Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	5100420
Hospital Revenue Code	323
Min. Negotiated Rate	$489.65
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$7,720.65
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,095.25
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$489.65
Rate for Payer: Wellpoint Medicaid Managed Care	$538.41

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	5100420
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	74110046
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY AORTA ARCH S&I

Facility

$20,317.50

Hospital Charge Code	74110046
Hospital Revenue Code	323
Min. Negotiated Rate	$489.65
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$7,720.65
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,095.25
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$489.65
Rate for Payer: Wellpoint Medicaid Managed Care	$538.41

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	5100390
Hospital Revenue Code	323
Min. Negotiated Rate	$489.65
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$7,720.65
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,095.25
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$489.65
Rate for Payer: Wellpoint Medicaid Managed Care	$538.41

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	74110045
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	5100390
Hospital Revenue Code	323
Min. Negotiated Rate	$3,047.62
Max. Negotiated Rate	$3,047.62
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62

ANGIOGRAPHY BI CARTD/CERBL S&I

Facility

$20,317.50

Hospital Charge Code	74110045
Hospital Revenue Code	323
Min. Negotiated Rate	$489.65
Max. Negotiated Rate	$10,158.75
Rate for Payer: Aetna Commercial	$7,720.65
Rate for Payer: Aetna Medicare Advantage	$6,095.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,180.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,180.96
Rate for Payer: Cigna Commercial	$10,158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,095.25
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,047.62
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$489.65
Rate for Payer: Wellpoint Medicaid Managed Care	$538.41

ANGIOGRAPHY BI CARTD/CERVC S&I

Facility

$1,453.45

Service Code	HCPCS 75680
Hospital Charge Code	5100410
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

ANGIOGRAPHY BI CARTD/CERVC S&I

Facility

$1,453.45

Service Code	HCPCS 75680
Hospital Charge Code	5100410
Hospital Revenue Code	323
Min. Negotiated Rate	$218.02
Max. Negotiated Rate	$218.02
Rate for Payer: Qualcare PPO/HMO/WC	$218.02

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	366875716
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	366875716
Hospital Revenue Code	323
Min. Negotiated Rate	$243.94
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	$243.94
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	5100470
Hospital Revenue Code	323
Min. Negotiated Rate	$243.94
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	$243.94
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	5100470
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	74110051
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

ANGIOGRAPHY EXTREM BI S&I

Facility

$21,359.77

Service Code	HCPCS 75716
Hospital Charge Code	74110051
Hospital Revenue Code	323
Min. Negotiated Rate	$243.94
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	$243.94
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

ANGIOGRAPHY VERTBRL/CERVCL S&I

Facility

$3,856.65

Service Code	HCPCS 75685
Hospital Charge Code	5100430
Hospital Revenue Code	323
Min. Negotiated Rate	$92.95
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$1,465.53
Rate for Payer: Aetna Medicare Advantage	$1,156.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$983.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$983.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$983.45
Rate for Payer: Cigna Commercial	$1,928.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,156.99
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$578.50
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$92.95
Rate for Payer: Wellpoint Medicaid Managed Care	$102.20

ANGIOGRAPHY VERTBRL/CERVCL S&I

Facility

$3,856.65

Service Code	HCPCS 75685
Hospital Charge Code	5100430
Hospital Revenue Code	323
Min. Negotiated Rate	$578.50
Max. Negotiated Rate	$578.50
Rate for Payer: Qualcare PPO/HMO/WC	$578.50

ANGIO INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	2011601
Hospital Revenue Code	323
Min. Negotiated Rate	$2,082.33
Max. Negotiated Rate	$2,082.33
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33

ANGIO INTERNAL MAMMARY

Facility

$13,882.20

Service Code	HCPCS 75756
Hospital Charge Code	2011601
Hospital Revenue Code	323
Min. Negotiated Rate	$134.65
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	$134.65
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	$4,164.66
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,082.33
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$334.56
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	$367.88

ANGIO JET SOLENT 4FR/145CM

Facility

$11,200.00

Hospital Charge Code	2709007586
Hospital Revenue Code	272
Min. Negotiated Rate	$1,680.00
Max. Negotiated Rate	$1,680.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00

ANGIO JET SOLENT 4FR/145CM

Facility

$11,200.00

Hospital Charge Code	2709007586
Hospital Revenue Code	272
Min. Negotiated Rate	$269.92
Max. Negotiated Rate	$5,600.00
Rate for Payer: Aetna Commercial	$4,256.00
Rate for Payer: Aetna Medicare Advantage	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,856.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,856.00
Rate for Payer: Cigna Commercial	$5,600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Oxford Commercial	$2,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,680.00
Rate for Payer: UnitedHealthcare Commercial	$2,240.00
Rate for Payer: UnitedHealthcare Community & State	$269.92
Rate for Payer: Wellpoint Medicaid Managed Care	$296.80

ANGIOMAT ILLUMENA CONTRAST SYR

Facility

$25.00

Hospital Charge Code	270667071N
Hospital Revenue Code	270
Min. Negotiated Rate	$3.75
Max. Negotiated Rate	$3.75
Rate for Payer: Qualcare PPO/HMO/WC	$3.75

ANGIOMAT ILLUMENA CONTRAST SYR

Facility

$32.29

Hospital Charge Code	270667071S
Hospital Revenue Code	270
Min. Negotiated Rate	$4.84
Max. Negotiated Rate	$4.84
Rate for Payer: Qualcare PPO/HMO/WC	$4.84

Know your out-of-pocket cost for care.

All Charges