Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341
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

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$2,754.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
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

STENT CONFX 7x120x135 CFX07120

Facility

$11,383.25

Hospital Charge Code	270635341
Hospital Revenue Code	278
Min. Negotiated Rate	$1,707.49
Max. Negotiated Rate	$2,754.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,276.65
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

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$152.96
Max. Negotiated Rate	$246.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.33
Rate for Payer: Qualcare PPO/HMO/WC	$152.96

STENT CONTOUR 6FR 22-30CM

Facility

$1,019.70

Service Code	HCPCS C2617
Hospital Charge Code	270625398
Hospital Revenue Code	278
Min. Negotiated Rate	$24.57
Max. Negotiated Rate	$509.85
Rate for Payer: Aetna Commercial	$387.49
Rate for Payer: Aetna Medicare Advantage	$305.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$203.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.02
Rate for Payer: Cigna Commercial	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.33
Rate for Payer: Qualcare PPO/HMO/WC	$152.96
Rate for Payer: UnitedHealthcare Community & State	$24.57
Rate for Payer: Wellpoint Medicaid Managed Care	$27.02

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$220.25
Max. Negotiated Rate	$355.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25

STENT CONTOUR VL 7FR 22CMx30CM

Facility

$1,468.35

Service Code	HCPCS C2617
Hospital Charge Code	270660535
Hospital Revenue Code	278
Min. Negotiated Rate	$35.39
Max. Negotiated Rate	$734.17
Rate for Payer: Aetna Commercial	$557.97
Rate for Payer: Aetna Medicare Advantage	$440.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$293.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.43
Rate for Payer: Cigna Commercial	$734.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$323.04
Rate for Payer: Qualcare PPO/HMO/WC	$220.25
Rate for Payer: UnitedHealthcare Community & State	$35.39
Rate for Payer: Wellpoint Medicaid Managed Care	$38.91

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$140.32
Max. Negotiated Rate	$226.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.81
Rate for Payer: Qualcare PPO/HMO/WC	$140.32

STENT CONTOUR VL 7FRSTENT CONT

Facility

$935.50

Hospital Charge Code	270652858
Hospital Revenue Code	278
Min. Negotiated Rate	$22.55
Max. Negotiated Rate	$467.75
Rate for Payer: Aetna Commercial	$355.49
Rate for Payer: Aetna Medicare Advantage	$280.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.55
Rate for Payer: Cigna Commercial	$467.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.81
Rate for Payer: Qualcare PPO/HMO/WC	$140.32
Rate for Payer: UnitedHealthcare Community & State	$22.55
Rate for Payer: Wellpoint Medicaid Managed Care	$24.79

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$15.05
Max. Negotiated Rate	$312.23
Rate for Payer: Aetna Commercial	$237.29
Rate for Payer: Aetna Medicare Advantage	$187.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.23
Rate for Payer: Cigna Commercial	$312.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$93.67
Rate for Payer: UnitedHealthcare Community & State	$15.05
Rate for Payer: Wellpoint Medicaid Managed Care	$16.55

STENT COPE 10.2X 24CM NEPHROUR

Facility

$624.45

Service Code	HCPCS C2625
Hospital Charge Code	270679759
Hospital Revenue Code	278
Min. Negotiated Rate	$93.67
Max. Negotiated Rate	$151.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.38
Rate for Payer: Qualcare PPO/HMO/WC	$93.67

STENT CRD BILI 10 40 N1040ABR

Facility

$7,836.85

Hospital Charge Code	270623882
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$1,896.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 10 40 N1040ABR

Facility

$7,836.85

Hospital Charge Code	270623882
Hospital Revenue Code	278
Min. Negotiated Rate	$188.87
Max. Negotiated Rate	$3,918.43
Rate for Payer: Aetna Commercial	$2,978.00
Rate for Payer: Aetna Medicare Advantage	$2,351.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.40
Rate for Payer: Cigna Commercial	$3,918.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53
Rate for Payer: UnitedHealthcare Community & State	$188.87
Rate for Payer: Wellpoint Medicaid Managed Care	$207.68

STENT CRD BILI 12 40 N1240AB

Facility

$7,836.85

Hospital Charge Code	270623883
Hospital Revenue Code	278
Min. Negotiated Rate	$188.87
Max. Negotiated Rate	$3,918.43
Rate for Payer: Aetna Commercial	$2,978.00
Rate for Payer: Aetna Medicare Advantage	$2,351.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.40
Rate for Payer: Cigna Commercial	$3,918.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53
Rate for Payer: UnitedHealthcare Community & State	$188.87
Rate for Payer: Wellpoint Medicaid Managed Care	$207.68

