Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH IMAGER II 4FR 100cm .035

Facility

$89.00

Hospital Charge Code	270640686C
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$44.50
Rate for Payer: Aetna Commercial	$33.82
Rate for Payer: Aetna Medicare Advantage	$26.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.70
Rate for Payer: Cigna Commercial	$44.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.70
Rate for Payer: Oxford Commercial	$17.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.35
Rate for Payer: UnitedHealthcare Commercial	$17.80
Rate for Payer: UnitedHealthcare Community & State	$2.14
Rate for Payer: Wellpoint Medicaid Managed Care	$2.36

CATH IMAGER II 5FR 100cm .038

Facility

$400.00

Hospital Charge Code	270630466
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

CATH IMAGER II 5FR 100cm .038

Facility

$279.10

Hospital Charge Code	270632046
Hospital Revenue Code	272
Min. Negotiated Rate	$41.87
Max. Negotiated Rate	$41.87
Rate for Payer: Qualcare PPO/HMO/WC	$41.87

CATH IMAGER II 5FR 100cm .038

Facility

$279.10

Hospital Charge Code	270632046
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$139.55
Rate for Payer: Aetna Commercial	$106.06
Rate for Payer: Aetna Medicare Advantage	$83.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.17
Rate for Payer: Cigna Commercial	$139.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.73
Rate for Payer: Oxford Commercial	$55.82
Rate for Payer: Qualcare PPO/HMO/WC	$41.87
Rate for Payer: UnitedHealthcare Commercial	$55.82
Rate for Payer: UnitedHealthcare Community & State	$6.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7.40

CATH IMAGER II 5FR 100cm .038

Facility

$400.00

Hospital Charge Code	270630466
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$10.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$10.73
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CATH IMAGER II 5FR 40CM .035

Facility

$27.91

Hospital Charge Code	270651296N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CATH IMAGER II 5FR 40CM .035

Facility

$27.91

Hospital Charge Code	270651296N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$13.96
Rate for Payer: Aetna Commercial	$10.61
Rate for Payer: Aetna Medicare Advantage	$8.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.12
Rate for Payer: Cigna Commercial	$13.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.37
Rate for Payer: Oxford Commercial	$5.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$5.58
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

CATH IMAGER II 5FR 40CM .035

Facility

$53.65

Hospital Charge Code	270651296S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$10.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$10.73
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CATH IMAGER II 5FR 40cm .038

Facility

$53.65

Hospital Charge Code	270627305
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$10.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$10.73
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CATH IMAGER II 5FR 40cm .038

Facility

$53.65

Hospital Charge Code	270627305
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

CATH IMAGER II 5FR 55cm .035

Facility

$27.91

Hospital Charge Code	270627306N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$13.96
Rate for Payer: Aetna Commercial	$10.61
Rate for Payer: Aetna Medicare Advantage	$8.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.12
Rate for Payer: Cigna Commercial	$13.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.37
Rate for Payer: Oxford Commercial	$5.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.19
Rate for Payer: UnitedHealthcare Commercial	$5.58
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

CATH IMAGER II 5FR 55cm .035

Facility

$53.65

Hospital Charge Code	270627306S
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

CATH IMAGER II 5FR 55cm .035

Facility

$27.91

Hospital Charge Code	270627306N
Hospital Revenue Code	272
Min. Negotiated Rate	$4.19
Max. Negotiated Rate	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$4.19

CATH IMAGER II 5FR 55cm .035

Facility

$53.65

Hospital Charge Code	270627306
Hospital Revenue Code	272
Min. Negotiated Rate	$8.05
Max. Negotiated Rate	$8.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.05

CATH IMAGER II 5FR 55cm .035

Facility

$55.82

Hospital Charge Code	270621306
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATH IMAGER II 5FR 55cm .035

Facility

$55.82

Hospital Charge Code	270621306
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$27.91
Rate for Payer: Aetna Commercial	$21.21
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.23
Rate for Payer: Cigna Commercial	$27.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.75
Rate for Payer: Oxford Commercial	$11.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.37
Rate for Payer: UnitedHealthcare Commercial	$11.16
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

CATH IMAGER II 5FR 55cm .035

Facility

$53.65

Hospital Charge Code	270627306S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$10.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$10.73
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CATH IMAGER II 5FR 55cm .035

Facility

$53.65

Hospital Charge Code	270627306
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.82
Rate for Payer: Aetna Commercial	$20.39
Rate for Payer: Aetna Medicare Advantage	$16.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.68
Rate for Payer: Cigna Commercial	$26.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.09
Rate for Payer: Oxford Commercial	$10.73
Rate for Payer: Qualcare PPO/HMO/WC	$8.05
Rate for Payer: UnitedHealthcare Commercial	$10.73
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

CATH IMAGER II 5FR 65cm .038

Facility

$279.10

Hospital Charge Code	270638265
Hospital Revenue Code	272
Min. Negotiated Rate	$6.73
Max. Negotiated Rate	$139.55
Rate for Payer: Aetna Commercial	$106.06
Rate for Payer: Aetna Medicare Advantage	$83.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.17
Rate for Payer: Cigna Commercial	$139.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.73
Rate for Payer: Oxford Commercial	$55.82
Rate for Payer: Qualcare PPO/HMO/WC	$41.87
Rate for Payer: UnitedHealthcare Commercial	$55.82
Rate for Payer: UnitedHealthcare Community & State	$6.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7.40

CATH IMAGER II 5FR 65cm .038

Facility

$55.82

Hospital Charge Code	270638265C
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATH IMAGER II 5FR 65cm .038

Facility

$268.25

Hospital Charge Code	270630188
Hospital Revenue Code	272
Min. Negotiated Rate	$40.24
Max. Negotiated Rate	$40.24
Rate for Payer: Qualcare PPO/HMO/WC	$40.24

CATH IMAGER II 5FR 65cm .038

Facility

$268.25

Hospital Charge Code	270630188
Hospital Revenue Code	272
Min. Negotiated Rate	$6.46
Max. Negotiated Rate	$134.12
Rate for Payer: Aetna Commercial	$101.94
Rate for Payer: Aetna Medicare Advantage	$80.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.40
Rate for Payer: Cigna Commercial	$134.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.47
Rate for Payer: Oxford Commercial	$53.65
Rate for Payer: Qualcare PPO/HMO/WC	$40.24
Rate for Payer: UnitedHealthcare Commercial	$53.65
Rate for Payer: UnitedHealthcare Community & State	$6.46
Rate for Payer: Wellpoint Medicaid Managed Care	$7.11

Know your out-of-pocket cost for care.

All Charges