Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT GENESIS 6.0x20 PG1860BAS

Facility

$7,316.00

Hospital Charge Code	270631235
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 6.0x20 PG1860BAS

Facility

$7,375.00

Hospital Charge Code	270631235V
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 6.0x20 PG1860BAS

Facility

$7,375.00

Hospital Charge Code	270631235V
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 6x18 135cm

Facility

$7,375.00

Hospital Charge Code	270639109
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 6x18 135cm

Facility

$7,375.00

Hospital Charge Code	270639109
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 7.0x15 PG1570BAS

Facility

$7,375.00

Hospital Charge Code	270631632V
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 7.0x15 PG1570BAS

Facility

$7,316.00

Hospital Charge Code	270631632
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 7.0x15 PG1570BAS

Facility

$7,316.00

Hospital Charge Code	270631632
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 7.0x15 PG1570BAS

Facility

$7,375.00

Hospital Charge Code	270631632V
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 7x18 PG187OBSS

Facility

$6,820.00

Hospital Charge Code	270630178
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 GENESIS 7x18 PG187OBSS

Facility

$6,820.00

Hospital Charge Code	270630178
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 7x18 PG187OBSS

Facility

$6,820.00

Hospital Charge Code	270630178V
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 GENESIS 7x18 PG187OBSS

Facility

$6,820.00

Hospital Charge Code	270630178V
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 7X39 135CM

Facility

$6,975.00

Hospital Charge Code	270639532
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 GENESIS 7X39 135CM

Facility

$6,975.00

Hospital Charge Code	270639532
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 GENESIS 9X39 80CM

Facility

$6,975.00

Hospital Charge Code	270624624
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 GENESIS 9X39 80CM

Facility

$6,975.00

Hospital Charge Code	270624624
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 GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624V
Hospital Revenue Code	278
Min. Negotiated Rate	$172.13
Max. Negotiated Rate	$3,571.22
Rate for Payer: Aetna Commercial	$2,714.13
Rate for Payer: Aetna Medicare Advantage	$2,142.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.32
Rate for Payer: Cigna Commercial	$3,571.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,571.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37
Rate for Payer: UnitedHealthcare Community & State	$172.13
Rate for Payer: Wellpoint Medicaid Managed Care	$189.27

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$1,728.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,571.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624
Hospital Revenue Code	278
Min. Negotiated Rate	$1,071.37
Max. Negotiated Rate	$1,728.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,571.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37

STENT GENESIS 9x39m PG3990BPS

Facility

$7,142.45

Hospital Charge Code	270625624
Hospital Revenue Code	278
Min. Negotiated Rate	$172.13
Max. Negotiated Rate	$3,571.22
Rate for Payer: Aetna Commercial	$2,714.13
Rate for Payer: Aetna Medicare Advantage	$2,142.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,821.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,428.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,821.32
Rate for Payer: Cigna Commercial	$3,571.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,728.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,571.34
Rate for Payer: Qualcare PPO/HMO/WC	$1,071.37
Rate for Payer: UnitedHealthcare Community & State	$172.13
Rate for Payer: Wellpoint Medicaid Managed Care	$189.27

STENT GENESIS/AVIATR 5x15 80cm

Facility

$7,375.00

Hospital Charge Code	270635535
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/AVIATR 5x15 80cm

Facility

$7,375.00

Hospital Charge Code	270635535
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/AVIATR 7X18 80CM

Facility

$7,375.00

Hospital Charge Code	270631414C
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/AVIATR 7X18 80CM

Facility

$7,375.00

Hospital Charge Code	270631414C
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

Know your out-of-pocket cost for care.

All Charges