Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM ZIM FEM 18 160MM 7841-18

Facility

$16,717.50

Hospital Charge Code	270616167
Hospital Revenue Code	278
Min. Negotiated Rate	$2,507.62
Max. Negotiated Rate	$4,045.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,343.50
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

STEM ZIM FEM 9028-20

Facility

$6,371.25

Hospital Charge Code	270607082
Hospital Revenue Code	278
Min. Negotiated Rate	$955.69
Max. Negotiated Rate	$1,541.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,274.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,541.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,401.67
Rate for Payer: Qualcare PPO/HMO/WC	$955.69

STEM ZIM FEM 9028-20

Facility

$11,025.00

Hospital Charge Code	270605481
Hospital Revenue Code	278
Min. Negotiated Rate	$265.70
Max. Negotiated Rate	$5,512.50
Rate for Payer: Aetna Commercial	$4,189.50
Rate for Payer: Aetna Medicare Advantage	$3,307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,811.38
Rate for Payer: Cigna Commercial	$5,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75
Rate for Payer: UnitedHealthcare Community & State	$265.70
Rate for Payer: Wellpoint Medicaid Managed Care	$292.16

STEM ZIM FEM 9028-20

Facility

$11,025.00

Hospital Charge Code	270605481
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$2,668.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75

STEM ZIM FEM 9028-20

Facility

$6,371.25

Hospital Charge Code	270607082
Hospital Revenue Code	278
Min. Negotiated Rate	$153.55
Max. Negotiated Rate	$3,185.62
Rate for Payer: Aetna Commercial	$2,421.07
Rate for Payer: Aetna Medicare Advantage	$1,911.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,624.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,624.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,274.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,624.67
Rate for Payer: Cigna Commercial	$3,185.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,541.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,401.67
Rate for Payer: Qualcare PPO/HMO/WC	$955.69
Rate for Payer: UnitedHealthcare Community & State	$153.55
Rate for Payer: Wellpoint Medicaid Managed Care	$168.84

STEM ZIM FEM LG 140MM 9028-30

Facility

$11,025.00

Hospital Charge Code	270606986
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$2,668.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75

STEM ZIM FEM LG 140MM 9028-30

Facility

$11,025.00

Hospital Charge Code	270606986
Hospital Revenue Code	278
Min. Negotiated Rate	$265.70
Max. Negotiated Rate	$5,512.50
Rate for Payer: Aetna Commercial	$4,189.50
Rate for Payer: Aetna Medicare Advantage	$3,307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,811.38
Rate for Payer: Cigna Commercial	$5,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75
Rate for Payer: UnitedHealthcare Community & State	$265.70
Rate for Payer: Wellpoint Medicaid Managed Care	$292.16

STEM ZIM FEM LG 155MM 9028-35

Facility

$11,025.00

Hospital Charge Code	270608150
Hospital Revenue Code	278
Min. Negotiated Rate	$265.70
Max. Negotiated Rate	$5,512.50
Rate for Payer: Aetna Commercial	$4,189.50
Rate for Payer: Aetna Medicare Advantage	$3,307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,811.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,811.38
Rate for Payer: Cigna Commercial	$5,512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75
Rate for Payer: UnitedHealthcare Community & State	$265.70
Rate for Payer: Wellpoint Medicaid Managed Care	$292.16

STEM ZIM FEM LG 155MM 9028-35

Facility

$11,025.00

Hospital Charge Code	270608150
Hospital Revenue Code	278
Min. Negotiated Rate	$1,653.75
Max. Negotiated Rate	$2,668.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,668.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,425.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,653.75

STEM ZIM FEM SM 9028-10

Facility

$11,850.00

Hospital Charge Code	270605860
Hospital Revenue Code	278
Min. Negotiated Rate	$285.58
Max. Negotiated Rate	$5,925.00
Rate for Payer: Aetna Commercial	$4,503.00
Rate for Payer: Aetna Medicare Advantage	$3,555.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,021.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,021.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,370.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,021.75
Rate for Payer: Cigna Commercial	$5,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,867.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,607.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,777.50
Rate for Payer: UnitedHealthcare Community & State	$285.58
Rate for Payer: Wellpoint Medicaid Managed Care	$314.02

STEM ZIM FEM SM 9028-10

Facility

$11,850.00

Hospital Charge Code	270605860
Hospital Revenue Code	278
Min. Negotiated Rate	$1,777.50
Max. Negotiated Rate	$2,867.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,867.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,607.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,777.50

STEM ZIM HUM 11 130 43001113

Facility

$14,620.00

Hospital Charge Code	270629064
Hospital Revenue Code	278
Min. Negotiated Rate	$352.34
Max. Negotiated Rate	$7,310.00
Rate for Payer: Aetna Commercial	$5,555.60
Rate for Payer: Aetna Medicare Advantage	$4,386.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,728.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,728.10
Rate for Payer: Cigna Commercial	$7,310.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,216.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00
Rate for Payer: UnitedHealthcare Community & State	$352.34
Rate for Payer: Wellpoint Medicaid Managed Care	$387.43

