Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH INFINITI 6FR IM 100CM

Facility

$55.63

Hospital Charge Code	270689908
Hospital Revenue Code	272
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$27.82
Rate for Payer: Aetna Commercial	$21.14
Rate for Payer: Aetna Medicare Advantage	$16.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.19
Rate for Payer: Cigna Commercial	$27.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.69
Rate for Payer: Oxford Commercial	$11.13
Rate for Payer: Qualcare PPO/HMO/WC	$8.34
Rate for Payer: UnitedHealthcare Commercial	$11.13
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

CATH INFITY 6F JL3.0 MODC16576

Facility

$144.20

Hospital Charge Code	270627798
Hospital Revenue Code	272
Min. Negotiated Rate	$3.48
Max. Negotiated Rate	$72.10
Rate for Payer: Aetna Commercial	$54.80
Rate for Payer: Aetna Medicare Advantage	$43.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.77
Rate for Payer: Cigna Commercial	$72.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.26
Rate for Payer: Oxford Commercial	$28.84
Rate for Payer: Qualcare PPO/HMO/WC	$21.63
Rate for Payer: UnitedHealthcare Commercial	$28.84
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.82

CATH INFITY 6F JL3.0 MODC16576

Facility

$144.20

Hospital Charge Code	270627798
Hospital Revenue Code	272
Min. Negotiated Rate	$21.63
Max. Negotiated Rate	$21.63
Rate for Payer: Qualcare PPO/HMO/WC	$21.63

CATH INFITY 6F JR 3.0 MODC1657

Facility

$134.95

Hospital Charge Code	270627796
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$20.24
Rate for Payer: Qualcare PPO/HMO/WC	$20.24

CATH INFITY 6F JR 3.0 MODC1657

Facility

$134.95

Hospital Charge Code	270627796
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.47
Rate for Payer: Aetna Commercial	$51.28
Rate for Payer: Aetna Medicare Advantage	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.41
Rate for Payer: Cigna Commercial	$67.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.48
Rate for Payer: Oxford Commercial	$26.99
Rate for Payer: Qualcare PPO/HMO/WC	$20.24
Rate for Payer: UnitedHealthcare Commercial	$26.99
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

CATH INF MEW 65 46189

Facility

$394.95

Hospital Charge Code	270628045
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.47
Rate for Payer: Aetna Commercial	$150.08
Rate for Payer: Aetna Medicare Advantage	$118.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.71
Rate for Payer: Cigna Commercial	$197.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.48
Rate for Payer: Oxford Commercial	$78.99
Rate for Payer: Qualcare PPO/HMO/WC	$59.24
Rate for Payer: UnitedHealthcare Commercial	$78.99
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

CATH INF MEW 65 46189

Facility

$394.95

Hospital Charge Code	270628045
Hospital Revenue Code	272
Min. Negotiated Rate	$59.24
Max. Negotiated Rate	$59.24
Rate for Payer: Qualcare PPO/HMO/WC	$59.24

CATH INFUS MAGIC MP 1.5FR165CM

Facility

$6,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270697736S
Hospital Revenue Code	278
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$1,566.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATH INFUS MAGIC MP 1.5FR165CM

Facility

$6,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270697736S
Hospital Revenue Code	278
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.50
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

CATH INLAY ML STENT URETERAL

Facility

$934.10

Hospital Charge Code	270650894
Hospital Revenue Code	278
Min. Negotiated Rate	$140.12
Max. Negotiated Rate	$226.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$140.12

CATH INLAY ML STENT URETERAL

Facility

$934.10

Hospital Charge Code	270650894
Hospital Revenue Code	278
Min. Negotiated Rate	$22.51
Max. Negotiated Rate	$467.05
Rate for Payer: Aetna Commercial	$354.96
Rate for Payer: Aetna Medicare Advantage	$280.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$186.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.20
Rate for Payer: Cigna Commercial	$467.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$140.12
Rate for Payer: UnitedHealthcare Community & State	$22.51
Rate for Payer: Wellpoint Medicaid Managed Care	$24.75

CATH INTERMED SOFIA 5FX115CM

Facility

$8,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270696908S
Hospital Revenue Code	278
Min. Negotiated Rate	$204.85
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$3,230.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,870.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00
Rate for Payer: UnitedHealthcare Community & State	$204.85
Rate for Payer: Wellpoint Medicaid Managed Care	$225.25

