Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TARGET 360 SOFT 8MM X 20CM

Facility

$10,426.25

Hospital Charge Code	270689868
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 8MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689869
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 8MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689869
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 9MM X 20CM

Facility

$10,426.25

Hospital Charge Code	270689870
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 9MM X 20CM

Facility

$10,426.25

Hospital Charge Code	270689870
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 9MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689871
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 9MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689871S
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 9MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689871S
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 9MM X 30CM

Facility

$10,426.25

Hospital Charge Code	270689871
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 ULTRA 1.5 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689874
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 ULTRA 1.5 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689874
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 ULTRA 1.5 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689874S
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 ULTRA 1.5 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689874S
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 ULTRA 1.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689875
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 ULTRA 1.5 MM X 4 CM

Facility

$10,426.25

Hospital Charge Code	270689875
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 ULTRA 1 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689872
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 ULTRA 1 MM X 2 CM

Facility

$10,426.25

Hospital Charge Code	270689872
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 ULTRA 1 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689873S
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 ULTRA 1 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689873
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 ULTRA 1 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689873
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 ULTRA 1 MM X 3 CM

Facility

$10,426.25

Hospital Charge Code	270689873S
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 ULTRA 2.5MM X 4CM

Facility

$10,426.25

Service Code	HCPCS C1889
Hospital Charge Code	270689878S
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 ULTRA 2.5MM X 4CM

Facility

$10,426.25

Service Code	HCPCS C1889
Hospital Charge Code	270689878S
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 ULTRA 2.5MM X 4CM

Facility

$10,426.25

Service Code	HCPCS C1889
Hospital Charge Code	270689878
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 ULTRA 2.5MM X 4CM

Facility

$10,426.25

Service Code	HCPCS C1889
Hospital Charge Code	270689878
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