Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR PTA VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	2011173
Hospital Revenue Code	361
Min. Negotiated Rate	$529.29
Max. Negotiated Rate	$10,981.15
Rate for Payer: Aetna Commercial	$8,345.67
Rate for Payer: Aetna Medicare Advantage	$6,588.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,600.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,600.39
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	$5,600.39
Rate for Payer: Cigna Commercial	$10,981.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,588.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34
Rate for Payer: UnitedHealthcare Community & State	$529.29
Rate for Payer: Wellpoint Medicaid Managed Care	$582.00

IR PTA VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	7411410
Hospital Revenue Code	361
Min. Negotiated Rate	$529.29
Max. Negotiated Rate	$10,981.15
Rate for Payer: Aetna Commercial	$8,345.67
Rate for Payer: Aetna Medicare Advantage	$6,588.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,600.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,600.39
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	$5,600.39
Rate for Payer: Cigna Commercial	$10,981.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,588.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34
Rate for Payer: UnitedHealthcare Community & State	$529.29
Rate for Payer: Wellpoint Medicaid Managed Care	$582.00

IR PTA VENOUS

Facility

$6,273.80

Service Code	HCPCS 75978
Hospital Charge Code	2001627
Hospital Revenue Code	320
Min. Negotiated Rate	$941.07
Max. Negotiated Rate	$941.07
Rate for Payer: Qualcare PPO/HMO/WC	$941.07

IR PTA VENOUS

Facility

$6,273.80

Service Code	HCPCS 75978
Hospital Charge Code	2001627
Hospital Revenue Code	320
Min. Negotiated Rate	$151.20
Max. Negotiated Rate	$3,136.90
Rate for Payer: Aetna Commercial	$2,384.04
Rate for Payer: Aetna Medicare Advantage	$1,882.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,599.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,599.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,599.82
Rate for Payer: Cigna Commercial	$3,136.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,882.14
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$941.07
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$151.20
Rate for Payer: Wellpoint Medicaid Managed Care	$166.26

IR PTC STENT INTRO INT/EXT DRN

Facility

$13,811.90

Hospital Charge Code	2004471
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 PTC STENT INTRO INT/EXT DRN

Facility

$13,811.90

Hospital Charge Code	2004471
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 PTC W/DRAINAGE

Facility

$2,516.85

Service Code	HCPCS 75980
Hospital Charge Code	2001626
Hospital Revenue Code	320
Min. Negotiated Rate	$60.66
Max. Negotiated Rate	$1,975.00
Rate for Payer: Aetna Commercial	$956.40
Rate for Payer: Aetna Medicare Advantage	$755.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$641.80
Rate for Payer: Cigna Commercial	$1,258.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.05
Rate for Payer: Oxford Commercial	$1,311.00
Rate for Payer: Qualcare PPO/HMO/WC	$377.53
Rate for Payer: UnitedHealthcare Commercial	$1,975.00
Rate for Payer: UnitedHealthcare Community & State	$60.66
Rate for Payer: Wellpoint Medicaid Managed Care	$66.70

IR PTC W/DRAINAGE

Facility

$2,516.85

Service Code	HCPCS 75980
Hospital Charge Code	2001626
Hospital Revenue Code	320
Min. Negotiated Rate	$377.53
Max. Negotiated Rate	$377.53
Rate for Payer: Qualcare PPO/HMO/WC	$377.53

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	7411417
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	411036013
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	366836013
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	321036013
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	321036013
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	2004505
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	411036013
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	366836013
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	2004505
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH INTRO

Facility

$414.45

Service Code	HCPCS 36013
Hospital Charge Code	7411417
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	321036014
Hospital Revenue Code	361
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
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	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.20
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.98

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	7411418
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	7411418
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	366836014
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	411036014
Hospital Revenue Code	361
Min. Negotiated Rate	$62.17
Max. Negotiated Rate	$62.17
Rate for Payer: Qualcare PPO/HMO/WC	$62.17

IR PULMONARY ARTERY CATH SEL

Facility

$414.45

Service Code	HCPCS 36014
Hospital Charge Code	411036014
Hospital Revenue Code	361
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.49
Rate for Payer: Aetna Medicare Advantage	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.68
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	$105.68
Rate for Payer: Cigna Commercial	$207.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.17
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.99

IR PULMONARY ARTERY CATH SEL

Facility

$414.00

Service Code	HCPCS 36014
Hospital Charge Code	2004497
Hospital Revenue Code	361
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
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	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.20
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$9.98

Know your out-of-pocket cost for care.

All Charges