Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH THAL DRAINAGE 28FR

Facility

$694.40

Hospital Charge Code	270638387
Hospital Revenue Code	272
Min. Negotiated Rate	$104.16
Max. Negotiated Rate	$104.16
Rate for Payer: Qualcare PPO/HMO/WC	$104.16

CATH THAL DRAINAGE 28FR

Facility

$694.40

Hospital Charge Code	270638387
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$347.20
Rate for Payer: Aetna Commercial	$263.87
Rate for Payer: Aetna Medicare Advantage	$208.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.07
Rate for Payer: Cigna Commercial	$347.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.32
Rate for Payer: Oxford Commercial	$138.88
Rate for Payer: Qualcare PPO/HMO/WC	$104.16
Rate for Payer: UnitedHealthcare Commercial	$138.88
Rate for Payer: UnitedHealthcare Community & State	$16.74
Rate for Payer: Wellpoint Medicaid Managed Care	$18.40

CATH THAL DRAINAGE 28FR G06354

Facility

$655.10

Hospital Charge Code	270638387V
Hospital Revenue Code	278
Min. Negotiated Rate	$98.27
Max. Negotiated Rate	$158.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.27

CATH THAL DRAINAGE 28FR G06354

Facility

$655.10

Hospital Charge Code	270638387V
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.55
Rate for Payer: Aetna Commercial	$248.94
Rate for Payer: Aetna Medicare Advantage	$196.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.05
Rate for Payer: Cigna Commercial	$327.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.12
Rate for Payer: Qualcare PPO/HMO/WC	$98.27
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

CATH THORAC 28FR RT ANG

Facility

$85.00

Hospital Charge Code	270600388
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

CATH THORAC 28FR RT ANG

Facility

$85.00

Hospital Charge Code	270600388
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

CATH THORAC 28FR STR & R/A ***

Facility

$58.00

Hospital Charge Code	1606185
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

CATH THORAC 28FR STR & R/A ***

Facility

$58.00

Hospital Charge Code	1606185
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.40
Rate for Payer: Oxford Commercial	$11.60
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$11.60
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

CATH THORAC 32FR RT ANG

Facility

$39.83

Hospital Charge Code	270600389
Hospital Revenue Code	272
Min. Negotiated Rate	$5.97
Max. Negotiated Rate	$5.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.97

CATH THORAC 32FR RT ANG

Facility

$39.83

Hospital Charge Code	270600389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.91
Rate for Payer: Aetna Commercial	$15.14
Rate for Payer: Aetna Medicare Advantage	$11.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.16
Rate for Payer: Cigna Commercial	$19.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.95
Rate for Payer: Oxford Commercial	$7.97
Rate for Payer: Qualcare PPO/HMO/WC	$5.97
Rate for Payer: UnitedHealthcare Commercial	$7.97
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

CATH THORAC 32FR STR

Facility

$62.96

Hospital Charge Code	270600390
Hospital Revenue Code	272
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$9.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.44

CATH THORAC 32FR STR

Facility

$62.96

Hospital Charge Code	270600390
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.48
Rate for Payer: Aetna Commercial	$23.92
Rate for Payer: Aetna Medicare Advantage	$18.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.05
Rate for Payer: Cigna Commercial	$31.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.89
Rate for Payer: Oxford Commercial	$12.59
Rate for Payer: Qualcare PPO/HMO/WC	$9.44
Rate for Payer: UnitedHealthcare Commercial	$12.59
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

CATH THORAC 32FR STR & R/A ***

Facility

$49.00

Hospital Charge Code	1606169
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.50
Rate for Payer: Aetna Commercial	$18.62
Rate for Payer: Aetna Medicare Advantage	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.49
Rate for Payer: Cigna Commercial	$24.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.70
Rate for Payer: Oxford Commercial	$9.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.35
Rate for Payer: UnitedHealthcare Commercial	$9.80
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.30

CATH THORAC 32FR STR & R/A ***

Facility

$49.00

Hospital Charge Code	1606169
Hospital Revenue Code	272
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.35

CATH THORAC 36FR RT ANG

Facility

$100.85

Hospital Charge Code	270600900
Hospital Revenue Code	272
Min. Negotiated Rate	$15.13
Max. Negotiated Rate	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$15.13

CATH THORAC 36FR RT ANG

Facility

$100.85

Hospital Charge Code	270600900
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$50.42
Rate for Payer: Aetna Commercial	$38.32
Rate for Payer: Aetna Medicare Advantage	$30.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.72
Rate for Payer: Cigna Commercial	$50.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.25
Rate for Payer: Oxford Commercial	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$15.13
Rate for Payer: UnitedHealthcare Commercial	$20.17
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

CATH THORAC 36FR STR

Facility

$31.90

Hospital Charge Code	270600391
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$15.95
Rate for Payer: Aetna Commercial	$12.12
Rate for Payer: Aetna Medicare Advantage	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.13
Rate for Payer: Cigna Commercial	$15.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.57
Rate for Payer: Oxford Commercial	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.79
Rate for Payer: UnitedHealthcare Commercial	$6.38
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

CATH THORAC 36FR STR

Facility

$31.90

Hospital Charge Code	270600391
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

CATH THORAC 36FR STR & R/A****

Facility

$33.00

Hospital Charge Code	1606177
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

CATH THORAC 36FR STR & R/A****

Facility

$33.00

Hospital Charge Code	1606177
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

CATH THORACIC 32FR 8032

Facility

$20.28

Hospital Charge Code	270649070
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.14
Rate for Payer: Aetna Commercial	$7.71
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.17
Rate for Payer: Cigna Commercial	$10.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.08
Rate for Payer: Oxford Commercial	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$4.06
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

CATH THORACIC 32FR 8032

Facility

$20.28

Hospital Charge Code	270649070
Hospital Revenue Code	272
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

CATH THORACIC RT ANGLE 28 FR

Facility

$30.20

Hospital Charge Code	270649074
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$15.10
Rate for Payer: Aetna Commercial	$11.48
Rate for Payer: Aetna Medicare Advantage	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.70
Rate for Payer: Cigna Commercial	$15.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.06
Rate for Payer: Oxford Commercial	$6.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.53
Rate for Payer: UnitedHealthcare Commercial	$6.04
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

CATH THORACIC RT ANGLE 28 FR

Facility

$30.20

Hospital Charge Code	270649074
Hospital Revenue Code	272
Min. Negotiated Rate	$4.53
Max. Negotiated Rate	$4.53
Rate for Payer: Qualcare PPO/HMO/WC	$4.53

CATH THORACIC RT ANGLE 36FR

Facility

$30.20

Hospital Charge Code	270649075
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$15.10
Rate for Payer: Aetna Commercial	$11.48
Rate for Payer: Aetna Medicare Advantage	$9.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.70
Rate for Payer: Cigna Commercial	$15.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.06
Rate for Payer: Oxford Commercial	$6.04
Rate for Payer: Qualcare PPO/HMO/WC	$4.53
Rate for Payer: UnitedHealthcare Commercial	$6.04
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

Know your out-of-pocket cost for care.

All Charges