Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT SDK DR ADJUSTABLE 876455

Facility

$1,364.85

Hospital Charge Code	270618016
Hospital Revenue Code	272
Min. Negotiated Rate	$204.73
Max. Negotiated Rate	$204.73
Rate for Payer: Qualcare PPO/HMO/WC	$204.73

BIT SDK DR TRIFLAT 13MM 876443

Facility

$1,280.85

Hospital Charge Code	270614732
Hospital Revenue Code	272
Min. Negotiated Rate	$192.13
Max. Negotiated Rate	$192.13
Rate for Payer: Qualcare PPO/HMO/WC	$192.13

BIT SDK DR TRIFLAT 13MM 876443

Facility

$1,280.85

Hospital Charge Code	270614732
Hospital Revenue Code	272
Min. Negotiated Rate	$30.87
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$486.72
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.25
Rate for Payer: Oxford Commercial	$256.17
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$256.17
Rate for Payer: UnitedHealthcare Community & State	$30.87
Rate for Payer: Wellpoint Medicaid Managed Care	$33.94

BIT SYN DR 1.1MM 317.16

Facility

$629.65

Hospital Charge Code	270619573
Hospital Revenue Code	272
Min. Negotiated Rate	$15.17
Max. Negotiated Rate	$314.82
Rate for Payer: Aetna Commercial	$239.27
Rate for Payer: Aetna Medicare Advantage	$188.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.56
Rate for Payer: Cigna Commercial	$314.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.90
Rate for Payer: Oxford Commercial	$125.93
Rate for Payer: Qualcare PPO/HMO/WC	$94.45
Rate for Payer: UnitedHealthcare Commercial	$125.93
Rate for Payer: UnitedHealthcare Community & State	$15.17
Rate for Payer: Wellpoint Medicaid Managed Care	$16.69

BIT SYN DR 1.1MM 317.16

Facility

$629.65

Hospital Charge Code	270619573
Hospital Revenue Code	272
Min. Negotiated Rate	$94.45
Max. Negotiated Rate	$94.45
Rate for Payer: Qualcare PPO/HMO/WC	$94.45

BIT SYN DR 1 X 4 316.446

Facility

$634.45

Hospital Charge Code	270617343
Hospital Revenue Code	272
Min. Negotiated Rate	$15.29
Max. Negotiated Rate	$317.23
Rate for Payer: Aetna Commercial	$241.09
Rate for Payer: Aetna Medicare Advantage	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.78
Rate for Payer: Cigna Commercial	$317.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.34
Rate for Payer: Oxford Commercial	$126.89
Rate for Payer: Qualcare PPO/HMO/WC	$95.17
Rate for Payer: UnitedHealthcare Commercial	$126.89
Rate for Payer: UnitedHealthcare Community & State	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$16.81

BIT SYN DR 1 X 4 316.446

Facility

$634.45

Hospital Charge Code	270617343
Hospital Revenue Code	272
Min. Negotiated Rate	$95.17
Max. Negotiated Rate	$95.17
Rate for Payer: Qualcare PPO/HMO/WC	$95.17

BIT SYN DR 1 X 8 316.448

Facility

$634.45

Hospital Charge Code	270620361
Hospital Revenue Code	272
Min. Negotiated Rate	$95.17
Max. Negotiated Rate	$95.17
Rate for Payer: Qualcare PPO/HMO/WC	$95.17

BIT SYN DR 1 X 8 316.448

Facility

$634.45

Hospital Charge Code	270620361
Hospital Revenue Code	272
Min. Negotiated Rate	$15.29
Max. Negotiated Rate	$317.23
Rate for Payer: Aetna Commercial	$241.09
Rate for Payer: Aetna Medicare Advantage	$190.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.78
Rate for Payer: Cigna Commercial	$317.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.34
Rate for Payer: Oxford Commercial	$126.89
Rate for Payer: Qualcare PPO/HMO/WC	$95.17
Rate for Payer: UnitedHealthcare Commercial	$126.89
Rate for Payer: UnitedHealthcare Community & State	$15.29
Rate for Payer: Wellpoint Medicaid Managed Care	$16.81

BIT SYN DR 2.5MM 310.25*******

Facility

$130.00

Hospital Charge Code	1605476
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

BIT SYN DR 2.5MM 310.25*******

Facility

$130.00

Hospital Charge Code	1605476
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

BIT SYN DR 3.2MM 356.97

Facility

$724.00

Hospital Charge Code	270612763
Hospital Revenue Code	272
Min. Negotiated Rate	$17.45
Max. Negotiated Rate	$362.00
Rate for Payer: Aetna Commercial	$275.12
Rate for Payer: Aetna Medicare Advantage	$217.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.62
Rate for Payer: Cigna Commercial	$362.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.20
Rate for Payer: Oxford Commercial	$144.80
Rate for Payer: Qualcare PPO/HMO/WC	$108.60
Rate for Payer: UnitedHealthcare Commercial	$144.80
Rate for Payer: UnitedHealthcare Community & State	$17.45
Rate for Payer: Wellpoint Medicaid Managed Care	$19.19

BIT SYN DR 3.2MM 356.97

Facility

$724.00

Hospital Charge Code	270612763
Hospital Revenue Code	272
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$108.60
Rate for Payer: Qualcare PPO/HMO/WC	$108.60

