Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH SUPRAPUBIC 12F

Facility

$65.65

Hospital Charge Code	270600160
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CATH SUPRAPUBIC 8F

Facility

$65.65

Hospital Charge Code	270600159
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.70
Rate for Payer: Oxford Commercial	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Commercial	$13.13
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

CATH SUPRAPUBIC 8F

Facility

$65.65

Hospital Charge Code	270600159
Hospital Revenue Code	272
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$9.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

CATH SUPRAPUBIC ONE STEP

Facility

$360.80

Hospital Charge Code	270647887
Hospital Revenue Code	271
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$180.40
Rate for Payer: Aetna Commercial	$137.10
Rate for Payer: Aetna Medicare Advantage	$108.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.00
Rate for Payer: Cigna Commercial	$180.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.24
Rate for Payer: Oxford Commercial	$72.16
Rate for Payer: Qualcare PPO/HMO/WC	$54.12
Rate for Payer: UnitedHealthcare Commercial	$72.16
Rate for Payer: UnitedHealthcare Community & State	$8.70
Rate for Payer: Wellpoint Medicaid Managed Care	$9.56

CATH SUPRAPUBIC ONE STEP

Facility

$360.80

Hospital Charge Code	270647887
Hospital Revenue Code	271
Min. Negotiated Rate	$54.12
Max. Negotiated Rate	$54.12
Rate for Payer: Qualcare PPO/HMO/WC	$54.12

CATH SURECROSS 5FX 150CM .014

Facility

$675.00

Hospital Charge Code	270670718
Hospital Revenue Code	272
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SURECROSS 5FX 150CM .014

Facility

$675.00

Hospital Charge Code	270670718
Hospital Revenue Code	272
Min. Negotiated Rate	$16.27
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.50
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$135.00
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH SURECROSS 5FX 150CM .018

Facility

$550.00

Hospital Charge Code	270670719N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720N
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

CATH SURECROSS 6FX 150CM .035

Facility

$550.00

Hospital Charge Code	270670720
Hospital Revenue Code	272
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) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

CATH SWAN GANZ5FR TD24CM/100CM

Facility

$735.00

Hospital Charge Code	2709006896
Hospital Revenue Code	272
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$110.25
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

CATH SWAN GANZ5FR TD24CM/100CM

Facility

$735.00

Hospital Charge Code	2709006896
Hospital Revenue Code	272
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$279.30
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.50
Rate for Payer: Oxford Commercial	$147.00
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Commercial	$147.00
Rate for Payer: UnitedHealthcare Community & State	$17.71
Rate for Payer: Wellpoint Medicaid Managed Care	$19.48

CATH SWAN GANZ 7.5FR

Facility

$463.25

Hospital Charge Code	270110025
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

CATH SWAN GANZ 7.5FR

Facility

$463.25

Hospital Charge Code	270110025
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

CATH SWAN GANZ BIPOLAR

Facility

$525.25

Hospital Charge Code	270649700
Hospital Revenue Code	272
Min. Negotiated Rate	$12.66
Max. Negotiated Rate	$262.62
Rate for Payer: Aetna Commercial	$199.59
Rate for Payer: Aetna Medicare Advantage	$157.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.94
Rate for Payer: Cigna Commercial	$262.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.57
Rate for Payer: Oxford Commercial	$105.05
Rate for Payer: Qualcare PPO/HMO/WC	$78.79
Rate for Payer: UnitedHealthcare Commercial	$105.05
Rate for Payer: UnitedHealthcare Community & State	$12.66
Rate for Payer: Wellpoint Medicaid Managed Care	$13.92

CATH SWAN GANZ BIPOLAR

Facility

$525.25

Hospital Charge Code	270649700
Hospital Revenue Code	272
Min. Negotiated Rate	$78.79
Max. Negotiated Rate	$78.79
Rate for Payer: Qualcare PPO/HMO/WC	$78.79

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976S
Hospital Revenue Code	278
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$108.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH SWAN GANZ THERMODILUTION

Facility

$450.00

Service Code	HCPCS C1714
Hospital Charge Code	270649976
Hospital Revenue Code	278
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

CATH SWAN GANZ THERMODILUTION

Facility

$74.64

Service Code	HCPCS C1714
Hospital Charge Code	270649976N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$37.32
Rate for Payer: Aetna Commercial	$28.36
Rate for Payer: Aetna Medicare Advantage	$22.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.03
Rate for Payer: Cigna Commercial	$37.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.42
Rate for Payer: Qualcare PPO/HMO/WC	$11.20
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

Know your out-of-pocket cost for care.

All Charges