Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR ZIM RD 3.0MM 5091-126

Facility

$206.45

Hospital Charge Code	270605620
Hospital Revenue Code	272
Min. Negotiated Rate	$30.97
Max. Negotiated Rate	$30.97
Rate for Payer: Qualcare PPO/HMO/WC	$30.97

BUR ZIM RD 3.0MM 5091-126

Facility

$206.45

Hospital Charge Code	270605620
Hospital Revenue Code	272
Min. Negotiated Rate	$4.98
Max. Negotiated Rate	$103.22
Rate for Payer: Aetna Commercial	$78.45
Rate for Payer: Aetna Medicare Advantage	$61.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.64
Rate for Payer: Cigna Commercial	$103.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.94
Rate for Payer: Oxford Commercial	$41.29
Rate for Payer: Qualcare PPO/HMO/WC	$30.97
Rate for Payer: UnitedHealthcare Commercial	$41.29
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$5.47

BUR ZIM SD CUT TAPER 5091-206

Facility

$312.00

Hospital Charge Code	270608841
Hospital Revenue Code	272
Min. Negotiated Rate	$46.80
Max. Negotiated Rate	$46.80
Rate for Payer: Qualcare PPO/HMO/WC	$46.80

BUR ZIM SD CUT TAPER 5091-206

Facility

$312.00

Hospital Charge Code	270608841
Hospital Revenue Code	272
Min. Negotiated Rate	$7.52
Max. Negotiated Rate	$156.00
Rate for Payer: Aetna Commercial	$118.56
Rate for Payer: Aetna Medicare Advantage	$93.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.56
Rate for Payer: Cigna Commercial	$156.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.60
Rate for Payer: Oxford Commercial	$62.40
Rate for Payer: Qualcare PPO/HMO/WC	$46.80
Rate for Payer: UnitedHealthcare Commercial	$62.40
Rate for Payer: UnitedHealthcare Community & State	$7.52
Rate for Payer: Wellpoint Medicaid Managed Care	$8.27

BUR ZIM ST CRBD 2.0MM 5092-224

Facility

$100.55

Hospital Charge Code	270605570
Hospital Revenue Code	272
Min. Negotiated Rate	$15.08
Max. Negotiated Rate	$15.08
Rate for Payer: Qualcare PPO/HMO/WC	$15.08

BUR ZIM ST CRBD 2.0MM 5092-224

Facility

$100.55

Hospital Charge Code	270605570
Hospital Revenue Code	272
Min. Negotiated Rate	$2.42
Max. Negotiated Rate	$50.27
Rate for Payer: Aetna Commercial	$38.21
Rate for Payer: Aetna Medicare Advantage	$30.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.64
Rate for Payer: Cigna Commercial	$50.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.16
Rate for Payer: Oxford Commercial	$20.11
Rate for Payer: Qualcare PPO/HMO/WC	$15.08
Rate for Payer: UnitedHealthcare Commercial	$20.11
Rate for Payer: UnitedHealthcare Community & State	$2.42
Rate for Payer: Wellpoint Medicaid Managed Care	$2.66

BUR ZIM ST CRBD 5.5MM 5091-138

Facility

$295.25

Hospital Charge Code	270607173
Hospital Revenue Code	272
Min. Negotiated Rate	$7.12
Max. Negotiated Rate	$147.62
Rate for Payer: Aetna Commercial	$112.19
Rate for Payer: Aetna Medicare Advantage	$88.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.29
Rate for Payer: Cigna Commercial	$147.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.58
Rate for Payer: Oxford Commercial	$59.05
Rate for Payer: Qualcare PPO/HMO/WC	$44.29
Rate for Payer: UnitedHealthcare Commercial	$59.05
Rate for Payer: UnitedHealthcare Community & State	$7.12
Rate for Payer: Wellpoint Medicaid Managed Care	$7.82

BUR ZIM ST CRBD 5.5MM 5091-138

Facility

$295.25

Hospital Charge Code	270607173
Hospital Revenue Code	272
Min. Negotiated Rate	$44.29
Max. Negotiated Rate	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$44.29

