Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR ULTRAPOWER TAPERED 3MMX36M

Facility

$190.90

Hospital Charge Code	270669745
Hospital Revenue Code	272
Min. Negotiated Rate	$28.64
Max. Negotiated Rate	$28.64
Rate for Payer: Qualcare PPO/HMO/WC	$28.64

BUR UNHOODED ROUND 2.0mm

Facility

$945.00

Hospital Charge Code	270658049
Hospital Revenue Code	270
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.50
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$189.00
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

BUR UNHOODED ROUND 2.0mm

Facility

$945.00

Hospital Charge Code	270658049
Hospital Revenue Code	270
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

BUR WIRPAS 2/19 DRILL 5091249*

Facility

$109.00

Hospital Charge Code	1604891
Hospital Revenue Code	272
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

BUR WIRPAS 2/19 DRILL 5091249*

Facility

$109.00

Hospital Charge Code	1604891
Hospital Revenue Code	272
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$54.50
Rate for Payer: Aetna Commercial	$41.42
Rate for Payer: Aetna Medicare Advantage	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.80
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.70
Rate for Payer: Oxford Commercial	$21.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$21.80
Rate for Payer: UnitedHealthcare Community & State	$2.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

BUR ZIM LNDMN 31MM 5091-212

Facility

$240.85

Hospital Charge Code	270605619
Hospital Revenue Code	272
Min. Negotiated Rate	$36.13
Max. Negotiated Rate	$36.13
Rate for Payer: Qualcare PPO/HMO/WC	$36.13

BUR ZIM LNDMN 31MM 5091-212

Facility

$240.85

Hospital Charge Code	270605619
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

BUR ZIM NEURO 5092-222

Facility

$111.75

Hospital Charge Code	270601068
Hospital Revenue Code	272
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$55.88
Rate for Payer: Aetna Commercial	$42.47
Rate for Payer: Aetna Medicare Advantage	$33.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.50
Rate for Payer: Cigna Commercial	$55.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.52
Rate for Payer: Oxford Commercial	$22.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.76
Rate for Payer: UnitedHealthcare Commercial	$22.35
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

BUR ZIM NEURO 5092-222

Facility

$111.75

Hospital Charge Code	270601068
Hospital Revenue Code	272
Min. Negotiated Rate	$16.76
Max. Negotiated Rate	$16.76
Rate for Payer: Qualcare PPO/HMO/WC	$16.76

BUR ZIM NEURO 5092-222 *****

Facility

$97.00

Hospital Charge Code	1604941
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.50
Rate for Payer: Aetna Commercial	$36.86
Rate for Payer: Aetna Medicare Advantage	$29.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.73
Rate for Payer: Cigna Commercial	$48.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.10
Rate for Payer: Oxford Commercial	$19.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.55
Rate for Payer: UnitedHealthcare Commercial	$19.40
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

BUR ZIM NEURO 5092-222 *****

Facility

$97.00

Hospital Charge Code	1604941
Hospital Revenue Code	272
Min. Negotiated Rate	$14.55
Max. Negotiated Rate	$14.55
Rate for Payer: Qualcare PPO/HMO/WC	$14.55

BUR ZIM NEURO 5092-224*****

Facility

$93.00

Hospital Charge Code	1604883
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$46.50
Rate for Payer: Aetna Commercial	$35.34
Rate for Payer: Aetna Medicare Advantage	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.71
Rate for Payer: Cigna Commercial	$46.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.90
Rate for Payer: Oxford Commercial	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.95
Rate for Payer: UnitedHealthcare Commercial	$18.60
Rate for Payer: UnitedHealthcare Community & State	$2.24
Rate for Payer: Wellpoint Medicaid Managed Care	$2.46

BUR ZIM NEURO 5092-224*****

Facility

$93.00

Hospital Charge Code	1604883
Hospital Revenue Code	272
Min. Negotiated Rate	$13.95
Max. Negotiated Rate	$13.95
Rate for Payer: Qualcare PPO/HMO/WC	$13.95

BUR ZIM NEURO 5092-238******

Facility

$104.00

Hospital Charge Code	1604933
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.00
Rate for Payer: Aetna Commercial	$39.52
Rate for Payer: Aetna Medicare Advantage	$31.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.52
Rate for Payer: Cigna Commercial	$52.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.20
Rate for Payer: Oxford Commercial	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$15.60
Rate for Payer: UnitedHealthcare Commercial	$20.80
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

