Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TAP ZIM QC 4.5MM 234647

Facility

$315.25

Hospital Charge Code	270610455
Hospital Revenue Code	278
Min. Negotiated Rate	$7.60
Max. Negotiated Rate	$157.62
Rate for Payer: Aetna Commercial	$119.80
Rate for Payer: Aetna Medicare Advantage	$94.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.39
Rate for Payer: Cigna Commercial	$157.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29
Rate for Payer: UnitedHealthcare Community & State	$7.60
Rate for Payer: Wellpoint Medicaid Managed Care	$8.35

TAP ZIM QC 4.5MM 234647

Facility

$315.25

Hospital Charge Code	270610455
Hospital Revenue Code	278
Min. Negotiated Rate	$47.29
Max. Negotiated Rate	$76.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.36
Rate for Payer: Qualcare PPO/HMO/WC	$47.29

TAP ZIM QC 4.5MM SHORT 234646

Facility

$84.00

Hospital Charge Code	270610454
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

TAP ZIM QC 4.5MM SHORT 234646

Facility

$84.00

Hospital Charge Code	270610454
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

TARGET 360 NANO 1.5 MM X 3 CM

Facility

$10,516.00

Service Code	HCPCS C1889
Hospital Charge Code	270697788S
Hospital Revenue Code	278
Min. Negotiated Rate	$253.44
Max. Negotiated Rate	$5,258.00
Rate for Payer: Aetna Commercial	$3,996.08
Rate for Payer: Aetna Medicare Advantage	$3,154.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,681.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,681.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,103.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,681.58
Rate for Payer: Cigna Commercial	$5,258.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,577.40
Rate for Payer: UnitedHealthcare Community & State	$253.44
Rate for Payer: Wellpoint Medicaid Managed Care	$278.67

TARGET 360 NANO 1.5 MM X 3 CM

Facility

$10,516.00

Service Code	HCPCS C1889
Hospital Charge Code	270697788S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,577.40
Max. Negotiated Rate	$2,544.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,103.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,544.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$1,577.40

TARGET 360 NANO 2.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689844
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689844
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689842S
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 2 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689843S
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 3.5 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689847
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3.5 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689847
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 3 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689845
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689845
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 NANO 3 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689846
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 NANO 3 MM X 6 CM

Facility

$10,426.25

Hospital Charge Code	270689846
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 SOFT 10MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689848
Hospital Revenue Code	278
Min. Negotiated Rate	$251.27
Max. Negotiated Rate	$5,213.12
Rate for Payer: Aetna Commercial	$3,961.97
Rate for Payer: Aetna Medicare Advantage	$3,127.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,658.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,658.69
Rate for Payer: Cigna Commercial	$5,213.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94
Rate for Payer: UnitedHealthcare Community & State	$251.27
Rate for Payer: Wellpoint Medicaid Managed Care	$276.30

TARGET 360 SOFT 10MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689848
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

TARGET 360 SOFT 12MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689849
Hospital Revenue Code	278
Min. Negotiated Rate	$1,563.94
Max. Negotiated Rate	$2,523.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,085.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,523.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,293.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,563.94

Know your out-of-pocket cost for care.

All Charges