STEM ZIM HUM 11 130 43001113

Facility

$14,620.00

Hospital Charge Code	270629064
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.00
Max. Negotiated Rate	$3,538.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,924.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,538.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,216.40
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.00

STEM ZIM HUMERAL 7 130 4065-42

Facility

$8,675.00

Hospital Charge Code	270611155
Hospital Revenue Code	278
Min. Negotiated Rate	$1,301.25
Max. Negotiated Rate	$2,099.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,735.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,908.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,301.25

STEM ZIM HUMERAL 7 130 4065-42

Facility

$8,675.00

Hospital Charge Code	270611155
Hospital Revenue Code	278
Min. Negotiated Rate	$209.07
Max. Negotiated Rate	$4,337.50
Rate for Payer: Aetna Commercial	$3,296.50
Rate for Payer: Aetna Medicare Advantage	$2,602.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,212.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,735.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,212.12
Rate for Payer: Cigna Commercial	$4,337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,908.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,301.25
Rate for Payer: UnitedHealthcare Community & State	$209.07
Rate for Payer: Wellpoint Medicaid Managed Care	$229.89

STEM ZIM KNE EX 15 30 59881215

Facility

$4,099.25

Hospital Charge Code	270616165
Hospital Revenue Code	278
Min. Negotiated Rate	$98.79
Max. Negotiated Rate	$2,049.62
Rate for Payer: Aetna Commercial	$1,557.71
Rate for Payer: Aetna Medicare Advantage	$1,229.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,045.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,045.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,045.31
Rate for Payer: Cigna Commercial	$2,049.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$992.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$901.84
Rate for Payer: Qualcare PPO/HMO/WC	$614.89
Rate for Payer: UnitedHealthcare Community & State	$98.79
Rate for Payer: Wellpoint Medicaid Managed Care	$108.63

STEM ZIM KNE EX 15 30 59881215

Facility

$4,099.25

Hospital Charge Code	270616165
Hospital Revenue Code	278
Min. Negotiated Rate	$614.89
Max. Negotiated Rate	$992.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$819.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$992.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$901.84
Rate for Payer: Qualcare PPO/HMO/WC	$614.89

STEM ZIM TIBIAL PLATE SZ3 5980

Facility

$8,017.25

Hospital Charge Code	270607655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,202.59
Max. Negotiated Rate	$1,940.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,763.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59

STEM ZIM TIBIAL PLATE SZ3 5980

Facility

$8,017.25

Hospital Charge Code	270607655
Hospital Revenue Code	278
Min. Negotiated Rate	$193.22
Max. Negotiated Rate	$4,008.62
Rate for Payer: Aetna Commercial	$3,046.55
Rate for Payer: Aetna Medicare Advantage	$2,405.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,044.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,603.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,044.40
Rate for Payer: Cigna Commercial	$4,008.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,940.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,763.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,202.59
Rate for Payer: UnitedHealthcare Community & State	$193.22
Rate for Payer: Wellpoint Medicaid Managed Care	$212.46

STEN LIB MON 3.0X20M38934-2030

Facility

$4,375.00

Hospital Charge Code	270642255C
Hospital Revenue Code	278
Min. Negotiated Rate	$656.25
Max. Negotiated Rate	$1,058.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$962.50
Rate for Payer: Qualcare PPO/HMO/WC	$656.25

STEN LIB MON 3.0X20M38934-2030

Facility

$4,375.00

Hospital Charge Code	270642255C
Hospital Revenue Code	278
Min. Negotiated Rate	$105.44
Max. Negotiated Rate	$2,187.50
Rate for Payer: Aetna Commercial	$1,662.50
Rate for Payer: Aetna Medicare Advantage	$1,312.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,115.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,115.62
Rate for Payer: Cigna Commercial	$2,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,058.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$962.50
Rate for Payer: Qualcare PPO/HMO/WC	$656.25
Rate for Payer: UnitedHealthcare Community & State	$105.44
Rate for Payer: Wellpoint Medicaid Managed Care	$115.94

STEN PROM RX 2.5X18M100953918B

Facility

$10,250.00

Hospital Charge Code	270641889C
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

STEN PROM RX 2.5X18M100953918B

Facility

$10,250.00

Hospital Charge Code	270641889C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STEN PROM RX 2.75X8M100954008B

Facility

$10,250.00

Hospital Charge Code	270642004C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,537.50
Max. Negotiated Rate	$2,480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50

STEN PROM RX 2.75X8M100954008B

Facility

$10,250.00

Hospital Charge Code	270642004C
Hospital Revenue Code	278
Min. Negotiated Rate	$247.03
Max. Negotiated Rate	$5,125.00
Rate for Payer: Aetna Commercial	$3,895.00
Rate for Payer: Aetna Medicare Advantage	$3,075.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,613.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,613.75
Rate for Payer: Cigna Commercial	$5,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,480.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,255.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,537.50
Rate for Payer: UnitedHealthcare Community & State	$247.03
Rate for Payer: Wellpoint Medicaid Managed Care	$271.62

Know your out-of-pocket cost for care.

All Charges