Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER CATH STER SGU 6999

Facility

$4.75

Hospital Charge Code	270616776
Hospital Revenue Code	272
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.38
Rate for Payer: Aetna Commercial	$1.80
Rate for Payer: Aetna Medicare Advantage	$1.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.21
Rate for Payer: Cigna Commercial	$2.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.43
Rate for Payer: Oxford Commercial	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.71
Rate for Payer: UnitedHealthcare Commercial	$0.95
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

INTRODUCER CATH SUPR 16F AC851

Facility

$121.65

Hospital Charge Code	270612992
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

INTRODUCER CATH SUPR 16F AC851

Facility

$121.65

Hospital Charge Code	270612992
Hospital Revenue Code	272
Min. Negotiated Rate	$2.93
Max. Negotiated Rate	$60.83
Rate for Payer: Aetna Commercial	$46.23
Rate for Payer: Aetna Medicare Advantage	$36.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.02
Rate for Payer: Cigna Commercial	$60.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.49
Rate for Payer: Oxford Commercial	$24.33
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
Rate for Payer: UnitedHealthcare Commercial	$24.33
Rate for Payer: UnitedHealthcare Community & State	$2.93
Rate for Payer: Wellpoint Medicaid Managed Care	$3.22

INTRODUCER CHECK-FLO 16FR

Facility

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$14.34
Max. Negotiated Rate	$297.57
Rate for Payer: Aetna Commercial	$226.16
Rate for Payer: Aetna Medicare Advantage	$178.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.76
Rate for Payer: Cigna Commercial	$297.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$178.54
Rate for Payer: Oxford Commercial	$119.03
Rate for Payer: Qualcare PPO/HMO/WC	$89.27
Rate for Payer: UnitedHealthcare Commercial	$119.03
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: Wellpoint Medicaid Managed Care	$15.77

INTRODUCER CHECK-FLO 16FR

Facility

$595.15

Hospital Charge Code	270622441
Hospital Revenue Code	272
Min. Negotiated Rate	$89.27
Max. Negotiated Rate	$89.27
Rate for Payer: Qualcare PPO/HMO/WC	$89.27

INTRODUCER CHECK-FLO 16FR 30cm

Facility

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER CHECK-FLO 16FR 30cm

Facility

$635.00

Hospital Charge Code	270621635
Hospital Revenue Code	270
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.50
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$15.30
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

INTRODUCER CHECK-FLO 18.0

Facility

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

INTRODUCER CHECK-FLO 18.0

Facility

$635.00

Hospital Charge Code	270629600
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.50
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$15.30
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

INTRODUCER CK 22F 25 261338

Facility

$1,216.85

Hospital Charge Code	270623287
Hospital Revenue Code	272
Min. Negotiated Rate	$29.33
Max. Negotiated Rate	$608.42
Rate for Payer: Aetna Commercial	$462.40
Rate for Payer: Aetna Medicare Advantage	$365.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$310.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$310.30
Rate for Payer: Cigna Commercial	$608.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$365.06
Rate for Payer: Oxford Commercial	$243.37
Rate for Payer: Qualcare PPO/HMO/WC	$182.53
Rate for Payer: UnitedHealthcare Commercial	$243.37
Rate for Payer: UnitedHealthcare Community & State	$29.33
Rate for Payer: Wellpoint Medicaid Managed Care	$32.25

INTRODUCER CK 22F 25 261338

Facility

$1,216.85

Hospital Charge Code	270623287
Hospital Revenue Code	272
Min. Negotiated Rate	$182.53
Max. Negotiated Rate	$182.53
Rate for Payer: Qualcare PPO/HMO/WC	$182.53

INTRODUCER CK 5F COAX 217243

Facility

$149.65

Hospital Charge Code	270624180
Hospital Revenue Code	278
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$74.83
Rate for Payer: Aetna Commercial	$56.87
Rate for Payer: Aetna Medicare Advantage	$44.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.16
Rate for Payer: Cigna Commercial	$74.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.92
Rate for Payer: Qualcare PPO/HMO/WC	$22.45
Rate for Payer: UnitedHealthcare Community & State	$3.61
Rate for Payer: Wellpoint Medicaid Managed Care	$3.97

