Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANGIOCATH INSYTE 16G 1.77 GRAY

Facility

$8.68

Hospital Charge Code	270641575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

ANGIOCATH INSYTE 16G 1.77 GRAY

Facility

$8.68

Hospital Charge Code	270641575
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.34
Rate for Payer: Aetna Commercial	$3.30
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$1.74
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

ANGIOCATH IV CATH 14G 2

Facility

$9.02

Hospital Charge Code	270649594
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.51
Rate for Payer: Aetna Commercial	$3.43
Rate for Payer: Aetna Medicare Advantage	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.30
Rate for Payer: Cigna Commercial	$4.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.71
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

ANGIOCATH IV CATH 14G 2

Facility

$9.02

Hospital Charge Code	270649594
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

ANGIOCATH IV CATH 16G 1-1/4

Facility

$8.97

Hospital Charge Code	270652604
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.49
Rate for Payer: Aetna Commercial	$3.41
Rate for Payer: Aetna Medicare Advantage	$2.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.69
Rate for Payer: Oxford Commercial	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.79
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

ANGIOCATH IV CATH 16G 1-1/4

Facility

$8.97

Hospital Charge Code	270652604
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

ANGIOCATH IV CATH 18G 1-14

Facility

$16.87

Hospital Charge Code	270649595
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.44
Rate for Payer: Aetna Commercial	$6.41
Rate for Payer: Aetna Medicare Advantage	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.06
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

ANGIOCATH IV CATH 18G 1-14

Facility

$16.87

Hospital Charge Code	270649595
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

ANGIOCATH IV CATH 22G 1

Facility

$15.91

Hospital Charge Code	270649597
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$2.39
Rate for Payer: Qualcare PPO/HMO/WC	$2.39

ANGIOCATH IV CATH 22G 1

Facility

$15.91

Hospital Charge Code	270649597
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.96
Rate for Payer: Aetna Commercial	$6.05
Rate for Payer: Aetna Medicare Advantage	$4.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.06
Rate for Payer: Cigna Commercial	$7.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.77
Rate for Payer: Oxford Commercial	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$2.39
Rate for Payer: UnitedHealthcare Commercial	$3.18
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

ANGIOCATH IV CATH 24G 3/4

Facility

$16.87

Hospital Charge Code	270649598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

ANGIOCATH IV CATH 24G 3/4

Facility

$16.87

Hospital Charge Code	270649598
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.44
Rate for Payer: Aetna Commercial	$6.41
Rate for Payer: Aetna Medicare Advantage	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.06
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

ANGIO EXT CAROTID BI S&I***

Facility

$1,934.00

Service Code	HCPCS 75662
Hospital Charge Code	5100342
Hospital Revenue Code	323
Min. Negotiated Rate	$290.10
Max. Negotiated Rate	$290.10
Rate for Payer: Qualcare PPO/HMO/WC	$290.10

ANGIO EXT CAROTID BI S&I***

Facility

$1,934.00

Service Code	HCPCS 75662
Hospital Charge Code	5100342
Hospital Revenue Code	323
Min. Negotiated Rate	$46.61
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$734.92
Rate for Payer: Aetna Medicare Advantage	$580.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.17
Rate for Payer: Cigna Commercial	$967.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$580.20
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$290.10
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$46.61
Rate for Payer: Wellpoint Medicaid Managed Care	$51.25

ANGIO EXT CAROTID UNI S&I

Facility

$1,453.45

Service Code	HCPCS 75660
Hospital Charge Code	5100341
Hospital Revenue Code	323
Min. Negotiated Rate	$218.02
Max. Negotiated Rate	$218.02
Rate for Payer: Qualcare PPO/HMO/WC	$218.02

ANGIO EXT CAROTID UNI S&I

Facility

$1,453.45

Service Code	HCPCS 75660
Hospital Charge Code	5100341
Hospital Revenue Code	323
Min. Negotiated Rate	$35.03
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$552.31
Rate for Payer: Aetna Medicare Advantage	$436.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.63
Rate for Payer: Cigna Commercial	$726.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.04
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.02
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$35.03
Rate for Payer: Wellpoint Medicaid Managed Care	$38.52

ANGIO EXTREM UNILATERAL S&I

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	5100440
Hospital Revenue Code	323
Min. Negotiated Rate	$3,203.97
Max. Negotiated Rate	$3,203.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,203.97

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	74110050
Hospital Revenue Code	323
Min. Negotiated Rate	$1,770.45
Max. Negotiated Rate	$1,770.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	74110050
Hospital Revenue Code	323
Min. Negotiated Rate	$146.36
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,540.90
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$284.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$312.78

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	2011602
Hospital Revenue Code	323
Min. Negotiated Rate	$1,770.45
Max. Negotiated Rate	$1,770.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45

ANGIO EXTREM UNILATERAL S&I

Facility

$21,359.77

Service Code	HCPCS 75710
Hospital Charge Code	5100440
Hospital Revenue Code	323
Min. Negotiated Rate	$146.36
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,407.93
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,203.97
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$514.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$566.03

ANGIO EXTREM UNILATERAL S&I

Facility

$11,803.00

Service Code	HCPCS 75710
Hospital Charge Code	2011602
Hospital Revenue Code	323
Min. Negotiated Rate	$146.36
Max. Negotiated Rate	$13,540.60
Rate for Payer: Aetna Commercial	$10,203.18
Rate for Payer: Aetna Medicare Advantage	$12,153.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,751.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$146.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,540.60
Rate for Payer: Cigna Commercial	$7,519.21
Rate for Payer: Cigna Medicare Advantage	$2,625.82
Rate for Payer: Clover Medicare Advantage	$3,563.61
Rate for Payer: EmblemHealth Commercial	$11,253.51
Rate for Payer: Humana Medicare Advantage	$3,863.71
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,751.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,540.90
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,770.45
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$284.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,751.17
Rate for Payer: Wellcare Medicare Advantage	$3,751.17
Rate for Payer: Wellpoint Medicaid Managed Care	$312.78

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	74110048
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	5100435
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

ANGIOGRAM RENAL LEFT OR RIGHT

Facility

$13,436.40

Hospital Charge Code	5100435
Hospital Revenue Code	323
Min. Negotiated Rate	$323.82
Max. Negotiated Rate	$6,718.20
Rate for Payer: Aetna Commercial	$5,105.83
Rate for Payer: Aetna Medicare Advantage	$4,030.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,426.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,426.28
Rate for Payer: Cigna Commercial	$6,718.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,030.92
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$323.82
Rate for Payer: Wellpoint Medicaid Managed Care	$356.06

Know your out-of-pocket cost for care.

All Charges