Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH MALECOT NEPHROSTOMY 16FR

Facility

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$144.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$131.23
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH MALECOT NEPHROSTOMY 16FR

Facility

$596.50

Hospital Charge Code	270653637
Hospital Revenue Code	278
Min. Negotiated Rate	$14.38
Max. Negotiated Rate	$298.25
Rate for Payer: Aetna Commercial	$226.67
Rate for Payer: Aetna Medicare Advantage	$178.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$119.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$144.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$131.23
Rate for Payer: Qualcare PPO/HMO/WC	$89.47
Rate for Payer: UnitedHealthcare Community & State	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.81

CATH MALECOT NEPHROSTOMY 24FR

Facility

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$13.64
Max. Negotiated Rate	$282.98
Rate for Payer: Aetna Commercial	$215.06
Rate for Payer: Aetna Medicare Advantage	$169.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.32
Rate for Payer: Cigna Commercial	$282.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.78
Rate for Payer: Oxford Commercial	$113.19
Rate for Payer: Qualcare PPO/HMO/WC	$84.89
Rate for Payer: UnitedHealthcare Commercial	$113.19
Rate for Payer: UnitedHealthcare Community & State	$13.64
Rate for Payer: Wellpoint Medicaid Managed Care	$15.00

CATH MALECOT NEPHROSTOMY 24FR

Facility

$565.95

Hospital Charge Code	270662063
Hospital Revenue Code	272
Min. Negotiated Rate	$84.89
Max. Negotiated Rate	$84.89
Rate for Payer: Qualcare PPO/HMO/WC	$84.89

CATH MALECOT NEPHROSTOMY 24FR

Facility

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$174.25
Rate for Payer: Aetna Commercial	$132.43
Rate for Payer: Aetna Medicare Advantage	$104.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.87
Rate for Payer: Cigna Commercial	$174.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.67
Rate for Payer: Qualcare PPO/HMO/WC	$52.27
Rate for Payer: UnitedHealthcare Community & State	$8.40
Rate for Payer: Wellpoint Medicaid Managed Care	$9.24

CATH MALECOT NEPHROSTOMY 24FR

Facility

$348.50

Service Code	HCPCS C1729
Hospital Charge Code	270658554
Hospital Revenue Code	278
Min. Negotiated Rate	$52.27
Max. Negotiated Rate	$84.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.67
Rate for Payer: Qualcare PPO/HMO/WC	$52.27

CATH MALE EXTERNAL LARGE

Facility

$5.00

Hospital Charge Code	270650101
Hospital Revenue Code	270
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

CATH MALE EXTERNAL LARGE

Facility

$5.00

Hospital Charge Code	270650101
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

CATH MALE EXTERNAL MEDIUM

Facility

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

CATH MALE EXTERNAL MEDIUM

Facility

$8.12

Hospital Charge Code	270650100
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.06
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	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.07
Rate for Payer: Cigna Commercial	$4.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.44
Rate for Payer: Oxford Commercial	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.62
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

CATH MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
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 MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243
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 MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
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 MARINER VERTEBRAL 5FR

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270677243N
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 MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$61.45
Max. Negotiated Rate	$1,275.00
Rate for Payer: Aetna Commercial	$969.00
Rate for Payer: Aetna Medicare Advantage	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.25
Rate for Payer: Cigna Commercial	$1,275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$561.00
Rate for Payer: Qualcare PPO/HMO/WC	$382.50
Rate for Payer: UnitedHealthcare Community & State	$61.45
Rate for Payer: Wellpoint Medicaid Managed Care	$67.58

CATH MC SUPERCROSS 150CM 120DG

Facility

$2,550.00

Service Code	HCPCS C1887
Hospital Charge Code	270678228
Hospital Revenue Code	278
Min. Negotiated Rate	$382.50
Max. Negotiated Rate	$617.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$617.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$561.00
Rate for Payer: Qualcare PPO/HMO/WC	$382.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$258.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.40
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

CATH MCV DILAT 10-12MM 5841

Facility

$1,070.00

Service Code	HCPCS C1726
Hospital Charge Code	270619659
Hospital Revenue Code	278
Min. Negotiated Rate	$25.79
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.40
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Community & State	$25.79
Rate for Payer: Wellpoint Medicaid Managed Care	$28.36

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$160.10
Max. Negotiated Rate	$258.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.82
Rate for Payer: Qualcare PPO/HMO/WC	$160.10

CATH MCV DILAT 12-15MM 5840

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270619661
Hospital Revenue Code	278
Min. Negotiated Rate	$25.72
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$405.59
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.82
Rate for Payer: Qualcare PPO/HMO/WC	$160.10
Rate for Payer: UnitedHealthcare Community & State	$25.72
Rate for Payer: Wellpoint Medicaid Managed Care	$28.28

CATH MCV NEPH 10-12//55 210118

Facility

$1,915.25

Hospital Charge Code	270614890
Hospital Revenue Code	272
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$287.29
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

CATH MCV NEPH 10-12//55 210118

Facility

$1,915.25

Hospital Charge Code	270614890
Hospital Revenue Code	272
Min. Negotiated Rate	$46.16
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$727.79
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.58
Rate for Payer: Oxford Commercial	$383.05
Rate for Payer: Qualcare PPO/HMO/WC	$287.29
Rate for Payer: UnitedHealthcare Commercial	$383.05
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

CATH MCV OCCL OB7/2/100 220110

Facility

$760.85

Hospital Charge Code	270616304
Hospital Revenue Code	272
Min. Negotiated Rate	$114.13
Max. Negotiated Rate	$114.13
Rate for Payer: Qualcare PPO/HMO/WC	$114.13

CATH MCV OCCL OB7/2/100 220110

Facility

$760.85

Hospital Charge Code	270616304
Hospital Revenue Code	272
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$380.43
Rate for Payer: Aetna Commercial	$289.12
Rate for Payer: Aetna Medicare Advantage	$228.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.02
Rate for Payer: Cigna Commercial	$380.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.25
Rate for Payer: Oxford Commercial	$152.17
Rate for Payer: Qualcare PPO/HMO/WC	$114.13
Rate for Payer: UnitedHealthcare Commercial	$152.17
Rate for Payer: UnitedHealthcare Community & State	$18.34
Rate for Payer: Wellpoint Medicaid Managed Care	$20.16

CATH MCV OC OB11.5/7/65 220109

Facility

$1,112.85

Hospital Charge Code	270616303
Hospital Revenue Code	272
Min. Negotiated Rate	$166.93
Max. Negotiated Rate	$166.93
Rate for Payer: Qualcare PPO/HMO/WC	$166.93

Know your out-of-pocket cost for care.

All Charges