Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LEAD C APSURE ATRIAL SP BIPOLA

Facility

$4,025.00

Hospital Charge Code	270656094
Hospital Revenue Code	278
Min. Negotiated Rate	$97.00
Max. Negotiated Rate	$2,012.50
Rate for Payer: Aetna Commercial	$1,529.50
Rate for Payer: Aetna Medicare Advantage	$1,207.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,026.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,026.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$805.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,026.38
Rate for Payer: Cigna Commercial	$2,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$974.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$885.50
Rate for Payer: Qualcare PPO/HMO/WC	$603.75
Rate for Payer: UnitedHealthcare Community & State	$97.00
Rate for Payer: Wellpoint Medicaid Managed Care	$106.66

LEAD C APSURE ATRIAL SP BIPOLA

Facility

$4,025.00

Hospital Charge Code	270656094
Hospital Revenue Code	278
Min. Negotiated Rate	$603.75
Max. Negotiated Rate	$974.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$805.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$974.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$885.50
Rate for Payer: Qualcare PPO/HMO/WC	$603.75

LEAD CAPSUREFIX MRI

Facility

$4,230.00

Service Code	HCPCS C1898
Hospital Charge Code	270673835
Hospital Revenue Code	278
Min. Negotiated Rate	$634.50
Max. Negotiated Rate	$1,023.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$930.60
Rate for Payer: Qualcare PPO/HMO/WC	$634.50

LEAD CAPSUREFIX MRI

Facility

$4,230.00

Service Code	HCPCS C1898
Hospital Charge Code	270673835
Hospital Revenue Code	278
Min. Negotiated Rate	$101.94
Max. Negotiated Rate	$2,115.00
Rate for Payer: Aetna Commercial	$1,607.40
Rate for Payer: Aetna Medicare Advantage	$1,269.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,078.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,078.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,078.65
Rate for Payer: Cigna Commercial	$2,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,023.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$930.60
Rate for Payer: Qualcare PPO/HMO/WC	$634.50
Rate for Payer: UnitedHealthcare Community & State	$101.94
Rate for Payer: Wellpoint Medicaid Managed Care	$112.09

LEAD CAPSUREFIX NOVUS

Facility

$3,630.00

Hospital Charge Code	270657302
Hospital Revenue Code	278
Min. Negotiated Rate	$87.48
Max. Negotiated Rate	$1,815.00
Rate for Payer: Aetna Commercial	$1,379.40
Rate for Payer: Aetna Medicare Advantage	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.65
Rate for Payer: Cigna Commercial	$1,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$544.50
Rate for Payer: UnitedHealthcare Community & State	$87.48
Rate for Payer: Wellpoint Medicaid Managed Care	$96.19

LEAD CAPSUREFIX NOVUS

Facility

$3,630.00

Hospital Charge Code	270657302
Hospital Revenue Code	278
Min. Negotiated Rate	$544.50
Max. Negotiated Rate	$878.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$544.50

LEAD CAPSUREZ NOVUS

Facility

$3,276.00

Hospital Charge Code	270640301
Hospital Revenue Code	275
Min. Negotiated Rate	$78.95
Max. Negotiated Rate	$1,638.00
Rate for Payer: Aetna Commercial	$1,244.88
Rate for Payer: Aetna Medicare Advantage	$982.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$835.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$835.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$655.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$835.38
Rate for Payer: Cigna Commercial	$1,638.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$720.72
Rate for Payer: Qualcare PPO/HMO/WC	$491.40
Rate for Payer: UnitedHealthcare Community & State	$78.95
Rate for Payer: Wellpoint Medicaid Managed Care	$86.81

LEAD CAPSUREZ NOVUS

Facility

$3,276.00

Hospital Charge Code	270640301
Hospital Revenue Code	275
Min. Negotiated Rate	$491.40
Max. Negotiated Rate	$792.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$655.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$792.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$720.72
Rate for Payer: Qualcare PPO/HMO/WC	$491.40

LEAD CORO VENTR QUARTET 86MM

Facility

$16,475.00

Service Code	HCPCS C1900
Hospital Charge Code	270699083S
Hospital Revenue Code	275
Min. Negotiated Rate	$397.05
Max. Negotiated Rate	$8,237.50
Rate for Payer: Aetna Commercial	$6,260.50
Rate for Payer: Aetna Medicare Advantage	$4,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,201.12
Rate for Payer: Cigna Commercial	$8,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,624.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25
Rate for Payer: UnitedHealthcare Community & State	$397.05
Rate for Payer: Wellpoint Medicaid Managed Care	$436.59

