Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT ST BIL 7x60x120 C07060MB

Facility

$8,159.25

Hospital Charge Code	270632502
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$1,974.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT ST BIL 7x60x120 C07060MB

Facility

$8,225.00

Hospital Charge Code	270632502V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.22
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$198.22
Rate for Payer: Wellpoint Medicaid Managed Care	$217.96

STENT ST BIL 7x60x120 C07060MB

Facility

$8,159.25

Hospital Charge Code	270632502
Hospital Revenue Code	278
Min. Negotiated Rate	$196.64
Max. Negotiated Rate	$4,079.62
Rate for Payer: Aetna Commercial	$3,100.51
Rate for Payer: Aetna Medicare Advantage	$2,447.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,080.61
Rate for Payer: Cigna Commercial	$4,079.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89
Rate for Payer: UnitedHealthcare Community & State	$196.64
Rate for Payer: Wellpoint Medicaid Managed Care	$216.22

STENT ST BIL 7x60x120 C07060MB

Facility

$8,225.00

Hospital Charge Code	270632502V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT ST BIL 7x80x120 C07080MB

Facility

$9,796.00

Hospital Charge Code	270632500
Hospital Revenue Code	278
Min. Negotiated Rate	$236.08
Max. Negotiated Rate	$4,898.00
Rate for Payer: Aetna Commercial	$3,722.48
Rate for Payer: Aetna Medicare Advantage	$2,938.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,959.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,497.98
Rate for Payer: Cigna Commercial	$4,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,370.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,155.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40
Rate for Payer: UnitedHealthcare Community & State	$236.08
Rate for Payer: Wellpoint Medicaid Managed Care	$259.59

STENT ST BIL 7x80x120 C07080MB

Facility

$9,796.00

Hospital Charge Code	270632500
Hospital Revenue Code	278
Min. Negotiated Rate	$1,469.40
Max. Negotiated Rate	$2,370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,959.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,370.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,155.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40

STENT ST BIL 7x80x120 C07080MB

Facility

$9,875.00

Hospital Charge Code	270632500V
Hospital Revenue Code	278
Min. Negotiated Rate	$237.99
Max. Negotiated Rate	$4,937.50
Rate for Payer: Aetna Commercial	$3,752.50
Rate for Payer: Aetna Medicare Advantage	$2,962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,518.12
Rate for Payer: Cigna Commercial	$4,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,172.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25
Rate for Payer: UnitedHealthcare Community & State	$237.99
Rate for Payer: Wellpoint Medicaid Managed Care	$261.69

STENT ST BIL 7x80x120 C07080MB

Facility

$9,875.00

Hospital Charge Code	270632500V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,481.25
Max. Negotiated Rate	$2,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,172.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25

STENT ST BILI 7x40x80 C07040SB

Facility

$8,159.25

Hospital Charge Code	270632499
Hospital Revenue Code	278
Min. Negotiated Rate	$196.64
Max. Negotiated Rate	$4,079.62
Rate for Payer: Aetna Commercial	$3,100.51
Rate for Payer: Aetna Medicare Advantage	$2,447.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,080.61
Rate for Payer: Cigna Commercial	$4,079.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89
Rate for Payer: UnitedHealthcare Community & State	$196.64
Rate for Payer: Wellpoint Medicaid Managed Care	$216.22

STENT ST BILI 7x40x80 C07040SB

Facility

$8,159.25

Hospital Charge Code	270632499
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$1,974.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT ST BILI 7x40x80 C07040SB

Facility

$8,225.00

Hospital Charge Code	270632499V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT ST BILI 7x40x80 C07040SB

Facility

$8,225.00

Hospital Charge Code	270632499V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.22
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$198.22
Rate for Payer: Wellpoint Medicaid Managed Care	$217.96

