Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER PINNACLE 6FR 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270643051N
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
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

INTRODUCER PINNACLE 7FR 10CM

Facility

$566.50

Service Code	HCPCS C1894
Hospital Charge Code	270642943N
Hospital Revenue Code	278
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$283.25
Rate for Payer: Aetna Commercial	$215.27
Rate for Payer: Aetna Medicare Advantage	$169.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.46
Rate for Payer: Cigna Commercial	$283.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.63
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Community & State	$13.65
Rate for Payer: Wellpoint Medicaid Managed Care	$15.01

INTRODUCER PINNACLE 7FR 10CM

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943
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 PINNACLE 7FR 10CM

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943
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 7FR 10CM

Facility

$566.50

Service Code	HCPCS C1894
Hospital Charge Code	270642943N
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$137.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.63
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

INTRODUCER PINNACLE 7FR 10CM

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943S
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 PINNACLE 7FR 10CM

Facility

$52.00

Service Code	HCPCS C1894
Hospital Charge Code	270642943S
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 7FR 25cm

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643052
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 PINNACLE 7FR 25cm

Facility

$118.75

Service Code	HCPCS C1894
Hospital Charge Code	270643052
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 PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052S
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$30.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052S
Hospital Revenue Code	278
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$62.95
Rate for Payer: Aetna Commercial	$47.84
Rate for Payer: Aetna Medicare Advantage	$37.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.10
Rate for Payer: Cigna Commercial	$62.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.89
Rate for Payer: UnitedHealthcare Community & State	$3.03
Rate for Payer: Wellpoint Medicaid Managed Care	$3.34

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052N
Hospital Revenue Code	278
Min. Negotiated Rate	$18.89
Max. Negotiated Rate	$30.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.89

INTRODUCER PINNACLE 7FR 25 CM

Facility

$125.90

Service Code	HCPCS C1894
Hospital Charge Code	270643052N
Hospital Revenue Code	278
Min. Negotiated Rate	$3.03
Max. Negotiated Rate	$62.95
Rate for Payer: Aetna Commercial	$47.84
Rate for Payer: Aetna Medicare Advantage	$37.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.10
Rate for Payer: Cigna Commercial	$62.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.70
Rate for Payer: Qualcare PPO/HMO/WC	$18.89
Rate for Payer: UnitedHealthcare Community & State	$3.03
Rate for Payer: Wellpoint Medicaid Managed Care	$3.34

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952N
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
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

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
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

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952
Hospital Revenue Code	278
Min. Negotiated Rate	$194.10
Max. Negotiated Rate	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$258.80
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

INTRODUCER PINNACLE 8F 25 CM

Facility

$1,294.00

Service Code	HCPCS C1894
Hospital Charge Code	270684952N
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

INTRODUCER PINNACLE 9FR 25CM

Facility

$172.50

Hospital Charge Code	270658305
Hospital Revenue Code	278
Min. Negotiated Rate	$25.88
Max. Negotiated Rate	$41.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$25.88

INTRODUCER PINNACLE 9FR 25CM

Facility

$172.50

Hospital Charge Code	270658305
Hospital Revenue Code	278
Min. Negotiated Rate	$4.16
Max. Negotiated Rate	$86.25
Rate for Payer: Aetna Commercial	$65.55
Rate for Payer: Aetna Medicare Advantage	$51.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.99
Rate for Payer: Cigna Commercial	$86.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$25.88
Rate for Payer: UnitedHealthcare Community & State	$4.16
Rate for Payer: Wellpoint Medicaid Managed Care	$4.57

INTRODUCER PINNACLE 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
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 9FRX 10 CM

Facility

$56.65

Service Code	HCPCS C1894
Hospital Charge Code	270683728
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 PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$5.10
Max. Negotiated Rate	$5.10
Rate for Payer: Qualcare PPO/HMO/WC	$5.10

INTRODUCER PORTED 15x70CM

Facility

$34.00

Hospital Charge Code	270683633
Hospital Revenue Code	272
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$17.00
Rate for Payer: Aetna Commercial	$12.92
Rate for Payer: Aetna Medicare Advantage	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.67
Rate for Payer: Cigna Commercial	$17.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.20
Rate for Payer: Oxford Commercial	$6.80
Rate for Payer: Qualcare PPO/HMO/WC	$5.10
Rate for Payer: UnitedHealthcare Commercial	$6.80
Rate for Payer: UnitedHealthcare Community & State	$0.82
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

INTRODUCER PRELUDE SHEATH

Facility

$142.00

Hospital Charge Code	270658209
Hospital Revenue Code	278
Min. Negotiated Rate	$3.42
Max. Negotiated Rate	$71.00
Rate for Payer: Aetna Commercial	$53.96
Rate for Payer: Aetna Medicare Advantage	$42.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.21
Rate for Payer: Cigna Commercial	$71.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.24
Rate for Payer: Qualcare PPO/HMO/WC	$21.30
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: Wellpoint Medicaid Managed Care	$3.76

INTRODUCER PRELUDE SHEATH

Facility

$142.00

Hospital Charge Code	270658209
Hospital Revenue Code	278
Min. Negotiated Rate	$21.30
Max. Negotiated Rate	$34.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.24
Rate for Payer: Qualcare PPO/HMO/WC	$21.30

Know your out-of-pocket cost for care.

All Charges