Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH MCV OC OB11.5/7/65 220109

Facility

$1,112.85

Hospital Charge Code	270616303
Hospital Revenue Code	272
Min. Negotiated Rate	$26.82
Max. Negotiated Rate	$556.42
Rate for Payer: Aetna Commercial	$422.88
Rate for Payer: Aetna Medicare Advantage	$333.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$283.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$283.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$283.78
Rate for Payer: Cigna Commercial	$556.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$333.86
Rate for Payer: Oxford Commercial	$222.57
Rate for Payer: Qualcare PPO/HMO/WC	$166.93
Rate for Payer: UnitedHealthcare Commercial	$222.57
Rate for Payer: UnitedHealthcare Community & State	$26.82
Rate for Payer: Wellpoint Medicaid Managed Care	$29.49

CATH MCV PHAN BALLN 5-7 421-20

Facility

$2,608.00

Hospital Charge Code	270601084
Hospital Revenue Code	272
Min. Negotiated Rate	$391.20
Max. Negotiated Rate	$391.20
Rate for Payer: Qualcare PPO/HMO/WC	$391.20

CATH MCV PHAN BALLN 5-7 421-20

Facility

$2,608.00

Hospital Charge Code	270601084
Hospital Revenue Code	272
Min. Negotiated Rate	$62.85
Max. Negotiated Rate	$1,304.00
Rate for Payer: Aetna Commercial	$991.04
Rate for Payer: Aetna Medicare Advantage	$782.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$665.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$665.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$665.04
Rate for Payer: Cigna Commercial	$1,304.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.40
Rate for Payer: Oxford Commercial	$521.60
Rate for Payer: Qualcare PPO/HMO/WC	$391.20
Rate for Payer: UnitedHealthcare Commercial	$521.60
Rate for Payer: UnitedHealthcare Community & State	$62.85
Rate for Payer: Wellpoint Medicaid Managed Care	$69.11

CATH MCV PIGTL 7/5CM 3101

Facility

$912.85

Hospital Charge Code	270600931
Hospital Revenue Code	272
Min. Negotiated Rate	$136.93
Max. Negotiated Rate	$136.93
Rate for Payer: Qualcare PPO/HMO/WC	$136.93

CATH MCV PIGTL 7/5CM 3101

Facility

$912.85

Hospital Charge Code	270600931
Hospital Revenue Code	272
Min. Negotiated Rate	$22.00
Max. Negotiated Rate	$456.43
Rate for Payer: Aetna Commercial	$346.88
Rate for Payer: Aetna Medicare Advantage	$273.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.78
Rate for Payer: Cigna Commercial	$456.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$273.86
Rate for Payer: Oxford Commercial	$182.57
Rate for Payer: Qualcare PPO/HMO/WC	$136.93
Rate for Payer: UnitedHealthcare Commercial	$182.57
Rate for Payer: UnitedHealthcare Community & State	$22.00
Rate for Payer: Wellpoint Medicaid Managed Care	$24.19

CATH MCV PULM TAMPONADE 5187

Facility

$1,280.85

Hospital Charge Code	270609956
Hospital Revenue Code	272
Min. Negotiated Rate	$192.13
Max. Negotiated Rate	$192.13
Rate for Payer: Qualcare PPO/HMO/WC	$192.13

CATH MCV PULM TAMPONADE 5187

Facility

$1,280.85

Hospital Charge Code	270609956
Hospital Revenue Code	272
Min. Negotiated Rate	$30.87
Max. Negotiated Rate	$640.42
Rate for Payer: Aetna Commercial	$486.72
Rate for Payer: Aetna Medicare Advantage	$384.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.62
Rate for Payer: Cigna Commercial	$640.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.25
Rate for Payer: Oxford Commercial	$256.17
Rate for Payer: Qualcare PPO/HMO/WC	$192.13
Rate for Payer: UnitedHealthcare Commercial	$256.17
Rate for Payer: UnitedHealthcare Community & State	$30.87
Rate for Payer: Wellpoint Medicaid Managed Care	$33.94

CATH MCV URET 5 4 LP 221-211

Facility

$1,468.85

Hospital Charge Code	270618104
Hospital Revenue Code	272
Min. Negotiated Rate	$35.40
Max. Negotiated Rate	$734.42
Rate for Payer: Aetna Commercial	$558.16
Rate for Payer: Aetna Medicare Advantage	$440.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$374.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$374.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$374.56
Rate for Payer: Cigna Commercial	$734.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$440.65
Rate for Payer: Oxford Commercial	$293.77
Rate for Payer: Qualcare PPO/HMO/WC	$220.33
Rate for Payer: UnitedHealthcare Commercial	$293.77
Rate for Payer: UnitedHealthcare Community & State	$35.40
Rate for Payer: Wellpoint Medicaid Managed Care	$38.92

CATH MCV URET 5 4 LP 221-211

Facility

$1,468.85

Hospital Charge Code	270618104
Hospital Revenue Code	272
Min. Negotiated Rate	$220.33
Max. Negotiated Rate	$220.33
Rate for Payer: Qualcare PPO/HMO/WC	$220.33

