Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR ZIM ULPR RD 5.0MM 5092-166

Facility

$760.00

Hospital Charge Code	270603890
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

BUR ZIM ULPR RD 5.0MM 5092-166

Facility

$760.00

Hospital Charge Code	270603890
Hospital Revenue Code	272
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.00
Rate for Payer: Oxford Commercial	$152.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$152.00
Rate for Payer: UnitedHealthcare Community & State	$18.32
Rate for Payer: Wellpoint Medicaid Managed Care	$20.14

BUR ZIM ULPR RD 5.0MM 5093-130

Facility

$363.25

Hospital Charge Code	270603894
Hospital Revenue Code	272
Min. Negotiated Rate	$54.49
Max. Negotiated Rate	$54.49
Rate for Payer: Qualcare PPO/HMO/WC	$54.49

BUR ZIM ULPR RD 5.0MM 5093-130

Facility

$363.25

Hospital Charge Code	270603894
Hospital Revenue Code	272
Min. Negotiated Rate	$8.75
Max. Negotiated Rate	$181.62
Rate for Payer: Aetna Commercial	$138.03
Rate for Payer: Aetna Medicare Advantage	$108.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.63
Rate for Payer: Cigna Commercial	$181.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.97
Rate for Payer: Oxford Commercial	$72.65
Rate for Payer: Qualcare PPO/HMO/WC	$54.49
Rate for Payer: UnitedHealthcare Commercial	$72.65
Rate for Payer: UnitedHealthcare Community & State	$8.75
Rate for Payer: Wellpoint Medicaid Managed Care	$9.63

BUR ZIM ULPR RD 5.0MM 5093-166

Facility

$953.65

Hospital Charge Code	270603898
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 5093-166

Facility

$953.65

Hospital Charge Code	270603898
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 6.0MM 5092-168

Facility

$760.00

Hospital Charge Code	270603891
Hospital Revenue Code	272
Min. Negotiated Rate	$114.00
Max. Negotiated Rate	$114.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00

BUR ZIM ULPR RD 6.0MM 5092-168

Facility

$760.00

Hospital Charge Code	270603891
Hospital Revenue Code	272
Min. Negotiated Rate	$18.32
Max. Negotiated Rate	$380.00
Rate for Payer: Aetna Commercial	$288.80
Rate for Payer: Aetna Medicare Advantage	$228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.80
Rate for Payer: Cigna Commercial	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.00
Rate for Payer: Oxford Commercial	$152.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.00
Rate for Payer: UnitedHealthcare Commercial	$152.00
Rate for Payer: UnitedHealthcare Community & State	$18.32
Rate for Payer: Wellpoint Medicaid Managed Care	$20.14

BUR ZIM ULPR RD 7.5MM 7021-331

Facility

$995.25

Hospital Charge Code	270603878
Hospital Revenue Code	272
Min. Negotiated Rate	$23.99
Max. Negotiated Rate	$497.62
Rate for Payer: Aetna Commercial	$378.19
Rate for Payer: Aetna Medicare Advantage	$298.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.79
Rate for Payer: Cigna Commercial	$497.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.57
Rate for Payer: Oxford Commercial	$199.05
Rate for Payer: Qualcare PPO/HMO/WC	$149.29
Rate for Payer: UnitedHealthcare Commercial	$199.05
Rate for Payer: UnitedHealthcare Community & State	$23.99
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

BUR ZIM ULPR RD 7.5MM 7021-331

Facility

$995.25

Hospital Charge Code	270603878
Hospital Revenue Code	272
Min. Negotiated Rate	$149.29
Max. Negotiated Rate	$149.29
Rate for Payer: Qualcare PPO/HMO/WC	$149.29

BUR ZIM ULPR ST 1.2MM 7021-043

Facility

$402.45

Hospital Charge Code	270603507
Hospital Revenue Code	272
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$201.22
Rate for Payer: Aetna Commercial	$152.93
Rate for Payer: Aetna Medicare Advantage	$120.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.62
Rate for Payer: Cigna Commercial	$201.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.73
Rate for Payer: Oxford Commercial	$80.49
Rate for Payer: Qualcare PPO/HMO/WC	$60.37
Rate for Payer: UnitedHealthcare Commercial	$80.49
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: Wellpoint Medicaid Managed Care	$10.66

BUR ZIM ULPR ST 1.2MM 7021-043

Facility

$402.45

Hospital Charge Code	270603507
Hospital Revenue Code	272
Min. Negotiated Rate	$60.37
Max. Negotiated Rate	$60.37
Rate for Payer: Qualcare PPO/HMO/WC	$60.37

BUR ZIM ULPR ST 1.2MM 7021043*

Facility

$272.00

Hospital Charge Code	270603868
Hospital Revenue Code	272
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

BUR ZIM ULPR ST 1.2MM 7021043*

Facility

$272.00

Hospital Charge Code	270603868
Hospital Revenue Code	272
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$103.36
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.60
Rate for Payer: Oxford Commercial	$54.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$54.40
Rate for Payer: UnitedHealthcare Community & State	$6.56
Rate for Payer: Wellpoint Medicaid Managed Care	$7.21

