Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STENT XIENCE 2.5X23MM

Facility

$16,294.37

Hospital Charge Code	270640908C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.5X23MM

Facility

$16,294.37

Hospital Charge Code	270640908C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.5X28M 100953928

Facility

$16,294.37

Hospital Charge Code	270640909C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.5X28M 100953928

Facility

$16,294.37

Hospital Charge Code	270640909C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.5X8 100953908

Facility

$16,294.37

Hospital Charge Code	270640904C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.5X8 100953908

Facility

$16,294.37

Hospital Charge Code	270640904C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X12 100954012

Facility

$16,294.37

Hospital Charge Code	270640911C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X12 100954012

Facility

$16,294.37

Hospital Charge Code	270640911C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.75X15 100953915

Facility

$16,294.37

Hospital Charge Code	270640912C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.75X15 100953915

Facility

$16,294.37

Hospital Charge Code	270640912C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X18M 10095401

Facility

$16,294.37

Hospital Charge Code	270640913C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X18M 10095401

Facility

$16,294.37

Hospital Charge Code	270640913C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.75X23 100954023

Facility

$16,294.37

Hospital Charge Code	270640914C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.75X23 100954023

Facility

$16,294.37

Hospital Charge Code	270640914C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X28 100954028

Facility

$16,294.37

Hospital Charge Code	270640915C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 2.75X28 100954028

Facility

$16,294.37

Hospital Charge Code	270640915C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X8 100954008

Facility

$16,294.37

Hospital Charge Code	270640910C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 2.75X8 100954008

Facility

$16,294.37

Hospital Charge Code	270640910C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 3.0X12 100954112

Facility

$16,294.37

Hospital Charge Code	270640917C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 3.0X12 100954112

Facility

$16,294.37

Hospital Charge Code	270640917C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 3.0X15 100954115

Facility

$16,294.37

Hospital Charge Code	270640918C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 3.0X15 100954115

Facility

$16,294.37

Hospital Charge Code	270640918C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 3.0X18M 100954118

Facility

$16,294.37

Hospital Charge Code	270640919C
Hospital Revenue Code	278
Min. Negotiated Rate	$392.69
Max. Negotiated Rate	$8,147.19
Rate for Payer: Aetna Commercial	$6,191.86
Rate for Payer: Aetna Medicare Advantage	$4,888.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,155.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,155.06
Rate for Payer: Cigna Commercial	$8,147.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16
Rate for Payer: UnitedHealthcare Community & State	$392.69
Rate for Payer: Wellpoint Medicaid Managed Care	$431.80

STENT XIENCE 3.0X18M 100954118

Facility

$16,294.37

Hospital Charge Code	270640919C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

STENT XIENCE 3.0X23 100954123

Facility

$16,294.37

Hospital Charge Code	270640920C
Hospital Revenue Code	278
Min. Negotiated Rate	$2,444.16
Max. Negotiated Rate	$3,943.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,258.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,943.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,584.76
Rate for Payer: Qualcare PPO/HMO/WC	$2,444.16

Know your out-of-pocket cost for care.

All Charges