Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,957.00

Hospital Charge Code	270CH0080
Hospital Revenue Code	278
Min. Negotiated Rate	$143.56
Max. Negotiated Rate	$2,978.50
Rate for Payer: Aetna Commercial	$2,263.66
Rate for Payer: Aetna Medicare Advantage	$1,787.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,519.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,519.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,191.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,519.04
Rate for Payer: Cigna Commercial	$2,978.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,441.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,310.54
Rate for Payer: Qualcare PPO/HMO/WC	$893.55
Rate for Payer: UnitedHealthcare Community & State	$143.56
Rate for Payer: Wellpoint Medicaid Managed Care	$157.86

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,957.00

Hospital Charge Code	270636467
Hospital Revenue Code	278
Min. Negotiated Rate	$893.55
Max. Negotiated Rate	$1,441.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,191.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,441.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,310.54
Rate for Payer: Qualcare PPO/HMO/WC	$893.55

STENT EXPRESS LD ILIAC/BILIARY

Facility

$5,942.30

Hospital Charge Code	270653631
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 LD ILIAC/BILIARY

Facility

$5,942.30

Hospital Charge Code	270653630
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 LD ILIAC/BILIARY

Facility

$5,957.00

Hospital Charge Code	270636467
Hospital Revenue Code	278
Min. Negotiated Rate	$143.56
Max. Negotiated Rate	$2,978.50
Rate for Payer: Aetna Commercial	$2,263.66
Rate for Payer: Aetna Medicare Advantage	$1,787.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,519.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,519.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,191.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,519.04
Rate for Payer: Cigna Commercial	$2,978.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,441.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,310.54
Rate for Payer: Qualcare PPO/HMO/WC	$893.55
Rate for Payer: UnitedHealthcare Community & State	$143.56
Rate for Payer: Wellpoint Medicaid Managed Care	$157.86

STENT EXPRS 5x19x90 3791251990

Facility

$6,975.00

Hospital Charge Code	270634368V
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 EXPRS 5x19x90 3791251990

Facility

$6,919.25

Hospital Charge Code	270634368
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 EXPRS 5x19x90 3791251990

Facility

$6,975.00

Hospital Charge Code	270634368V
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 EXPRS 5x19x90 3791251990

Facility

$6,919.25

Hospital Charge Code	270634368
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 EXPRS 6x17x75 3804662075

Facility

$6,475.00

Hospital Charge Code	270634110V
Hospital Revenue Code	278
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

STENT EXPRS 6x17x75 3804662075

Facility

$6,475.00

Hospital Charge Code	270634110V
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$1,566.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

STENT EXPRS 6x17x75 3804662075

Facility

$6,408.40

Hospital Charge Code	270634110
Hospital Revenue Code	278
Min. Negotiated Rate	$961.26
Max. Negotiated Rate	$1,550.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,281.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,550.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,409.85
Rate for Payer: Qualcare PPO/HMO/WC	$961.26

STENT EXPRS 6x17x75 3804662075

Facility

$6,408.40

Hospital Charge Code	270634110
Hospital Revenue Code	278
Min. Negotiated Rate	$154.44
Max. Negotiated Rate	$3,204.20
Rate for Payer: Aetna Commercial	$2,435.19
Rate for Payer: Aetna Medicare Advantage	$1,922.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,634.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,634.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,281.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,634.14
Rate for Payer: Cigna Commercial	$3,204.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,550.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,409.85
Rate for Payer: Qualcare PPO/HMO/WC	$961.26
Rate for Payer: UnitedHealthcare Community & State	$154.44
Rate for Payer: Wellpoint Medicaid Managed Care	$169.82

STENT EXPRS 6X18 90 3791261890

Facility

$6,975.00

Hospital Charge Code	270634343C
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 EXPRS 6X18 90 3791261890

Facility

$6,975.00

Hospital Charge Code	270634343C
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 EXPRS 7x17x75 3804672075

Facility

$6,475.00

Hospital Charge Code	270634111V
Hospital Revenue Code	278
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

STENT EXPRS 7x17x75 3804672075

Facility

$6,475.00

Hospital Charge Code	270634111V
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$1,566.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

STENT EXPRS 7x19x90 3791271990

Facility

$6,919.25

Hospital Charge Code	270634369V
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 EXPRS 7x19x90 3791271990

Facility

$6,919.25

Hospital Charge Code	270634369V
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 EXPRS 7x37x135 380477401

Facility

$6,919.25

Hospital Charge Code	270634113
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 EXPRS 7x37x135 380477401

Facility

$6,919.25

Hospital Charge Code	270634113
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 EXPRS 7x37x135 380477401

Facility

$6,975.00

Hospital Charge Code	270634113V
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 EXPRS 7x37x135 380477401

Facility

$6,975.00

Hospital Charge Code	270634113V
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 EXPRS 8x37x135 380478401

Facility

$6,975.00

Hospital Charge Code	270634114V
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 EXPRS 8x37x135 380478401

Facility

$6,975.00

Hospital Charge Code	270634114V
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

Know your out-of-pocket cost for care.

All Charges