Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH TORCON HN5 5FR .038 100cm

Facility

$550.00

Hospital Charge Code	270624804
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 TORCON HNB535100PNSDAV***

Facility

$71.00

Hospital Charge Code	270624007
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

CATH TORCON HNB535100PNSDAV***

Facility

$71.00

Hospital Charge Code	270624007
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

CATH TORQR JO 100cm

Facility

$1,500.00

Service Code	HCPCS C1730
Hospital Charge Code	270675269
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

CATH TORQR JO 100cm

Facility

$1,500.00

Service Code	HCPCS C1730
Hospital Charge Code	270675269
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

CATH TRAILBLAZER .014 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849
Hospital Revenue Code	278
Min. Negotiated Rate	$17.95
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$17.95
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

CATH TRAILBLAZER .014 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643849N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .014 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643849N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.42
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$97.42
Rate for Payer: Wellpoint Medicaid Managed Care	$107.13

CATH TRAILBLAZER .014 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .014 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849S
Hospital Revenue Code	278
Min. Negotiated Rate	$17.95
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$17.95
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

CATH TRAILBLAZER .014 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643849S
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .018 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .018 150cm

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850
Hospital Revenue Code	278
Min. Negotiated Rate	$17.95
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$17.95
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

CATH TRAILBLAZER .018 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643850N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .018 150cm

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270643850N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.42
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$97.42
Rate for Payer: Wellpoint Medicaid Managed Care	$107.13

CATH TRAILBLAZER .018 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850S
Hospital Revenue Code	278
Min. Negotiated Rate	$111.72
Max. Negotiated Rate	$180.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72

CATH TRAILBLAZER .018 150CM

Facility

$744.80

Service Code	HCPCS C1887
Hospital Charge Code	270643850S
Hospital Revenue Code	278
Min. Negotiated Rate	$17.95
Max. Negotiated Rate	$372.40
Rate for Payer: Aetna Commercial	$283.02
Rate for Payer: Aetna Medicare Advantage	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.92
Rate for Payer: Cigna Commercial	$372.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.86
Rate for Payer: Qualcare PPO/HMO/WC	$111.72
Rate for Payer: UnitedHealthcare Community & State	$17.95
Rate for Payer: Wellpoint Medicaid Managed Care	$19.74

CATH TRAILBLAZER .035 150CM

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270644202N
Hospital Revenue Code	278
Min. Negotiated Rate	$97.42
Max. Negotiated Rate	$2,021.25
Rate for Payer: Aetna Commercial	$1,536.15
Rate for Payer: Aetna Medicare Advantage	$1,212.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.84
Rate for Payer: Cigna Commercial	$2,021.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38
Rate for Payer: UnitedHealthcare Community & State	$97.42
Rate for Payer: Wellpoint Medicaid Managed Care	$107.13

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202S
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$4,042.50

Service Code	HCPCS C1887
Hospital Charge Code	270644202N
Hospital Revenue Code	278
Min. Negotiated Rate	$606.38
Max. Negotiated Rate	$978.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$889.35
Rate for Payer: Qualcare PPO/HMO/WC	$606.38

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202
Hospital Revenue Code	278
Min. Negotiated Rate	$18.67
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$18.67
Rate for Payer: Wellpoint Medicaid Managed Care	$20.53

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202C
Hospital Revenue Code	278
Min. Negotiated Rate	$116.22
Max. Negotiated Rate	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1887
Hospital Charge Code	270644202S
Hospital Revenue Code	278
Min. Negotiated Rate	$18.67
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$18.67
Rate for Payer: Wellpoint Medicaid Managed Care	$20.53

CATH TRAILBLAZER .035 150CM

Facility

$774.80

Service Code	HCPCS C1725
Hospital Charge Code	270644202C
Hospital Revenue Code	278
Min. Negotiated Rate	$18.67
Max. Negotiated Rate	$387.40
Rate for Payer: Aetna Commercial	$294.42
Rate for Payer: Aetna Medicare Advantage	$232.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.57
Rate for Payer: Cigna Commercial	$387.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.46
Rate for Payer: Qualcare PPO/HMO/WC	$116.22
Rate for Payer: UnitedHealthcare Community & State	$18.67
Rate for Payer: Wellpoint Medicaid Managed Care	$20.53

Know your out-of-pocket cost for care.

All Charges