Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH URET OLIVE TP 4FR

Facility

$511.25

Hospital Charge Code	270060420
Hospital Revenue Code	278
Min. Negotiated Rate	$12.32
Max. Negotiated Rate	$255.62
Rate for Payer: Aetna Commercial	$194.28
Rate for Payer: Aetna Medicare Advantage	$153.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$102.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130.37
Rate for Payer: Cigna Commercial	$255.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$112.47
Rate for Payer: Qualcare PPO/HMO/WC	$76.69
Rate for Payer: UnitedHealthcare Community & State	$12.32
Rate for Payer: Wellpoint Medicaid Managed Care	$13.55

CATH URET OLIVE TP 5FR

Facility

$36.77

Service Code	HCPCS C1758
Hospital Charge Code	270605598
Hospital Revenue Code	278
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$8.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.09
Rate for Payer: Qualcare PPO/HMO/WC	$5.52

CATH URET OLIVE TP 5FR

Facility

$36.77

Service Code	HCPCS C1758
Hospital Charge Code	270605598
Hospital Revenue Code	278
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$18.39
Rate for Payer: Aetna Commercial	$13.97
Rate for Payer: Aetna Medicare Advantage	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.38
Rate for Payer: Cigna Commercial	$18.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.09
Rate for Payer: Qualcare PPO/HMO/WC	$5.52
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

CATH URET OLIVE TP 5FR

Facility

$524.85

Hospital Charge Code	270060425
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.43
Rate for Payer: Aetna Commercial	$199.44
Rate for Payer: Aetna Medicare Advantage	$157.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.84
Rate for Payer: Cigna Commercial	$262.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.47
Rate for Payer: Qualcare PPO/HMO/WC	$78.73
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

CATH URET OLIVE TP 5FR

Facility

$524.85

Hospital Charge Code	270060425
Hospital Revenue Code	278
Min. Negotiated Rate	$78.73
Max. Negotiated Rate	$127.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.47
Rate for Payer: Qualcare PPO/HMO/WC	$78.73

CATH URET OLIVE TP 6FR

Facility

$476.00

Hospital Charge Code	270060430
Hospital Revenue Code	272
Min. Negotiated Rate	$71.40
Max. Negotiated Rate	$71.40
Rate for Payer: Qualcare PPO/HMO/WC	$71.40

CATH URET OLIVE TP 6FR

Facility

$476.00

Hospital Charge Code	270060430
Hospital Revenue Code	272
Min. Negotiated Rate	$11.47
Max. Negotiated Rate	$238.00
Rate for Payer: Aetna Commercial	$180.88
Rate for Payer: Aetna Medicare Advantage	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.38
Rate for Payer: Cigna Commercial	$238.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.80
Rate for Payer: Oxford Commercial	$95.20
Rate for Payer: Qualcare PPO/HMO/WC	$71.40
Rate for Payer: UnitedHealthcare Commercial	$95.20
Rate for Payer: UnitedHealthcare Community & State	$11.47
Rate for Payer: Wellpoint Medicaid Managed Care	$12.61

CATH URET POLLACK 5F 70 021305

Facility

$59.25

Service Code	HCPCS C1758
Hospital Charge Code	270643424
Hospital Revenue Code	278
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$29.62
Rate for Payer: Aetna Commercial	$22.52
Rate for Payer: Aetna Medicare Advantage	$17.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.11
Rate for Payer: Cigna Commercial	$29.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.04
Rate for Payer: Qualcare PPO/HMO/WC	$8.89
Rate for Payer: UnitedHealthcare Community & State	$1.43
Rate for Payer: Wellpoint Medicaid Managed Care	$1.57

CATH URET POLLACK 5F 70 021305

Facility

$59.25

Service Code	HCPCS C1758
Hospital Charge Code	270643424
Hospital Revenue Code	278
Min. Negotiated Rate	$8.89
Max. Negotiated Rate	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.04
Rate for Payer: Qualcare PPO/HMO/WC	$8.89

CATH URET POLLK 6F 70cm 021306

Facility

$92.45

Service Code	HCPCS C1758
Hospital Charge Code	270643425
Hospital Revenue Code	278
Min. Negotiated Rate	$13.87
Max. Negotiated Rate	$22.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.34
Rate for Payer: Qualcare PPO/HMO/WC	$13.87

CATH URET POLLK 6F 70cm 021306

Facility

$92.45

Service Code	HCPCS C1758
Hospital Charge Code	270643425
Hospital Revenue Code	278
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$46.23
Rate for Payer: Aetna Commercial	$35.13
Rate for Payer: Aetna Medicare Advantage	$27.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.57
Rate for Payer: Cigna Commercial	$46.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.34
Rate for Payer: Qualcare PPO/HMO/WC	$13.87
Rate for Payer: UnitedHealthcare Community & State	$2.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.45

CATH URET RTNR 5/70CM****

Facility

$31.00

Hospital Charge Code	270605215
Hospital Revenue Code	272
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$4.65
Rate for Payer: Qualcare PPO/HMO/WC	$4.65

CATH URET RTNR 5/70CM****

Facility

$31.00

Hospital Charge Code	270605215
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$15.50
Rate for Payer: Aetna Commercial	$11.78
Rate for Payer: Aetna Medicare Advantage	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.91
Rate for Payer: Cigna Commercial	$15.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.30
Rate for Payer: Oxford Commercial	$6.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.65
Rate for Payer: UnitedHealthcare Commercial	$6.20
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