CATH MCV URETER OPEN TIP***

Facility

$50.00

Hospital Charge Code	1604594
Hospital Revenue Code	272
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$10.00
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

CATH MCV URETER OPEN TIP***

Facility

$50.00

Hospital Charge Code	1604594
Hospital Revenue Code	272
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

CATH MCV URET STAMEY 400-162

Facility

$91.25

Hospital Charge Code	270601095
Hospital Revenue Code	272
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$13.69
Rate for Payer: Qualcare PPO/HMO/WC	$13.69

CATH MCV URET STAMEY 400-162

Facility

$91.25

Hospital Charge Code	270601095
Hospital Revenue Code	272
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$34.67
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.38
Rate for Payer: Oxford Commercial	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Commercial	$18.25
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

CATH MEDT 8703W

Facility

$3,642.45

Hospital Charge Code	270612539
Hospital Revenue Code	272
Min. Negotiated Rate	$546.37
Max. Negotiated Rate	$546.37
Rate for Payer: Qualcare PPO/HMO/WC	$546.37

CATH MEDT 8703W

Facility

$3,642.45

Hospital Charge Code	270612539
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 MEDT PERIT CSF STD 22014

Facility

$668.00

Hospital Charge Code	270612723
Hospital Revenue Code	272
Min. Negotiated Rate	$100.20
Max. Negotiated Rate	$100.20
Rate for Payer: Qualcare PPO/HMO/WC	$100.20

CATH MEDT PERIT CSF STD 22014

Facility

$668.00

Hospital Charge Code	270612723
Hospital Revenue Code	272
Min. Negotiated Rate	$16.10
Max. Negotiated Rate	$334.00
Rate for Payer: Aetna Commercial	$253.84
Rate for Payer: Aetna Medicare Advantage	$200.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.34
Rate for Payer: Cigna Commercial	$334.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.40
Rate for Payer: Oxford Commercial	$133.60
Rate for Payer: Qualcare PPO/HMO/WC	$100.20
Rate for Payer: UnitedHealthcare Commercial	$133.60
Rate for Payer: UnitedHealthcare Community & State	$16.10
Rate for Payer: Wellpoint Medicaid Managed Care	$17.70

CATH MEDT VENTRICULAR 41101

Facility

$718.45

Hospital Charge Code	270603371
Hospital Revenue Code	272
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$107.77
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

CATH MEDT VENTRICULAR 41101

Facility

$718.45

Hospital Charge Code	270603371
Hospital Revenue Code	272
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$359.23
Rate for Payer: Aetna Commercial	$273.01
Rate for Payer: Aetna Medicare Advantage	$215.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.20
Rate for Payer: Cigna Commercial	$359.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.53
Rate for Payer: Oxford Commercial	$143.69
Rate for Payer: Qualcare PPO/HMO/WC	$107.77
Rate for Payer: UnitedHealthcare Commercial	$143.69
Rate for Payer: UnitedHealthcare Community & State	$17.31
Rate for Payer: Wellpoint Medicaid Managed Care	$19.04

CATH MEIWEISSEN 65x15c 46-413

Facility

$382.60

Hospital Charge Code	270628918
Hospital Revenue Code	278
Min. Negotiated Rate	$9.22
Max. Negotiated Rate	$191.30
Rate for Payer: Aetna Commercial	$145.39
Rate for Payer: Aetna Medicare Advantage	$114.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.56
Rate for Payer: Cigna Commercial	$191.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.39
Rate for Payer: UnitedHealthcare Community & State	$9.22
Rate for Payer: Wellpoint Medicaid Managed Care	$10.14

CATH MEIWEISSEN 65x15c 46-413

Facility

$382.60

Hospital Charge Code	270628918
Hospital Revenue Code	278
Min. Negotiated Rate	$57.39
Max. Negotiated Rate	$92.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$76.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.17
Rate for Payer: Qualcare PPO/HMO/WC	$57.39

CATH MEIWEISSEN 65x15c 46-413

Facility

$385.60

Hospital Charge Code	270628918V
Hospital Revenue Code	278
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$93.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.83
Rate for Payer: Qualcare PPO/HMO/WC	$57.84

CATH MEIWEISSEN 65x15c 46-413

Facility

$385.60

Hospital Charge Code	270628918V
Hospital Revenue Code	278
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$192.80
Rate for Payer: Aetna Commercial	$146.53
Rate for Payer: Aetna Medicare Advantage	$115.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.33
Rate for Payer: Cigna Commercial	$192.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$84.83
Rate for Payer: Qualcare PPO/HMO/WC	$57.84
Rate for Payer: UnitedHealthcare Community & State	$9.29
Rate for Payer: Wellpoint Medicaid Managed Care	$10.22

CATH MEWEN 5F .035 100CM 46411

Facility

$365.00

Service Code	HCPCS C1887
Hospital Charge Code	27062688
Hospital Revenue Code	272
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$138.70
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.50
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$73.00
Rate for Payer: UnitedHealthcare Community & State	$8.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9.67

CATH MEWEN 5F .035 100CM 46411

Facility

$365.00

Service Code	HCPCS C1887
Hospital Charge Code	27062688
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

Know your out-of-pocket cost for care.

All Charges