Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT GEN 6X18 80 PG1860BSS

Facility

$6,944.00

Hospital Charge Code	270624012V
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 GEN 6X18 80 PG1860BSS

Facility

$6,944.00

Hospital Charge Code	270624012
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 GEN 6X24 80 PG2460BXX

Facility

$7,056.00

Hospital Charge Code	270624013
Hospital Revenue Code	278
Min. Negotiated Rate	$170.05
Max. Negotiated Rate	$3,528.00
Rate for Payer: Aetna Commercial	$2,681.28
Rate for Payer: Aetna Medicare Advantage	$2,116.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,799.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,799.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,411.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,799.28
Rate for Payer: Cigna Commercial	$3,528.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,552.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.40
Rate for Payer: UnitedHealthcare Community & State	$170.05
Rate for Payer: Wellpoint Medicaid Managed Care	$186.98

STENT GEN 6X24 80 PG2460BXX

Facility

$7,056.00

Hospital Charge Code	270624013
Hospital Revenue Code	278
Min. Negotiated Rate	$1,058.40
Max. Negotiated Rate	$1,707.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,411.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,707.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,552.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,058.40

STENT GEN 7F 9x29m PG2990BPX

Facility

$6,725.00

Hospital Charge Code	270624396V
Hospital Revenue Code	278
Min. Negotiated Rate	$162.07
Max. Negotiated Rate	$3,362.50
Rate for Payer: Aetna Commercial	$2,555.50
Rate for Payer: Aetna Medicare Advantage	$2,017.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,714.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,714.88
Rate for Payer: Cigna Commercial	$3,362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,479.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75
Rate for Payer: UnitedHealthcare Community & State	$162.07
Rate for Payer: Wellpoint Medicaid Managed Care	$178.21

STENT GEN 7F 9x29m PG2990BPX

Facility

$6,658.45

Hospital Charge Code	270624396
Hospital Revenue Code	278
Min. Negotiated Rate	$160.47
Max. Negotiated Rate	$3,329.22
Rate for Payer: Aetna Commercial	$2,530.21
Rate for Payer: Aetna Medicare Advantage	$1,997.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,697.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,697.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,331.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,697.90
Rate for Payer: Cigna Commercial	$3,329.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,611.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,464.86
Rate for Payer: Qualcare PPO/HMO/WC	$998.77
Rate for Payer: UnitedHealthcare Community & State	$160.47
Rate for Payer: Wellpoint Medicaid Managed Care	$176.45

STENT GEN 7F 9x29m PG2990BPX

Facility

$6,725.00

Hospital Charge Code	270624396V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,008.75
Max. Negotiated Rate	$1,627.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,627.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,479.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,008.75

STENT GEN 7F 9x29m PG2990BPX

Facility

$6,658.45

Hospital Charge Code	270624396
Hospital Revenue Code	278
Min. Negotiated Rate	$998.77
Max. Negotiated Rate	$1,611.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,331.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,611.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,464.86
Rate for Payer: Qualcare PPO/HMO/WC	$998.77

STENT GENESI 7x15x80 PG1570BSS

Facility

$6,820.00

Hospital Charge Code	270631552
Hospital Revenue Code	278
Min. Negotiated Rate	$1,023.00
Max. Negotiated Rate	$1,650.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,364.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,650.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,500.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.00

STENT GENESI 7x15x80 PG1570BSS

Facility

$6,820.00

Hospital Charge Code	270631552
Hospital Revenue Code	278
Min. Negotiated Rate	$164.36
Max. Negotiated Rate	$3,410.00
Rate for Payer: Aetna Commercial	$2,591.60
Rate for Payer: Aetna Medicare Advantage	$2,046.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,739.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,739.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,364.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,739.10
Rate for Payer: Cigna Commercial	$3,410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,650.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,500.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,023.00
Rate for Payer: UnitedHealthcare Community & State	$164.36
Rate for Payer: Wellpoint Medicaid Managed Care	$180.73

STENT GENESIS 135CM PG2980BPX

Facility

$6,944.00

Hospital Charge Code	270625416
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 GENESIS 135CM PG2980BPX

Facility

$6,944.00

Hospital Charge Code	270625416
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 GENESIS 4x18 135cm

Facility

$7,375.00

Hospital Charge Code	270635357
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS 4x18 135cm

