Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER PERC 9fr 6209

Facility

$261.25

Hospital Charge Code	270640435
Hospital Revenue Code	272
Min. Negotiated Rate	$6.30
Max. Negotiated Rate	$130.62
Rate for Payer: Aetna Commercial	$99.28
Rate for Payer: Aetna Medicare Advantage	$78.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.62
Rate for Payer: Cigna Commercial	$130.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.38
Rate for Payer: Oxford Commercial	$52.25
Rate for Payer: Qualcare PPO/HMO/WC	$39.19
Rate for Payer: UnitedHealthcare Commercial	$52.25
Rate for Payer: UnitedHealthcare Community & State	$6.30
Rate for Payer: Wellpoint Medicaid Managed Care	$6.92

INTRODUCER PERC 9fr 6209

Facility

$261.25

Hospital Charge Code	270640435
Hospital Revenue Code	272
Min. Negotiated Rate	$39.19
Max. Negotiated Rate	$39.19
Rate for Payer: Qualcare PPO/HMO/WC	$39.19

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270656110
Hospital Revenue Code	271
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270656110
Hospital Revenue Code	271
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

INTRODUCER PERCU LEAD 11FR

Facility

$225.00

Hospital Charge Code	270657500
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$53.28
Max. Negotiated Rate	$85.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.14
Rate for Payer: Qualcare PPO/HMO/WC	$53.28

INTRODUCER PERFORMA 14FR 30CM

Facility

$355.20

Service Code	HCPCS C1887
Hospital Charge Code	270677245
Hospital Revenue Code	278
Min. Negotiated Rate	$8.56
Max. Negotiated Rate	$177.60
Rate for Payer: Aetna Commercial	$134.98
Rate for Payer: Aetna Medicare Advantage	$106.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.58
Rate for Payer: Cigna Commercial	$177.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.14
Rate for Payer: Qualcare PPO/HMO/WC	$53.28
Rate for Payer: UnitedHealthcare Community & State	$8.56
Rate for Payer: Wellpoint Medicaid Managed Care	$9.41

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051C
Hospital Revenue Code	278
Min. Negotiated Rate	$17.81
Max. Negotiated Rate	$28.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.12
Rate for Payer: Qualcare PPO/HMO/WC	$17.81

INTRODUCER PINN 6F 25CM RSS605

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643051C
Hospital Revenue Code	278
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$59.38
Rate for Payer: Aetna Commercial	$45.12
Rate for Payer: Aetna Medicare Advantage	$35.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.28
Rate for Payer: Cigna Commercial	$59.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$26.12
Rate for Payer: Qualcare PPO/HMO/WC	$17.81
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.15

INTRODUCER PINN 6FR 10C RSS602

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642942C
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

INTRODUCER PINN 6FR 10C RSS602

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642942C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944S
Hospital Revenue Code	278
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$11.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944S
Hospital Revenue Code	278
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$22.75
Rate for Payer: Aetna Commercial	$17.29
Rate for Payer: Aetna Medicare Advantage	$13.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.60
Rate for Payer: Cigna Commercial	$22.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

INTRODUCER PINNA 5F 10 RSS502

Facility

$45.50

Service Code	HCPCS C1894
Hospital Charge Code	270642944N
Hospital Revenue Code	278
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$11.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.01
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

INTRODUCER PINNA 5F 10 RSS502

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642944C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

INTRODUCER PINNA 5F 10 RSS502

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642944C
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

INTRODUCER PINNAC 7F 10 RSS702

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943C
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

INTRODUCER PINNAC 7F 10 RSS702

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943C
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

INTRODUCER PINNACLE .038IN 8FR

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683727
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.46
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

INTRODUCER PINNACLE .038IN 8FR

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683727
Hospital Revenue Code	278
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.46
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.50

INTRODUCER PINNACLE 6FR 10CM

Facility

$56.65

Service Code	HCPCS C1893
Hospital Charge Code	270642942N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$28.32
Rate for Payer: Aetna Commercial	$21.53
Rate for Payer: Aetna Medicare Advantage	$17.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.45
Rate for Payer: Cigna Commercial	$28.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.46
Rate for Payer: Qualcare PPO/HMO/WC	$8.50
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.50

INTRODUCER PINNACLE 6FR 10CM

Facility

$56.65

Service Code	HCPCS C1893
Hospital Charge Code	270642942N
Hospital Revenue Code	278
Min. Negotiated Rate	$8.50
Max. Negotiated Rate	$13.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.46
Rate for Payer: Qualcare PPO/HMO/WC	$8.50

INTRODUCER PINNACLE 6FR 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270643051N
Hospital Revenue Code	278
Min. Negotiated Rate	$31.19
Max. Negotiated Rate	$647.00
Rate for Payer: Aetna Commercial	$491.72
Rate for Payer: Aetna Medicare Advantage	$388.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$329.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$329.97
Rate for Payer: Cigna Commercial	$647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$284.68
Rate for Payer: Qualcare PPO/HMO/WC	$194.10
Rate for Payer: UnitedHealthcare Community & State	$31.19
Rate for Payer: Wellpoint Medicaid Managed Care	$34.29

Know your out-of-pocket cost for care.

All Charges