Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113
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 CYPHR RX 3 0X13 CXS13300

Facility

$13,625.00

Hospital Charge Code	270637113
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 CYPHR RX 3 0x18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670C
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 3 0x18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS18300

Facility

$15,847.25

Hospital Charge Code	270636670
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 3 0X18 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X18 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 3 0x23 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606C
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 3 0x23 CXS23300

Facility

$15,847.25

Hospital Charge Code	270636606C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 3 0X28 CXS28300

Facility

$13,625.00

Hospital Charge Code	270637779C
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 CYPHR RX 3 0X28 CXS28300

Facility

$13,625.00

Hospital Charge Code	270637779C
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 CYPHR RX 3 0x33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337V
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$3,299.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

STENT CYPHR RX 3 0x33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337V
Hospital Revenue Code	278
Min. Negotiated Rate	$328.60
Max. Negotiated Rate	$6,817.50
Rate for Payer: Aetna Commercial	$5,181.30
Rate for Payer: Aetna Medicare Advantage	$4,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,476.93
Rate for Payer: Cigna Commercial	$6,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25
Rate for Payer: UnitedHealthcare Community & State	$328.60
Rate for Payer: Wellpoint Medicaid Managed Care	$361.33

STENT CYPHR RX 3 0X33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$3,299.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

STENT CYPHR RX 3 0X33 CXS33300

Facility

$13,635.00

Hospital Charge Code	270637337
Hospital Revenue Code	278
Min. Negotiated Rate	$328.60
Max. Negotiated Rate	$6,817.50
Rate for Payer: Aetna Commercial	$5,181.30
Rate for Payer: Aetna Medicare Advantage	$4,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,476.93
Rate for Payer: Cigna Commercial	$6,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25
Rate for Payer: UnitedHealthcare Community & State	$328.60
Rate for Payer: Wellpoint Medicaid Managed Care	$361.33

STENT CYPHR RX 3 0X33 CXS33300

Facility

$13,625.00

Hospital Charge Code	270637337C
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 CYPHR RX 3 0X33 CXS33300

Facility

$13,625.00

Hospital Charge Code	270637337C
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 CYPHR RX 350x18 CXS18350

Facility

$15,847.25

Hospital Charge Code	270636554C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 350x18 CXS18350

Facility

$15,847.25

Hospital Charge Code	270636554C
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 350X18 CXS18350

Facility

$15,847.25

Hospital Charge Code	270636554
Hospital Revenue Code	278
Min. Negotiated Rate	$2,377.09
Max. Negotiated Rate	$3,835.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09

STENT CYPHR RX 350X18 CXS18350

Facility

$15,847.25

Hospital Charge Code	270636554
Hospital Revenue Code	278
Min. Negotiated Rate	$381.92
Max. Negotiated Rate	$7,923.62
Rate for Payer: Aetna Commercial	$6,021.95
Rate for Payer: Aetna Medicare Advantage	$4,754.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,041.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,169.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,041.05
Rate for Payer: Cigna Commercial	$7,923.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,835.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,486.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,377.09
Rate for Payer: UnitedHealthcare Community & State	$381.92
Rate for Payer: Wellpoint Medicaid Managed Care	$419.95

STENT CYPHR RX 3 5x13 CXS13350

Facility

$13,625.00

Hospital Charge Code	270637033C
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 CYPHR RX 3 5x13 CXS13350

Facility

$13,625.00

Hospital Charge Code	270637033C
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 CYPHR RX 3 5X13 CXS13350

Facility

$13,625.00

Hospital Charge Code	270637033
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

Know your out-of-pocket cost for care.

All Charges