Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH NAVIEN DSC ST LP 5F 105CM

Facility

$6,750.00

Service Code	HCPCS C1887
Hospital Charge Code	270695993S
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

CATH NC 8X3 391240830

Facility

$1,225.00

Hospital Charge Code	270661308
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

CATH NC 8X3 391240830

Facility

$1,225.00

Hospital Charge Code	270661308
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX 8X 2 50

Facility

$1,225.00

Hospital Charge Code	270661309
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX 8X 2 50

Facility

$1,225.00

Hospital Charge Code	270661309
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

CATH NC QUAN APEX MR 15mmx3.50

Facility

$1,225.00

Hospital Charge Code	2709007382
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX MR 15mmx3.50

Facility

$1,225.00

Hospital Charge Code	2709007382
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

CATH NC QUAN APEX MR 8mmx3.00m

Facility

$1,225.00

Hospital Charge Code	2709007379
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUAN APEX MR 8mmx3.00m

Facility

$1,225.00

Hospital Charge Code	2709007379
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

CATH NC QUANT 15MMX3.50MM

Facility

$245.00

Hospital Charge Code	270659668
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

CATH NC QUANT 15MMX3.50MM

Facility

$245.00

Hospital Charge Code	270659668
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.50
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$49.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

CATH NC QUANT APEX MR 15X3 0

Facility

$1,225.00

Hospital Charge Code	270659105
Hospital Revenue Code	272
Min. Negotiated Rate	$183.75
Max. Negotiated Rate	$183.75
Rate for Payer: Qualcare PPO/HMO/WC	$183.75

CATH NC QUANT APEX MR 15X3 0

Facility

$1,225.00

Hospital Charge Code	270659105
Hospital Revenue Code	272
Min. Negotiated Rate	$29.52
Max. Negotiated Rate	$612.50
Rate for Payer: Aetna Commercial	$465.50
Rate for Payer: Aetna Medicare Advantage	$367.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.38
Rate for Payer: Cigna Commercial	$612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.50
Rate for Payer: Oxford Commercial	$245.00
Rate for Payer: Qualcare PPO/HMO/WC	$183.75
Rate for Payer: UnitedHealthcare Commercial	$245.00
Rate for Payer: UnitedHealthcare Community & State	$29.52
Rate for Payer: Wellpoint Medicaid Managed Care	$32.46

CATHNEEDLEYUEH5.0FR-19G-15.0CM

Facility

$94.00

Hospital Charge Code	2709005725
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$14.10
Rate for Payer: Qualcare PPO/HMO/WC	$14.10

CATHNEEDLEYUEH5.0FR-19G-15.0CM

Facility

$94.00

Hospital Charge Code	2709005725
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$47.00
Rate for Payer: Aetna Commercial	$35.72
Rate for Payer: Aetna Medicare Advantage	$28.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.97
Rate for Payer: Cigna Commercial	$47.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.20
Rate for Payer: Oxford Commercial	$18.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.10
Rate for Payer: UnitedHealthcare Commercial	$18.80
Rate for Payer: UnitedHealthcare Community & State	$2.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.49

CATHNEEDLEYUEH5.0FR-19GA-10.0C

Facility

$91.65

Hospital Charge Code	2709005724
Hospital Revenue Code	272
Min. Negotiated Rate	$2.21
Max. Negotiated Rate	$45.83
Rate for Payer: Aetna Commercial	$34.83
Rate for Payer: Aetna Medicare Advantage	$27.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.37
Rate for Payer: Cigna Commercial	$45.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.50
Rate for Payer: Oxford Commercial	$18.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.75
Rate for Payer: UnitedHealthcare Commercial	$18.33
Rate for Payer: UnitedHealthcare Community & State	$2.21
Rate for Payer: Wellpoint Medicaid Managed Care	$2.43

CATHNEEDLEYUEH5.0FR-19GA-10.0C

Facility

$91.65

Hospital Charge Code	2709005724
Hospital Revenue Code	272
Min. Negotiated Rate	$13.75
Max. Negotiated Rate	$13.75
Rate for Payer: Qualcare PPO/HMO/WC	$13.75

CATH NEPHROSTOMY SYS 10F 27179

Facility

$435.25

Hospital Charge Code	270601342V
Hospital Revenue Code	278
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$165.40
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.29
Rate for Payer: UnitedHealthcare Community & State	$10.49
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

CATH NEPHROSTOMY SYS 10F 27179

Facility

$435.25

Hospital Charge Code	270601342V
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$105.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

CATH NEURON 6F 125SIMV

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685232S
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 NEURON 6F 125SIMV

Facility

$625.00

Service Code	HCPCS C1887
Hospital Charge Code	270685232S
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 NR 4.0 SH 6FR 67012100

Facility

$277.75

Hospital Charge Code	270636347
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.10
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH NR 4.0 SH 6FR 67012100

Facility

$277.75

Hospital Charge Code	270636347
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.88
Rate for Payer: Aetna Commercial	$105.55
Rate for Payer: Aetna Medicare Advantage	$83.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.83
Rate for Payer: Cigna Commercial	$138.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.10
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 OCCLUSION 5F 65x035 17500

Facility

$972.25

Hospital Charge Code	270632722
Hospital Revenue Code	272
Min. Negotiated Rate	$145.84
Max. Negotiated Rate	$145.84
Rate for Payer: Qualcare PPO/HMO/WC	$145.84

CATH OCCLUSION 5F 65x035 17500

Facility

$972.25

Hospital Charge Code	270632722
Hospital Revenue Code	272
Min. Negotiated Rate	$23.43
Max. Negotiated Rate	$486.12
Rate for Payer: Aetna Commercial	$369.45
Rate for Payer: Aetna Medicare Advantage	$291.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.92
Rate for Payer: Cigna Commercial	$486.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$291.68
Rate for Payer: Oxford Commercial	$194.45
Rate for Payer: Qualcare PPO/HMO/WC	$145.84
Rate for Payer: UnitedHealthcare Commercial	$194.45
Rate for Payer: UnitedHealthcare Community & State	$23.43
Rate for Payer: Wellpoint Medicaid Managed Care	$25.76

Know your out-of-pocket cost for care.

All Charges