Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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 WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315C
Hospital Revenue Code	278
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) NJ Health	$135.00
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	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
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) NJ Health	$135.00
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	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315S
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SWAN GANZ WEDGE 5F 110CM

Facility

$675.00

Service Code	HCPCS C1751
Hospital Charge Code	270696315C
Hospital Revenue Code	278
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

CATH SYMETRY 6FR 2x4 135 10531

Facility

$1,789.40

Hospital Charge Code	270629631
Hospital Revenue Code	278
Min. Negotiated Rate	$268.41
Max. Negotiated Rate	$433.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.67
Rate for Payer: Qualcare PPO/HMO/WC	$268.41

CATH SYMETRY 6FR 2x4 135 10531

Facility

$1,789.40

Hospital Charge Code	270629631
Hospital Revenue Code	278
Min. Negotiated Rate	$43.12
Max. Negotiated Rate	$894.70
Rate for Payer: Aetna Commercial	$679.97
Rate for Payer: Aetna Medicare Advantage	$536.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.30
Rate for Payer: Cigna Commercial	$894.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.67
Rate for Payer: Qualcare PPO/HMO/WC	$268.41
Rate for Payer: UnitedHealthcare Community & State	$43.12
Rate for Payer: Wellpoint Medicaid Managed Care	$47.42

CATH SYMMETRY 7FR 5x2 135cm

Facility

$1,493.50

Hospital Charge Code	270628772
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$361.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.57
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATH SYMMETRY 7FR 5x2 135cm

Facility

$1,493.50

Hospital Charge Code	270628772
Hospital Revenue Code	278
Min. Negotiated Rate	$35.99
Max. Negotiated Rate	$746.75
Rate for Payer: Aetna Commercial	$567.53
Rate for Payer: Aetna Medicare Advantage	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.84
Rate for Payer: Cigna Commercial	$746.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.57
Rate for Payer: Qualcare PPO/HMO/WC	$224.03
Rate for Payer: UnitedHealthcare Community & State	$35.99
Rate for Payer: Wellpoint Medicaid Managed Care	$39.58

CATH SYM SS/2.0-2/4T 135 10530

Facility

$1,775.15

Hospital Charge Code	270633142
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/2.0-2/4T 135 10530

Facility

$1,775.15

Hospital Charge Code	270633142
Hospital Revenue Code	278
Min. Negotiated Rate	$42.78
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$674.56
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27
Rate for Payer: UnitedHealthcare Community & State	$42.78
Rate for Payer: Wellpoint Medicaid Managed Care	$47.04

CATH SYM SS/3.0-2/4T/135 10536

Facility

$1,775.15

Hospital Charge Code	270629633
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-2/4T/135 10536

Facility

$1,775.15

Hospital Charge Code	270629633
Hospital Revenue Code	278
Min. Negotiated Rate	$42.78
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$674.56
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27
Rate for Payer: UnitedHealthcare Community & State	$42.78
Rate for Payer: Wellpoint Medicaid Managed Care	$47.04

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,789.40

Hospital Charge Code	270629635V
Hospital Revenue Code	278
Min. Negotiated Rate	$43.12
Max. Negotiated Rate	$894.70
Rate for Payer: Aetna Commercial	$679.97
Rate for Payer: Aetna Medicare Advantage	$536.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$456.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$456.30
Rate for Payer: Cigna Commercial	$894.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.67
Rate for Payer: Qualcare PPO/HMO/WC	$268.41
Rate for Payer: UnitedHealthcare Community & State	$43.12
Rate for Payer: Wellpoint Medicaid Managed Care	$47.42

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,775.15

Hospital Charge Code	270629635
Hospital Revenue Code	278
Min. Negotiated Rate	$266.27
Max. Negotiated Rate	$429.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,775.15

Hospital Charge Code	270629635
Hospital Revenue Code	278
Min. Negotiated Rate	$42.78
Max. Negotiated Rate	$887.58
Rate for Payer: Aetna Commercial	$674.56
Rate for Payer: Aetna Medicare Advantage	$532.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$355.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.66
Rate for Payer: Cigna Commercial	$887.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$390.53
Rate for Payer: Qualcare PPO/HMO/WC	$266.27
Rate for Payer: UnitedHealthcare Community & State	$42.78
Rate for Payer: Wellpoint Medicaid Managed Care	$47.04