STENT CRD BILI 12 40 N1240AB

Facility

$7,836.85

Hospital Charge Code	270623883
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$1,896.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 7.0F PG3980BPX

Facility

$6,906.45

Hospital Charge Code	270624609
Hospital Revenue Code	278
Min. Negotiated Rate	$166.45
Max. Negotiated Rate	$3,453.22
Rate for Payer: Aetna Commercial	$2,624.45
Rate for Payer: Aetna Medicare Advantage	$2,071.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,761.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,761.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,761.14
Rate for Payer: Cigna Commercial	$3,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,671.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,519.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.97
Rate for Payer: UnitedHealthcare Community & State	$166.45
Rate for Payer: Wellpoint Medicaid Managed Care	$183.02

STENT CRD BILI 7.0F PG3980BPX

Facility

$6,906.45

Hospital Charge Code	270624609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,035.97
Max. Negotiated Rate	$1,671.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,381.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,671.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,519.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.97

STENT CRD BILI 8 40 N840ABR

Facility

$7,836.85

Hospital Charge Code	270622875
Hospital Revenue Code	278
Min. Negotiated Rate	$1,175.53
Max. Negotiated Rate	$1,896.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53

STENT CRD BILI 8 40 N840ABR

Facility

$7,836.85

Hospital Charge Code	270622875
Hospital Revenue Code	278
Min. Negotiated Rate	$188.87
Max. Negotiated Rate	$3,918.43
Rate for Payer: Aetna Commercial	$2,978.00
Rate for Payer: Aetna Medicare Advantage	$2,351.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,998.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,567.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,998.40
Rate for Payer: Cigna Commercial	$3,918.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,896.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,724.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,175.53
Rate for Payer: UnitedHealthcare Community & State	$188.87
Rate for Payer: Wellpoint Medicaid Managed Care	$207.68

STENT CRD GENESIS PG3980BPS

Facility

$6,906.45

Hospital Charge Code	270625225
Hospital Revenue Code	278
Min. Negotiated Rate	$1,035.97
Max. Negotiated Rate	$1,671.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,381.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,671.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,519.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.97

STENT CRD GENESIS PG3980BPS

Facility

$6,906.45

Hospital Charge Code	270625225
Hospital Revenue Code	278
Min. Negotiated Rate	$166.45
Max. Negotiated Rate	$3,453.22
Rate for Payer: Aetna Commercial	$2,624.45
Rate for Payer: Aetna Medicare Advantage	$2,071.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,761.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,761.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,761.14
Rate for Payer: Cigna Commercial	$3,453.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,671.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,519.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,035.97
Rate for Payer: UnitedHealthcare Community & State	$166.45
Rate for Payer: Wellpoint Medicaid Managed Care	$183.02

STENT CRD GENESIS PG3980BPS

Facility

$6,975.00

Hospital Charge Code	270625225V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,687.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,534.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

STENT CRD GENESIS PG3980BPS

Facility

$6,975.00

Hospital Charge Code	270625225V
Hospital Revenue Code	278
Min. Negotiated Rate	$168.10
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,687.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,534.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Community & State	$168.10
Rate for Payer: Wellpoint Medicaid Managed Care	$184.84

STENT CRD IQ 6.0F 17 PQ185BJS

Facility

$4,104.85

Hospital Charge Code	270623579
Hospital Revenue Code	278
Min. Negotiated Rate	$98.93
Max. Negotiated Rate	$2,052.43
Rate for Payer: Aetna Commercial	$1,559.84
Rate for Payer: Aetna Medicare Advantage	$1,231.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,046.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,046.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$820.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,046.74
Rate for Payer: Cigna Commercial	$2,052.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$993.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$903.07
Rate for Payer: Qualcare PPO/HMO/WC	$615.73
Rate for Payer: UnitedHealthcare Community & State	$98.93
Rate for Payer: Wellpoint Medicaid Managed Care	$108.78

STENT CRD IQ 6.0F 17 PQ185BJS

Facility

$4,104.85

Hospital Charge Code	270623579
Hospital Revenue Code	278
Min. Negotiated Rate	$615.73
Max. Negotiated Rate	$993.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$820.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$993.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$903.07
Rate for Payer: Qualcare PPO/HMO/WC	$615.73

Know your out-of-pocket cost for care.

All Charges