Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT INTRODUCER 10FR 405120

Facility

$463.25

Hospital Charge Code	270601161
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

KIT INTRODUCER 10FR 405120

Facility

$463.25

Hospital Charge Code	270601161
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

KIT INTRODUCER 11FR 405124

Facility

$463.25

Hospital Charge Code	270601160
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

KIT INTRODUCER 11FR 405124

Facility

$463.25

Hospital Charge Code	270601160
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

KIT INTRODUCER 14FR 405136

Facility

$463.25

Hospital Charge Code	270601154
Hospital Revenue Code	272
Min. Negotiated Rate	$11.16
Max. Negotiated Rate	$231.62
Rate for Payer: Aetna Commercial	$176.03
Rate for Payer: Aetna Medicare Advantage	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.13
Rate for Payer: Cigna Commercial	$231.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.97
Rate for Payer: Oxford Commercial	$92.65
Rate for Payer: Qualcare PPO/HMO/WC	$69.49
Rate for Payer: UnitedHealthcare Commercial	$92.65
Rate for Payer: UnitedHealthcare Community & State	$11.16
Rate for Payer: Wellpoint Medicaid Managed Care	$12.28

KIT INTRODUCER 14FR 405136

Facility

$463.25

Hospital Charge Code	270601154
Hospital Revenue Code	272
Min. Negotiated Rate	$69.49
Max. Negotiated Rate	$69.49
Rate for Payer: Qualcare PPO/HMO/WC	$69.49

KIT INTRODUCER 4 FR

Facility

$90.00

Hospital Charge Code	270685421
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

KIT INTRODUCER 4 FR

Facility

$90.00

Hospital Charge Code	270685421
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

KIT INTRODUCER 9FR 405116

Facility

$307.25

Hospital Charge Code	270616185
Hospital Revenue Code	272
Min. Negotiated Rate	$7.40
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$116.75
Rate for Payer: Aetna Medicare Advantage	$92.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.35
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.17
Rate for Payer: Oxford Commercial	$61.45
Rate for Payer: Qualcare PPO/HMO/WC	$46.09
Rate for Payer: UnitedHealthcare Commercial	$61.45
Rate for Payer: UnitedHealthcare Community & State	$7.40
Rate for Payer: Wellpoint Medicaid Managed Care	$8.14

KIT INTRODUCER 9FR 405116

Facility

$307.25

Hospital Charge Code	270616185
Hospital Revenue Code	272
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$46.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877N
Hospital Revenue Code	272
Min. Negotiated Rate	$24.04
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$379.03
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.24
Rate for Payer: Oxford Commercial	$199.49
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.49
Rate for Payer: UnitedHealthcare Community & State	$24.04
Rate for Payer: Wellpoint Medicaid Managed Care	$26.43

KIT INTRODUCER GASTRO MIC G-18

Facility

$997.45

Hospital Charge Code	270671877
Hospital Revenue Code	272
Min. Negotiated Rate	$24.04
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$379.03
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.24
Rate for Payer: Oxford Commercial	$199.49
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.49
Rate for Payer: UnitedHealthcare Community & State	$24.04
Rate for Payer: Wellpoint Medicaid Managed Care	$26.43

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER MIC G16 98422

Facility

$995.00

Hospital Charge Code	270672031N
Hospital Revenue Code	272
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.50
Rate for Payer: Oxford Commercial	$199.00
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Commercial	$199.00
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031S
Hospital Revenue Code	272
Min. Negotiated Rate	$149.62
Max. Negotiated Rate	$149.62
Rate for Payer: Qualcare PPO/HMO/WC	$149.62

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031
Hospital Revenue Code	272
Min. Negotiated Rate	$24.04
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$379.03
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.24
Rate for Payer: Oxford Commercial	$199.49
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.49
Rate for Payer: UnitedHealthcare Community & State	$24.04
Rate for Payer: Wellpoint Medicaid Managed Care	$26.43

KIT INTRODUCER MIC G16 98422

Facility

$995.00

Hospital Charge Code	270672031N
Hospital Revenue Code	272
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$149.25
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

KIT INTRODUCER MIC G16 98422

Facility

$997.45

Hospital Charge Code	270672031S
Hospital Revenue Code	272
Min. Negotiated Rate	$24.04
Max. Negotiated Rate	$498.73
Rate for Payer: Aetna Commercial	$379.03
Rate for Payer: Aetna Medicare Advantage	$299.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.35
Rate for Payer: Cigna Commercial	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.24
Rate for Payer: Oxford Commercial	$199.49
Rate for Payer: Qualcare PPO/HMO/WC	$149.62
Rate for Payer: UnitedHealthcare Commercial	$199.49
Rate for Payer: UnitedHealthcare Community & State	$24.04
Rate for Payer: Wellpoint Medicaid Managed Care	$26.43

KIT INTRODUCER MINI ACCESS

Facility

$325.00

Hospital Charge Code	270659650N
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650S
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

KIT INTRODUCER MINI ACCESS

Facility

$325.00

Hospital Charge Code	270659650N
Hospital Revenue Code	272
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

Know your out-of-pocket cost for care.

All Charges