Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT MONORAIL P07040RXB

Facility

$10,639.25

Hospital Charge Code	270633606
Hospital Revenue Code	278
Min. Negotiated Rate	$1,595.89
Max. Negotiated Rate	$2,574.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,340.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89

STENT MONORAIL P07040RXB

Facility

$10,639.25

Hospital Charge Code	270633606
Hospital Revenue Code	278
Min. Negotiated Rate	$256.41
Max. Negotiated Rate	$5,319.62
Rate for Payer: Aetna Commercial	$4,042.91
Rate for Payer: Aetna Medicare Advantage	$3,191.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,713.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,127.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,713.01
Rate for Payer: Cigna Commercial	$5,319.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,340.64
Rate for Payer: Qualcare PPO/HMO/WC	$1,595.89
Rate for Payer: UnitedHealthcare Community & State	$256.41
Rate for Payer: Wellpoint Medicaid Managed Care	$281.94

STENT MT ENDOPROS 12 90 40-213

Facility

$8,248.00

Hospital Charge Code	270626416
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.20
Max. Negotiated Rate	$1,996.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,649.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,814.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.20

STENT MT ENDOPROS 12 90 40-213

Facility

$8,248.00

Hospital Charge Code	270626416
Hospital Revenue Code	278
Min. Negotiated Rate	$198.78
Max. Negotiated Rate	$4,124.00
Rate for Payer: Aetna Commercial	$3,134.24
Rate for Payer: Aetna Medicare Advantage	$2,474.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,649.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.24
Rate for Payer: Cigna Commercial	$4,124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,814.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.20
Rate for Payer: UnitedHealthcare Community & State	$198.78
Rate for Payer: Wellpoint Medicaid Managed Care	$218.57

STENT MT ENDOPROS 12 90 40-213

Facility

$8,248.00

Hospital Charge Code	270626416V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,237.20
Max. Negotiated Rate	$1,996.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,649.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,814.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.20

STENT MT ENDOPROS 12 90 40-213

Facility

$8,248.00

Hospital Charge Code	270626416V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.78
Max. Negotiated Rate	$4,124.00
Rate for Payer: Aetna Commercial	$3,134.24
Rate for Payer: Aetna Medicare Advantage	$2,474.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,103.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,103.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,649.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,103.24
Rate for Payer: Cigna Commercial	$4,124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,996.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,814.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,237.20
Rate for Payer: UnitedHealthcare Community & State	$198.78
Rate for Payer: Wellpoint Medicaid Managed Care	$218.57

STENT MT ILIAC 10 20 42051

Facility

$4,552.85

Hospital Charge Code	270616369
Hospital Revenue Code	278
Min. Negotiated Rate	$682.93
Max. Negotiated Rate	$1,101.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,001.63
Rate for Payer: Qualcare PPO/HMO/WC	$682.93

STENT MT ILIAC 10 20 42051

Facility

$4,552.85

Hospital Charge Code	270616369
Hospital Revenue Code	278
Min. Negotiated Rate	$109.72
Max. Negotiated Rate	$2,276.43
Rate for Payer: Aetna Commercial	$1,730.08
Rate for Payer: Aetna Medicare Advantage	$1,365.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,160.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,160.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$910.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,160.98
Rate for Payer: Cigna Commercial	$2,276.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,101.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,001.63
Rate for Payer: Qualcare PPO/HMO/WC	$682.93
Rate for Payer: UnitedHealthcare Community & State	$109.72
Rate for Payer: Wellpoint Medicaid Managed Care	$120.65

STENT MT ILIAC 6 135 71-127

Facility

$6,052.00

Hospital Charge Code	270623795V
Hospital Revenue Code	278
Min. Negotiated Rate	$145.85
Max. Negotiated Rate	$3,026.00
Rate for Payer: Aetna Commercial	$2,299.76
Rate for Payer: Aetna Medicare Advantage	$1,815.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,543.26
Rate for Payer: Cigna Commercial	$3,026.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,331.44
Rate for Payer: Qualcare PPO/HMO/WC	$907.80
Rate for Payer: UnitedHealthcare Community & State	$145.85
Rate for Payer: Wellpoint Medicaid Managed Care	$160.38

