Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT SYSTEM CTR 10F 3.3MMx9CM

Facility

$661.15

Hospital Charge Code	270672792
Hospital Revenue Code	278
Min. Negotiated Rate	$99.17
Max. Negotiated Rate	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.45
Rate for Payer: Qualcare PPO/HMO/WC	$99.17

STENT SYSTEM CTR 10F 3.3MMx9CM

Facility

$661.15

Hospital Charge Code	270672792
Hospital Revenue Code	278
Min. Negotiated Rate	$15.93
Max. Negotiated Rate	$330.57
Rate for Payer: Aetna Commercial	$251.24
Rate for Payer: Aetna Medicare Advantage	$198.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.59
Rate for Payer: Cigna Commercial	$330.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.45
Rate for Payer: Qualcare PPO/HMO/WC	$99.17
Rate for Payer: UnitedHealthcare Community & State	$15.93
Rate for Payer: Wellpoint Medicaid Managed Care	$17.52

STENT SYSTEM CTR 7F 2.3MMx5CM

Facility

$661.15

Hospital Charge Code	270672791
Hospital Revenue Code	278
Min. Negotiated Rate	$99.17
Max. Negotiated Rate	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.45
Rate for Payer: Qualcare PPO/HMO/WC	$99.17

STENT SYSTEM CTR 7F 2.3MMx5CM

Facility

$661.15

Hospital Charge Code	270672791
Hospital Revenue Code	278
Min. Negotiated Rate	$15.93
Max. Negotiated Rate	$330.57
Rate for Payer: Aetna Commercial	$251.24
Rate for Payer: Aetna Medicare Advantage	$198.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$168.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$168.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$168.59
Rate for Payer: Cigna Commercial	$330.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$145.45
Rate for Payer: Qualcare PPO/HMO/WC	$99.17
Rate for Payer: UnitedHealthcare Community & State	$15.93
Rate for Payer: Wellpoint Medicaid Managed Care	$17.52

STENT SYSTEM CTR BEND 7F 12CM

Facility

$651.90

Hospital Charge Code	270675697
Hospital Revenue Code	278
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$325.95
Rate for Payer: Aetna Commercial	$247.72
Rate for Payer: Aetna Medicare Advantage	$195.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.23
Rate for Payer: Cigna Commercial	$325.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$97.78
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

STENT SYSTEM CTR BEND 7F 12CM

Facility

$651.90

Hospital Charge Code	270675697
Hospital Revenue Code	278
Min. Negotiated Rate	$97.78
Max. Negotiated Rate	$157.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$97.78

STENT SYSTEM CTR BEND 7F 15CM

Facility

$651.90

Hospital Charge Code	270675698
Hospital Revenue Code	278
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$325.95
Rate for Payer: Aetna Commercial	$247.72
Rate for Payer: Aetna Medicare Advantage	$195.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.23
Rate for Payer: Cigna Commercial	$325.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$97.78
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

STENT SYSTEM CTR BEND 7F 15CM

Facility

$651.90

Hospital Charge Code	270675698
Hospital Revenue Code	278
Min. Negotiated Rate	$97.78
Max. Negotiated Rate	$157.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.42
Rate for Payer: Qualcare PPO/HMO/WC	$97.78

STENT SYS URETER 8F22cm 24550

Facility

$768.00

Hospital Charge Code	270623953V
Hospital Revenue Code	278
Min. Negotiated Rate	$18.51
Max. Negotiated Rate	$384.00
Rate for Payer: Aetna Commercial	$291.84
Rate for Payer: Aetna Medicare Advantage	$230.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.84
Rate for Payer: Cigna Commercial	$384.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.96
Rate for Payer: Qualcare PPO/HMO/WC	$115.20
Rate for Payer: UnitedHealthcare Community & State	$18.51
Rate for Payer: Wellpoint Medicaid Managed Care	$20.35

STENT SYS URETER 8F22cm 24550

Facility

$768.00

Hospital Charge Code	270623953V
Hospital Revenue Code	278
Min. Negotiated Rate	$115.20
Max. Negotiated Rate	$185.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.96
Rate for Payer: Qualcare PPO/HMO/WC	$115.20

