Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE ZIM OSCIL CRES 5023-171

Facility

$573.65

Hospital Charge Code	270610642
Hospital Revenue Code	272
Min. Negotiated Rate	$86.05
Max. Negotiated Rate	$86.05
Rate for Payer: Qualcare PPO/HMO/WC	$86.05

BLADE ZIM OSCIL CRES 5023-172

Facility

$598.45

Hospital Charge Code	270610643
Hospital Revenue Code	272
Min. Negotiated Rate	$14.42
Max. Negotiated Rate	$299.23
Rate for Payer: Aetna Commercial	$227.41
Rate for Payer: Aetna Medicare Advantage	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.60
Rate for Payer: Cigna Commercial	$299.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.53
Rate for Payer: Oxford Commercial	$119.69
Rate for Payer: Qualcare PPO/HMO/WC	$89.77
Rate for Payer: UnitedHealthcare Commercial	$119.69
Rate for Payer: UnitedHealthcare Community & State	$14.42
Rate for Payer: Wellpoint Medicaid Managed Care	$15.86

BLADE ZIM OSCIL CRES 5023-172

Facility

$598.45

Hospital Charge Code	270610643
Hospital Revenue Code	272
Min. Negotiated Rate	$89.77
Max. Negotiated Rate	$89.77
Rate for Payer: Qualcare PPO/HMO/WC	$89.77

BLADE ZIM OSCIL CRES 5023-176

Facility

$598.45

Hospital Charge Code	270610646
Hospital Revenue Code	272
Min. Negotiated Rate	$89.77
Max. Negotiated Rate	$89.77
Rate for Payer: Qualcare PPO/HMO/WC	$89.77

BLADE ZIM OSCIL CRES 5023-176

Facility

$598.45

Hospital Charge Code	270610646
Hospital Revenue Code	272
Min. Negotiated Rate	$14.42
Max. Negotiated Rate	$299.23
Rate for Payer: Aetna Commercial	$227.41
Rate for Payer: Aetna Medicare Advantage	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.60
Rate for Payer: Cigna Commercial	$299.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.53
Rate for Payer: Oxford Commercial	$119.69
Rate for Payer: Qualcare PPO/HMO/WC	$89.77
Rate for Payer: UnitedHealthcare Commercial	$119.69
Rate for Payer: UnitedHealthcare Community & State	$14.42
Rate for Payer: Wellpoint Medicaid Managed Care	$15.86

BLADE ZIM OSCIL LG BN 5052-572

Facility

$170.45

Hospital Charge Code	270601047
Hospital Revenue Code	272
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$25.57

BLADE ZIM OSCIL LG BN 5052-572

Facility

$170.45

Hospital Charge Code	270601047
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$85.22
Rate for Payer: Aetna Commercial	$64.77
Rate for Payer: Aetna Medicare Advantage	$51.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.46
Rate for Payer: Cigna Commercial	$85.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.13
Rate for Payer: Oxford Commercial	$34.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.57
Rate for Payer: UnitedHealthcare Commercial	$34.09
Rate for Payer: UnitedHealthcare Community & State	$4.11
Rate for Payer: Wellpoint Medicaid Managed Care	$4.52

BLADE ZIM OSCIL LG BN 5071-551

Facility

$51.50

Hospital Charge Code	270601059
Hospital Revenue Code	272
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$25.75
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.13
Rate for Payer: Cigna Commercial	$25.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.45
Rate for Payer: Oxford Commercial	$10.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.72
Rate for Payer: UnitedHealthcare Commercial	$10.30
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.36

BLADE ZIM OSCIL LG BN 5071-551

Facility

$51.50

Hospital Charge Code	270601059
Hospital Revenue Code	272
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$7.72

BLADE ZIM OSCIL LG BN 5071-552

Facility

$153.65

Hospital Charge Code	270601050
Hospital Revenue Code	272
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$58.39
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$30.73
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

BLADE ZIM OSCIL LG BN 5071-552

Facility

$153.65

Hospital Charge Code	270601050
Hospital Revenue Code	272
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

BLADE ZIM OSCIL LG BN 5071-553

Facility

$72.60

Hospital Charge Code	270601057
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.30
Rate for Payer: Aetna Commercial	$27.59
Rate for Payer: Aetna Medicare Advantage	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.51
Rate for Payer: Cigna Commercial	$36.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: Oxford Commercial	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$10.89
Rate for Payer: UnitedHealthcare Commercial	$14.52
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

BLADE ZIM OSCIL LG BN 5071-553

Facility

$72.60

Hospital Charge Code	270601057
Hospital Revenue Code	272
Min. Negotiated Rate	$10.89
Max. Negotiated Rate	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$10.89

BLADE ZIM OSCIL MICRO 5023-263

Facility

$63.25

Hospital Charge Code	270601056
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.62
Rate for Payer: Aetna Commercial	$24.04
Rate for Payer: Aetna Medicare Advantage	$18.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.13
Rate for Payer: Cigna Commercial	$31.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.98
Rate for Payer: Oxford Commercial	$12.65
Rate for Payer: Qualcare PPO/HMO/WC	$9.49
Rate for Payer: UnitedHealthcare Commercial	$12.65
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

BLADE ZIM OSCIL MICRO 5023-263

Facility

$63.25

Hospital Charge Code	270601056
Hospital Revenue Code	272
Min. Negotiated Rate	$9.49
Max. Negotiated Rate	$9.49
Rate for Payer: Qualcare PPO/HMO/WC	$9.49

BLADE ZIM OSCIL SAW 5052-574**

Facility

$60.00

Hospital Charge Code	1605054
Hospital Revenue Code	272
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

BLADE ZIM OSCIL SAW 5052-574**

Facility

$60.00

Hospital Charge Code	1605054
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE ZIM OSCIL SAW 5053-260**

Facility

$51.00

Hospital Charge Code	1604966
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ZIM OSCIL SAW 5053-260**

Facility

$51.00

Hospital Charge Code	1604966
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$19.38
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$10.20
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BLADE ZIM OSCIL SAW 5053-261**

Facility

$51.00

Hospital Charge Code	1605104
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ZIM OSCIL SAW 5053-261**

Facility

$51.00

Hospital Charge Code	1605104
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$19.38
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$10.20
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BLADE ZIM OSCIL SAW 5053-262**

Facility

$51.00

Hospital Charge Code	1604990
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ZIM OSCIL SAW 5053-262**

Facility

$51.00

Hospital Charge Code	1604990
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$19.38
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$10.20
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BLADE ZIM OSCIL SAW 5053-263**

Facility

$53.00

Hospital Charge Code	1605039
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

BLADE ZIM OSCIL SAW 5053-263**

Facility

$53.00

Hospital Charge Code	1605039
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$20.14
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.90
Rate for Payer: Oxford Commercial	$10.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$10.60
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

Know your out-of-pocket cost for care.

All Charges