BUR ZIM ST RD 5.0MM 5092-266

Facility

$248.25

Hospital Charge Code	270607733
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.12
Rate for Payer: Aetna Commercial	$94.33
Rate for Payer: Aetna Medicare Advantage	$74.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.30
Rate for Payer: Cigna Commercial	$124.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.47
Rate for Payer: Oxford Commercial	$49.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.24
Rate for Payer: UnitedHealthcare Commercial	$49.65
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.58

BUR ZIM ST RD 5.0MM 5092-266

Facility

$248.25

Hospital Charge Code	270607733
Hospital Revenue Code	272
Min. Negotiated Rate	$37.24
Max. Negotiated Rate	$37.24
Rate for Payer: Qualcare PPO/HMO/WC	$37.24

BUR ZIM ULPR AC 5.0MM 7021-380

Facility

$709.65

Hospital Charge Code	270603880
Hospital Revenue Code	272
Min. Negotiated Rate	$106.45
Max. Negotiated Rate	$106.45
Rate for Payer: Qualcare PPO/HMO/WC	$106.45

BUR ZIM ULPR AC 5.0MM 7021-380

Facility

$709.65

Hospital Charge Code	270603880
Hospital Revenue Code	272
Min. Negotiated Rate	$17.10
Max. Negotiated Rate	$354.82
Rate for Payer: Aetna Commercial	$269.67
Rate for Payer: Aetna Medicare Advantage	$212.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.96
Rate for Payer: Cigna Commercial	$354.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.90
Rate for Payer: Oxford Commercial	$141.93
Rate for Payer: Qualcare PPO/HMO/WC	$106.45
Rate for Payer: UnitedHealthcare Commercial	$141.93
Rate for Payer: UnitedHealthcare Community & State	$17.10
Rate for Payer: Wellpoint Medicaid Managed Care	$18.81

BUR ZIM ULPR AC 6.0MM 7021-381

Facility

$283.25

Hospital Charge Code	270603881
Hospital Revenue Code	272
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

BUR ZIM ULPR AC 6.0MM 7021-381

Facility

$283.25

Hospital Charge Code	270603881
Hospital Revenue Code	272
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$141.62
Rate for Payer: Aetna Commercial	$107.64
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.97
Rate for Payer: Oxford Commercial	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: UnitedHealthcare Commercial	$56.65
Rate for Payer: UnitedHealthcare Community & State	$6.83
Rate for Payer: Wellpoint Medicaid Managed Care	$7.51

BUR ZIM ULPR AC 7.5MM 7021-182

Facility

$632.00

Hospital Charge Code	270603872
Hospital Revenue Code	272
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$94.80
Rate for Payer: Qualcare PPO/HMO/WC	$94.80

BUR ZIM ULPR AC 7.5MM 7021-182

Facility

$632.00

Hospital Charge Code	270603872
Hospital Revenue Code	272
Min. Negotiated Rate	$15.23
Max. Negotiated Rate	$316.00
Rate for Payer: Aetna Commercial	$240.16
Rate for Payer: Aetna Medicare Advantage	$189.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.16
Rate for Payer: Cigna Commercial	$316.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.60
Rate for Payer: Oxford Commercial	$126.40
Rate for Payer: Qualcare PPO/HMO/WC	$94.80
Rate for Payer: UnitedHealthcare Commercial	$126.40
Rate for Payer: UnitedHealthcare Community & State	$15.23
Rate for Payer: Wellpoint Medicaid Managed Care	$16.75

BUR ZIM ULPR AC 9.0MM 7021-183

Facility

$632.00

Hospital Charge Code	270603873
Hospital Revenue Code	272
Min. Negotiated Rate	$15.23
Max. Negotiated Rate	$316.00
Rate for Payer: Aetna Commercial	$240.16
Rate for Payer: Aetna Medicare Advantage	$189.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.16
Rate for Payer: Cigna Commercial	$316.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.60
Rate for Payer: Oxford Commercial	$126.40
Rate for Payer: Qualcare PPO/HMO/WC	$94.80
Rate for Payer: UnitedHealthcare Commercial	$126.40
Rate for Payer: UnitedHealthcare Community & State	$15.23
Rate for Payer: Wellpoint Medicaid Managed Care	$16.75

