Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH XB LAD 4.0 7FR

Facility

$220.00

Service Code	HCPCS C1887
Hospital Charge Code	270636385
Hospital Revenue Code	278
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

CATH XBLAD 8FR 3 5cm 5888100

Facility

$280.00

Hospital Charge Code	270637735
Hospital Revenue Code	278
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$67.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATH XBLAD 8FR 3 5cm 5888100

Facility

$280.00

Hospital Charge Code	270637735
Hospital Revenue Code	278
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$56.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.60
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

CATH XB LAD SH 7FR 77806300

Facility

$277.70

Hospital Charge Code	270636386
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH XB LAD SH 7FR 77806300

Facility

$277.70

Hospital Charge Code	270636386
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

CATH XB RCA SH 6FR 67012700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636343
Hospital Revenue Code	278
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$58.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

CATH XB RCA SH 6FR 67012700

Facility

$240.00

Service Code	HCPCS C1887
Hospital Charge Code	270636343
Hospital Revenue Code	278
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.80
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

CATH XB RCA SH 6FR 67012700

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636343N
Hospital Revenue Code	278
Min. Negotiated Rate	$41.66
Max. Negotiated Rate	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66

CATH XB RCA SH 6FR 67012700

Facility

$277.70

Service Code	HCPCS C1887
Hospital Charge Code	270636343N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.85
Rate for Payer: Aetna Commercial	$105.53
Rate for Payer: Aetna Medicare Advantage	$83.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$55.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.81
Rate for Payer: Cigna Commercial	$138.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$61.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.66
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.36

CATH XTRACT APIRATION 4.2FR

Facility

$2,750.00

Hospital Charge Code	270643088
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

CATH XTRACT APIRATION 4.2FR

Facility

$2,750.00

Hospital Charge Code	270643088
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077
Hospital Revenue Code	278
Min. Negotiated Rate	$352.46
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$352.46
Rate for Payer: Wellpoint Medicaid Managed Care	$387.56

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077S
Hospital Revenue Code	278
Min. Negotiated Rate	$352.46
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$352.46
Rate for Payer: Wellpoint Medicaid Managed Care	$387.56

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$352.46
Max. Negotiated Rate	$7,312.50
Rate for Payer: Aetna Commercial	$5,557.50
Rate for Payer: Aetna Medicare Advantage	$4,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,729.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,729.38
Rate for Payer: Cigna Commercial	$7,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75
Rate for Payer: UnitedHealthcare Community & State	$352.46
Rate for Payer: Wellpoint Medicaid Managed Care	$387.56

CATH ZELANTE DVT 8FR

Facility

$14,625.00

Service Code	HCPCS C1757
Hospital Charge Code	270677077N
Hospital Revenue Code	278
Min. Negotiated Rate	$2,193.75
Max. Negotiated Rate	$3,539.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,539.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,217.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,193.75

CATH Z-MED 12FR 24MM

Facility

$2,975.65

Hospital Charge Code	270634560
Hospital Revenue Code	272
Min. Negotiated Rate	$71.71
Max. Negotiated Rate	$1,487.83
Rate for Payer: Aetna Commercial	$1,130.75
Rate for Payer: Aetna Medicare Advantage	$892.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.79
Rate for Payer: Cigna Commercial	$1,487.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$892.70
Rate for Payer: Oxford Commercial	$595.13
Rate for Payer: Qualcare PPO/HMO/WC	$446.35
Rate for Payer: UnitedHealthcare Commercial	$595.13
Rate for Payer: UnitedHealthcare Community & State	$71.71
Rate for Payer: Wellpoint Medicaid Managed Care	$78.85

CATH Z-MED 12FR 24MM

Facility

$2,975.65

Hospital Charge Code	270634560
Hospital Revenue Code	272
Min. Negotiated Rate	$446.35
Max. Negotiated Rate	$446.35
Rate for Payer: Qualcare PPO/HMO/WC	$446.35

CATJ IRRIGATOR 4FR

Facility

$113.00

Hospital Charge Code	270656007
Hospital Revenue Code	272
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$56.50
Rate for Payer: Aetna Commercial	$42.94
Rate for Payer: Aetna Medicare Advantage	$33.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.82
Rate for Payer: Cigna Commercial	$56.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.90
Rate for Payer: Oxford Commercial	$22.60
Rate for Payer: Qualcare PPO/HMO/WC	$16.95
Rate for Payer: UnitedHealthcare Commercial	$22.60
Rate for Payer: UnitedHealthcare Community & State	$2.72
Rate for Payer: Wellpoint Medicaid Managed Care	$2.99

CATJ IRRIGATOR 4FR

Facility

$113.00

Hospital Charge Code	270656007
Hospital Revenue Code	272
Min. Negotiated Rate	$16.95
Max. Negotiated Rate	$16.95
Rate for Payer: Qualcare PPO/HMO/WC	$16.95

CATRIDGE MONARCH C

Facility

$333.33

Hospital Charge Code	270655841
Hospital Revenue Code	271
Min. Negotiated Rate	$8.03
Max. Negotiated Rate	$166.66
Rate for Payer: Aetna Commercial	$126.67
Rate for Payer: Aetna Medicare Advantage	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.00
Rate for Payer: Cigna Commercial	$166.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.00
Rate for Payer: Oxford Commercial	$66.67
Rate for Payer: Qualcare PPO/HMO/WC	$50.00
Rate for Payer: UnitedHealthcare Commercial	$66.67
Rate for Payer: UnitedHealthcare Community & State	$8.03
Rate for Payer: Wellpoint Medicaid Managed Care	$8.83

CATRIDGE MONARCH C

Facility

$333.33

Hospital Charge Code	270655841
Hospital Revenue Code	271
Min. Negotiated Rate	$50.00
Max. Negotiated Rate	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.00

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892N
Hospital Revenue Code	272
Min. Negotiated Rate	$233.77
Max. Negotiated Rate	$4,850.00
Rate for Payer: Aetna Commercial	$3,686.00
Rate for Payer: Aetna Medicare Advantage	$2,910.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,473.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,473.50
Rate for Payer: Cigna Commercial	$4,850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,910.00
Rate for Payer: Oxford Commercial	$1,940.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00
Rate for Payer: UnitedHealthcare Commercial	$1,940.00
Rate for Payer: UnitedHealthcare Community & State	$233.77
Rate for Payer: Wellpoint Medicaid Managed Care	$257.05

Cat RX

Facility

$9,700.00

Hospital Charge Code	270685892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,455.00
Max. Negotiated Rate	$1,455.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,455.00

Know your out-of-pocket cost for care.

All Charges