Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIRE ZIM K .079 186-27-20

Facility

$1,380.00

Hospital Charge Code	270601980
Hospital Revenue Code	272
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.00
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$276.00
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$36.57

WIRE ZIM K .079 186-27-20

Facility

$1,380.00

Hospital Charge Code	270601980
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

WIRE ZIM K 1.0 152 186-074

Facility

$24.00

Hospital Charge Code	270610156
Hospital Revenue Code	278
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$12.00
Rate for Payer: Aetna Commercial	$9.12
Rate for Payer: Aetna Medicare Advantage	$7.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.12
Rate for Payer: Cigna Commercial	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

WIRE ZIM K 1.0 152 186-074

Facility

$24.00

Hospital Charge Code	270610156
Hospital Revenue Code	278
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.60

WIRE ZIM K 1 1.1MM 47-186-60

Facility

$61.92

Service Code	HCPCS C1769
Hospital Charge Code	270610637
Hospital Revenue Code	278
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$30.96
Rate for Payer: Aetna Commercial	$23.53
Rate for Payer: Aetna Medicare Advantage	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.79
Rate for Payer: Cigna Commercial	$30.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.29
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

WIRE ZIM K 1 1.1MM 47-186-60

Facility

$61.92

Service Code	HCPCS C1769
Hospital Charge Code	270610637
Hospital Revenue Code	278
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$14.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.62
Rate for Payer: Qualcare PPO/HMO/WC	$9.29

WIRE ZIM K 1 1.6MM 47-186-76

Facility

$447.25

Service Code	HCPCS C1769
Hospital Charge Code	270610638
Hospital Revenue Code	278
Min. Negotiated Rate	$10.78
Max. Negotiated Rate	$223.62
Rate for Payer: Aetna Commercial	$169.96
Rate for Payer: Aetna Medicare Advantage	$134.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.05
Rate for Payer: Cigna Commercial	$223.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.39
Rate for Payer: Qualcare PPO/HMO/WC	$67.09
Rate for Payer: UnitedHealthcare Community & State	$10.78
Rate for Payer: Wellpoint Medicaid Managed Care	$11.85

WIRE ZIM K 1 1.6MM 47-186-76

Facility

$447.25

Service Code	HCPCS C1769
Hospital Charge Code	270610638
Hospital Revenue Code	278
Min. Negotiated Rate	$67.09
Max. Negotiated Rate	$108.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.39
Rate for Payer: Qualcare PPO/HMO/WC	$67.09

WIRE ZIM K 1.1MM 186-27-16

Facility

$24.85

Service Code	HCPCS C1769
Hospital Charge Code	270610289
Hospital Revenue Code	278
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.43
Rate for Payer: Aetna Commercial	$9.44
Rate for Payer: Aetna Medicare Advantage	$7.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.34
Rate for Payer: Cigna Commercial	$12.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.47
Rate for Payer: Qualcare PPO/HMO/WC	$3.73
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

WIRE ZIM K 1.1MM 186-27-16

Facility

$24.85

Service Code	HCPCS C1769
Hospital Charge Code	270610289
Hospital Revenue Code	278
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.47
Rate for Payer: Qualcare PPO/HMO/WC	$3.73

WIRE ZIM K 1.25 152 186-27-12

Facility

$22.45

Hospital Charge Code	270610157
Hospital Revenue Code	278
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

WIRE ZIM K 1.25 152 186-27-12

Facility

$22.45

Hospital Charge Code	270610157
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

WIRE ZIM K 7 76 186-04-53

Facility

$22.45

Hospital Charge Code	270610154
Hospital Revenue Code	278
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.37

WIRE ZIM K 7 76 186-04-53

Facility

$22.45

Hospital Charge Code	270610154
Hospital Revenue Code	278
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.22
Rate for Payer: Aetna Commercial	$8.53
Rate for Payer: Aetna Medicare Advantage	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.72
Rate for Payer: Cigna Commercial	$11.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

WIRE ZIM K DBL .028 186-04-15

Facility

$47.25

Hospital Charge Code	270601982
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

WIRE ZIM K DBL .028 186-04-15

Facility

$47.25

Hospital Charge Code	270601982
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.62
Rate for Payer: Aetna Commercial	$17.95
Rate for Payer: Aetna Medicare Advantage	$14.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.05
Rate for Payer: Cigna Commercial	$23.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.18
Rate for Payer: Oxford Commercial	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.09
Rate for Payer: UnitedHealthcare Commercial	$9.45
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

WIRE ZIM K DBL .035 186-01-79

Facility

$43.25

Hospital Charge Code	270601981
Hospital Revenue Code	272
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$6.49
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

WIRE ZIM K DBL .035 186-01-79

Facility

$43.25

Hospital Charge Code	270601981
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.97
Rate for Payer: Oxford Commercial	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Commercial	$8.65
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

WIRE ZIM K DBL .045 186-02-79

Facility

$46.45

Hospital Charge Code	270606052
Hospital Revenue Code	272
Min. Negotiated Rate	$1.12
Max. Negotiated Rate	$23.23
Rate for Payer: Aetna Commercial	$17.65
Rate for Payer: Aetna Medicare Advantage	$13.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.84
Rate for Payer: Cigna Commercial	$23.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.94
Rate for Payer: Oxford Commercial	$9.29
Rate for Payer: Qualcare PPO/HMO/WC	$6.97
Rate for Payer: UnitedHealthcare Commercial	$9.29
Rate for Payer: UnitedHealthcare Community & State	$1.12
Rate for Payer: Wellpoint Medicaid Managed Care	$1.23

WIRE ZIM K DBL .045 186-02-79

Facility

$46.45

Hospital Charge Code	270606052
Hospital Revenue Code	272
Min. Negotiated Rate	$6.97
Max. Negotiated Rate	$6.97
Rate for Payer: Qualcare PPO/HMO/WC	$6.97

WIRE ZIM K DBL .062 186-03-79

Facility

$43.25

Hospital Charge Code	270601918
Hospital Revenue Code	278
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

WIRE ZIM K DBL .062 186-03-79

Facility

$43.25

Hospital Charge Code	270601918
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

WIRE ZIM K PT 2.5 1142-01-25

Facility

$72.52

Service Code	HCPCS C1769
Hospital Charge Code	270617347
Hospital Revenue Code	278
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$17.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

WIRE ZIM K PT 2.5 1142-01-25

Facility

$72.52

Service Code	HCPCS C1769
Hospital Charge Code	270617347
Hospital Revenue Code	278
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.26
Rate for Payer: Aetna Commercial	$27.56
Rate for Payer: Aetna Medicare Advantage	$21.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.95
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

WIRE ZIM K STYLE 1 .7MM

Facility

$372.00

Hospital Charge Code	270610634
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

Know your out-of-pocket cost for care.

All Charges