STENT ST BILI 7x60x80 C07060SB

Facility

$8,225.00

Hospital Charge Code	270632503V
Hospital Revenue Code	278
Min. Negotiated Rate	$198.22
Max. Negotiated Rate	$4,112.50
Rate for Payer: Aetna Commercial	$3,125.50
Rate for Payer: Aetna Medicare Advantage	$2,467.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,097.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,097.38
Rate for Payer: Cigna Commercial	$4,112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75
Rate for Payer: UnitedHealthcare Community & State	$198.22
Rate for Payer: Wellpoint Medicaid Managed Care	$217.96

STENT ST BILI 7x60x80 C07060SB

Facility

$8,159.25

Hospital Charge Code	270632503
Hospital Revenue Code	278
Min. Negotiated Rate	$196.64
Max. Negotiated Rate	$4,079.62
Rate for Payer: Aetna Commercial	$3,100.51
Rate for Payer: Aetna Medicare Advantage	$2,447.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,080.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,080.61
Rate for Payer: Cigna Commercial	$4,079.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89
Rate for Payer: UnitedHealthcare Community & State	$196.64
Rate for Payer: Wellpoint Medicaid Managed Care	$216.22

STENT ST BILI 7x60x80 C07060SB

Facility

$8,159.25

Hospital Charge Code	270632503
Hospital Revenue Code	278
Min. Negotiated Rate	$1,223.89
Max. Negotiated Rate	$1,974.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,631.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,974.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,795.04
Rate for Payer: Qualcare PPO/HMO/WC	$1,223.89

STENT ST BILI 7x60x80 C07060SB

Facility

$8,225.00

Hospital Charge Code	270632503V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,233.75
Max. Negotiated Rate	$1,990.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,645.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,990.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,809.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,233.75

STENT ST BILI 7x80x80 C07080SB

Facility

$9,796.00

Hospital Charge Code	270632504
Hospital Revenue Code	278
Min. Negotiated Rate	$236.08
Max. Negotiated Rate	$4,898.00
Rate for Payer: Aetna Commercial	$3,722.48
Rate for Payer: Aetna Medicare Advantage	$2,938.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,497.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,959.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,497.98
Rate for Payer: Cigna Commercial	$4,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,370.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,155.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40
Rate for Payer: UnitedHealthcare Community & State	$236.08
Rate for Payer: Wellpoint Medicaid Managed Care	$259.59

STENT ST BILI 7x80x80 C07080SB

Facility

$9,875.00

Hospital Charge Code	270632504V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,481.25
Max. Negotiated Rate	$2,389.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,172.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25

STENT ST BILI 7x80x80 C07080SB

Facility

$9,875.00

Hospital Charge Code	270632504V
Hospital Revenue Code	278
Min. Negotiated Rate	$237.99
Max. Negotiated Rate	$4,937.50
Rate for Payer: Aetna Commercial	$3,752.50
Rate for Payer: Aetna Medicare Advantage	$2,962.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,518.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,518.12
Rate for Payer: Cigna Commercial	$4,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,389.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,172.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,481.25
Rate for Payer: UnitedHealthcare Community & State	$237.99
Rate for Payer: Wellpoint Medicaid Managed Care	$261.69

STENT ST BILI 7x80x80 C07080SB

Facility

$9,796.00

Hospital Charge Code	270632504
Hospital Revenue Code	278
Min. Negotiated Rate	$1,469.40
Max. Negotiated Rate	$2,370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,959.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,370.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,155.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,469.40

STENT STRAIGHT LEADING 5FRx5CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679133
Hospital Revenue Code	278
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$205.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

STENT STRAIGHT LEADING 5FRx5CM

Facility

$850.00

Service Code	HCPCS C2625
Hospital Charge Code	270679133
Hospital Revenue Code	278
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

STENT STSB BIL 10x60 80 C10060

Facility

$7,316.00

Hospital Charge Code	270631415
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 STSB BIL 10x60 80 C10060

Facility

$7,316.00

Hospital Charge Code	270631415V
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 STSB BIL 10x60 80 C10060

Facility

$7,316.00

Hospital Charge Code	270631415
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