Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.45

Service Code	HCPCS 36160
Hospital Charge Code	366836160
Hospital Revenue Code	361
Min. Negotiated Rate	$42.91
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$676.57
Rate for Payer: Aetna Medicare Advantage	$534.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$454.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$454.01
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	$454.01
Rate for Payer: Cigna Commercial	$890.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.13
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.07
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$42.91
Rate for Payer: Wellpoint Medicaid Managed Care	$47.18

IR INTRO NEEDLE AORTA TRNSLUMB

Facility

$1,780.85

Service Code	HCPCS 36160
Hospital Charge Code	7411425
Hospital Revenue Code	361
Min. Negotiated Rate	$42.92
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$676.72
Rate for Payer: Aetna Medicare Advantage	$534.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$454.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$454.12
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	$454.12
Rate for Payer: Cigna Commercial	$890.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.25
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.13
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$42.92
Rate for Payer: Wellpoint Medicaid Managed Care	$47.19

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$621.65

Service Code	HCPCS 36000
Hospital Charge Code	2004687
Hospital Revenue Code	361
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
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	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$621.65

Service Code	HCPCS 36000
Hospital Charge Code	7411411
Hospital Revenue Code	361
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
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	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.50
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$621.65

Service Code	HCPCS 36000
Hospital Charge Code	7411411
Hospital Revenue Code	361
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$93.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

IR INTRO NEEDLE/INTRACATH VEIN

Facility

$621.65

Service Code	HCPCS 36000
Hospital Charge Code	2004687
Hospital Revenue Code	361
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$93.25
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

IR INTRO NEPHROST TUBE CHANGE

Facility

$7,084.55

Hospital Charge Code	2004414
Hospital Revenue Code	361
Min. Negotiated Rate	$1,062.68
Max. Negotiated Rate	$1,062.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.68

IR INTRO NEPHROST TUBE CHANGE

Facility

$7,084.55

Hospital Charge Code	2004414
Hospital Revenue Code	361
Min. Negotiated Rate	$170.74
Max. Negotiated Rate	$3,542.28
Rate for Payer: Aetna Commercial	$2,692.13
Rate for Payer: Aetna Medicare Advantage	$2,125.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,806.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,806.56
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	$1,806.56
Rate for Payer: Cigna Commercial	$3,542.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,125.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.68
Rate for Payer: UnitedHealthcare Community & State	$170.74
Rate for Payer: Wellpoint Medicaid Managed Care	$187.74

IR INTRO OF PERC TRANS CATH

Facility

$13,811.90

Hospital Charge Code	2000937
Hospital Revenue Code	361
Min. Negotiated Rate	$2,071.78
Max. Negotiated Rate	$2,071.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.78

IR INTRO OF PERC TRANS CATH

Facility

$13,811.90

Hospital Charge Code	2000937
Hospital Revenue Code	361
Min. Negotiated Rate	$332.87
Max. Negotiated Rate	$6,905.95
Rate for Payer: Aetna Commercial	$5,248.52
Rate for Payer: Aetna Medicare Advantage	$4,143.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,522.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,522.03
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	$3,522.03
Rate for Payer: Cigna Commercial	$6,905.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,143.57
Rate for Payer: Qualcare PPO/HMO/WC	$2,071.78
Rate for Payer: UnitedHealthcare Community & State	$332.87
Rate for Payer: Wellpoint Medicaid Managed Care	$366.02

IR-INTRO URET CATH URE-BI

Facility

$5,397.00

Hospital Charge Code	2690640
Hospital Revenue Code	761
Min. Negotiated Rate	$809.55
Max. Negotiated Rate	$809.55
Rate for Payer: Qualcare PPO/HMO/WC	$809.55

IR-INTRO URET CATH URE-BI

Facility

$5,397.00

Hospital Charge Code	2690640
Hospital Revenue Code	761
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$2,698.50
Rate for Payer: Aetna Commercial	$2,050.86
Rate for Payer: Aetna Medicare Advantage	$1,619.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,376.23
Rate for Payer: Cigna Commercial	$2,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,619.10
Rate for Payer: Oxford Commercial	$1,079.40
Rate for Payer: Qualcare PPO/HMO/WC	$809.55
Rate for Payer: UnitedHealthcare Commercial	$1,079.40
Rate for Payer: UnitedHealthcare Community & State	$130.07
Rate for Payer: Wellpoint Medicaid Managed Care	$143.02

IR-INTRO URET CATH URE-LT

Facility

$5,397.00

Hospital Charge Code	2691610
Hospital Revenue Code	761
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$2,698.50
Rate for Payer: Aetna Commercial	$2,050.86
Rate for Payer: Aetna Medicare Advantage	$1,619.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,376.23
Rate for Payer: Cigna Commercial	$2,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,619.10
Rate for Payer: Oxford Commercial	$1,079.40
Rate for Payer: Qualcare PPO/HMO/WC	$809.55
Rate for Payer: UnitedHealthcare Commercial	$1,079.40
Rate for Payer: UnitedHealthcare Community & State	$130.07
Rate for Payer: Wellpoint Medicaid Managed Care	$143.02

