Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT EXPR 2 2.5X8 350500825

Facility

$4,375.00

Hospital Charge Code	270638812
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

STENT EXPRE 5x15x90 3791151590

Facility

$6,975.00

Hospital Charge Code	270633192V
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 EXPRE 5x15x90 3791151590

Facility

$6,975.00

Hospital Charge Code	270633192V
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 EXPRESS 10x37 3804610407

Facility

$6,919.25

Hospital Charge Code	270632830V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,037.89
Max. Negotiated Rate	$1,674.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,383.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,674.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,522.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,037.89

STENT EXPRESS 10x37 3804610407

Facility

$6,919.25

Hospital Charge Code	270632830V
Hospital Revenue Code	278
Min. Negotiated Rate	$166.75
Max. Negotiated Rate	$3,459.62
Rate for Payer: Aetna Commercial	$2,629.32
Rate for Payer: Aetna Medicare Advantage	$2,075.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,764.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,764.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,383.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,764.41
Rate for Payer: Cigna Commercial	$3,459.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,674.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,522.23
Rate for Payer: Qualcare PPO/HMO/WC	$1,037.89
Rate for Payer: UnitedHealthcare Community & State	$166.75
Rate for Payer: Wellpoint Medicaid Managed Care	$183.36

STENT EXPRESS 10x37 75cm

Facility

$5,942.30

Hospital Charge Code	270632830
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 10x37 75cm

Facility

$5,942.30

Hospital Charge Code	270632830
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 2 2.5x16mm

Facility

$4,375.00

Hospital Charge Code	270638811
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

STENT EXPRESS 2 2.5x16mm

Facility

$4,375.00

Hospital Charge Code	270638811
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

STENT EXPRESS 4x15 150cm

Facility

$5,942.30

Hospital Charge Code	270644094
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 4x15 150cm

Facility

$5,942.30

Hospital Charge Code	270644094
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 5x15 150cm

Facility

$5,942.30

Hospital Charge Code	270634526
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 150cm

Facility

$5,942.30

Hospital Charge Code	270634526
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 5x15 90cm

Facility

$5,942.30

Hospital Charge Code	270633192
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 5x15 90cm

Facility

$5,942.30

Hospital Charge Code	270633192
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 6x14 90cm

Facility

$5,942.30

Hospital Charge Code	270634342
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 6x14 90cm

Facility

$5,942.30

Hospital Charge Code	270634342
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 6x18 90cm

Facility

$5,942.30

Hospital Charge Code	270634343
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 6x18 90cm

Facility

$5,942.30

Hospital Charge Code	270634343
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x17 75cm

Facility

$5,942.30

Hospital Charge Code	270634111
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x17 75cm

Facility

$5,942.30

Hospital Charge Code	270634111
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 7x19 90cm

Facility

$5,942.30

Hospital Charge Code	270634369
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x19 90cm

Facility

$5,942.30

Hospital Charge Code	270634369
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

STENT EXPRESS 7x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634365
Hospital Revenue Code	278
Min. Negotiated Rate	$891.35
Max. Negotiated Rate	$1,438.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35

STENT EXPRESS 7x27 135cm

Facility

$5,942.30

Hospital Charge Code	270634365
Hospital Revenue Code	278
Min. Negotiated Rate	$143.21
Max. Negotiated Rate	$2,971.15
Rate for Payer: Aetna Commercial	$2,258.07
Rate for Payer: Aetna Medicare Advantage	$1,782.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,515.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,188.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,515.29
Rate for Payer: Cigna Commercial	$2,971.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,438.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,307.31
Rate for Payer: Qualcare PPO/HMO/WC	$891.35
Rate for Payer: UnitedHealthcare Community & State	$143.21
Rate for Payer: Wellpoint Medicaid Managed Care	$157.47

Know your out-of-pocket cost for care.

All Charges