Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT DR JAC CHK 1.1mm 603574

Facility

$60.00

Hospital Charge Code	270603574
Hospital Revenue Code	279
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BIT DR JAC CHK 1.1mm 604125

Facility

$60.00

Hospital Charge Code	270604125
Hospital Revenue Code	279
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BIT DR JAC CHK 1.1mm 604125

Facility

$60.00

Hospital Charge Code	270604125
Hospital Revenue Code	279
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BIT DR JAC CHK 1.5mm 603577

Facility

$57.50

Hospital Charge Code	270603577
Hospital Revenue Code	279
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

BIT DR JAC CHK 1.5mm 603577

Facility

$57.50

Hospital Charge Code	270603577
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 1.5mm 604127

Facility

$57.50

Hospital Charge Code	270604127
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 1.5mm 604127

Facility

$57.50

Hospital Charge Code	270604127
Hospital Revenue Code	279
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270604128
Hospital Revenue Code	279
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$23.94
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.90
Rate for Payer: Oxford Commercial	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$12.60
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270604128
Hospital Revenue Code	279
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270603579
Hospital Revenue Code	279
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$23.94
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.90
Rate for Payer: Oxford Commercial	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$12.60
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

BIT DR JAC CHK 1.5mm LG

Facility

$63.00

Hospital Charge Code	270603579
Hospital Revenue Code	279
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

BIT DR JAC CHK 2.0mm 603578

Facility

$53.50

Hospital Charge Code	270603578
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.0mm 603578

Facility

$53.50

Hospital Charge Code	270603578
Hospital Revenue Code	279
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$20.33
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$10.70
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

BIT DR JAC CHK 2.0mm 604129

Facility

$53.50

Hospital Charge Code	270604129
Hospital Revenue Code	279
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$20.33
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$10.70
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

BIT DR JAC CHK 2.0mm 604129

Facility

$53.50

Hospital Charge Code	270604129
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.0mm L

Facility

$57.50

Hospital Charge Code	270603580
Hospital Revenue Code	279
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

BIT DR JAC CHK 2.0mm L

Facility

$57.50

Hospital Charge Code	270603580
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.0mm LG

Facility

$57.50

Hospital Charge Code	27060449
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.0mm LG

Facility

$57.50

Hospital Charge Code	27060449
Hospital Revenue Code	279
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

BIT DR JAC CHK 2.7mm 603582

Facility

$53.50

Hospital Charge Code	270603682
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.7mm 603582

Facility

$53.50

Hospital Charge Code	270603682
Hospital Revenue Code	279
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$20.33
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$10.70
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

BIT DR JAC CHK 2.7mm 604132

Facility

$53.50

Hospital Charge Code	270604132
Hospital Revenue Code	279
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.75
Rate for Payer: Aetna Commercial	$20.33
Rate for Payer: Aetna Medicare Advantage	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.64
Rate for Payer: Cigna Commercial	$26.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.05
Rate for Payer: Oxford Commercial	$10.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.03
Rate for Payer: UnitedHealthcare Commercial	$10.70
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

BIT DR JAC CHK 2.7mm 604132

Facility

$53.50

Hospital Charge Code	270604132
Hospital Revenue Code	279
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$8.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.03

BIT DR JAC CHK 2.7mm L 603583

Facility

$57.50

Hospital Charge Code	270603583
Hospital Revenue Code	279
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

BIT DR JAC CHK 2.7mm L 603583

Facility

$57.50

Hospital Charge Code	270603583
Hospital Revenue Code	279
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.25
Rate for Payer: Oxford Commercial	$11.50
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.50
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

Know your out-of-pocket cost for care.

All Charges