BIT SYN DR 3.5MM 310.35

Facility

$160.85

Hospital Charge Code	270603571
Hospital Revenue Code	272
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$80.42
Rate for Payer: Aetna Commercial	$61.12
Rate for Payer: Aetna Medicare Advantage	$48.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.02
Rate for Payer: Cigna Commercial	$80.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.26
Rate for Payer: Oxford Commercial	$32.17
Rate for Payer: Qualcare PPO/HMO/WC	$24.13
Rate for Payer: UnitedHealthcare Commercial	$32.17
Rate for Payer: UnitedHealthcare Community & State	$3.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

BIT SYN DR 3.5MM 310.35

Facility

$160.85

Hospital Charge Code	270603571
Hospital Revenue Code	272
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

BIT SYN DR 3.5MM 310.35*****

Facility

$130.00

Hospital Charge Code	1605468
Hospital Revenue Code	272
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

BIT SYN DR 3.5MM 310.35*****

Facility

$130.00

Hospital Charge Code	1605468
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

BIT SYN DR 3 FLUT 2.0MM 315.19

Facility

$312.85

Hospital Charge Code	270604144
Hospital Revenue Code	272
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$46.93
Rate for Payer: Qualcare PPO/HMO/WC	$46.93

BIT SYN DR 3 FLUT 2.0MM 315.19

Facility

$312.85

Hospital Charge Code	270604144
Hospital Revenue Code	272
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$156.43
Rate for Payer: Aetna Commercial	$118.88
Rate for Payer: Aetna Medicare Advantage	$93.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.78
Rate for Payer: Cigna Commercial	$156.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.86
Rate for Payer: Oxford Commercial	$62.57
Rate for Payer: Qualcare PPO/HMO/WC	$46.93
Rate for Payer: UnitedHealthcare Commercial	$62.57
Rate for Payer: UnitedHealthcare Community & State	$7.54
Rate for Payer: Wellpoint Medicaid Managed Care	$8.29

BIT SYN DR 3 FLUT 2.5MM 315.25

Facility

$312.85

Hospital Charge Code	270604146
Hospital Revenue Code	272
Min. Negotiated Rate	$7.54
Max. Negotiated Rate	$156.43
Rate for Payer: Aetna Commercial	$118.88
Rate for Payer: Aetna Medicare Advantage	$93.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.78
Rate for Payer: Cigna Commercial	$156.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.86
Rate for Payer: Oxford Commercial	$62.57
Rate for Payer: Qualcare PPO/HMO/WC	$46.93
Rate for Payer: UnitedHealthcare Commercial	$62.57
Rate for Payer: UnitedHealthcare Community & State	$7.54
Rate for Payer: Wellpoint Medicaid Managed Care	$8.29

BIT SYN DR 3 FLUT 2.5MM 315.25

Facility

$312.85

Hospital Charge Code	270604146
Hospital Revenue Code	272
Min. Negotiated Rate	$46.93
Max. Negotiated Rate	$46.93
Rate for Payer: Qualcare PPO/HMO/WC	$46.93

BIT SYN DR 3 FLUT 3.2MM 315.31

Facility

$340.85

Hospital Charge Code	270603601
Hospital Revenue Code	272
Min. Negotiated Rate	$51.13
Max. Negotiated Rate	$51.13
Rate for Payer: Qualcare PPO/HMO/WC	$51.13

BIT SYN DR 3 FLUT 3.2MM 315.31

Facility

$340.85

Hospital Charge Code	270603601
Hospital Revenue Code	272
Min. Negotiated Rate	$8.21
Max. Negotiated Rate	$170.43
Rate for Payer: Aetna Commercial	$129.52
Rate for Payer: Aetna Medicare Advantage	$102.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.92
Rate for Payer: Cigna Commercial	$170.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.25
Rate for Payer: Oxford Commercial	$68.17
Rate for Payer: Qualcare PPO/HMO/WC	$51.13
Rate for Payer: UnitedHealthcare Commercial	$68.17
Rate for Payer: UnitedHealthcare Community & State	$8.21
Rate for Payer: Wellpoint Medicaid Managed Care	$9.03

BIT SYN DR 4.0MM 317.14

Facility

$668.00

Hospital Charge Code	270621202
Hospital Revenue Code	272
Min. Negotiated Rate	$100.20
Max. Negotiated Rate	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

BIT SYN DR 4.0MM 317.14

Facility

$668.00

Hospital Charge Code	270621202
Hospital Revenue Code	272
Min. Negotiated Rate	$16.10
Max. Negotiated Rate	$334.00
Rate for Payer: Aetna Commercial	$253.84
Rate for Payer: Aetna Medicare Advantage	$200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.34
Rate for Payer: Cigna Commercial	$334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.40
Rate for Payer: Oxford Commercial	$133.60
Rate for Payer: Qualcare PPO/HMO/WC	$100.20
Rate for Payer: UnitedHealthcare Commercial	$133.60
Rate for Payer: UnitedHealthcare Community & State	$16.10
Rate for Payer: Wellpoint Medicaid Managed Care	$17.70

Know your out-of-pocket cost for care.

All Charges