Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH REENTRY 3 7MMx20MMx135CM

Facility

$14,975.00

Hospital Charge Code	270660085N
Hospital Revenue Code	272
Min. Negotiated Rate	$2,246.25
Max. Negotiated Rate	$2,246.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,246.25

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085
Hospital Revenue Code	272
Min. Negotiated Rate	$336.80
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$5,310.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,192.50
Rate for Payer: Oxford Commercial	$2,795.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Commercial	$2,795.00
Rate for Payer: UnitedHealthcare Community & State	$336.80
Rate for Payer: Wellpoint Medicaid Managed Care	$370.34

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$2,096.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085S
Hospital Revenue Code	272
Min. Negotiated Rate	$336.80
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$5,310.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,192.50
Rate for Payer: Oxford Commercial	$2,795.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Commercial	$2,795.00
Rate for Payer: UnitedHealthcare Community & State	$336.80
Rate for Payer: Wellpoint Medicaid Managed Care	$370.34

CATH REENTRY 3 7MMx20MMx135CM

Facility

$13,975.00

Hospital Charge Code	270660085S
Hospital Revenue Code	272
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$2,096.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$102.79
Max. Negotiated Rate	$165.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.75
Rate for Payer: Qualcare PPO/HMO/WC	$102.79

CATH REENTRY MALECOT 20FR 35CM

Facility

$685.25

Service Code	HCPCS C1729
Hospital Charge Code	270692873
Hospital Revenue Code	278
Min. Negotiated Rate	$16.51
Max. Negotiated Rate	$342.62
Rate for Payer: Aetna Commercial	$260.39
Rate for Payer: Aetna Medicare Advantage	$205.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.74
Rate for Payer: Cigna Commercial	$342.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$150.75
Rate for Payer: Qualcare PPO/HMO/WC	$102.79
Rate for Payer: UnitedHealthcare Community & State	$16.51
Rate for Payer: Wellpoint Medicaid Managed Care	$18.16

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
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) PPO	$152.11
Rate for Payer: Cigna Commercial	$298.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.95
Rate for Payer: Oxford Commercial	$119.30
Rate for Payer: Qualcare PPO/HMO/WC	$89.47
Rate for Payer: UnitedHealthcare Commercial	$119.30
Rate for Payer: UnitedHealthcare Community & State	$14.38
Rate for Payer: Wellpoint Medicaid Managed Care	$15.81

CATH RE-ENTRY NEPHROS 410107

Facility

$596.50

Hospital Charge Code	270632773
Hospital Revenue Code	272
Min. Negotiated Rate	$89.47
Max. Negotiated Rate	$89.47
Rate for Payer: Qualcare PPO/HMO/WC	$89.47

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$44.27
Max. Negotiated Rate	$918.40
Rate for Payer: Aetna Commercial	$697.98
Rate for Payer: Aetna Medicare Advantage	$551.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.38
Rate for Payer: Cigna Commercial	$918.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$404.10
Rate for Payer: Qualcare PPO/HMO/WC	$275.52
Rate for Payer: UnitedHealthcare Community & State	$44.27
Rate for Payer: Wellpoint Medicaid Managed Care	$48.68

CATH RENEGADE

Facility

$1,836.80

Service Code	HCPCS C1887
Hospital Charge Code	270629051
Hospital Revenue Code	278
Min. Negotiated Rate	$275.52
Max. Negotiated Rate	$444.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$367.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$444.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$404.10
Rate for Payer: Qualcare PPO/HMO/WC	$275.52

CATH REPERFUSION RED72 PENUMBR

Facility

$13,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270693923S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,096.25
Max. Negotiated Rate	$3,381.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,074.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25

CATH REPERFUSION RED72 PENUMBR

Facility

$13,975.00

Service Code	HCPCS C1887
Hospital Charge Code	270693923S
Hospital Revenue Code	278
Min. Negotiated Rate	$336.80
Max. Negotiated Rate	$6,987.50
Rate for Payer: Aetna Commercial	$5,310.50
Rate for Payer: Aetna Medicare Advantage	$4,192.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,563.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,563.62
Rate for Payer: Cigna Commercial	$6,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,074.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,096.25
Rate for Payer: UnitedHealthcare Community & State	$336.80
Rate for Payer: Wellpoint Medicaid Managed Care	$370.34

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH RIM ADAVANTAGE 4FR .035X6

Facility

$550.00

Service Code	HCPCS C1887
Hospital Charge Code	270662849
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$133.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH ROBERT 5FR 90cm

Facility

$550.00

Service Code	HCPCS C1876
Hospital Charge Code	270632846
Hospital Revenue Code	278
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$121.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH ROBERT 5x90 HNBR53590RUC

Facility

$88.75

Hospital Charge Code	270632846V
Hospital Revenue Code	278
Min. Negotiated Rate	$13.31
Max. Negotiated Rate	$21.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.52
Rate for Payer: Qualcare PPO/HMO/WC	$13.31

CATH ROBERT 5x90 HNBR53590RUC

Facility

$88.75

Hospital Charge Code	270632846V
Hospital Revenue Code	278
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$44.38
Rate for Payer: Aetna Commercial	$33.73
Rate for Payer: Aetna Medicare Advantage	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.63
Rate for Payer: Cigna Commercial	$44.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.52
Rate for Payer: Qualcare PPO/HMO/WC	$13.31
Rate for Payer: UnitedHealthcare Community & State	$2.14
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

CATH ROBERT 5x90 HNBR53590RUC

Facility

$1,825.00

Hospital Charge Code	270634509V
Hospital Revenue Code	278
Min. Negotiated Rate	$273.75
Max. Negotiated Rate	$441.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75

CATH ROBERT 5x90 HNBR53590RUC

Facility

$1,825.00

Hospital Charge Code	270634509V
Hospital Revenue Code	278
Min. Negotiated Rate	$43.98
Max. Negotiated Rate	$912.50
Rate for Payer: Aetna Commercial	$693.50
Rate for Payer: Aetna Medicare Advantage	$547.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$465.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$365.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$465.38
Rate for Payer: Cigna Commercial	$912.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$441.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$401.50
Rate for Payer: Qualcare PPO/HMO/WC	$273.75
Rate for Payer: UnitedHealthcare Community & State	$43.98
Rate for Payer: Wellpoint Medicaid Managed Care	$48.36

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

CATH ROBERT W/COATING 5FR 90cm

Facility

$1,625.00

Hospital Charge Code	270634650
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90CM

Facility

$1,625.00

Service Code	HCPCS C1876
Hospital Charge Code	270634650C
Hospital Revenue Code	278
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$393.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$393.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$357.50
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

CATH ROBERT W/COATING 5FR 90CM

Facility

$242.95

Service Code	HCPCS C1876
Hospital Charge Code	270634650N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.86
Max. Negotiated Rate	$121.47
Rate for Payer: Aetna Commercial	$92.32
Rate for Payer: Aetna Medicare Advantage	$72.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.95
Rate for Payer: Cigna Commercial	$121.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.45
Rate for Payer: Qualcare PPO/HMO/WC	$36.44
Rate for Payer: UnitedHealthcare Community & State	$5.86
Rate for Payer: Wellpoint Medicaid Managed Care	$6.44

Know your out-of-pocket cost for care.

All Charges