CATH URET SPRL TIP 4FR

Facility

$135.00

Hospital Charge Code	270331134
Hospital Revenue Code	278
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

CATH URET SPRL TIP 4FR

Facility

$135.00

Hospital Charge Code	270331134
Hospital Revenue Code	278
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.70
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

CATH URET STONE DU LUMN 405100

Facility

$297.65

Hospital Charge Code	270626129
Hospital Revenue Code	278
Min. Negotiated Rate	$7.17
Max. Negotiated Rate	$148.82
Rate for Payer: Aetna Commercial	$113.11
Rate for Payer: Aetna Medicare Advantage	$89.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.90
Rate for Payer: Cigna Commercial	$148.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.48
Rate for Payer: Qualcare PPO/HMO/WC	$44.65
Rate for Payer: UnitedHealthcare Community & State	$7.17
Rate for Payer: Wellpoint Medicaid Managed Care	$7.89

CATH URET STONE DU LUMN 405100

Facility

$297.65

Hospital Charge Code	270626129
Hospital Revenue Code	278
Min. Negotiated Rate	$44.65
Max. Negotiated Rate	$72.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$59.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$65.48
Rate for Payer: Qualcare PPO/HMO/WC	$44.65

CATH UROMA KIT 6MM/18FR

Facility

$2,363.25

Hospital Charge Code	270601089
Hospital Revenue Code	272
Min. Negotiated Rate	$354.49
Max. Negotiated Rate	$354.49
Rate for Payer: Qualcare PPO/HMO/WC	$354.49

CATH UROMA KIT 6MM/18FR

Facility

$2,363.25

Hospital Charge Code	270601089
Hospital Revenue Code	272
Min. Negotiated Rate	$56.95
Max. Negotiated Rate	$1,181.62
Rate for Payer: Aetna Commercial	$898.03
Rate for Payer: Aetna Medicare Advantage	$708.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$602.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$602.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$602.63
Rate for Payer: Cigna Commercial	$1,181.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.98
Rate for Payer: Oxford Commercial	$472.65
Rate for Payer: Qualcare PPO/HMO/WC	$354.49
Rate for Payer: UnitedHealthcare Commercial	$472.65
Rate for Payer: UnitedHealthcare Community & State	$56.95
Rate for Payer: Wellpoint Medicaid Managed Care	$62.63

CATH UTHIN DIAMD 12x4x75 16533

Facility

$1,703.25

Hospital Charge Code	270630327
Hospital Revenue Code	278
Min. Negotiated Rate	$41.05
Max. Negotiated Rate	$851.62
Rate for Payer: Aetna Commercial	$647.24
Rate for Payer: Aetna Medicare Advantage	$510.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$434.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$434.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$434.33
Rate for Payer: Cigna Commercial	$851.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.71
Rate for Payer: Qualcare PPO/HMO/WC	$255.49
Rate for Payer: UnitedHealthcare Community & State	$41.05
Rate for Payer: Wellpoint Medicaid Managed Care	$45.14

CATH UTHIN DIAMD 12x4x75 16533

Facility

$1,716.90

Hospital Charge Code	270630327V
Hospital Revenue Code	278
Min. Negotiated Rate	$257.54
Max. Negotiated Rate	$415.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$377.72
Rate for Payer: Qualcare PPO/HMO/WC	$257.54

CATH UTHIN DIAMD 12x4x75 16533

Facility

$1,703.25

Hospital Charge Code	270630327
Hospital Revenue Code	278
Min. Negotiated Rate	$255.49
Max. Negotiated Rate	$412.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$340.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$374.71
Rate for Payer: Qualcare PPO/HMO/WC	$255.49

CATH UTHIN DIAMD 12x4x75 16533

Facility

$1,716.90

Hospital Charge Code	270630327V
Hospital Revenue Code	278
Min. Negotiated Rate	$41.38
Max. Negotiated Rate	$858.45
Rate for Payer: Aetna Commercial	$652.42
Rate for Payer: Aetna Medicare Advantage	$515.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$343.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.81
Rate for Payer: Cigna Commercial	$858.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$415.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$377.72
Rate for Payer: Qualcare PPO/HMO/WC	$257.54
Rate for Payer: UnitedHealthcare Community & State	$41.38
Rate for Payer: Wellpoint Medicaid Managed Care	$45.50

CATH U/THIN DIAMD 6x2 5F 16457

Facility

$1,020.00

Hospital Charge Code	270629350V
Hospital Revenue Code	278
Min. Negotiated Rate	$153.00
Max. Negotiated Rate	$246.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.40
Rate for Payer: Qualcare PPO/HMO/WC	$153.00

CATH U/THIN DIAMD 6x2 5F 16457

Facility

$1,020.00

Hospital Charge Code	270629350V
Hospital Revenue Code	278
Min. Negotiated Rate	$24.58
Max. Negotiated Rate	$510.00
Rate for Payer: Aetna Commercial	$387.60
Rate for Payer: Aetna Medicare Advantage	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.10
Rate for Payer: Cigna Commercial	$510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.40
Rate for Payer: Qualcare PPO/HMO/WC	$153.00
Rate for Payer: UnitedHealthcare Community & State	$24.58
Rate for Payer: Wellpoint Medicaid Managed Care	$27.03

Know your out-of-pocket cost for care.

All Charges