STENT TAX EX 2 75X12 389701227

Facility

$13,635.00

Hospital Charge Code	270638213C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,045.25
Max. Negotiated Rate	$3,299.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25

STENT TAX EX 2 75X12 389701227

Facility

$13,625.00

Hospital Charge Code	270637562C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT TAX EX 2 75X12 389701227

Facility

$13,625.00

Hospital Charge Code	270637562C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT TAX EX 2 75X12 389701227

Facility

$13,635.00

Hospital Charge Code	270638213C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.60
Max. Negotiated Rate	$6,817.50
Rate for Payer: Aetna Commercial	$5,181.30
Rate for Payer: Aetna Medicare Advantage	$4,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,476.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,727.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,476.93
Rate for Payer: Cigna Commercial	$6,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,299.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,999.70
Rate for Payer: Qualcare PPO/HMO/WC	$2,045.25
Rate for Payer: UnitedHealthcare Community & State	$328.60
Rate for Payer: Wellpoint Medicaid Managed Care	$361.33

STENT TAX EX 2 75x16 389701627

Facility

$13,625.00

Hospital Charge Code	270637435C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT TAX EX 2 75x16 389701627

Facility

$13,625.00

Hospital Charge Code	270637435C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT TAX EX 3 5X24 389702435

Facility

$14,750.00

Hospital Charge Code	270637665C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,212.50
Max. Negotiated Rate	$3,569.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,245.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50

STENT TAX EX 3 5X24 389702435

Facility

$14,750.00

Hospital Charge Code	270637665C
Hospital Revenue Code	278
Min. Negotiated Rate	$355.48
Max. Negotiated Rate	$7,375.00
Rate for Payer: Aetna Commercial	$5,605.00
Rate for Payer: Aetna Medicare Advantage	$4,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,761.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,761.25
Rate for Payer: Cigna Commercial	$7,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,569.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,245.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,212.50
Rate for Payer: UnitedHealthcare Community & State	$355.48
Rate for Payer: Wellpoint Medicaid Managed Care	$390.88

STENT TAX EXP 2.5x12 389701225

Facility

$14,125.00

Hospital Charge Code	270639374
Hospital Revenue Code	278
Min. Negotiated Rate	$340.41
Max. Negotiated Rate	$7,062.50
Rate for Payer: Aetna Commercial	$5,367.50
Rate for Payer: Aetna Medicare Advantage	$4,237.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,601.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,601.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,601.88
Rate for Payer: Cigna Commercial	$7,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,107.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,118.75
Rate for Payer: UnitedHealthcare Community & State	$340.41
Rate for Payer: Wellpoint Medicaid Managed Care	$374.31

STENT TAX EXP 2.5x12 389701225

Facility

$14,125.00

Hospital Charge Code	270639374
Hospital Revenue Code	278
Min. Negotiated Rate	$2,118.75
Max. Negotiated Rate	$3,418.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,418.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,107.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,118.75

STENT TAX EXP 2 5X16 389681625

Facility

$13,625.00

Hospital Charge Code	270637307
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT TAX EXP 2 5X16 389681625

Facility

$13,625.00

Hospital Charge Code	270637307
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT TAX EXP 2 5X24 389682425

Facility

$13,625.00

Hospital Charge Code	270636965C
Hospital Revenue Code	278
Min. Negotiated Rate	$328.36
Max. Negotiated Rate	$6,812.50
Rate for Payer: Aetna Commercial	$5,177.50
Rate for Payer: Aetna Medicare Advantage	$4,087.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,474.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,474.38
Rate for Payer: Cigna Commercial	$6,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75
Rate for Payer: UnitedHealthcare Community & State	$328.36
Rate for Payer: Wellpoint Medicaid Managed Care	$361.06

STENT TAX EXP 2 5X24 389682425

Facility

$13,625.00

Hospital Charge Code	270636965C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

STENT TAX EXP 2.75X16

Facility

$13,625.00

Hospital Charge Code	270637435
Hospital Revenue Code	278
Min. Negotiated Rate	$2,043.75
Max. Negotiated Rate	$3,297.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,297.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,997.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,043.75

Know your out-of-pocket cost for care.

All Charges