Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH HN5

Facility

$200.85

Hospital Charge Code	270677005
Hospital Revenue Code	272
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$100.42
Rate for Payer: Aetna Commercial	$76.32
Rate for Payer: Aetna Medicare Advantage	$60.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.22
Rate for Payer: Cigna Commercial	$100.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.26
Rate for Payer: Oxford Commercial	$40.17
Rate for Payer: Qualcare PPO/HMO/WC	$30.13
Rate for Payer: UnitedHealthcare Commercial	$40.17
Rate for Payer: UnitedHealthcare Community & State	$4.84
Rate for Payer: Wellpoint Medicaid Managed Care	$5.32

CATH HNBR5.0-35-65-P-NS-VANSC

Facility

$106.70

Hospital Charge Code	2706366175
Hospital Revenue Code	278
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$53.35
Rate for Payer: Aetna Commercial	$40.55
Rate for Payer: Aetna Medicare Advantage	$32.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.21
Rate for Payer: Cigna Commercial	$53.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.47
Rate for Payer: Qualcare PPO/HMO/WC	$16.00
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.83

CATH HNBR5.0-35-65-P-NS-VANSC

Facility

$106.70

Hospital Charge Code	2706366175
Hospital Revenue Code	278
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$25.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.47
Rate for Payer: Qualcare PPO/HMO/WC	$16.00

CATH HOCKEY STICK 6FR 55CM

Facility

$245.00

Hospital Charge Code	270645474C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOCKEY STICK 6FR 55CM

Facility

$245.00

Hospital Charge Code	270645474C
Hospital Revenue Code	278
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

CATH HOCKEY STICK 7FR 55CM

Facility

$245.00

Hospital Charge Code	270645475C
Hospital Revenue Code	278
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

CATH HOCKEY STICK 7FR 55CM

Facility

$245.00

Hospital Charge Code	270645475C
Hospital Revenue Code	278
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$59.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.90
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH HOLLISTER EXTERNAL *****

Facility

$9.00

Hospital Charge Code	8002628
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

CATH HOLLISTER EXTERNAL *****

Facility

$9.00

Hospital Charge Code	8002628
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

CATH HOLTER PERITON 82-1684

Facility

$851.25

Hospital Charge Code	270605137
Hospital Revenue Code	272
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$127.69
Rate for Payer: Qualcare PPO/HMO/WC	$127.69

CATH HOLTER PERITON 82-1684

Facility

$851.25

Hospital Charge Code	270605137
Hospital Revenue Code	272
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$425.62
Rate for Payer: Aetna Commercial	$323.48
Rate for Payer: Aetna Medicare Advantage	$255.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.07
Rate for Payer: Cigna Commercial	$425.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.38
Rate for Payer: Oxford Commercial	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$127.69
Rate for Payer: UnitedHealthcare Commercial	$170.25
Rate for Payer: UnitedHealthcare Community & State	$20.52
Rate for Payer: Wellpoint Medicaid Managed Care	$22.56

CATH HOLTER VEN 10CM 82-1666

Facility

$564.85

Hospital Charge Code	270605138
Hospital Revenue Code	272
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$214.64
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.46
Rate for Payer: Oxford Commercial	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$112.97
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

CATH HOLTER VEN 10CM 82-1666

Facility

$564.85

Hospital Charge Code	270605138
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

CATH HOLTER VEN 15CM 82-1650

Facility

$564.85

Hospital Charge Code	270605135
Hospital Revenue Code	272
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$214.64
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.46
Rate for Payer: Oxford Commercial	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$112.97
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

CATH HOLTER VEN 15CM 82-1650

Facility

$564.85

Hospital Charge Code	270605135
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

CATH HOLTER VEN 4CM 82-1654

Facility

$564.85

Hospital Charge Code	270605134
Hospital Revenue Code	272
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$214.64
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.46
Rate for Payer: Oxford Commercial	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$112.97
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

CATH HOLTER VEN 4CM 82-1654

Facility

$564.85

Hospital Charge Code	270605134
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

CATH HOLTER VEN 7CM 82-1660

Facility

$564.85

Hospital Charge Code	270605133
Hospital Revenue Code	272
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.43
Rate for Payer: Aetna Commercial	$214.64
Rate for Payer: Aetna Medicare Advantage	$169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.04
Rate for Payer: Cigna Commercial	$282.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.46
Rate for Payer: Oxford Commercial	$112.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$112.97
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

CATH HOLTER VEN 7CM 82-1660

Facility

$564.85

Hospital Charge Code	270605133
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

CATH HOLTER VEN 9CM 82-1664

Facility

$838.25

Hospital Charge Code	270605136
Hospital Revenue Code	272
Min. Negotiated Rate	$20.20
Max. Negotiated Rate	$419.12
Rate for Payer: Aetna Commercial	$318.54
Rate for Payer: Aetna Medicare Advantage	$251.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.75
Rate for Payer: Cigna Commercial	$419.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$251.47
Rate for Payer: Oxford Commercial	$167.65
Rate for Payer: Qualcare PPO/HMO/WC	$125.74
Rate for Payer: UnitedHealthcare Commercial	$167.65
Rate for Payer: UnitedHealthcare Community & State	$20.20
Rate for Payer: Wellpoint Medicaid Managed Care	$22.21

CATH HOLTER VEN 9CM 82-1664

Facility

$838.25

Hospital Charge Code	270605136
Hospital Revenue Code	272
Min. Negotiated Rate	$125.74
Max. Negotiated Rate	$125.74
Rate for Payer: Qualcare PPO/HMO/WC	$125.74

CATH HS 6F

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636316
Hospital Revenue Code	272
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$48.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

CATH HS 6F

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636316
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH HS 7FR 778-278-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636373
Hospital Revenue Code	278
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

CATH HS 7FR 778-278-00

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636373
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

Know your out-of-pocket cost for care.

All Charges