Facility

$7,375.00

Hospital Charge Code	270635357
Hospital Revenue Code	278
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,802.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25
Rate for Payer: UnitedHealthcare Community & State	$177.74
Rate for Payer: Wellpoint Medicaid Managed Care	$195.44

STENT GENESIS 5x15 135cm

Facility

$7,375.00

Hospital Charge Code	270635767
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS 5x15 135cm

Facility

$7,375.00

Hospital Charge Code	270635767
Hospital Revenue Code	278
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,802.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25
Rate for Payer: UnitedHealthcare Community & State	$177.74
Rate for Payer: Wellpoint Medicaid Managed Care	$195.44

STENT GENESIS 5x18 PG1850BAS

Facility

$7,375.00

Hospital Charge Code	270630177V
Hospital Revenue Code	278
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,802.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25
Rate for Payer: UnitedHealthcare Community & State	$177.74
Rate for Payer: Wellpoint Medicaid Managed Care	$195.44

STENT GENESIS 5x18 PG1850BAS

Facility

$7,375.00

Hospital Charge Code	270630177V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS 5x18 PG1850BAS

Facility

$7,316.00

Hospital Charge Code	270630177
Hospital Revenue Code	278
Min. Negotiated Rate	$176.32
Max. Negotiated Rate	$3,658.00
Rate for Payer: Aetna Commercial	$2,780.08
Rate for Payer: Aetna Medicare Advantage	$2,194.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,463.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,865.58
Rate for Payer: Cigna Commercial	$3,658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,609.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,097.40
Rate for Payer: UnitedHealthcare Community & State	$176.32
Rate for Payer: Wellpoint Medicaid Managed Care	$193.87

STENT GENESIS 5x18 PG1850BAS

Facility

$7,316.00

Hospital Charge Code	270630177
Hospital Revenue Code	278
Min. Negotiated Rate	$1,097.40
Max. Negotiated Rate	$1,770.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,463.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,609.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,097.40

STENT GENESIS 6.0x17 PG1560BAS

Facility

$7,316.00

Hospital Charge Code	270631234
Hospital Revenue Code	278
Min. Negotiated Rate	$1,097.40
Max. Negotiated Rate	$1,770.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,463.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,609.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,097.40

STENT GENESIS 6.0x17 PG1560BAS

Facility

$7,316.00

Hospital Charge Code	270631234
Hospital Revenue Code	278
Min. Negotiated Rate	$176.32
Max. Negotiated Rate	$3,658.00
Rate for Payer: Aetna Commercial	$2,780.08
Rate for Payer: Aetna Medicare Advantage	$2,194.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,463.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,865.58
Rate for Payer: Cigna Commercial	$3,658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,609.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,097.40
Rate for Payer: UnitedHealthcare Community & State	$176.32
Rate for Payer: Wellpoint Medicaid Managed Care	$193.87

STENT GENESIS 6.0x17 PG1560BAS

Facility

$7,375.00

Hospital Charge Code	270631234V
Hospital Revenue Code	278
Min. Negotiated Rate	$177.74
Max. Negotiated Rate	$3,687.50
Rate for Payer: Aetna Commercial	$2,802.50
Rate for Payer: Aetna Medicare Advantage	$2,212.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,880.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,880.62
Rate for Payer: Cigna Commercial	$3,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25
Rate for Payer: UnitedHealthcare Community & State	$177.74
Rate for Payer: Wellpoint Medicaid Managed Care	$195.44

STENT GENESIS 6.0x17 PG1560BAS

Facility

$7,375.00

Hospital Charge Code	270631234V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,106.25
Max. Negotiated Rate	$1,784.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,784.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,622.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,106.25

STENT GENESIS 6.0x20 PG1860BAS

Facility

$7,316.00

Hospital Charge Code	270631235
Hospital Revenue Code	278
Min. Negotiated Rate	$176.32
Max. Negotiated Rate	$3,658.00
Rate for Payer: Aetna Commercial	$2,780.08
Rate for Payer: Aetna Medicare Advantage	$2,194.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,865.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,463.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,865.58
Rate for Payer: Cigna Commercial	$3,658.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,770.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,609.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,097.40
Rate for Payer: UnitedHealthcare Community & State	$176.32
Rate for Payer: Wellpoint Medicaid Managed Care	$193.87

Know your out-of-pocket cost for care.

All Charges