BUR ZIM ULPR AC 9.0MM 7021-183

Facility

$632.00

Hospital Charge Code	270603873
Hospital Revenue Code	272
Min. Negotiated Rate	$94.80
Max. Negotiated Rate	$94.80
Rate for Payer: Qualcare PPO/HMO/WC	$94.80

BUR ZIM ULPR RD 2.0MM 5092-124

Facility

$256.00

Hospital Charge Code	270603883
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$128.00
Rate for Payer: Aetna Commercial	$97.28
Rate for Payer: Aetna Medicare Advantage	$76.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.28
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.80
Rate for Payer: Oxford Commercial	$51.20
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$51.20
Rate for Payer: UnitedHealthcare Community & State	$6.17
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

BUR ZIM ULPR RD 2.0MM 5092-124

Facility

$256.00

Hospital Charge Code	270603883
Hospital Revenue Code	272
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

BUR ZIM ULPR RD 2.0MM 5092-160

Facility

$428.00

Hospital Charge Code	270603887
Hospital Revenue Code	272
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$64.20
Rate for Payer: Qualcare PPO/HMO/WC	$64.20

BUR ZIM ULPR RD 2.0MM 5092-160

Facility

$428.00

Hospital Charge Code	270603887
Hospital Revenue Code	272
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$214.00
Rate for Payer: Aetna Commercial	$162.64
Rate for Payer: Aetna Medicare Advantage	$128.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.14
Rate for Payer: Cigna Commercial	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.40
Rate for Payer: Oxford Commercial	$85.60
Rate for Payer: Qualcare PPO/HMO/WC	$64.20
Rate for Payer: UnitedHealthcare Commercial	$85.60
Rate for Payer: UnitedHealthcare Community & State	$10.31
Rate for Payer: Wellpoint Medicaid Managed Care	$11.34

BUR ZIM ULPR RD 2.0MM 5093-124

Facility

$484.00

Hospital Charge Code	270603892
Hospital Revenue Code	272
Min. Negotiated Rate	$11.66
Max. Negotiated Rate	$242.00
Rate for Payer: Aetna Commercial	$183.92
Rate for Payer: Aetna Medicare Advantage	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$242.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: Oxford Commercial	$96.80
Rate for Payer: Qualcare PPO/HMO/WC	$72.60
Rate for Payer: UnitedHealthcare Commercial	$96.80
Rate for Payer: UnitedHealthcare Community & State	$11.66
Rate for Payer: Wellpoint Medicaid Managed Care	$12.83

BUR ZIM ULPR RD 2.0MM 5093-124

Facility

$484.00

Hospital Charge Code	270603892
Hospital Revenue Code	272
Min. Negotiated Rate	$72.60
Max. Negotiated Rate	$72.60
Rate for Payer: Qualcare PPO/HMO/WC	$72.60

BUR ZIM ULPR RD 2.0MM 5093-160

Facility

$953.65

Hospital Charge Code	270603895
Hospital Revenue Code	272
Min. Negotiated Rate	$22.98
Max. Negotiated Rate	$476.82
Rate for Payer: Aetna Commercial	$362.39
Rate for Payer: Aetna Medicare Advantage	$286.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.18
Rate for Payer: Cigna Commercial	$476.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.10
Rate for Payer: Oxford Commercial	$190.73
Rate for Payer: Qualcare PPO/HMO/WC	$143.05
Rate for Payer: UnitedHealthcare Commercial	$190.73
Rate for Payer: UnitedHealthcare Community & State	$22.98
Rate for Payer: Wellpoint Medicaid Managed Care	$25.27

Know your out-of-pocket cost for care.

All Charges