Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

CATH THORACIS 28FR STR

Facility

$31.90

Hospital Charge Code	270600387
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

CATH THORACIS 28FR STR

Facility

$31.90

Hospital Charge Code	270600387
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 THROMB6F5F125CM119CMPENUM

Facility

$7,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270691852S
Hospital Revenue Code	278
Min. Negotiated Rate	$179.54
Max. Negotiated Rate	$3,725.00
Rate for Payer: Aetna Commercial	$2,831.00
Rate for Payer: Aetna Medicare Advantage	$2,235.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,899.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,899.75
Rate for Payer: Cigna Commercial	$3,725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,639.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50
Rate for Payer: UnitedHealthcare Community & State	$179.54
Rate for Payer: Wellpoint Medicaid Managed Care	$197.43

CATH THROMB6F5F125CM119CMPENUM

Facility

$7,450.00

Service Code	HCPCS C1757
Hospital Charge Code	270691852S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,117.50
Max. Negotiated Rate	$1,802.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,490.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,802.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,639.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,117.50

CATH THROMBECT AXS VECTA 146CM

Facility

$7,520.50

Service Code	HCPCS C1757
Hospital Charge Code	270700314S
Hospital Revenue Code	278
Min. Negotiated Rate	$181.24
Max. Negotiated Rate	$3,760.25
Rate for Payer: Aetna Commercial	$2,857.79
Rate for Payer: Aetna Medicare Advantage	$2,256.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,917.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,917.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,504.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,917.73
Rate for Payer: Cigna Commercial	$3,760.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,819.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,654.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,128.08
Rate for Payer: UnitedHealthcare Community & State	$181.24
Rate for Payer: Wellpoint Medicaid Managed Care	$199.29

CATH THROMBECT AXS VECTA 146CM

Facility

$7,520.50

Service Code	HCPCS C1757
Hospital Charge Code	270700314S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,128.08
Max. Negotiated Rate	$1,819.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,504.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,819.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,654.51
Rate for Payer: Qualcare PPO/HMO/WC	$1,128.08

CATH THROMBECT INDIGO FLASH16F

Facility

$48,875.00

Service Code	HCPCS C1757
Hospital Charge Code	270698774S
Hospital Revenue Code	278
Min. Negotiated Rate	$7,331.25
Max. Negotiated Rate	$11,827.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,827.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,752.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,331.25

CATH THROMBECT INDIGO FLASH16F

Facility

$48,875.00

Service Code	HCPCS C1757
Hospital Charge Code	270698774S
Hospital Revenue Code	278
Min. Negotiated Rate	$1,177.89
Max. Negotiated Rate	$24,437.50
Rate for Payer: Aetna Commercial	$18,572.50
Rate for Payer: Aetna Medicare Advantage	$14,662.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,463.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,463.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9,775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,463.12
Rate for Payer: Cigna Commercial	$24,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,827.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10,752.50
Rate for Payer: Qualcare PPO/HMO/WC	$7,331.25
Rate for Payer: UnitedHealthcare Community & State	$1,177.89
Rate for Payer: Wellpoint Medicaid Managed Care	$1,295.19

CATH THROMBECTOMY RED72

Facility

$24,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270699563S
Hospital Revenue Code	278
Min. Negotiated Rate	$593.46
Max. Negotiated Rate	$12,312.50
Rate for Payer: Aetna Commercial	$9,357.50
Rate for Payer: Aetna Medicare Advantage	$7,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,279.38
Rate for Payer: Cigna Commercial	$12,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,417.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75
Rate for Payer: UnitedHealthcare Community & State	$593.46
Rate for Payer: Wellpoint Medicaid Managed Care	$652.56

CATH THROMBECTOMY RED72

Facility

$24,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270699563S
Hospital Revenue Code	278
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$5,959.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,417.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75

CATH THRU LUMEN 5 5F 035X80CM

Facility

$450.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747
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 THRU LUMEN 5 5F 035X80CM

Facility

$450.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747S
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 THRU LUMEN 5 5F 035X80CM

Facility

$455.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747N
Hospital Revenue Code	278
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$110.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

CATH THRU LUMEN 5 5F 035X80CM

Facility

$450.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747
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 THRU LUMEN 5 5F 035X80CM

Facility

$455.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747N
Hospital Revenue Code	278
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$172.90
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.10
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Community & State	$10.97
Rate for Payer: Wellpoint Medicaid Managed Care	$12.06

CATH THRU LUMEN 5 5F 035X80CM

Facility

$450.00

Service Code	HCPCS C1757
Hospital Charge Code	270670747S
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 THRU-LUMEN 5.5F .035X80CM

Facility

$429.65

Hospital Charge Code	27067047
Hospital Revenue Code	278
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$214.82
Rate for Payer: Aetna Commercial	$163.27
Rate for Payer: Aetna Medicare Advantage	$128.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.56
Rate for Payer: Cigna Commercial	$214.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$94.52
Rate for Payer: Qualcare PPO/HMO/WC	$64.45
Rate for Payer: UnitedHealthcare Community & State	$10.35
Rate for Payer: Wellpoint Medicaid Managed Care	$11.39

CATH THRU-LUMEN 5.5F .035X80CM

Facility

$429.65

Hospital Charge Code	27067047
Hospital Revenue Code	278
Min. Negotiated Rate	$64.45
Max. Negotiated Rate	$103.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$94.52
Rate for Payer: Qualcare PPO/HMO/WC	$64.45

CATH TIGERTAIL FLEX TIP 6FR

Facility

$47.15

Service Code	HCPCS C1758
Hospital Charge Code	270650852
Hospital Revenue Code	278
Min. Negotiated Rate	$7.07
Max. Negotiated Rate	$11.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.37
Rate for Payer: Qualcare PPO/HMO/WC	$7.07

CATH TIGERTAIL FLEX TIP 6FR

Facility

$47.15

Service Code	HCPCS C1758
Hospital Charge Code	270650852
Hospital Revenue Code	278
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.57
Rate for Payer: Aetna Commercial	$17.92
Rate for Payer: Aetna Medicare Advantage	$14.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.02
Rate for Payer: Cigna Commercial	$23.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.37
Rate for Payer: Qualcare PPO/HMO/WC	$7.07
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

CATH TI/ISP SI8CF/INT,SL,ATT

Facility

$2,175.00

Hospital Charge Code	2709006963
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CATH TI/ISP SI8CF/INT,SL,ATT

Facility

$2,175.00

Hospital Charge Code	2709006963
Hospital Revenue Code	272
Min. Negotiated Rate	$52.42
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.50
Rate for Payer: Oxford Commercial	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$435.00
Rate for Payer: UnitedHealthcare Community & State	$52.42
Rate for Payer: Wellpoint Medicaid Managed Care	$57.64

CATH TITAN NON-SPLIT 15FR 24CM

Facility

$1,025.00

Service Code	HCPCS C1750
Hospital Charge Code	270678021
Hospital Revenue Code	278
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$225.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

CATH TITAN NON-SPLIT 15FR 24CM

Facility

$1,025.00

Service Code	HCPCS C1750
Hospital Charge Code	270678021
Hospital Revenue Code	278
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$248.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$248.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$225.50
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

Know your out-of-pocket cost for care.

All Charges