STENT MT ILIAC 6 135 71-127

Facility

$6,052.00

Hospital Charge Code	270623795
Hospital Revenue Code	278
Min. Negotiated Rate	$907.80
Max. Negotiated Rate	$1,464.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,331.44
Rate for Payer: Qualcare PPO/HMO/WC	$907.80

STENT MT ILIAC 6 135 71-127

Facility

$6,052.00

Hospital Charge Code	270623795
Hospital Revenue Code	278
Min. Negotiated Rate	$145.85
Max. Negotiated Rate	$3,026.00
Rate for Payer: Aetna Commercial	$2,299.76
Rate for Payer: Aetna Medicare Advantage	$1,815.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,543.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,543.26
Rate for Payer: Cigna Commercial	$3,026.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,331.44
Rate for Payer: Qualcare PPO/HMO/WC	$907.80
Rate for Payer: UnitedHealthcare Community & State	$145.85
Rate for Payer: Wellpoint Medicaid Managed Care	$160.38

STENT MT ILIAC 6 135 71-127

Facility

$6,052.00

Hospital Charge Code	270623795V
Hospital Revenue Code	278
Min. Negotiated Rate	$907.80
Max. Negotiated Rate	$1,464.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,210.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,464.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,331.44
Rate for Payer: Qualcare PPO/HMO/WC	$907.80

STENT MT ILIAC 6 75 17-126

Facility

$6,832.00

Hospital Charge Code	270626876V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,024.80
Max. Negotiated Rate	$1,653.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,653.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,503.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,024.80

STENT MT ILIAC 6 75 17-126

Facility

$6,832.00

Hospital Charge Code	270626876V
Hospital Revenue Code	278
Min. Negotiated Rate	$164.65
Max. Negotiated Rate	$3,416.00
Rate for Payer: Aetna Commercial	$2,596.16
Rate for Payer: Aetna Medicare Advantage	$2,049.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,742.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,742.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,366.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,742.16
Rate for Payer: Cigna Commercial	$3,416.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,653.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,503.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,024.80
Rate for Payer: UnitedHealthcare Community & State	$164.65
Rate for Payer: Wellpoint Medicaid Managed Care	$181.05

STENT MT ILIAC WSRP 7 71-136

Facility

$5,165.60

Hospital Charge Code	270623270V
Hospital Revenue Code	278
Min. Negotiated Rate	$124.49
Max. Negotiated Rate	$2,582.80
Rate for Payer: Aetna Commercial	$1,962.93
Rate for Payer: Aetna Medicare Advantage	$1,549.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,317.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,317.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,033.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,317.23
Rate for Payer: Cigna Commercial	$2,582.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,250.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,136.43
Rate for Payer: Qualcare PPO/HMO/WC	$774.84
Rate for Payer: UnitedHealthcare Community & State	$124.49
Rate for Payer: Wellpoint Medicaid Managed Care	$136.89

STENT MT ILIAC WSRP 7 71-136

Facility

$5,165.60

Hospital Charge Code	270623270V
Hospital Revenue Code	278
Min. Negotiated Rate	$774.84
Max. Negotiated Rate	$1,250.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,033.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,250.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,136.43
Rate for Payer: Qualcare PPO/HMO/WC	$774.84

STENT MT NIR UNMOUNT 19 60-908

Facility

$4,557.65

Hospital Charge Code	270623268
Hospital Revenue Code	278
Min. Negotiated Rate	$683.65
Max. Negotiated Rate	$1,102.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$911.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,002.68
Rate for Payer: Qualcare PPO/HMO/WC	$683.65