CATH SYM SS/3.0-4/4T/135 10537

Facility

$1,789.40

Hospital Charge Code	270629635V
Hospital Revenue Code	278
Min. Negotiated Rate	$268.41
Max. Negotiated Rate	$433.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$357.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$393.67
Rate for Payer: Qualcare PPO/HMO/WC	$268.41

CATH SYNCHRO STR .014 215CM

Facility

$3,325.00

Service Code	HCPCS C1887
Hospital Charge Code	270693900S
Hospital Revenue Code	278
Min. Negotiated Rate	$498.75
Max. Negotiated Rate	$804.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$804.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$731.50
Rate for Payer: Qualcare PPO/HMO/WC	$498.75

CATH SYNCHRO STR .014 215CM

Facility

$3,325.00

Service Code	HCPCS C1887
Hospital Charge Code	270693900S
Hospital Revenue Code	278
Min. Negotiated Rate	$80.13
Max. Negotiated Rate	$1,662.50
Rate for Payer: Aetna Commercial	$1,263.50
Rate for Payer: Aetna Medicare Advantage	$997.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$665.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$847.88
Rate for Payer: Cigna Commercial	$1,662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$804.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$731.50
Rate for Payer: Qualcare PPO/HMO/WC	$498.75
Rate for Payer: UnitedHealthcare Community & State	$80.13
Rate for Payer: Wellpoint Medicaid Managed Care	$88.11

CATH SYNCHRO STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693900
Hospital Revenue Code	278
Min. Negotiated Rate	$77.89
Max. Negotiated Rate	$1,615.88
Rate for Payer: Aetna Commercial	$1,228.07
Rate for Payer: Aetna Medicare Advantage	$969.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$824.10
Rate for Payer: Cigna Commercial	$1,615.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.99
Rate for Payer: Qualcare PPO/HMO/WC	$484.76
Rate for Payer: UnitedHealthcare Community & State	$77.89
Rate for Payer: Wellpoint Medicaid Managed Care	$85.64

CATH SYNCHRO STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693900
Hospital Revenue Code	278
Min. Negotiated Rate	$484.76
Max. Negotiated Rate	$782.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.99
Rate for Payer: Qualcare PPO/HMO/WC	$484.76

CATH SYNCHRO STRANDED

Facility

$3,325.00

Service Code	HCPCS C1769
Hospital Charge Code	270693899S
Hospital Revenue Code	272
Min. Negotiated Rate	$80.13
Max. Negotiated Rate	$1,662.50
Rate for Payer: Aetna Commercial	$1,263.50
Rate for Payer: Aetna Medicare Advantage	$997.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$847.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$847.88
Rate for Payer: Cigna Commercial	$1,662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.50
Rate for Payer: Oxford Commercial	$665.00
Rate for Payer: Qualcare PPO/HMO/WC	$498.75
Rate for Payer: UnitedHealthcare Commercial	$665.00
Rate for Payer: UnitedHealthcare Community & State	$80.13
Rate for Payer: Wellpoint Medicaid Managed Care	$88.11

CATH SYNCHRO STRANDED

Facility

$3,325.00

Service Code	HCPCS C1769
Hospital Charge Code	270693899S
Hospital Revenue Code	272
Min. Negotiated Rate	$498.75
Max. Negotiated Rate	$498.75
Rate for Payer: Qualcare PPO/HMO/WC	$498.75

CATH SYNCHRO STRAND STR 215CM

Facility

$3,231.75

Service Code	HCPCS C1769
Hospital Charge Code	270693899
Hospital Revenue Code	278
Min. Negotiated Rate	$77.89
Max. Negotiated Rate	$1,615.88
Rate for Payer: Aetna Commercial	$1,228.07
Rate for Payer: Aetna Medicare Advantage	$969.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$824.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$646.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$824.10
Rate for Payer: Cigna Commercial	$1,615.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$782.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$710.99
Rate for Payer: Qualcare PPO/HMO/WC	$484.76
Rate for Payer: UnitedHealthcare Community & State	$77.89
Rate for Payer: Wellpoint Medicaid Managed Care	$85.64

Know your out-of-pocket cost for care.

All Charges