CATH INTERMED SOFIA 5FX115CM

Facility

$8,500.00

Service Code	HCPCS C1887
Hospital Charge Code	270696908S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,870.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CATH INTRADISC 8PIN STD7210440

Facility

$8,975.00

Hospital Charge Code	270640996
Hospital Revenue Code	272
Min. Negotiated Rate	$1,346.25
Max. Negotiated Rate	$1,346.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25

CATH INTRADISC 8PIN STD7210440

Facility

$8,975.00

Hospital Charge Code	270640996
Hospital Revenue Code	272
Min. Negotiated Rate	$216.30
Max. Negotiated Rate	$4,487.50
Rate for Payer: Aetna Commercial	$3,410.50
Rate for Payer: Aetna Medicare Advantage	$2,692.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,288.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,288.62
Rate for Payer: Cigna Commercial	$4,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,692.50
Rate for Payer: Oxford Commercial	$1,795.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,346.25
Rate for Payer: UnitedHealthcare Commercial	$1,795.00
Rate for Payer: UnitedHealthcare Community & State	$216.30
Rate for Payer: Wellpoint Medicaid Managed Care	$237.84

CATH INTRASPINAL INDURA 8703W

Facility

$3,642.45

Hospital Charge Code	270606847
Hospital Revenue Code	272
Min. Negotiated Rate	$546.37
Max. Negotiated Rate	$546.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.37

CATH INTRASPINAL INDURA 8703W

Facility

$3,642.45

Hospital Charge Code	270606847
Hospital Revenue Code	272
Min. Negotiated Rate	$87.78
Max. Negotiated Rate	$1,821.22
Rate for Payer: Aetna Commercial	$1,384.13
Rate for Payer: Aetna Medicare Advantage	$1,092.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$928.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$928.82
Rate for Payer: Cigna Commercial	$1,821.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,092.73
Rate for Payer: Oxford Commercial	$728.49
Rate for Payer: Qualcare PPO/HMO/WC	$546.37
Rate for Payer: UnitedHealthcare Commercial	$728.49
Rate for Payer: UnitedHealthcare Community & State	$87.78
Rate for Payer: Wellpoint Medicaid Managed Care	$96.52

CATH INTRATHECAL ASCENDA BACLO

Facility

$5,500.00

Service Code	HCPCS C1755
Hospital Charge Code	270691698
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

CATH INTRATHECAL ASCENDA BACLO

Facility

$5,500.00

Service Code	HCPCS C1755
Hospital Charge Code	270691698
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

CATH INTRAVASC 20G 2.25IN

Facility

$240.00

Hospital Charge Code	270699383S
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH INTRAVASC 20G 2.25IN

Facility

$240.00

Hospital Charge Code	270699383S
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 INTROCAN 20G 1

Facility

$8.14

Hospital Charge Code	270647470
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.07
Rate for Payer: Aetna Commercial	$3.09
Rate for Payer: Aetna Medicare Advantage	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.44
Rate for Payer: Oxford Commercial	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.63
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

CATH INTROCAN 20G 1

Facility

$8.14

Hospital Charge Code	270647470
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

CATH INTROCAN CANNULA 14G 2

Facility

$547.90

Hospital Charge Code	270647451
Hospital Revenue Code	270
Min. Negotiated Rate	$82.19
Max. Negotiated Rate	$82.19
Rate for Payer: Qualcare PPO/HMO/WC	$82.19

CATH INTROCAN CANNULA 14G 2

Facility

$547.90

Hospital Charge Code	270647451
Hospital Revenue Code	270
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$273.95
Rate for Payer: Aetna Commercial	$208.20
Rate for Payer: Aetna Medicare Advantage	$164.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.71
Rate for Payer: Cigna Commercial	$273.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.37
Rate for Payer: Oxford Commercial	$109.58
Rate for Payer: Qualcare PPO/HMO/WC	$82.19
Rate for Payer: UnitedHealthcare Commercial	$109.58
Rate for Payer: UnitedHealthcare Community & State	$13.20
Rate for Payer: Wellpoint Medicaid Managed Care	$14.52

Know your out-of-pocket cost for care.

All Charges