Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SURFACE ZIM ART C B12 59725012

Facility

$3,749.85

Hospital Charge Code	270608718
Hospital Revenue Code	278
Min. Negotiated Rate	$90.37
Max. Negotiated Rate	$1,874.92
Rate for Payer: Aetna Commercial	$1,424.94
Rate for Payer: Aetna Medicare Advantage	$1,124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.21
Rate for Payer: Cigna Commercial	$1,874.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$824.97
Rate for Payer: Qualcare PPO/HMO/WC	$562.48
Rate for Payer: UnitedHealthcare Community & State	$90.37
Rate for Payer: Wellpoint Medicaid Managed Care	$99.37

SURFACE ZIM ART C B12 59725012

Facility

$3,749.85

Hospital Charge Code	270608718
Hospital Revenue Code	278
Min. Negotiated Rate	$562.48
Max. Negotiated Rate	$907.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$907.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$824.97
Rate for Payer: Qualcare PPO/HMO/WC	$562.48

SURFACE ZIM ART C G10 59724010

Facility

$3,900.00

Hospital Charge Code	270608588
Hospital Revenue Code	278
Min. Negotiated Rate	$585.00
Max. Negotiated Rate	$943.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$858.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00

SURFACE ZIM ART C G10 59724010

Facility

$3,900.00

Hospital Charge Code	270608588
Hospital Revenue Code	278
Min. Negotiated Rate	$93.99
Max. Negotiated Rate	$1,950.00
Rate for Payer: Aetna Commercial	$1,482.00
Rate for Payer: Aetna Medicare Advantage	$1,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.50
Rate for Payer: Cigna Commercial	$1,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$858.00
Rate for Payer: Qualcare PPO/HMO/WC	$585.00
Rate for Payer: UnitedHealthcare Community & State	$93.99
Rate for Payer: Wellpoint Medicaid Managed Care	$103.35

SURFACE ZIM ART C G12 59724012

Facility

$2,766.45

Hospital Charge Code	270607282
Hospital Revenue Code	270
Min. Negotiated Rate	$414.97
Max. Negotiated Rate	$414.97
Rate for Payer: Qualcare PPO/HMO/WC	$414.97

SURFACE ZIM ART C G12 59724012

Facility

$2,766.45

Hospital Charge Code	270607282
Hospital Revenue Code	270
Min. Negotiated Rate	$66.67
Max. Negotiated Rate	$1,383.22
Rate for Payer: Aetna Commercial	$1,051.25
Rate for Payer: Aetna Medicare Advantage	$829.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$705.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$705.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$705.44
Rate for Payer: Cigna Commercial	$1,383.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$829.93
Rate for Payer: Oxford Commercial	$553.29
Rate for Payer: Qualcare PPO/HMO/WC	$414.97
Rate for Payer: UnitedHealthcare Commercial	$553.29
Rate for Payer: UnitedHealthcare Community & State	$66.67
Rate for Payer: Wellpoint Medicaid Managed Care	$73.31

SURFACE ZIM ART C G14 59724014

Facility

$4,965.65

Hospital Charge Code	270613946
Hospital Revenue Code	278
Min. Negotiated Rate	$744.85
Max. Negotiated Rate	$1,201.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$993.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,201.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,092.44
Rate for Payer: Qualcare PPO/HMO/WC	$744.85

SURFACE ZIM ART C G14 59724014

Facility

$4,965.65

Hospital Charge Code	270613946
Hospital Revenue Code	278
Min. Negotiated Rate	$119.67
Max. Negotiated Rate	$2,482.82
Rate for Payer: Aetna Commercial	$1,886.95
Rate for Payer: Aetna Medicare Advantage	$1,489.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$993.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,266.24
Rate for Payer: Cigna Commercial	$2,482.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,201.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,092.44
Rate for Payer: Qualcare PPO/HMO/WC	$744.85
Rate for Payer: UnitedHealthcare Community & State	$119.67
Rate for Payer: Wellpoint Medicaid Managed Care	$131.59