STENT MT NIR UNMOUNT 19 60-908

Facility

$4,557.65

Hospital Charge Code	270623268
Hospital Revenue Code	278
Min. Negotiated Rate	$109.84
Max. Negotiated Rate	$2,278.82
Rate for Payer: Aetna Commercial	$1,731.91
Rate for Payer: Aetna Medicare Advantage	$1,367.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,162.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,162.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$911.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,162.20
Rate for Payer: Cigna Commercial	$2,278.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,102.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,002.68
Rate for Payer: Qualcare PPO/HMO/WC	$683.65
Rate for Payer: UnitedHealthcare Community & State	$109.84
Rate for Payer: Wellpoint Medicaid Managed Care	$120.78

STENT MT SYMPH 14 40 60-364

Facility

$5,550.45

Hospital Charge Code	270626881
Hospital Revenue Code	278
Min. Negotiated Rate	$133.77
Max. Negotiated Rate	$2,775.22
Rate for Payer: Aetna Commercial	$2,109.17
Rate for Payer: Aetna Medicare Advantage	$1,665.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,415.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,415.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,415.36
Rate for Payer: Cigna Commercial	$2,775.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,221.10
Rate for Payer: Qualcare PPO/HMO/WC	$832.57
Rate for Payer: UnitedHealthcare Community & State	$133.77
Rate for Payer: Wellpoint Medicaid Managed Care	$147.09

STENT MT SYMPH 14 40 60-364

Facility

$5,596.80

Hospital Charge Code	270626881V
Hospital Revenue Code	278
Min. Negotiated Rate	$839.52
Max. Negotiated Rate	$1,354.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,231.30
Rate for Payer: Qualcare PPO/HMO/WC	$839.52

STENT MT SYMPH 14 40 60-364

Facility

$5,596.80

Hospital Charge Code	270626881V
Hospital Revenue Code	278
Min. Negotiated Rate	$134.88
Max. Negotiated Rate	$2,798.40
Rate for Payer: Aetna Commercial	$2,126.78
Rate for Payer: Aetna Medicare Advantage	$1,679.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,427.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,427.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,119.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,427.18
Rate for Payer: Cigna Commercial	$2,798.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,354.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,231.30
Rate for Payer: Qualcare PPO/HMO/WC	$839.52
Rate for Payer: UnitedHealthcare Community & State	$134.88
Rate for Payer: Wellpoint Medicaid Managed Care	$148.32

STENT MT SYMPH 14 40 60-364

Facility

$5,550.45

Hospital Charge Code	270626881
Hospital Revenue Code	278
Min. Negotiated Rate	$832.57
Max. Negotiated Rate	$1,343.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,110.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,343.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,221.10
Rate for Payer: Qualcare PPO/HMO/WC	$832.57

STENT MT URET8F 24CM 24-551

Facility

$734.45

Hospital Charge Code	270623954V
Hospital Revenue Code	278
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$367.23
Rate for Payer: Aetna Commercial	$279.09
Rate for Payer: Aetna Medicare Advantage	$220.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.28
Rate for Payer: Cigna Commercial	$367.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$161.58
Rate for Payer: Qualcare PPO/HMO/WC	$110.17
Rate for Payer: UnitedHealthcare Community & State	$17.70
Rate for Payer: Wellpoint Medicaid Managed Care	$19.46

STENT MT URET8F 24CM 24-551

Facility

$734.45

Hospital Charge Code	270623954V
Hospital Revenue Code	278
Min. Negotiated Rate	$110.17
Max. Negotiated Rate	$177.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$161.58
Rate for Payer: Qualcare PPO/HMO/WC	$110.17

STENT MT UST/7-4/5/75 14-436

Facility

$1,296.85

Hospital Charge Code	270623796
Hospital Revenue Code	278
Min. Negotiated Rate	$194.53
Max. Negotiated Rate	$313.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.31
Rate for Payer: Qualcare PPO/HMO/WC	$194.53

Know your out-of-pocket cost for care.

All Charges