charge Code	270612220
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

STEM ZIM FEM 16 145MM 7852-16

Facility

$12,250.00

Hospital Charge Code	270612220
Hospital Revenue Code	278
Min. Negotiated Rate	$295.23
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$295.23
Rate for Payer: Wellpoint Medicaid Managed Care	$324.62

STEM ZIM FEM 16 160MM 7841-16

Facility

$15,272.00

Hospital Charge Code	270616189
Hospital Revenue Code	278
Min. Negotiated Rate	$2,290.80
Max. Negotiated Rate	$3,695.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,054.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,695.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,359.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,290.80

STEM ZIM FEM 16 160MM 7841-16

Facility

$15,272.00

Hospital Charge Code	270616189
Hospital Revenue Code	278
Min. Negotiated Rate	$368.06
Max. Negotiated Rate	$7,636.00
Rate for Payer: Aetna Commercial	$5,803.36
Rate for Payer: Aetna Medicare Advantage	$4,581.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,894.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,894.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,054.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,894.36
Rate for Payer: Cigna Commercial	$7,636.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,695.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,359.84
Rate for Payer: Qualcare PPO/HMO/WC	$2,290.80
Rate for Payer: UnitedHealthcare Community & State	$368.06
Rate for Payer: Wellpoint Medicaid Managed Care	$404.71

STEM ZIM FEM 17 150MM 7853-17

Facility

$12,338.00

Hospital Charge Code	270619568
Hospital Revenue Code	278
Min. Negotiated Rate	$297.35
Max. Negotiated Rate	$6,169.00
Rate for Payer: Aetna Commercial	$4,688.44
Rate for Payer: Aetna Medicare Advantage	$3,701.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,146.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,146.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,467.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,146.19
Rate for Payer: Cigna Commercial	$6,169.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,985.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,714.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,850.70
Rate for Payer: UnitedHealthcare Community & State	$297.35
Rate for Payer: Wellpoint Medicaid Managed Care	$326.96

STEM ZIM FEM 17 150MM 7853-17

Facility

$12,338.00

Hospital Charge Code	270619568
Hospital Revenue Code	278
Min. Negotiated Rate	$1,850.70
Max. Negotiated Rate	$2,985.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,467.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,985.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,714.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,850.70

STEM ZIM FEM 17 160MM 7841-17

Facility

$13,882.45

Hospital Charge Code	270616381
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 17 160MM 7841-17

Facility

$13,882.45

Hospital Charge Code	270616381
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 18 160MM 7841-18

Facility

$16,717.50

Hospital Charge Code	270616167
Hospital Revenue Code	278
Min. Negotiated Rate	$402.89
Max. Negotiated Rate	$8,358.75
Rate for Payer: Aetna Commercial	$6,352.65
Rate for Payer: Aetna Medicare Advantage	$5,015.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,343.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,262.96
Rate for Payer: Cigna Commercial	$8,358.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,045.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,677.85
Rate for Payer: Qualcare PPO/HMO/WC	$2,507.62
Rate for Payer: UnitedHealthcare Community & State	$402.89
Rate for Payer: Wellpoint Medicaid Managed Care	$443.01

Know your out-of-pocket cost for care.

All Charges