Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH MM PIGTAIL 5F 760220M65

Facility

$52.00

Hospital Charge Code	270623743
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH MM PIGTAIL CVD 5F 760223

Facility

$52.00

Hospital Charge Code	270623747
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH MM PIGTAIL CVD 5F 760223

Facility

$52.00

Hospital Charge Code	270623747
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CATH MM SIMMONS 2 5F 556423

Facility

$52.00

Hospital Charge Code	270623745
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH MM SIMMONS 2 5F 556423

Facility

$52.00

Hospital Charge Code	270623745
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CATH MM SIMMONS 5F 5594-B3

Facility

$52.00

Hospital Charge Code	270623757
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATH MM SIMMONS 5F 5594-B3

Facility

$52.00

Hospital Charge Code	270623757
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CATH MPA2 5FR 100cm 534542T

Facility

$44.50

Service Code	HCPCS C1887
Hospital Charge Code	270644598C
Hospital Revenue Code	278
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.25
Rate for Payer: Aetna Commercial	$16.91
Rate for Payer: Aetna Medicare Advantage	$13.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.67
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

CATH MPA2 5FR 100cm 534542T

Facility

$44.50

Service Code	HCPCS C1887
Hospital Charge Code	270644598C
Hospital Revenue Code	278
Min. Negotiated Rate	$6.67
Max. Negotiated Rate	$10.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.67

CATH MPA I 7FR 77827000

Facility

$277.70

Hospital Charge Code	270636375
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

CATH MPA I 7FR 77827000

Facility

$277.70

Hospital Charge Code	270636375
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH MPA I SH 7FR 67012000

Facility

$277.70

Hospital Charge Code	270636346
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

CATH MPA I SH 7FR 67012000

Facility

$277.70

Hospital Charge Code	270636346
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH MPA I SH 7FR 77827100

Facility

$277.70

Hospital Charge Code	270636376
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

CATH MPA I SH 7FR 77827100

Facility

$277.70

Hospital Charge Code	270636376
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH MP DRAINAGE 10FR

Facility

$512.70

Hospital Charge Code	270637553
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 10FR

Facility

$512.70

Hospital Charge Code	270637553
Hospital Revenue Code	272
Min. Negotiated Rate	$12.36
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$194.83
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.81
Rate for Payer: Oxford Commercial	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$102.54
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.59

CATH MP DRAINAGE 12FR

Facility

$512.70

Hospital Charge Code	270642067
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 12FR

Facility

$512.70

Hospital Charge Code	270642067
Hospital Revenue Code	272
Min. Negotiated Rate	$12.36
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$194.83
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.81
Rate for Payer: Oxford Commercial	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$102.54
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.59

CATH MP DRAINAGE 14FR

Facility

$512.70

Hospital Charge Code	270637554
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MP DRAINAGE 14FR

Facility

$512.70

Hospital Charge Code	270637554
Hospital Revenue Code	272
Min. Negotiated Rate	$12.36
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$194.83
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.81
Rate for Payer: Oxford Commercial	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$102.54
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.59

CATH MP DRAINAGE 8FR

Facility

$512.70

Hospital Charge Code	270642068
Hospital Revenue Code	272
Min. Negotiated Rate	$12.36
Max. Negotiated Rate	$256.35
Rate for Payer: Aetna Commercial	$194.83
Rate for Payer: Aetna Medicare Advantage	$153.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.74
Rate for Payer: Cigna Commercial	$256.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$153.81
Rate for Payer: Oxford Commercial	$102.54
Rate for Payer: Qualcare PPO/HMO/WC	$76.91
Rate for Payer: UnitedHealthcare Commercial	$102.54
Rate for Payer: UnitedHealthcare Community & State	$12.36
Rate for Payer: Wellpoint Medicaid Managed Care	$13.59

CATH MP DRAINAGE 8FR

Facility

$512.70

Hospital Charge Code	270642068
Hospital Revenue Code	272
Min. Negotiated Rate	$76.91
Max. Negotiated Rate	$76.91
Rate for Payer: Qualcare PPO/HMO/WC	$76.91

CATH MRAFLX 2.5FR 135cm 643115

Facility

$1,876.25

Hospital Charge Code	270638908C
Hospital Revenue Code	278
Min. Negotiated Rate	$281.44
Max. Negotiated Rate	$454.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.77
Rate for Payer: Qualcare PPO/HMO/WC	$281.44

CATH MRAFLX 2.5FR 135cm 643115

Facility

$1,876.25

Hospital Charge Code	270638908C
Hospital Revenue Code	278
Min. Negotiated Rate	$45.22
Max. Negotiated Rate	$938.12
Rate for Payer: Aetna Commercial	$712.98
Rate for Payer: Aetna Medicare Advantage	$562.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.44
Rate for Payer: Cigna Commercial	$938.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.77
Rate for Payer: Qualcare PPO/HMO/WC	$281.44
Rate for Payer: UnitedHealthcare Community & State	$45.22
Rate for Payer: Wellpoint Medicaid Managed Care	$49.72

Know your out-of-pocket cost for care.

All Charges