Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

IR-TRANSCA OCC NON CNS-RT

Facility

$8,231.00

Service Code	HCPCS 61626RT
Hospital Charge Code	2691755
Hospital Revenue Code	361
Min. Negotiated Rate	$198.37
Max. Negotiated Rate	$4,115.50
Rate for Payer: Aetna Commercial	$3,127.78
Rate for Payer: Aetna Medicare Advantage	$2,469.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,098.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,098.91
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	$2,098.91
Rate for Payer: Cigna Commercial	$4,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,469.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,234.65
Rate for Payer: UnitedHealthcare Community & State	$198.37
Rate for Payer: Wellpoint Medicaid Managed Care	$218.12

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	7411501
Hospital Revenue Code	361
Min. Negotiated Rate	$325.59
Max. Negotiated Rate	$23,862.86
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,862.86
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.03
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$325.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$358.02

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	7411501
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	2600148
Hospital Revenue Code	361
Min. Negotiated Rate	$325.59
Max. Negotiated Rate	$23,862.86
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,862.86
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,053.03
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$325.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$358.02

IR TRANSCATHETER BIOPSY

Facility

$13,510.10

Service Code	HCPCS 37200
Hospital Charge Code	2600148
Hospital Revenue Code	361
Min. Negotiated Rate	$2,026.52
Max. Negotiated Rate	$2,026.52
Rate for Payer: Qualcare PPO/HMO/WC	$2,026.52

IR TRANSCATHETER OCCLUSION

Facility

$40,990.35

Hospital Charge Code	2101170
Hospital Revenue Code	361
Min. Negotiated Rate	$6,148.55
Max. Negotiated Rate	$6,148.55
Rate for Payer: Qualcare PPO/HMO/WC	$6,148.55

IR TRANSCATHETER OCCLUSION

Facility

$40,990.35

Hospital Charge Code	2101170
Hospital Revenue Code	361
Min. Negotiated Rate	$987.87
Max. Negotiated Rate	$20,495.17
Rate for Payer: Aetna Commercial	$15,576.33
Rate for Payer: Aetna Medicare Advantage	$12,297.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,452.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,452.54
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	$10,452.54
Rate for Payer: Cigna Commercial	$20,495.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12,297.10
Rate for Payer: Qualcare PPO/HMO/WC	$6,148.55
Rate for Payer: UnitedHealthcare Community & State	$987.87
Rate for Payer: Wellpoint Medicaid Managed Care	$1,086.24

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$65,162.14

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$1,570.41
Max. Negotiated Rate	$32,581.07
Rate for Payer: Aetna Commercial	$24,761.61
Rate for Payer: Aetna Medicare Advantage	$19,548.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,616.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,616.35
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	$16,616.35
Rate for Payer: Cigna Commercial	$32,581.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19,548.64
Rate for Payer: Qualcare PPO/HMO/WC	$9,774.32
Rate for Payer: UnitedHealthcare Community & State	$1,570.41
Rate for Payer: Wellpoint Medicaid Managed Care	$1,726.80

IR TRANSCATH OCCLUS OR EMOBIL

Facility

$65,162.14

Hospital Charge Code	2011163
Hospital Revenue Code	361
Min. Negotiated Rate	$9,774.32
Max. Negotiated Rate	$9,774.32
Rate for Payer: Qualcare PPO/HMO/WC	$9,774.32

IR-TRANSCATH OCCUL CNS

Facility

$8,623.00

Service Code	HCPCS 61624
Hospital Charge Code	7411642
Hospital Revenue Code	361
Min. Negotiated Rate	$1,293.45
Max. Negotiated Rate	$1,293.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,293.45

IR-TRANSCATH OCCUL CNS

Facility

$8,623.00

Service Code	HCPCS 61624
Hospital Charge Code	7411642
Hospital Revenue Code	361
Min. Negotiated Rate	$207.81
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,586.90
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,293.45
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$207.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$228.51

IR-TRANSCATH OCCUL CNS

Facility

$8,623.00

Service Code	HCPCS 61624
Hospital Charge Code	2690220
Hospital Revenue Code	361
Min. Negotiated Rate	$1,293.45
Max. Negotiated Rate	$1,293.45
Rate for Payer: Qualcare PPO/HMO/WC	$1,293.45

IR-TRANSCATH OCCUL CNS

Facility

$8,623.00

Service Code	HCPCS 61624
Hospital Charge Code	2690220
Hospital Revenue Code	361
Min. Negotiated Rate	$207.81
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
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	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,586.90
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,293.45
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$207.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$228.51

IR-TRANSCATH OCCULSION-BI

Facility

$26,826.00

Service Code	HCPCS 3720450
Hospital Charge Code	2690485
Hospital Revenue Code	361
Min. Negotiated Rate	$4,023.90
Max. Negotiated Rate	$4,023.90
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90

