Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR ZIM ULPR RD 2.0MM 5093-160

Facility

$953.65

Hospital Charge Code	270603895
Hospital Revenue Code	272
Min. Negotiated Rate	$143.05
Max. Negotiated Rate	$143.05
Rate for Payer: Qualcare PPO/HMO/WC	$143.05

BUR ZIM ULPR RD 2.2MM 7021-236

Facility

$924.00

Hospital Charge Code	270603875
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

BUR ZIM ULPR RD 2.2MM 7021-236

Facility

$924.00

Hospital Charge Code	270603875
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

BUR ZIM ULPR RD 3.0MM 5092-126

Facility

$433.65

Hospital Charge Code	270603884
Hospital Revenue Code	272
Min. Negotiated Rate	$65.05
Max. Negotiated Rate	$65.05
Rate for Payer: Qualcare PPO/HMO/WC	$65.05

BUR ZIM ULPR RD 3.0MM 5092-126

Facility

$433.65

Hospital Charge Code	270603884
Hospital Revenue Code	272
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$216.82
Rate for Payer: Aetna Commercial	$164.79
Rate for Payer: Aetna Medicare Advantage	$130.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.58
Rate for Payer: Cigna Commercial	$216.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$130.09
Rate for Payer: Oxford Commercial	$86.73
Rate for Payer: Qualcare PPO/HMO/WC	$65.05
Rate for Payer: UnitedHealthcare Commercial	$86.73
Rate for Payer: UnitedHealthcare Community & State	$10.45
Rate for Payer: Wellpoint Medicaid Managed Care	$11.49

BUR ZIM ULPR RD 3.0MM 5092-162

Facility

$570.45

Hospital Charge Code	270603888
Hospital Revenue Code	272
Min. Negotiated Rate	$85.57
Max. Negotiated Rate	$85.57
Rate for Payer: Qualcare PPO/HMO/WC	$85.57

BUR ZIM ULPR RD 3.0MM 5092-162

Facility

$570.45

Hospital Charge Code	270603888
Hospital Revenue Code	272
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$285.23
Rate for Payer: Aetna Commercial	$216.77
Rate for Payer: Aetna Medicare Advantage	$171.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.46
Rate for Payer: Cigna Commercial	$285.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.13
Rate for Payer: Oxford Commercial	$114.09
Rate for Payer: Qualcare PPO/HMO/WC	$85.57
Rate for Payer: UnitedHealthcare Commercial	$114.09
Rate for Payer: UnitedHealthcare Community & State	$13.75
Rate for Payer: Wellpoint Medicaid Managed Care	$15.12

BUR ZIM ULPR RD 3.0MM 5093-162

Facility

$953.65

Hospital Charge Code	270603896
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

BUR ZIM ULPR RD 3.0MM 5093-162

Facility

$953.65

Hospital Charge Code	270603896
Hospital Revenue Code	272
Min. Negotiated Rate	$143.05
Max. Negotiated Rate	$143.05
Rate for Payer: Qualcare PPO/HMO/WC	$143.05

BUR ZIM ULPR RD 3.0MM 7021-137

Facility

$872.00

Hospital Charge Code	270603869
Hospital Revenue Code	272
Min. Negotiated Rate	$21.02
Max. Negotiated Rate	$436.00
Rate for Payer: Aetna Commercial	$331.36
Rate for Payer: Aetna Medicare Advantage	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.36
Rate for Payer: Cigna Commercial	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.60
Rate for Payer: Oxford Commercial	$174.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.80
Rate for Payer: UnitedHealthcare Commercial	$174.40
Rate for Payer: UnitedHealthcare Community & State	$21.02
Rate for Payer: Wellpoint Medicaid Managed Care	$23.11

BUR ZIM ULPR RD 3.0MM 7021-137

Facility

$872.00

Hospital Charge Code	270603869
Hospital Revenue Code	272
Min. Negotiated Rate	$130.80
Max. Negotiated Rate	$130.80
Rate for Payer: Qualcare PPO/HMO/WC	$130.80