BUR ZIM NEURO 5092-238******

Facility

$104.00

Hospital Charge Code	1604933
Hospital Revenue Code	272
Min. Negotiated Rate	$15.60
Max. Negotiated Rate	$15.60
Rate for Payer: Qualcare PPO/HMO/WC	$15.60

BUR ZIM NEURO 5092-266******

Facility

$215.00

Hospital Charge Code	1604925
Hospital Revenue Code	272
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$32.25
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

BUR ZIM NEURO 5092-266******

Facility

$215.00

Hospital Charge Code	1604925
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

BUR ZIM NEURO RD CUT5092-230**

Facility

$167.00

Hospital Charge Code	1604917
Hospital Revenue Code	272
Min. Negotiated Rate	$25.05
Max. Negotiated Rate	$25.05
Rate for Payer: Qualcare PPO/HMO/WC	$25.05

BUR ZIM NEURO RD CUT5092-230**

Facility

$167.00

Hospital Charge Code	1604917
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$83.50
Rate for Payer: Aetna Commercial	$63.46
Rate for Payer: Aetna Medicare Advantage	$50.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.59
Rate for Payer: Cigna Commercial	$83.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.10
Rate for Payer: Oxford Commercial	$33.40
Rate for Payer: Qualcare PPO/HMO/WC	$25.05
Rate for Payer: UnitedHealthcare Commercial	$33.40
Rate for Payer: UnitedHealthcare Community & State	$4.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.43

BUR ZIM OVL 8.0MM 5091-236

Facility

$119.40

Hospital Charge Code	270601070
Hospital Revenue Code	272
Min. Negotiated Rate	$2.88
Max. Negotiated Rate	$59.70
Rate for Payer: Aetna Commercial	$45.37
Rate for Payer: Aetna Medicare Advantage	$35.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.45
Rate for Payer: Cigna Commercial	$59.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.82
Rate for Payer: Oxford Commercial	$23.88
Rate for Payer: Qualcare PPO/HMO/WC	$17.91
Rate for Payer: UnitedHealthcare Commercial	$23.88
Rate for Payer: UnitedHealthcare Community & State	$2.88
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

BUR ZIM OVL 8.0MM 5091-236

Facility

$119.40

Hospital Charge Code	270601070
Hospital Revenue Code	272
Min. Negotiated Rate	$17.91
Max. Negotiated Rate	$17.91
Rate for Payer: Qualcare PPO/HMO/WC	$17.91

BUR ZIM OVL MED 5.5MM 5091-238

Facility

$175.15

Hospital Charge Code	270601066
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.58
Rate for Payer: Aetna Commercial	$66.56
Rate for Payer: Aetna Medicare Advantage	$52.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.66
Rate for Payer: Cigna Commercial	$87.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.55
Rate for Payer: Oxford Commercial	$35.03
Rate for Payer: Qualcare PPO/HMO/WC	$26.27
Rate for Payer: UnitedHealthcare Commercial	$35.03
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

BUR ZIM OVL MED 5.5MM 5091-238

Facility

$175.15

Hospital Charge Code	270601066
Hospital Revenue Code	272
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$26.27
Rate for Payer: Qualcare PPO/HMO/WC	$26.27

BUR ZIM OVL ST 5.5MM 5092-238

Facility

$254.45

Hospital Charge Code	270606868
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$127.22
Rate for Payer: Aetna Commercial	$96.69
Rate for Payer: Aetna Medicare Advantage	$76.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.88
Rate for Payer: Cigna Commercial	$127.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.33
Rate for Payer: Oxford Commercial	$50.89
Rate for Payer: Qualcare PPO/HMO/WC	$38.17
Rate for Payer: UnitedHealthcare Commercial	$50.89
Rate for Payer: UnitedHealthcare Community & State	$6.13
Rate for Payer: Wellpoint Medicaid Managed Care	$6.74

BUR ZIM OVL ST 5.5MM 5092-238

Facility

$254.45

Hospital Charge Code	270606868
Hospital Revenue Code	272
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$38.17
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

Know your out-of-pocket cost for care.

All Charges