Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE ZIM PATL 38MM 5120-95-38

Facility

$616.00

Hospital Charge Code	270607656
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$234.08
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.80
Rate for Payer: Oxford Commercial	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$123.20
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.32

BLADE ZIM PATL 51MM 5120-95-51

Facility

$616.00

Hospital Charge Code	270608660
Hospital Revenue Code	272
Min. Negotiated Rate	$92.40
Max. Negotiated Rate	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$92.40

BLADE ZIM PATL 51MM 5120-95-51

Facility

$616.00

Hospital Charge Code	270608660
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$308.00
Rate for Payer: Aetna Commercial	$234.08
Rate for Payer: Aetna Medicare Advantage	$184.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.08
Rate for Payer: Cigna Commercial	$308.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.80
Rate for Payer: Oxford Commercial	$123.20
Rate for Payer: Qualcare PPO/HMO/WC	$92.40
Rate for Payer: UnitedHealthcare Commercial	$123.20
Rate for Payer: UnitedHealthcare Community & State	$14.85
Rate for Payer: Wellpoint Medicaid Managed Care	$16.32

BLADE ZIM RCPRCT 5052-179

Facility

$215.00

Hospital Charge Code	270608532
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

BLADE ZIM RCPRCT 5052-179

Facility

$215.00

Hospital Charge Code	270608532
Hospital Revenue Code	272
Min. Negotiated Rate	$5.18
Max. Negotiated Rate	$107.50
Rate for Payer: Aetna Commercial	$81.70
Rate for Payer: Aetna Medicare Advantage	$64.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.83
Rate for Payer: Cigna Commercial	$107.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.50
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Commercial	$43.00
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

BLADE ZIM SAGIT SAW 5023-242

Facility

$66.40

Hospital Charge Code	270601043
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$33.20
Rate for Payer: Aetna Commercial	$25.23
Rate for Payer: Aetna Medicare Advantage	$19.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.93
Rate for Payer: Cigna Commercial	$33.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.92
Rate for Payer: Oxford Commercial	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$9.96
Rate for Payer: UnitedHealthcare Commercial	$13.28
Rate for Payer: UnitedHealthcare Community & State	$1.60
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

BLADE ZIM SAGIT SAW 5023-242

Facility

$66.40

Hospital Charge Code	270601043
Hospital Revenue Code	272
Min. Negotiated Rate	$9.96
Max. Negotiated Rate	$9.96
Rate for Payer: Qualcare PPO/HMO/WC	$9.96

BLADE ZIM SAGIT SAW5053-242***

Facility

$51.00

Hospital Charge Code	1605088
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 SAGIT SAW5053-242***

Facility

$51.00

Hospital Charge Code	1605088
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 SAG SAW 5023-139

Facility

$48.90

Hospital Charge Code	270616382
Hospital Revenue Code	272
Min. Negotiated Rate	$7.33
Max. Negotiated Rate	$7.33
Rate for Payer: Qualcare PPO/HMO/WC	$7.33

BLADE ZIM SAG SAW 5023-139

Facility

$48.90

Hospital Charge Code	270616382
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.45
Rate for Payer: Aetna Commercial	$18.58
Rate for Payer: Aetna Medicare Advantage	$14.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.47
Rate for Payer: Cigna Commercial	$24.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.67
Rate for Payer: Oxford Commercial	$9.78
Rate for Payer: Qualcare PPO/HMO/WC	$7.33
Rate for Payer: UnitedHealthcare Commercial	$9.78
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

BLAKE DRAIN

Facility

$94.00

Hospital Charge Code	270338791
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$22.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.68
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

BLAKE DRAIN

Facility

$94.00

Hospital Charge Code	270338791
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.68
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

BLAKE DRAIN 15 FR

Facility

$82.15

Hospital Charge Code	270660573
Hospital Revenue Code	270
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$41.08
Rate for Payer: Aetna Commercial	$31.22
Rate for Payer: Aetna Medicare Advantage	$24.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.95
Rate for Payer: Cigna Commercial	$41.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.64
Rate for Payer: Oxford Commercial	$16.43
Rate for Payer: Qualcare PPO/HMO/WC	$12.32
Rate for Payer: UnitedHealthcare Commercial	$16.43
Rate for Payer: UnitedHealthcare Community & State	$1.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.18

BLAKE DRAIN 15 FR

Facility

$82.15

Hospital Charge Code	270660573
Hospital Revenue Code	270
Min. Negotiated Rate	$12.32
Max. Negotiated Rate	$12.32
Rate for Payer: Qualcare PPO/HMO/WC	$12.32

BLANKET BAIRHUGGER FULL BODY

Facility

$23.37

Hospital Charge Code	270600903
Hospital Revenue Code	270
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

BLANKET BAIRHUGGER FULL BODY

Facility

$23.37

Hospital Charge Code	270600903
Hospital Revenue Code	270
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$11.69
Rate for Payer: Aetna Commercial	$8.88
Rate for Payer: Aetna Medicare Advantage	$7.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.96
Rate for Payer: Cigna Commercial	$11.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.01
Rate for Payer: Oxford Commercial	$4.67
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$4.67
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

BLANKET BAIRHUGG UP BOD******

Facility

$43.60

Hospital Charge Code	27060086
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.80
Rate for Payer: Aetna Commercial	$16.57
Rate for Payer: Aetna Medicare Advantage	$13.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.12
Rate for Payer: Cigna Commercial	$21.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.08
Rate for Payer: Oxford Commercial	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.72
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

BLANKET BAIRHUGG UP BOD******

Facility

$43.60

Hospital Charge Code	27060086
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

BLANKET BATH

Facility

$24.40

Hospital Charge Code	270651608
Hospital Revenue Code	272
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$12.20
Rate for Payer: Aetna Commercial	$9.27
Rate for Payer: Aetna Medicare Advantage	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.22
Rate for Payer: Cigna Commercial	$12.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.32
Rate for Payer: Oxford Commercial	$4.88
Rate for Payer: Qualcare PPO/HMO/WC	$3.66
Rate for Payer: UnitedHealthcare Commercial	$4.88
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

BLANKET BATH

Facility

$24.40

Hospital Charge Code	270651608
Hospital Revenue Code	272
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$3.66
Rate for Payer: Qualcare PPO/HMO/WC	$3.66

BLANKET BEARHUGGER UPP ******

Facility

$43.60

Hospital Charge Code	27060085
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.80
Rate for Payer: Aetna Commercial	$16.57
Rate for Payer: Aetna Medicare Advantage	$13.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.12
Rate for Payer: Cigna Commercial	$21.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.08
Rate for Payer: Oxford Commercial	$8.72
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.72
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

BLANKET BEARHUGGER UPP ******

Facility

$43.60

Hospital Charge Code	27060085
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

BLANKET BEARHUGGER UPPER BH522

Facility

$26.75

Hospital Charge Code	270600865
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.38
Rate for Payer: Aetna Commercial	$10.16
Rate for Payer: Aetna Medicare Advantage	$8.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.82
Rate for Payer: Cigna Commercial	$13.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.03
Rate for Payer: Oxford Commercial	$5.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.01
Rate for Payer: UnitedHealthcare Commercial	$5.35
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.71

BLANKET BEARHUGGER UPPER BH522

Facility

$26.75

Hospital Charge Code	270600865
Hospital Revenue Code	272
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$4.01
Rate for Payer: Qualcare PPO/HMO/WC	$4.01

Know your out-of-pocket cost for care.

All Charges