Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR ANGIO CAROTID CEREBRAL BI

Facility

$20,317.50

Hospital Charge Code	2000842
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

IR ANGIO CAROTID CEREBRAL BLTL

Facility

$20,317.50

Service Code	HCPCS 75671
Hospital Charge Code	2600014
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

IR ANGIO CAROTID CEREBRAL BLTL

Facility

$20,317.50

Service Code	HCPCS 75671
Hospital Charge Code	2600014
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

IR ANGIO CAROTID CEREBRAL LEFT

Facility

$13,436.40

Service Code	HCPCS 75665
Hospital Charge Code	2600015
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CEREBRAL LEFT

Facility

$13,436.40

Service Code	HCPCS 75665
Hospital Charge Code	2600015
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

IR ANGIO CAROTID CEREBRAL RGHT

Facility

$13,436.40

Service Code	HCPCS 75665
Hospital Charge Code	2600016
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CEREBRAL RGHT

Facility

$13,436.40

Service Code	HCPCS 75665
Hospital Charge Code	2600016
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

IR ANGIO CAROTID CEREBRAL UNI

Facility

$13,436.40

Hospital Charge Code	2000834
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CEREBRAL UNI

Facility

$13,436.40

Hospital Charge Code	2000834
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

IR ANGIO CAROTID CERVICAL BI

Facility

$13,436.40

Hospital Charge Code	2004216
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CERVICAL BI

Facility

$13,436.40

Hospital Charge Code	2004216
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

IR ANGIO CAROTID CERVICAL BLTL

Facility

$13,436.40

Service Code	HCPCS 75680
Hospital Charge Code	2600017
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CERVICAL BLTL

Facility

$13,436.40

Service Code	HCPCS 75680
Hospital Charge Code	2600017
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

IR ANGIO CAROTID CERVICAL LEFT

Facility

$13,436.40

Service Code	HCPCS 75676
Hospital Charge Code	2600018
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

IR ANGIO CAROTID CERVICAL LEFT

Facility

$13,436.40

Service Code	HCPCS 75676
Hospital Charge Code	2600018
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CERVICAL RGHT

Facility

$13,436.40

Service Code	HCPCS 75676
Hospital Charge Code	2600019
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

IR ANGIO CAROTID CERVICAL RGHT

Facility

$13,436.40

Service Code	HCPCS 75676
Hospital Charge Code	2600019
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID CERVICAL UNI

Facility

$13,436.40

Hospital Charge Code	2004224
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

IR ANGIO CAROTID CERVICAL UNI

Facility

$13,436.40

Hospital Charge Code	2004224
Hospital Revenue Code	323
Min. Negotiated Rate	$2,015.46
Max. Negotiated Rate	$2,015.46
Rate for Payer: Qualcare PPO/HMO/WC	$2,015.46

IR ANGIO CAROTID EXTERNAL BIL

Facility

$20,317.50

Hospital Charge Code	2004182
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

IR ANGIO CAROTID EXTERNAL BIL

Facility

$20,317.50

Hospital Charge Code	2004182
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

IR ANGIO CAROTID EXTERNAL LEFT

Facility

$20,317.50

Service Code	HCPCS 75660
Hospital Charge Code	2600021
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

IR ANGIO CAROTID EXTERNAL LEFT

Facility

$20,317.50

Service Code	HCPCS 75660
Hospital Charge Code	2600021
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

IR ANGIO CAROTID EXTERNAL RGHT

Facility

$20,317.50

Service Code	HCPCS 75660
Hospital Charge Code	2600022
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

IR ANGIO CAROTID EXTERNAL RGHT

Facility

$20,317.50

Service Code	HCPCS 75660
Hospital Charge Code	2600022
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

Know your out-of-pocket cost for care.

All Charges