IR-INTRO URET CATH URE-LT

Facility

$5,397.00

Hospital Charge Code	2691610
Hospital Revenue Code	761
Min. Negotiated Rate	$809.55
Max. Negotiated Rate	$809.55
Rate for Payer: Qualcare PPO/HMO/WC	$809.55

IR-INTRO URET CATH URE-RT

Facility

$5,397.00

Hospital Charge Code	2691615
Hospital Revenue Code	761
Min. Negotiated Rate	$809.55
Max. Negotiated Rate	$809.55
Rate for Payer: Qualcare PPO/HMO/WC	$809.55

IR-INTRO URET CATH URE-RT

Facility

$5,397.00

Hospital Charge Code	2691615
Hospital Revenue Code	761
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$2,698.50
Rate for Payer: Aetna Commercial	$2,050.86
Rate for Payer: Aetna Medicare Advantage	$1,619.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,376.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,376.23
Rate for Payer: Cigna Commercial	$2,698.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,619.10
Rate for Payer: Oxford Commercial	$1,079.40
Rate for Payer: Qualcare PPO/HMO/WC	$809.55
Rate for Payer: UnitedHealthcare Commercial	$1,079.40
Rate for Payer: UnitedHealthcare Community & State	$130.07
Rate for Payer: Wellpoint Medicaid Managed Care	$143.02

IR INTRO URETERAL CATH/STENT

Facility

$7,084.55

Hospital Charge Code	5600017
Hospital Revenue Code	361
Min. Negotiated Rate	$1,062.68
Max. Negotiated Rate	$1,062.68
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.68

IR INTRO URETERAL CATH/STENT

Facility

$7,084.55

Hospital Charge Code	5600017
Hospital Revenue Code	361
Min. Negotiated Rate	$170.74
Max. Negotiated Rate	$3,542.28
Rate for Payer: Aetna Commercial	$2,692.13
Rate for Payer: Aetna Medicare Advantage	$2,125.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,806.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,806.56
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	$1,806.56
Rate for Payer: Cigna Commercial	$3,542.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,125.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.68
Rate for Payer: UnitedHealthcare Community & State	$170.74
Rate for Payer: Wellpoint Medicaid Managed Care	$187.74

IR INT URET CTH OR STNT TO URE

Facility

$2,621.25

Hospital Charge Code	2004522
Hospital Revenue Code	361
Min. Negotiated Rate	$393.19
Max. Negotiated Rate	$393.19
Rate for Payer: Qualcare PPO/HMO/WC	$393.19

IR INT URET CTH OR STNT TO URE

Facility

$2,621.25

Hospital Charge Code	2004522
Hospital Revenue Code	361
Min. Negotiated Rate	$63.17
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$996.08
Rate for Payer: Aetna Medicare Advantage	$786.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$668.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$668.42
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	$668.42
Rate for Payer: Cigna Commercial	$1,310.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$786.38
Rate for Payer: Qualcare PPO/HMO/WC	$393.19
Rate for Payer: UnitedHealthcare Community & State	$63.17
Rate for Payer: Wellpoint Medicaid Managed Care	$69.46

IRIS HOOK AND LENS MANIPULATOR

Facility

$771.90

Hospital Charge Code	270678625
Hospital Revenue Code	272
Min. Negotiated Rate	$115.78
Max. Negotiated Rate	$115.78
Rate for Payer: Qualcare PPO/HMO/WC	$115.78

IRIS HOOK AND LENS MANIPULATOR

Facility

$771.90

Hospital Charge Code	270678625
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$385.95
Rate for Payer: Aetna Commercial	$293.32
Rate for Payer: Aetna Medicare Advantage	$231.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.83
Rate for Payer: Cigna Commercial	$385.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.57
Rate for Payer: Oxford Commercial	$154.38
Rate for Payer: Qualcare PPO/HMO/WC	$115.78
Rate for Payer: UnitedHealthcare Commercial	$154.38
Rate for Payer: UnitedHealthcare Community & State	$18.60
Rate for Payer: Wellpoint Medicaid Managed Care	$20.46

IRIS RETRACTOR DISPOSABLE

Facility

$252.00

Hospital Charge Code	270338751
Hospital Revenue Code	272
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$37.80
Rate for Payer: Qualcare PPO/HMO/WC	$37.80

IRIS RETRACTOR DISPOSABLE

Facility

$252.00

Hospital Charge Code	270338751
Hospital Revenue Code	272
Min. Negotiated Rate	$6.07
Max. Negotiated Rate	$126.00
Rate for Payer: Aetna Commercial	$95.76
Rate for Payer: Aetna Medicare Advantage	$75.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.26
Rate for Payer: Cigna Commercial	$126.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.60
Rate for Payer: Oxford Commercial	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$37.80
Rate for Payer: UnitedHealthcare Commercial	$50.40
Rate for Payer: UnitedHealthcare Community & State	$6.07
Rate for Payer: Wellpoint Medicaid Managed Care	$6.68

IRIS TRANSLIMBAL RETRACTOR

Facility

$490.00

Hospital Charge Code	270659778
Hospital Revenue Code	270
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

Know your out-of-pocket cost for care.

All Charges