Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

CATH JUDKINS 6FR JR 4.0 100cm

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270648005N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

CATH KIT COMMON DUCT EXPLOR

Facility

$4,350.00

Hospital Charge Code	270630273
Hospital Revenue Code	272
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

CATH KIT COMMON DUCT EXPLOR

Facility

$4,350.00

Hospital Charge Code	270630273
Hospital Revenue Code	272
Min. Negotiated Rate	$104.83
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,653.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.00
Rate for Payer: Oxford Commercial	$870.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Commercial	$870.00
Rate for Payer: UnitedHealthcare Community & State	$104.83
Rate for Payer: Wellpoint Medicaid Managed Care	$115.28

CATH KIT MULTI LUMEN MAX 7FR

Facility

$609.24

Service Code	HCPCS C1751
Hospital Charge Code	270665276S
Hospital Revenue Code	278
Min. Negotiated Rate	$14.68
Max. Negotiated Rate	$304.62
Rate for Payer: Aetna Commercial	$231.51
Rate for Payer: Aetna Medicare Advantage	$182.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.36
Rate for Payer: Cigna Commercial	$304.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.03
Rate for Payer: Qualcare PPO/HMO/WC	$91.39
Rate for Payer: UnitedHealthcare Community & State	$14.68
Rate for Payer: Wellpoint Medicaid Managed Care	$16.14

CATH KIT MULTI LUMEN MAX 7FR

Facility

$609.24

Service Code	HCPCS C1751
Hospital Charge Code	270665276S
Hospital Revenue Code	278
Min. Negotiated Rate	$91.39
Max. Negotiated Rate	$147.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$134.03
Rate for Payer: Qualcare PPO/HMO/WC	$91.39

CATH KIT NOZ-STOP

Facility

$420.00

Hospital Charge Code	270600030
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.00
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$84.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

CATH KIT NOZ-STOP

Facility

$420.00

Hospital Charge Code	270600030
Hospital Revenue Code	272
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

CATH KIT TRIPLE LUMEN 7FR

Facility

$235.15

Hospital Charge Code	270649052
Hospital Revenue Code	272
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$117.58
Rate for Payer: Aetna Commercial	$89.36
Rate for Payer: Aetna Medicare Advantage	$70.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.96
Rate for Payer: Cigna Commercial	$117.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.55
Rate for Payer: Oxford Commercial	$47.03
Rate for Payer: Qualcare PPO/HMO/WC	$35.27
Rate for Payer: UnitedHealthcare Commercial	$47.03
Rate for Payer: UnitedHealthcare Community & State	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

CATH KIT TRIPLE LUMEN 7FR

Facility

$235.15

Hospital Charge Code	270649052
Hospital Revenue Code	272
Min. Negotiated Rate	$35.27
Max. Negotiated Rate	$35.27
Rate for Payer: Qualcare PPO/HMO/WC	$35.27

CATH KIT TRIPLE LUMEN 7FRX8

Facility

$163.65

Service Code	HCPCS C1751
Hospital Charge Code	270649053
Hospital Revenue Code	272
Min. Negotiated Rate	$24.55
Max. Negotiated Rate	$24.55
Rate for Payer: Qualcare PPO/HMO/WC	$24.55

CATH KIT TRIPLE LUMEN 7FRX8

Facility

$163.65

Service Code	HCPCS C1751
Hospital Charge Code	270649053
Hospital Revenue Code	272
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$81.83
Rate for Payer: Aetna Commercial	$62.19
Rate for Payer: Aetna Medicare Advantage	$49.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.73
Rate for Payer: Cigna Commercial	$81.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.09
Rate for Payer: Oxford Commercial	$32.73
Rate for Payer: Qualcare PPO/HMO/WC	$24.55
Rate for Payer: UnitedHealthcare Commercial	$32.73
Rate for Payer: UnitedHealthcare Community & State	$3.94
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

