Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT CRD IQ 6.5F 22 PQ298BLX

Facility

$4,104.85

Hospital Charge Code	270623578
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

STENT CRD IQ 6.5F 22 PQ298BLX

Facility

$4,104.85

Hospital Charge Code	270623578
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 8.0F 18 PQ186BJS

Facility

$4,104.85

Hospital Charge Code	270623580
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 8.0F 18 PQ186BJS

Facility

$4,104.85

Hospital Charge Code	270623580
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

STENT CRD PTA DELIV PQ398BLS

Facility

$6,028.00

Hospital Charge Code	270622622
Hospital Revenue Code	278
Min. Negotiated Rate	$145.27
Max. Negotiated Rate	$3,014.00
Rate for Payer: Aetna Commercial	$2,290.64
Rate for Payer: Aetna Medicare Advantage	$1,808.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,537.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,537.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,537.14
Rate for Payer: Cigna Commercial	$3,014.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,326.16
Rate for Payer: Qualcare PPO/HMO/WC	$904.20
Rate for Payer: UnitedHealthcare Community & State	$145.27
Rate for Payer: Wellpoint Medicaid Managed Care	$159.74

STENT CRD PTA DELIV PQ398BLS

Facility

$6,028.00

Hospital Charge Code	270622622
Hospital Revenue Code	278
Min. Negotiated Rate	$904.20
Max. Negotiated Rate	$1,458.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,205.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,326.16
Rate for Payer: Qualcare PPO/HMO/WC	$904.20

STENT CRD SMART 8x60 N860PBR

Facility

$6,944.00

Hospital Charge Code	270625999
Hospital Revenue Code	278
Min. Negotiated Rate	$167.35
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,638.72
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,527.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60
Rate for Payer: UnitedHealthcare Community & State	$167.35
Rate for Payer: Wellpoint Medicaid Managed Care	$184.02

STENT CRD SMART 8x60 N860PBR

Facility

$6,944.00

Hospital Charge Code	270625999
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,527.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT CRD SMART BILI N840BBR

Facility

$6,512.85

Hospital Charge Code	270624312
Hospital Revenue Code	278
Min. Negotiated Rate	$156.96
Max. Negotiated Rate	$3,256.43
Rate for Payer: Aetna Commercial	$2,474.88
Rate for Payer: Aetna Medicare Advantage	$1,953.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,660.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,660.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,302.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,660.78
Rate for Payer: Cigna Commercial	$3,256.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,576.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,432.83
Rate for Payer: Qualcare PPO/HMO/WC	$976.93
Rate for Payer: UnitedHealthcare Community & State	$156.96
Rate for Payer: Wellpoint Medicaid Managed Care	$172.59

STENT CRD SMART BILI N840BBR

Facility

$6,512.85

Hospital Charge Code	270624312
Hospital Revenue Code	278
Min. Negotiated Rate	$976.93
Max. Negotiated Rate	$1,576.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,302.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,576.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,432.83
Rate for Payer: Qualcare PPO/HMO/WC	$976.93

STENT CR GEN 8x39 80 PG3970BPS

Facility

$6,944.00

Hospital Charge Code	270625998
Hospital Revenue Code	278
Min. Negotiated Rate	$1,041.60
Max. Negotiated Rate	$1,680.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,527.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60

STENT CR GEN 8x39 80 PG3970BPS

Facility

$6,975.00

Hospital Charge Code	270625998V
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 CR GEN 8x39 80 PG3970BPS

Facility

$6,975.00

Hospital Charge Code	270625998V
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 CR GEN 8x39 80 PG3970BPS

Facility

$6,944.00

Hospital Charge Code	270625998
Hospital Revenue Code	278
Min. Negotiated Rate	$167.35
Max. Negotiated Rate	$3,472.00
Rate for Payer: Aetna Commercial	$2,638.72
Rate for Payer: Aetna Medicare Advantage	$2,083.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,770.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,388.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,770.72
Rate for Payer: Cigna Commercial	$3,472.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,680.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,527.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,041.60
Rate for Payer: UnitedHealthcare Community & State	$167.35
Rate for Payer: Wellpoint Medicaid Managed Care	$184.02

STENT CYPHER 2.25X8M CXS08255

Facility

$9,500.00

Hospital Charge Code	270643934C
Hospital Revenue Code	278
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,090.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

STENT CYPHER 2.25X8M CXS08255

Facility

$9,500.00

Hospital Charge Code	270643934C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$2,299.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,299.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,090.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

STENT CYPHER 2.75x23 CXS23275

Facility

$13,000.00

Hospital Charge Code	270638399C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,950.00
Max. Negotiated Rate	$3,146.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00

STENT CYPHER 2.75x23 CXS23275

Facility

$13,000.00

Hospital Charge Code	270638399C
Hospital Revenue Code	278
Min. Negotiated Rate	$313.30
Max. Negotiated Rate	$6,500.00
Rate for Payer: Aetna Commercial	$4,940.00
Rate for Payer: Aetna Medicare Advantage	$3,900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,315.00
Rate for Payer: Cigna Commercial	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,146.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,860.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,950.00
Rate for Payer: UnitedHealthcare Community & State	$313.30
Rate for Payer: Wellpoint Medicaid Managed Care	$344.50

STENT CYPHER 3 50X28 CXS28350

Facility

$13,625.00

Hospital Charge Code	270637889C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT CYPHER 3 50X28 CXS28350

Facility

$13,625.00

Hospital Charge Code	270637889C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHER RX 3.0X28MM

Facility

$13,625.00

Hospital Charge Code	270637779
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT CYPHER RX 3.0X28MM

Facility

$13,625.00

Hospital Charge Code	270637779
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHER RX 3 0X8 CXS08300

Facility

$13,625.00

Hospital Charge Code	270637523C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT CYPHER RX 3 0X8 CXS08300

Facility

$13,625.00

Hospital Charge Code	270637523C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT CYPHER RX 3.5x8 CXS08350

Facility

$13,625.00

Hospital Charge Code	270636792C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

Know your out-of-pocket cost for care.

All Charges