BUR ZIM ULPR RD 3.0MM 7021-237

Facility

$302.65

Hospital Charge Code	270603876
Hospital Revenue Code	272
Min. Negotiated Rate	$7.29
Max. Negotiated Rate	$151.32
Rate for Payer: Aetna Commercial	$115.01
Rate for Payer: Aetna Medicare Advantage	$90.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.18
Rate for Payer: Cigna Commercial	$151.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.80
Rate for Payer: Oxford Commercial	$60.53
Rate for Payer: Qualcare PPO/HMO/WC	$45.40
Rate for Payer: UnitedHealthcare Commercial	$60.53
Rate for Payer: UnitedHealthcare Community & State	$7.29
Rate for Payer: Wellpoint Medicaid Managed Care	$8.02

BUR ZIM ULPR RD 3.0MM 7021-237

Facility

$302.65

Hospital Charge Code	270603876
Hospital Revenue Code	272
Min. Negotiated Rate	$45.40
Max. Negotiated Rate	$45.40
Rate for Payer: Qualcare PPO/HMO/WC	$45.40

BUR ZIM ULPR RD 3.0MM 7021-337

Facility

$793.65

Hospital Charge Code	270603879
Hospital Revenue Code	272
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.09
Rate for Payer: Oxford Commercial	$158.73
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Commercial	$158.73
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

BUR ZIM ULPR RD 3.0MM 7021-337

Facility

$793.65

Hospital Charge Code	270603879
Hospital Revenue Code	272
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$119.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

BUR ZIM ULPR RD 4.0MM 5092-128

Facility

$211.25

Hospital Charge Code	270603885
Hospital Revenue Code	272
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$80.28
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.38
Rate for Payer: Oxford Commercial	$42.25
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Commercial	$42.25
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

BUR ZIM ULPR RD 4.0MM 5092-128

Facility

$211.25

Hospital Charge Code	270603885
Hospital Revenue Code	272
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$31.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

BUR ZIM ULPR RD 4.0MM 5092-164

Facility

$683.25

Hospital Charge Code	270603889
Hospital Revenue Code	272
Min. Negotiated Rate	$102.49
Max. Negotiated Rate	$102.49
Rate for Payer: Qualcare PPO/HMO/WC	$102.49

BUR ZIM ULPR RD 4.0MM 5092-164

Facility

$683.25

Hospital Charge Code	270603889
Hospital Revenue Code	272
Min. Negotiated Rate	$16.47
Max. Negotiated Rate	$341.62
Rate for Payer: Aetna Commercial	$259.63
Rate for Payer: Aetna Medicare Advantage	$204.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.23
Rate for Payer: Cigna Commercial	$341.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.97
Rate for Payer: Oxford Commercial	$136.65
Rate for Payer: Qualcare PPO/HMO/WC	$102.49
Rate for Payer: UnitedHealthcare Commercial	$136.65
Rate for Payer: UnitedHealthcare Community & State	$16.47
Rate for Payer: Wellpoint Medicaid Managed Care	$18.11

BUR ZIM ULPR RD 4.0MM 5093-128

Facility

$484.00

Hospital Charge Code	270603893
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 4.0MM 5093-128

Facility

$484.00

Hospital Charge Code	270603893
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 4.0MM 5093-164

Facility

$953.65

Hospital Charge Code	270603897
Hospital Revenue Code	272
Min. Negotiated Rate	$143.05
Max. Negotiated Rate	$143.05
Rate for Payer: Qualcare PPO/HMO/WC	$143.05

BUR ZIM ULPR RD 4.0MM 5093-164

Facility

$953.65

Hospital Charge Code	270603897
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

BUR ZIM ULPR RD 5.0MM 5092-130

Facility

$280.00

Hospital Charge Code	270603886
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

BUR ZIM ULPR RD 5.0MM 5092-130

Facility

$280.00

Hospital Charge Code	270603886
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

Know your out-of-pocket cost for care.

All Charges