Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT COMPLETE SE LONG SC740LV

Facility

$6,250.00

Hospital Charge Code	2709006912
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMPLETE SE LONG SC740LV

Facility

$6,250.00

Hospital Charge Code	2709006912
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE LONG SC760L

Facility

$6,250.00

Hospital Charge Code	270CH0131
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE LONG SC760L

Facility

$6,250.00

Hospital Charge Code	270CH0131
Hospital Revenue Code	278
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMPLETE SE LONG SC760LV

Facility

$6,250.00

Hospital Charge Code	2709006914
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMPLETE SE LONG SC760LV

Facility

$6,250.00

Hospital Charge Code	2709006914
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE LONG SC780L

Facility

$6,250.00

Hospital Charge Code	270CH0132
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE LONG SC780L

Facility

$6,250.00

Hospital Charge Code	270CH0132
Hospital Revenue Code	278
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMPLETE SE LONG SC780LV

Facility

$6,250.00

Hospital Charge Code	2709006915
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE LONG SC780LV

Facility

$6,250.00

Hospital Charge Code	2709006915
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMPLETE SE SC7150L

Facility

$6,750.00

Hospital Charge Code	270CH0123
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

STENT COMPLETE SE SC7150L

Facility

$6,750.00

Hospital Charge Code	270CH0123
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

STENT COMPLETE SE SC7150L

Facility

$6,750.00

Hospital Charge Code	270661654
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

STENT COMPLETE SE SC7150L

Facility

$6,750.00

Hospital Charge Code	270661654
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

STENT COMPLETE SE SC8150L

Facility

$6,750.00

Hospital Charge Code	270CH0122
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

STENT COMPLETE SE SC8150L

Facility

$6,750.00

Hospital Charge Code	270CH0122
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

STENT COMPLETE SE SHORT SC840

Facility

$6,250.00

Hospital Charge Code	270CH0124
Hospital Revenue Code	278
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$1,512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT COMPLETE SE SHORT SC840

Facility

$6,250.00

Hospital Charge Code	270CH0124
Hospital Revenue Code	278
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,512.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,375.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMP SE LON SC640LV

Facility

$6,250.00

Hospital Charge Code	2709006903
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

STENT COMP SE LON SC640LV

Facility

$6,250.00

Hospital Charge Code	2709006903
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342
Hospital Revenue Code	278
Min. Negotiated Rate	$244.45
Max. Negotiated Rate	$5,071.62
Rate for Payer: Aetna Commercial	$3,854.43
Rate for Payer: Aetna Medicare Advantage	$3,042.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,586.53
Rate for Payer: Cigna Commercial	$5,071.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,231.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49
Rate for Payer: UnitedHealthcare Community & State	$244.45
Rate for Payer: Wellpoint Medicaid Managed Care	$268.80

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$2,454.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,231.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,521.49
Max. Negotiated Rate	$2,454.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,231.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49

STENT CONFX 7x100x135 CFX07100

Facility

$10,143.25

Hospital Charge Code	270635342V
Hospital Revenue Code	278
Min. Negotiated Rate	$244.45
Max. Negotiated Rate	$5,071.62
Rate for Payer: Aetna Commercial	$3,854.43
Rate for Payer: Aetna Medicare Advantage	$3,042.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,586.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,028.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,586.53
Rate for Payer: Cigna Commercial	$5,071.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,454.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,231.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,521.49
Rate for Payer: UnitedHealthcare Community & State	$244.45
Rate for Payer: Wellpoint Medicaid Managed Care	$268.80

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341V
Hospital Revenue Code	278
Min. Negotiated Rate	$274.34
Max. Negotiated Rate	$5,691.62
Rate for Payer: Aetna Commercial	$4,325.64
Rate for Payer: Aetna Medicare Advantage	$3,414.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,902.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,902.73
Rate for Payer: Cigna Commercial	$5,691.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,754.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,504.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,707.49
Rate for Payer: UnitedHealthcare Community & State	$274.34
Rate for Payer: Wellpoint Medicaid Managed Care	$301.66

Know your out-of-pocket cost for care.

All Charges