SURFACE ZIM ART C P10 59722110

Facility

$4,965.65

Hospital Charge Code	270616330
Hospital Revenue Code	270
Min. Negotiated Rate	$119.67
Max. Negotiated Rate	$2,482.82
Rate for Payer: Aetna Commercial	$1,886.95
Rate for Payer: Aetna Medicare Advantage	$1,489.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,266.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,266.24
Rate for Payer: Cigna Commercial	$2,482.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.69
Rate for Payer: Oxford Commercial	$993.13
Rate for Payer: Qualcare PPO/HMO/WC	$744.85
Rate for Payer: UnitedHealthcare Commercial	$993.13
Rate for Payer: UnitedHealthcare Community & State	$119.67
Rate for Payer: Wellpoint Medicaid Managed Care	$131.59

SURFACE ZIM ART C P10 59722110

Facility

$4,965.65

Hospital Charge Code	270616330
Hospital Revenue Code	270
Min. Negotiated Rate	$744.85
Max. Negotiated Rate	$744.85
Rate for Payer: Qualcare PPO/HMO/WC	$744.85

SURFACE ZIM ART C Y10 59723010

Facility

$4,088.45

Hospital Charge Code	270607686
Hospital Revenue Code	278
Min. Negotiated Rate	$98.53
Max. Negotiated Rate	$2,044.22
Rate for Payer: Aetna Commercial	$1,553.61
Rate for Payer: Aetna Medicare Advantage	$1,226.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,042.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,042.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$817.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,042.55
Rate for Payer: Cigna Commercial	$2,044.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$989.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$899.46
Rate for Payer: Qualcare PPO/HMO/WC	$613.27
Rate for Payer: UnitedHealthcare Community & State	$98.53
Rate for Payer: Wellpoint Medicaid Managed Care	$108.34

SURFACE ZIM ART C Y10 59723010

Facility

$4,088.45

Hospital Charge Code	270607686
Hospital Revenue Code	278
Min. Negotiated Rate	$613.27
Max. Negotiated Rate	$989.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$817.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$989.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$899.46
Rate for Payer: Qualcare PPO/HMO/WC	$613.27

SURFACE ZIM ART C Y14 59723014

Facility

$3,899.75

Hospital Charge Code	270608586
Hospital Revenue Code	278
Min. Negotiated Rate	$93.98
Max. Negotiated Rate	$1,949.88
Rate for Payer: Aetna Commercial	$1,481.90
Rate for Payer: Aetna Medicare Advantage	$1,169.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$994.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$779.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$994.44
Rate for Payer: Cigna Commercial	$1,949.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$857.95
Rate for Payer: Qualcare PPO/HMO/WC	$584.96
Rate for Payer: UnitedHealthcare Community & State	$93.98
Rate for Payer: Wellpoint Medicaid Managed Care	$103.34

SURFACE ZIM ART C Y14 59723014

Facility

$3,899.75

Hospital Charge Code	270608586
Hospital Revenue Code	278
Min. Negotiated Rate	$584.96
Max. Negotiated Rate	$943.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$779.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$943.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$857.95
Rate for Payer: Qualcare PPO/HMO/WC	$584.96

SURFACE ZIM ART G14 59944014

Facility

$3,951.25

Hospital Charge Code	270625219
Hospital Revenue Code	272
Min. Negotiated Rate	$95.23
Max. Negotiated Rate	$1,975.62
Rate for Payer: Aetna Commercial	$1,501.47
Rate for Payer: Aetna Medicare Advantage	$1,185.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,007.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,007.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,007.57
Rate for Payer: Cigna Commercial	$1,975.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,185.38
Rate for Payer: Oxford Commercial	$790.25
Rate for Payer: Qualcare PPO/HMO/WC	$592.69
Rate for Payer: UnitedHealthcare Commercial	$790.25
Rate for Payer: UnitedHealthcare Community & State	$95.23
Rate for Payer: Wellpoint Medicaid Managed Care	$104.71

SURFACE ZIM ART G14 59944014

Facility

$3,951.25

Hospital Charge Code	270625219
Hospital Revenue Code	272
Min. Negotiated Rate	$592.69
Max. Negotiated Rate	$592.69
Rate for Payer: Qualcare PPO/HMO/WC	$592.69

SURFACE ZIM ART L B10 59965010

Facility

$3,255.25

Hospital Charge Code	270619815
Hospital Revenue Code	270
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$1,627.62
Rate for Payer: Aetna Commercial	$1,236.99
Rate for Payer: Aetna Medicare Advantage	$976.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$830.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$830.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$830.09
Rate for Payer: Cigna Commercial	$1,627.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$976.58
Rate for Payer: Oxford Commercial	$651.05
Rate for Payer: Qualcare PPO/HMO/WC	$488.29
Rate for Payer: UnitedHealthcare Commercial	$651.05
Rate for Payer: UnitedHealthcare Community & State	$78.45
Rate for Payer: Wellpoint Medicaid Managed Care	$86.26

