Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH GUIDELINER 6FR

Facility

$1,965.00

Hospital Charge Code	270644699S
Hospital Revenue Code	272
Min. Negotiated Rate	$47.36
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$746.70
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.50
Rate for Payer: Oxford Commercial	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.75
Rate for Payer: UnitedHealthcare Commercial	$393.00
Rate for Payer: UnitedHealthcare Community & State	$47.36
Rate for Payer: Wellpoint Medicaid Managed Care	$52.07

CATH GUIDELINER 6FR

Facility

$1,965.00

Hospital Charge Code	270644699S
Hospital Revenue Code	272
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$294.75
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

CATH GUIDE LINER 7FR

Facility

$1,965.00

Hospital Charge Code	270644700N
Hospital Revenue Code	272
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$294.75
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

CATH GUIDE LINER 7FR

Facility

$1,965.00

Hospital Charge Code	270644700
Hospital Revenue Code	272
Min. Negotiated Rate	$47.36
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$746.70
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.50
Rate for Payer: Oxford Commercial	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.75
Rate for Payer: UnitedHealthcare Commercial	$393.00
Rate for Payer: UnitedHealthcare Community & State	$47.36
Rate for Payer: Wellpoint Medicaid Managed Care	$52.07

CATH GUIDE LINER 7FR

Facility

$1,965.00

Hospital Charge Code	270644700N
Hospital Revenue Code	272
Min. Negotiated Rate	$47.36
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$746.70
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.50
Rate for Payer: Oxford Commercial	$393.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.75
Rate for Payer: UnitedHealthcare Commercial	$393.00
Rate for Payer: UnitedHealthcare Community & State	$47.36
Rate for Payer: Wellpoint Medicaid Managed Care	$52.07

CATH GUIDE LINER 7FR

Facility

$1,965.00

Hospital Charge Code	270644700
Hospital Revenue Code	272
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$294.75
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

CATH GUIDE NAVIEN DSC 5F115CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270695994S
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

CATH GUIDE NAVIEN DSC 5F115CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270695994S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

CATH GUIDE NEURON BERN 6F125CM

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685233S
Hospital Revenue Code	278
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$151.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

CATH GUIDE NEURON BERN 6F125CM

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685233S
Hospital Revenue Code	278
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$137.50
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

CATH GUIDE VENTR LPV NL8504210

Facility

$3,028.00

Hospital Charge Code	270600406
Hospital Revenue Code	278
Min. Negotiated Rate	$454.20
Max. Negotiated Rate	$732.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$666.16
Rate for Payer: Qualcare PPO/HMO/WC	$454.20

CATH GUIDE VENTR LPV NL8504210

Facility

$3,028.00

Hospital Charge Code	270600406
Hospital Revenue Code	278
Min. Negotiated Rate	$72.97
Max. Negotiated Rate	$1,514.00
Rate for Payer: Aetna Commercial	$1,150.64
Rate for Payer: Aetna Medicare Advantage	$908.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$772.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$605.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$772.14
Rate for Payer: Cigna Commercial	$1,514.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$732.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$666.16
Rate for Payer: Qualcare PPO/HMO/WC	$454.20
Rate for Payer: UnitedHealthcare Community & State	$72.97
Rate for Payer: Wellpoint Medicaid Managed Care	$80.24

CATH GUIDE VENTR LPV NL8504220

Facility

$2,908.00

Hospital Charge Code	270600407
Hospital Revenue Code	278
Min. Negotiated Rate	$70.08
Max. Negotiated Rate	$1,454.00
Rate for Payer: Aetna Commercial	$1,105.04
Rate for Payer: Aetna Medicare Advantage	$872.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$741.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$741.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$741.54
Rate for Payer: Cigna Commercial	$1,454.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$639.76
Rate for Payer: Qualcare PPO/HMO/WC	$436.20
Rate for Payer: UnitedHealthcare Community & State	$70.08
Rate for Payer: Wellpoint Medicaid Managed Care	$77.06

CATH GUIDE VENTR LPV NL8504220

Facility

$2,908.00

Hospital Charge Code	270600407
Hospital Revenue Code	278
Min. Negotiated Rate	$436.20
Max. Negotiated Rate	$703.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$581.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$703.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$639.76
Rate for Payer: Qualcare PPO/HMO/WC	$436.20

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN 6F JR 4.0

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATH GUIDE W/SH LAUN LA6JR35SH

Facility

$225.00

Hospital Charge Code	270651105C
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATH GUIDE W/SH LAUN LA6JR35SH

Facility

$225.00

Hospital Charge Code	270651105C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATH GUIDE W/SH LAUN LA6JR40SH

Facility

$225.00

Service Code	HCPCS C1887
Hospital Charge Code	270651107C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDE W/SH LAUN LA6SCR35S

Facility

$225.00

Hospital Charge Code	270651111C
Hospital Revenue Code	278
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATH GUIDE W/SH LAUN LA6SCR35S

Facility

$225.00

Hospital Charge Code	270651111C
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
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) NJ Health	$43.00
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	$52.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$47.30
Rate for Payer: Qualcare PPO/HMO/WC	$32.25
Rate for Payer: UnitedHealthcare Community & State	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$5.70

CATH GUIDING 6FR 3.0 LA6JR30

Facility

$215.00

Service Code	HCPCS C1887
Hospital Charge Code	270638298
Hospital Revenue Code	278
Min. Negotiated Rate	$32.25
Max. Negotiated Rate	$52.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$47.30
Rate for Payer: Qualcare PPO/HMO/WC	$32.25

CATH GUIDING 6FR MACH I VL 5.0

Facility

$255.00

Hospital Charge Code	270641798
Hospital Revenue Code	278
Min. Negotiated Rate	$38.25
Max. Negotiated Rate	$61.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.10
Rate for Payer: Qualcare PPO/HMO/WC	$38.25

Know your out-of-pocket cost for care.

All Charges