INTRODUCER CK 5F COAX 217243

Facility

$149.65

Hospital Charge Code	270624180
Hospital Revenue Code	278
Min. Negotiated Rate	$22.45
Max. Negotiated Rate	$36.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.92
Rate for Payer: Qualcare PPO/HMO/WC	$22.45

INTRODUCER COAXIAL 4F 10CM

Facility

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$13.33
Max. Negotiated Rate	$13.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.33

INTRODUCER COAXIAL 4F 10CM

Facility

$88.85

Hospital Charge Code	270669538
Hospital Revenue Code	272
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$44.42
Rate for Payer: Aetna Commercial	$33.76
Rate for Payer: Aetna Medicare Advantage	$26.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.66
Rate for Payer: Cigna Commercial	$44.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.66
Rate for Payer: Oxford Commercial	$17.77
Rate for Payer: Qualcare PPO/HMO/WC	$13.33
Rate for Payer: UnitedHealthcare Commercial	$17.77
Rate for Payer: UnitedHealthcare Community & State	$2.14
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$33.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.27
Rate for Payer: Oxford Commercial	$17.51
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$17.51
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.32

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538S
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$13.13
Rate for Payer: Qualcare PPO/HMO/WC	$13.13

INTRODUCER COAXIAL 4 FR 10CM

Facility

$87.55

Hospital Charge Code	270669538O
Hospital Revenue Code	272
Min. Negotiated Rate	$2.11
Max. Negotiated Rate	$43.77
Rate for Payer: Aetna Commercial	$33.27
Rate for Payer: Aetna Medicare Advantage	$26.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.33
Rate for Payer: Cigna Commercial	$43.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.27
Rate for Payer: Oxford Commercial	$17.51
Rate for Payer: Qualcare PPO/HMO/WC	$13.13
Rate for Payer: UnitedHealthcare Commercial	$17.51
Rate for Payer: UnitedHealthcare Community & State	$2.11
Rate for Payer: Wellpoint Medicaid Managed Care	$2.32

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.88
Rate for Payer: Aetna Commercial	$15.11
Rate for Payer: Aetna Medicare Advantage	$11.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.14
Rate for Payer: Cigna Commercial	$19.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

INTRODUCER CRD 11 7F 504-607X

Facility

$39.75

Service Code	HCPCS C1894
Hospital Charge Code	270614820
Hospital Revenue Code	278
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$9.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.74
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

INTRODUCER CRD 23 8F 401-823M

Facility

$211.25

Hospital Charge Code	270622620
Hospital Revenue Code	278
Min. Negotiated Rate	$31.69
Max. Negotiated Rate	$51.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69

INTRODUCER CRD 23 8F 401-823M

Facility

$211.25

Hospital Charge Code	270622620
Hospital Revenue Code	278
Min. Negotiated Rate	$5.09
Max. Negotiated Rate	$105.62
Rate for Payer: Aetna Commercial	$80.28
Rate for Payer: Aetna Medicare Advantage	$63.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$42.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.87
Rate for Payer: Cigna Commercial	$105.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$46.48
Rate for Payer: Qualcare PPO/HMO/WC	$31.69
Rate for Payer: UnitedHealthcare Community & State	$5.09
Rate for Payer: Wellpoint Medicaid Managed Care	$5.60

INTRODUCER CRD 8F 55 403-8553C

Facility

$645.00

Hospital Charge Code	270626424
Hospital Revenue Code	278
Min. Negotiated Rate	$96.75
Max. Negotiated Rate	$156.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.90
Rate for Payer: Qualcare PPO/HMO/WC	$96.75

INTRODUCER CRD 8F 55 403-8553C

Facility

$645.00

Hospital Charge Code	270626424
Hospital Revenue Code	278
Min. Negotiated Rate	$15.54
Max. Negotiated Rate	$322.50
Rate for Payer: Aetna Commercial	$245.10
Rate for Payer: Aetna Medicare Advantage	$193.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$129.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.47
Rate for Payer: Cigna Commercial	$322.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.90
Rate for Payer: Qualcare PPO/HMO/WC	$96.75
Rate for Payer: UnitedHealthcare Community & State	$15.54
Rate for Payer: Wellpoint Medicaid Managed Care	$17.09

Know your out-of-pocket cost for care.

All Charges