CATH KIT TROCAR 12F

Facility

$252.00

Hospital Charge Code	270300550
Hospital Revenue Code	272
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

CATH KIT TROCAR 12F

Facility

$252.00

Hospital Charge Code	270300550
Hospital Revenue Code	272
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$95.76
Rate for Payer: Aetna Medicare Advantage	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.26
Rate for Payer: Cigna Commercial	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.60
Rate for Payer: Oxford Commercial	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$50.40
Rate for Payer: UnitedHealthcare Community & State	$6.07
Rate for Payer: Wellpoint Medicaid Managed Care	$6.68

CATH KIT TROCAR 20F

Facility

$132.90

Hospital Charge Code	270300555
Hospital Revenue Code	272
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$19.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.93

CATH KIT TROCAR 20F

Facility

$132.90

Hospital Charge Code	270300555
Hospital Revenue Code	272
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$66.45
Rate for Payer: Aetna Commercial	$50.50
Rate for Payer: Aetna Medicare Advantage	$39.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.89
Rate for Payer: Cigna Commercial	$66.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.87
Rate for Payer: Oxford Commercial	$26.58
Rate for Payer: Qualcare PPO/HMO/WC	$19.93
Rate for Payer: UnitedHealthcare Commercial	$26.58
Rate for Payer: UnitedHealthcare Community & State	$3.20
Rate for Payer: Wellpoint Medicaid Managed Care	$3.52

CATH KIT TROCAR 28F

Facility

$132.90

Hospital Charge Code	270300565
Hospital Revenue Code	272
Min. Negotiated Rate	$3.20
Max. Negotiated Rate	$66.45
Rate for Payer: Aetna Commercial	$50.50
Rate for Payer: Aetna Medicare Advantage	$39.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.89
Rate for Payer: Cigna Commercial	$66.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.87
Rate for Payer: Oxford Commercial	$26.58
Rate for Payer: Qualcare PPO/HMO/WC	$19.93
Rate for Payer: UnitedHealthcare Commercial	$26.58
Rate for Payer: UnitedHealthcare Community & State	$3.20
Rate for Payer: Wellpoint Medicaid Managed Care	$3.52

CATH KIT TROCAR 28F

Facility

$132.90

Hospital Charge Code	270300565
Hospital Revenue Code	272
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$19.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.93

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	366892950
Hospital Revenue Code	480
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.96
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	74110059
Hospital Revenue Code	480
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

CATH LAB -- CPR

Facility

$1,120.00

Service Code	HCPCS 92950
Hospital Charge Code	74110059
Hospital Revenue Code	480
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.96
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$910.50
Max. Negotiated Rate	$910.50
Rate for Payer: Qualcare PPO/HMO/WC	$910.50

CATH LAB -- CPR

Facility

$6,070.00

Service Code	HCPCS 92950
Hospital Charge Code	5100632
Hospital Revenue Code	480
Min. Negotiated Rate	$100.28
Max. Negotiated Rate	$2,770.00
Rate for Payer: Aetna Commercial	$697.73
Rate for Payer: Aetna Medicare Advantage	$831.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$256.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.96
Rate for Payer: Cigna Commercial	$514.20
Rate for Payer: Cigna Medicare Advantage	$256.52
Rate for Payer: Clover Medicare Advantage	$243.69
Rate for Payer: EmblemHealth Commercial	$769.56
Rate for Payer: Humana Medicare Advantage	$264.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$256.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,821.00
Rate for Payer: Oxford Commercial	$1,580.00
Rate for Payer: Qualcare PPO/HMO/WC	$910.50
Rate for Payer: UnitedHealthcare Commercial	$2,770.00
Rate for Payer: UnitedHealthcare Community & State	$146.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$256.52
Rate for Payer: Wellcare Medicare Advantage	$256.52
Rate for Payer: Wellpoint Medicaid Managed Care	$160.85

Know your out-of-pocket cost for care.

All Charges