IR-TRANSCATH OCCULSION-BI

Facility

$26,826.00

Service Code	HCPCS 3720450
Hospital Charge Code	2690485
Hospital Revenue Code	361
Min. Negotiated Rate	$646.51
Max. Negotiated Rate	$13,413.00
Rate for Payer: Aetna Commercial	$10,193.88
Rate for Payer: Aetna Medicare Advantage	$8,047.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,840.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,840.63
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	$6,840.63
Rate for Payer: Cigna Commercial	$13,413.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,047.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90
Rate for Payer: UnitedHealthcare Community & State	$646.51
Rate for Payer: Wellpoint Medicaid Managed Care	$710.89

IR-TRANSCATH OCCULSION-LT

Facility

$26,826.00

Service Code	HCPCS 37204LT
Hospital Charge Code	2691300
Hospital Revenue Code	361
Min. Negotiated Rate	$4,023.90
Max. Negotiated Rate	$4,023.90
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90

IR-TRANSCATH OCCULSION-LT

Facility

$26,826.00

Service Code	HCPCS 37204LT
Hospital Charge Code	2691300
Hospital Revenue Code	361
Min. Negotiated Rate	$646.51
Max. Negotiated Rate	$13,413.00
Rate for Payer: Aetna Commercial	$10,193.88
Rate for Payer: Aetna Medicare Advantage	$8,047.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,840.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,840.63
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	$6,840.63
Rate for Payer: Cigna Commercial	$13,413.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,047.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90
Rate for Payer: UnitedHealthcare Community & State	$646.51
Rate for Payer: Wellpoint Medicaid Managed Care	$710.89

IR-TRANSCATH OCCULSION-RT

Facility

$26,826.00

Hospital Charge Code	2691305
Hospital Revenue Code	361
Min. Negotiated Rate	$4,023.90
Max. Negotiated Rate	$4,023.90
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90

IR-TRANSCATH OCCULSION-RT

Facility

$26,826.00

Hospital Charge Code	2691305
Hospital Revenue Code	361
Min. Negotiated Rate	$646.51
Max. Negotiated Rate	$13,413.00
Rate for Payer: Aetna Commercial	$10,193.88
Rate for Payer: Aetna Medicare Advantage	$8,047.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,840.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,840.63
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	$6,840.63
Rate for Payer: Cigna Commercial	$13,413.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,047.80
Rate for Payer: Qualcare PPO/HMO/WC	$4,023.90
Rate for Payer: UnitedHealthcare Community & State	$646.51
Rate for Payer: Wellpoint Medicaid Managed Care	$710.89

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	411037215
Hospital Revenue Code	361
Min. Negotiated Rate	$3,761.45
Max. Negotiated Rate	$3,761.45
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	411037215
Hospital Revenue Code	361
Min. Negotiated Rate	$604.34
Max. Negotiated Rate	$12,538.15
Rate for Payer: Aetna Commercial	$9,528.99
Rate for Payer: Aetna Medicare Advantage	$7,522.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,394.46
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	$6,394.46
Rate for Payer: Cigna Commercial	$12,538.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,522.89
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$604.34
Rate for Payer: Wellpoint Medicaid Managed Care	$664.52

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	321037215
Hospital Revenue Code	361
Min. Negotiated Rate	$2,315.25
Max. Negotiated Rate	$2,315.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	2600146
Hospital Revenue Code	361
Min. Negotiated Rate	$604.34
Max. Negotiated Rate	$12,538.15
Rate for Payer: Aetna Commercial	$9,528.99
Rate for Payer: Aetna Medicare Advantage	$7,522.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,394.46
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	$6,394.46
Rate for Payer: Cigna Commercial	$12,538.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,522.89
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$604.34
Rate for Payer: Wellpoint Medicaid Managed Care	$664.52

IR TRANSCATH STENT CCA W/EPS

Facility

$25,076.30

Service Code	HCPCS 37215
Hospital Charge Code	7411508
Hospital Revenue Code	361
Min. Negotiated Rate	$604.34
Max. Negotiated Rate	$12,538.15
Rate for Payer: Aetna Commercial	$9,528.99
Rate for Payer: Aetna Medicare Advantage	$7,522.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,394.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,394.46
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	$6,394.46
Rate for Payer: Cigna Commercial	$12,538.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,522.89
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,761.45
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$604.34
Rate for Payer: Wellpoint Medicaid Managed Care	$664.52

IR TRANSCATH STENT CCA W/EPS

Facility

$15,435.00

Service Code	HCPCS 37215
Hospital Charge Code	2600147
Hospital Revenue Code	361
Min. Negotiated Rate	$371.98
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$5,865.30
Rate for Payer: Aetna Medicare Advantage	$4,630.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,935.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,935.93
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	$3,935.93
Rate for Payer: Cigna Commercial	$7,717.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,630.50
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,315.25
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$371.98
Rate for Payer: Wellpoint Medicaid Managed Care	$409.03

Know your out-of-pocket cost for care.

All Charges