Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT SYN DR 7.6MM 316.18

Facility

$755.25

Hospital Charge Code	270607188
Hospital Revenue Code	272
Min. Negotiated Rate	$18.20
Max. Negotiated Rate	$377.62
Rate for Payer: Aetna Commercial	$287.00
Rate for Payer: Aetna Medicare Advantage	$226.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.59
Rate for Payer: Cigna Commercial	$377.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.57
Rate for Payer: Oxford Commercial	$151.05
Rate for Payer: Qualcare PPO/HMO/WC	$113.29
Rate for Payer: UnitedHealthcare Commercial	$151.05
Rate for Payer: UnitedHealthcare Community & State	$18.20
Rate for Payer: Wellpoint Medicaid Managed Care	$20.01

BIT SYN DR 7.6MM 316.18

Facility

$755.25

Hospital Charge Code	270607188
Hospital Revenue Code	272
Min. Negotiated Rate	$113.29
Max. Negotiated Rate	$113.29
Rate for Payer: Qualcare PPO/HMO/WC	$113.29

BIT SYN DR CANN 13.0MM 351.27

Facility

$2,374.45

Hospital Charge Code	270611970
Hospital Revenue Code	272
Min. Negotiated Rate	$356.17
Max. Negotiated Rate	$356.17
Rate for Payer: Qualcare PPO/HMO/WC	$356.17

BIT SYN DR CANN 13.0MM 351.27

Facility

$2,374.45

Hospital Charge Code	270611970
Hospital Revenue Code	272
Min. Negotiated Rate	$57.22
Max. Negotiated Rate	$1,187.22
Rate for Payer: Aetna Commercial	$902.29
Rate for Payer: Aetna Medicare Advantage	$712.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.48
Rate for Payer: Cigna Commercial	$1,187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$712.34
Rate for Payer: Oxford Commercial	$474.89
Rate for Payer: Qualcare PPO/HMO/WC	$356.17
Rate for Payer: UnitedHealthcare Commercial	$474.89
Rate for Payer: UnitedHealthcare Community & State	$57.22
Rate for Payer: Wellpoint Medicaid Managed Care	$62.92

BIT SYN DR GLD 2.5MM LG 310.23

Facility

$402.45

Hospital Charge Code	270603566
Hospital Revenue Code	272
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$201.22
Rate for Payer: Aetna Commercial	$152.93
Rate for Payer: Aetna Medicare Advantage	$120.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.62
Rate for Payer: Cigna Commercial	$201.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.73
Rate for Payer: Oxford Commercial	$80.49
Rate for Payer: Qualcare PPO/HMO/WC	$60.37
Rate for Payer: UnitedHealthcare Commercial	$80.49
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: Wellpoint Medicaid Managed Care	$10.66

BIT SYN DR GLD 2.5MM LG 310.23

Facility

$402.45

Hospital Charge Code	270603566
Hospital Revenue Code	272
Min. Negotiated Rate	$60.37
Max. Negotiated Rate	$60.37
Rate for Payer: Qualcare PPO/HMO/WC	$60.37

BIT SYN DR JAC CHK 1.5MM 31014

Facility

$224.00

Hospital Charge Code	270604446
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR JAC CHK 1.5MM 31014

Facility

$224.00

Hospital Charge Code	270604446
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Oxford Commercial	$44.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$44.80
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

BIT SYN DR JAC CHK 1.5MM 31016

Facility

$244.85

Hospital Charge Code	270604447
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.42
Rate for Payer: Aetna Commercial	$93.04
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.45
Rate for Payer: Oxford Commercial	$48.97
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Commercial	$48.97
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

BIT SYN DR JAC CHK 1.5MM 31016

Facility

$244.85

Hospital Charge Code	270604447
Hospital Revenue Code	272
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$36.73
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

BIT SYN DR JAC CHK 2.0MM 31021

Facility

$224.00

Hospital Charge Code	270604130
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Oxford Commercial	$44.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$44.80
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

BIT SYN DR JAC CHK 2.0MM 31021

Facility

$224.00

Hospital Charge Code	270604130
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR JAC CHK 2.7MM 31028

Facility

$224.00

Hospital Charge Code	270604452
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Oxford Commercial	$44.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$44.80
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

BIT SYN DR JAC CHK 2.7MM 31028

Facility

$224.00

Hospital Charge Code	270604452
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

BIT SYN DR QK COUP 2.0MM 31019

Facility

$240.85

Hospital Charge Code	270604119
Hospital Revenue Code	272
Min. Negotiated Rate	$5.80
Max. Negotiated Rate	$120.42
Rate for Payer: Aetna Commercial	$91.52
Rate for Payer: Aetna Medicare Advantage	$72.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.42
Rate for Payer: Cigna Commercial	$120.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.25
Rate for Payer: Oxford Commercial	$48.17
Rate for Payer: Qualcare PPO/HMO/WC	$36.13
Rate for Payer: UnitedHealthcare Commercial	$48.17
Rate for Payer: UnitedHealthcare Community & State	$5.80
Rate for Payer: Wellpoint Medicaid Managed Care	$6.38

BIT SYN DR QK COUP 2.0MM 31019

Facility

$240.85

Hospital Charge Code	270604119
Hospital Revenue Code	272
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$36.13
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

BIT SYN DR QK GLD 2.5MM 31025

Facility

$160.85

Hospital Charge Code	270604440
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 QK GLD 2.5MM 31025

Facility

$160.85

Hospital Charge Code	270604440
Hospital Revenue Code	272
Min. Negotiated Rate	$24.13
Max. Negotiated Rate	$24.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.13

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

BIT THREAED LARGE BB-TAK

Facility

$750.00

Hospital Charge Code	270678711
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIT WLZ DRILL 1.1 5 915-2015

Facility

$420.00

Hospital Charge Code	270621793
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.00
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$84.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

BIT WLZ DRILL 1.1 5 915-2015

Facility

$420.00

Hospital Charge Code	270621793
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

BIT ZIM DR PIOLET 3.2 22533332

Facility

$805.65

Hospital Charge Code	270618076
Hospital Revenue Code	272
Min. Negotiated Rate	$19.42
Max. Negotiated Rate	$402.82
Rate for Payer: Aetna Commercial	$306.15
Rate for Payer: Aetna Medicare Advantage	$241.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.44
Rate for Payer: Cigna Commercial	$402.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.69
Rate for Payer: Oxford Commercial	$161.13
Rate for Payer: Qualcare PPO/HMO/WC	$120.85
Rate for Payer: UnitedHealthcare Commercial	$161.13
Rate for Payer: UnitedHealthcare Community & State	$19.42
Rate for Payer: Wellpoint Medicaid Managed Care	$21.35

BIT ZIM DR PIOLET 3.2 22533332

Facility

$805.65

Hospital Charge Code	270618076
Hospital Revenue Code	272
Min. Negotiated Rate	$120.85
Max. Negotiated Rate	$120.85
Rate for Payer: Qualcare PPO/HMO/WC	$120.85

BIT ZIM DR PIOLET 3.5 22533237

Facility

$920.00

Hospital Charge Code	270618078
Hospital Revenue Code	272
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

Know your out-of-pocket cost for care.

All Charges