Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INTRODUCER PRELUDE SHEATH 5F

Facility

$823.75

Hospital Charge Code	270705689
Hospital Revenue Code	279
Min. Negotiated Rate	$19.85
Max. Negotiated Rate	$411.88
Rate for Payer: Aetna Commercial	$313.02
Rate for Payer: Aetna Medicare Advantage	$247.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.06
Rate for Payer: Cigna Commercial	$411.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.12
Rate for Payer: Oxford Commercial	$164.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.56
Rate for Payer: UnitedHealthcare Commercial	$164.75
Rate for Payer: UnitedHealthcare Community & State	$19.85
Rate for Payer: Wellpoint Medicaid Managed Care	$21.83

INTRODUCER PRELUDE SHEATH 5F

Facility

$823.75

Hospital Charge Code	270705689
Hospital Revenue Code	279
Min. Negotiated Rate	$123.56
Max. Negotiated Rate	$123.56
Rate for Payer: Qualcare PPO/HMO/WC	$123.56

INTRODUCER PRELUDE SHEATH 5FR

Facility

$145.00

Hospital Charge Code	270658196
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.50
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$29.00
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

INTRODUCER PRELUDE SHEATH 5FR

Facility

$145.00

Hospital Charge Code	270658196
Hospital Revenue Code	272
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$17.47
Rate for Payer: Wellpoint Medicaid Managed Care	$19.21

INTRODUCER PRE SHEATH 6F 11x35

Facility

$725.00

Hospital Charge Code	270658199
Hospital Revenue Code	279
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 5FR

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658194
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$35.89
Max. Negotiated Rate	$35.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.89

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$12.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$239.25

Hospital Charge Code	270658198
Hospital Revenue Code	279
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.62
Rate for Payer: Aetna Commercial	$90.92
Rate for Payer: Aetna Medicare Advantage	$71.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.01
Rate for Payer: Cigna Commercial	$119.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.78
Rate for Payer: Oxford Commercial	$47.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.89
Rate for Payer: UnitedHealthcare Commercial	$47.85
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.34

INTRODUCER PRO SHEATH 6FR 11CM

Facility

$50.00

Service Code	HCPCS C1887
Hospital Charge Code	270658198N
Hospital Revenue Code	278
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

INTRODUCER PRO SHEATH 7F 35X50

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

INTRODUCER PRO SHEATH 7F 35X50

Facility

$37.35

Service Code	HCPCS C1766
Hospital Charge Code	270658201
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206S
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.62
Rate for Payer: Aetna Commercial	$14.15
Rate for Payer: Aetna Medicare Advantage	$11.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.50
Rate for Payer: Cigna Commercial	$18.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER PRO SHEATH 8FR 11CM

Facility

$37.25

Service Code	HCPCS C1766
Hospital Charge Code	270658206N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$9.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.59

INTRODUCER RAABE 6FR 55cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$83.79
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

INTRODUCER RAABE 6FR 55cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270629608
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 70cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
Hospital Revenue Code	278
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$83.79
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

INTRODUCER RAABE 6FR 70cm

Facility

$220.50

Service Code	HCPCS C1892
Hospital Charge Code	270637614
Hospital Revenue Code	278
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$53.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

INTRODUCER RAABE 6FR 70CM

Facility

$277.50

Hospital Charge Code	270637614C
Hospital Revenue Code	272
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.75
Rate for Payer: Aetna Commercial	$105.45
Rate for Payer: Aetna Medicare Advantage	$83.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.76
Rate for Payer: Cigna Commercial	$138.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.25
Rate for Payer: Oxford Commercial	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.62
Rate for Payer: UnitedHealthcare Commercial	$55.50
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.35

Know your out-of-pocket cost for care.

All Charges