BUR ZIM ULPR ST 20MM 7021-201

Facility

$912.85

Hospital Charge Code	270603874
Hospital Revenue Code	272
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$456.43
Rate for Payer: Aetna Commercial	$346.88
Rate for Payer: Aetna Medicare Advantage	$273.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.78
Rate for Payer: Cigna Commercial	$456.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.86
Rate for Payer: Oxford Commercial	$182.57
Rate for Payer: Qualcare PPO/HMO/WC	$136.93
Rate for Payer: UnitedHealthcare Commercial	$182.57
Rate for Payer: UnitedHealthcare Community & State	$22.00
Rate for Payer: Wellpoint Medicaid Managed Care	$24.19

BUR ZIM ULPR ST 20MM 7021-201

Facility

$912.85

Hospital Charge Code	270603874
Hospital Revenue Code	272
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$136.93
Rate for Payer: Qualcare PPO/HMO/WC	$136.93

BUR ZIM ULPR ST 20MM 7021-301

Facility

$939.25

Hospital Charge Code	270603877
Hospital Revenue Code	272
Min. Negotiated Rate	$22.64
Max. Negotiated Rate	$469.62
Rate for Payer: Aetna Commercial	$356.92
Rate for Payer: Aetna Medicare Advantage	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.51
Rate for Payer: Cigna Commercial	$469.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.77
Rate for Payer: Oxford Commercial	$187.85
Rate for Payer: Qualcare PPO/HMO/WC	$140.89
Rate for Payer: UnitedHealthcare Commercial	$187.85
Rate for Payer: UnitedHealthcare Community & State	$22.64
Rate for Payer: Wellpoint Medicaid Managed Care	$24.89

BUR ZIM ULPR ST 20MM 7021-301

Facility

$939.25

Hospital Charge Code	270603877
Hospital Revenue Code	272
Min. Negotiated Rate	$140.89
Max. Negotiated Rate	$140.89
Rate for Payer: Qualcare PPO/HMO/WC	$140.89

BUR ZIM ULPR ST 6.0MM 7021-143

Facility

$698.45

Hospital Charge Code	270603870
Hospital Revenue Code	272
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$349.23
Rate for Payer: Aetna Commercial	$265.41
Rate for Payer: Aetna Medicare Advantage	$209.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.10
Rate for Payer: Cigna Commercial	$349.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.53
Rate for Payer: Oxford Commercial	$139.69
Rate for Payer: Qualcare PPO/HMO/WC	$104.77
Rate for Payer: UnitedHealthcare Commercial	$139.69
Rate for Payer: UnitedHealthcare Community & State	$16.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.51

BUR ZIM ULPR ST 6.0MM 7021-143

Facility

$698.45

Hospital Charge Code	270603870
Hospital Revenue Code	272
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$104.77
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

BUR ZIM ULPR TP 2.2MM 7021-815

Facility

$221.45

Hospital Charge Code	270603882
Hospital Revenue Code	272
Min. Negotiated Rate	$5.34
Max. Negotiated Rate	$110.72
Rate for Payer: Aetna Commercial	$84.15
Rate for Payer: Aetna Medicare Advantage	$66.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.47
Rate for Payer: Cigna Commercial	$110.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.44
Rate for Payer: Oxford Commercial	$44.29
Rate for Payer: Qualcare PPO/HMO/WC	$33.22
Rate for Payer: UnitedHealthcare Commercial	$44.29
Rate for Payer: UnitedHealthcare Community & State	$5.34
Rate for Payer: Wellpoint Medicaid Managed Care	$5.87

BUR ZIM ULPR TP 2.2MM 7021-815

Facility

$221.45

Hospital Charge Code	270603882
Hospital Revenue Code	272
Min. Negotiated Rate	$33.22
Max. Negotiated Rate	$33.22
Rate for Payer: Qualcare PPO/HMO/WC	$33.22

BUR ZIM ULPR WP 1.5MM 7021-041

Facility

$533.65

Hospital Charge Code	270603866
Hospital Revenue Code	272
Min. Negotiated Rate	$12.86
Max. Negotiated Rate	$266.82
Rate for Payer: Aetna Commercial	$202.79
Rate for Payer: Aetna Medicare Advantage	$160.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.08
Rate for Payer: Cigna Commercial	$266.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.09
Rate for Payer: Oxford Commercial	$106.73
Rate for Payer: Qualcare PPO/HMO/WC	$80.05
Rate for Payer: UnitedHealthcare Commercial	$106.73
Rate for Payer: UnitedHealthcare Community & State	$12.86
Rate for Payer: Wellpoint Medicaid Managed Care	$14.14

BUR ZIM ULPR WP 1.5MM 7021-041

Facility

$533.65

Hospital Charge Code	270603866
Hospital Revenue Code	272
Min. Negotiated Rate	$80.05
Max. Negotiated Rate	$80.05
Rate for Payer: Qualcare PPO/HMO/WC	$80.05

BUR ZIM ULPR WP 2.0MM 7021-042

Facility

$698.45

Hospital Charge Code	270603867
Hospital Revenue Code	272
Min. Negotiated Rate	$104.77
Max. Negotiated Rate	$104.77
Rate for Payer: Qualcare PPO/HMO/WC	$104.77

Know your out-of-pocket cost for care.

All Charges