SURFACE ZIM ART L B10 59965010

Facility

$3,255.25

Hospital Charge Code	270619815
Hospital Revenue Code	270
Min. Negotiated Rate	$488.29
Max. Negotiated Rate	$488.29
Rate for Payer: Qualcare PPO/HMO/WC	$488.29

SURFACE ZIM ART L G14 55964014

Facility

$3,642.45

Hospital Charge Code	270626601
Hospital Revenue Code	272
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$1,821.22
Rate for Payer: Aetna Commercial	$1,384.13
Rate for Payer: Aetna Medicare Advantage	$1,092.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.82
Rate for Payer: Cigna Commercial	$1,821.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,092.73
Rate for Payer: Oxford Commercial	$728.49
Rate for Payer: Qualcare PPO/HMO/WC	$546.37
Rate for Payer: UnitedHealthcare Commercial	$728.49
Rate for Payer: UnitedHealthcare Community & State	$87.78
Rate for Payer: Wellpoint Medicaid Managed Care	$96.52

SURFACE ZIM ART L G14 55964014

Facility

$3,642.45

Hospital Charge Code	270626601
Hospital Revenue Code	272
Min. Negotiated Rate	$546.37
Max. Negotiated Rate	$546.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.37

SURFACE ZIM ART L Y10 59963010

Facility

$4,672.50

Hospital Charge Code	270623542
Hospital Revenue Code	272
Min. Negotiated Rate	$700.88
Max. Negotiated Rate	$700.88
Rate for Payer: Qualcare PPO/HMO/WC	$700.88

SURFACE ZIM ART L Y10 59963010

Facility

$4,672.50

Hospital Charge Code	270623542
Hospital Revenue Code	272
Min. Negotiated Rate	$112.61
Max. Negotiated Rate	$2,336.25
Rate for Payer: Aetna Commercial	$1,775.55
Rate for Payer: Aetna Medicare Advantage	$1,401.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,191.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,191.49
Rate for Payer: Cigna Commercial	$2,336.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,401.75
Rate for Payer: Oxford Commercial	$934.50
Rate for Payer: Qualcare PPO/HMO/WC	$700.88
Rate for Payer: UnitedHealthcare Commercial	$934.50
Rate for Payer: UnitedHealthcare Community & State	$112.61
Rate for Payer: Wellpoint Medicaid Managed Care	$123.82

SURFACE ZIM ART P G14 59824014

Facility

$2,956.00

Hospital Charge Code	270608661
Hospital Revenue Code	278
Min. Negotiated Rate	$71.24
Max. Negotiated Rate	$1,478.00
Rate for Payer: Aetna Commercial	$1,123.28
Rate for Payer: Aetna Medicare Advantage	$886.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.78
Rate for Payer: Cigna Commercial	$1,478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$650.32
Rate for Payer: Qualcare PPO/HMO/WC	$443.40
Rate for Payer: UnitedHealthcare Community & State	$71.24
Rate for Payer: Wellpoint Medicaid Managed Care	$78.33

SURFACE ZIM ART P G14 59824014

Facility

$2,956.00

Hospital Charge Code	270608661
Hospital Revenue Code	278
Min. Negotiated Rate	$443.40
Max. Negotiated Rate	$715.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$650.32
Rate for Payer: Qualcare PPO/HMO/WC	$443.40

SURFACE ZIM ART P Y10 59823010

Facility

$2,956.00

Hospital Charge Code	270611704
Hospital Revenue Code	278
Min. Negotiated Rate	$71.24
Max. Negotiated Rate	$1,478.00
Rate for Payer: Aetna Commercial	$1,123.28
Rate for Payer: Aetna Medicare Advantage	$886.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$591.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.78
Rate for Payer: Cigna Commercial	$1,478.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$650.32
Rate for Payer: Qualcare PPO/HMO/WC	$443.40
Rate for Payer: UnitedHealthcare Community & State	$71.24
Rate for Payer: Wellpoint Medicaid Managed Care	$78.33

Know your out-of-pocket cost for care.

All Charges