Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	321037225L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	366837225L
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	321037225L
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	7411926
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	366837225L
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	7411926
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	7412042
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	2691370
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-LT

Facility

$61,616.39

Service Code	HCPCS 37225LT
Hospital Charge Code	2691370
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	7412042
Hospital Revenue Code	361
Min. Negotiated Rate	$1,149.85
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$18,130.47
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76
Rate for Payer: UnitedHealthcare Community & State	$1,149.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.36

IR-ATHERECTOMY-FEM POP-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	7412044
Hospital Revenue Code	361
Min. Negotiated Rate	$1,149.85
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$18,130.47
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76
Rate for Payer: UnitedHealthcare Community & State	$1,149.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.36

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	366837225R
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	2691380
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	7412044
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	366837225R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	321037225R
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	321037225R
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	7411928
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	2691380
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

IR-ATHERECTOMY-FEM POP-RT

Facility

$61,616.39

Service Code	HCPCS 37225RT
Hospital Charge Code	7411928
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

IR ATHERECTOMY, PERC

Facility

$11,100.75

Hospital Charge Code	2101161
Hospital Revenue Code	360
Min. Negotiated Rate	$1,665.11
Max. Negotiated Rate	$1,665.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.11

IR ATHERECTOMY, PERC

Facility

$11,100.75

Hospital Charge Code	2101161
Hospital Revenue Code	360
Min. Negotiated Rate	$267.53
Max. Negotiated Rate	$5,550.38
Rate for Payer: Aetna Commercial	$4,218.28
Rate for Payer: Aetna Medicare Advantage	$3,330.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,830.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,830.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,830.69
Rate for Payer: Cigna Commercial	$5,550.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,330.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.11
Rate for Payer: UnitedHealthcare Community & State	$267.53
Rate for Payer: Wellpoint Medicaid Managed Care	$294.17

IR ATHERECTOMY, PERC

Facility

$13,875.95

Hospital Charge Code	2100159
Hospital Revenue Code	360
Min. Negotiated Rate	$2,081.39
Max. Negotiated Rate	$2,081.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,081.39

IR ATHERECTOMY, PERC

Facility

$13,875.95

Hospital Charge Code	2100159
Hospital Revenue Code	360
Min. Negotiated Rate	$334.41
Max. Negotiated Rate	$6,937.98
Rate for Payer: Aetna Commercial	$5,272.86
Rate for Payer: Aetna Medicare Advantage	$4,162.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,538.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,538.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,538.37
Rate for Payer: Cigna Commercial	$6,937.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,162.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,081.39
Rate for Payer: UnitedHealthcare Community & State	$334.41
Rate for Payer: Wellpoint Medicaid Managed Care	$367.71

IR ATHERECTOMY, PTA

Facility

$4,665.90

Hospital Charge Code	2101155
Hospital Revenue Code	320
Min. Negotiated Rate	$112.45
Max. Negotiated Rate	$2,332.95
Rate for Payer: Aetna Commercial	$1,773.04
Rate for Payer: Aetna Medicare Advantage	$1,399.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,189.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,189.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,189.80
Rate for Payer: Cigna Commercial	$2,332.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,399.77
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$699.88
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$112.45
Rate for Payer: Wellpoint Medicaid Managed Care	$123.65

Know your out-of-pocket cost for care.

All Charges