LEAD CORO VENTR QUARTET 86MM

Facility

$16,475.00

Service Code	HCPCS C1900
Hospital Charge Code	270699083S
Hospital Revenue Code	275
Min. Negotiated Rate	$2,471.25
Max. Negotiated Rate	$3,986.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,295.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,986.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,624.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,471.25

LEAD CYB BIPOLAR 1000027700**

Facility

$7,308.00

Service Code	HCPCS C1778
Hospital Charge Code	270618233
Hospital Revenue Code	275
Min. Negotiated Rate	$1,096.20
Max. Negotiated Rate	$1,768.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,461.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,607.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,096.20

LEAD CYB BIPOLAR 1000027700**

Facility

$7,308.00

Service Code	HCPCS C1778
Hospital Charge Code	270618233
Hospital Revenue Code	275
Min. Negotiated Rate	$176.12
Max. Negotiated Rate	$3,654.00
Rate for Payer: Aetna Commercial	$2,777.04
Rate for Payer: Aetna Medicare Advantage	$2,192.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,863.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,863.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,461.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,863.54
Rate for Payer: Cigna Commercial	$3,654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,768.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,607.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,096.20
Rate for Payer: UnitedHealthcare Community & State	$176.12
Rate for Payer: Wellpoint Medicaid Managed Care	$193.66

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	270CH0111
Hospital Revenue Code	275
Min. Negotiated Rate	$629.61
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$9,927.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Community & State	$629.61
Rate for Payer: Wellpoint Medicaid Managed Care	$692.31

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	270CH0111
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$6,322.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	2709007249
Hospital Revenue Code	272
Min. Negotiated Rate	$629.61
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$9,927.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,837.50
Rate for Payer: Oxford Commercial	$5,225.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Commercial	$5,225.00
Rate for Payer: UnitedHealthcare Community & State	$629.61
Rate for Payer: Wellpoint Medicaid Managed Care	$692.31

LEAD DURATA 60cm

Facility

$26,125.00

Hospital Charge Code	2709007249
Hospital Revenue Code	272
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$3,918.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	270CH0112
Hospital Revenue Code	275
Min. Negotiated Rate	$629.61
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$9,927.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Community & State	$629.61
Rate for Payer: Wellpoint Medicaid Managed Care	$692.31

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	270CH0112
Hospital Revenue Code	275
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$6,322.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,322.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,747.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	2709007250
Hospital Revenue Code	272
Min. Negotiated Rate	$3,918.75
Max. Negotiated Rate	$3,918.75
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75

LEAD DURATA 65cm

Facility

$26,125.00

Hospital Charge Code	2709007250
Hospital Revenue Code	272
Min. Negotiated Rate	$629.61
Max. Negotiated Rate	$13,062.50
Rate for Payer: Aetna Commercial	$9,927.50
Rate for Payer: Aetna Medicare Advantage	$7,837.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,661.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,661.88
Rate for Payer: Cigna Commercial	$13,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,837.50
Rate for Payer: Oxford Commercial	$5,225.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,918.75
Rate for Payer: UnitedHealthcare Commercial	$5,225.00
Rate for Payer: UnitedHealthcare Community & State	$629.61
Rate for Payer: Wellpoint Medicaid Managed Care	$692.31

LEAD DURATA with DF4 Connecto

Facility

$27,430.00

Hospital Charge Code	270CH0113
Hospital Revenue Code	275
Min. Negotiated Rate	$4,114.50
Max. Negotiated Rate	$6,638.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,486.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,638.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,034.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,114.50

LEAD DURATA with DF4 Connecto

Facility

$27,430.00

Hospital Charge Code	270CH0113
Hospital Revenue Code	275
Min. Negotiated Rate	$661.06
Max. Negotiated Rate	$13,715.00
Rate for Payer: Aetna Commercial	$10,423.40
Rate for Payer: Aetna Medicare Advantage	$8,229.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,994.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,994.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,486.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,994.65
Rate for Payer: Cigna Commercial	$13,715.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,638.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,034.60
Rate for Payer: Qualcare PPO/HMO/WC	$4,114.50
Rate for Payer: UnitedHealthcare Community & State	$661.06
Rate for Payer: Wellpoint Medicaid Managed Care	$726.89

Lead Envirolite .5mm PVK-2pc f

Facility

$3,635.00

Hospital Charge Code	270667068
Hospital Revenue Code	270
Min. Negotiated Rate	$545.25
Max. Negotiated Rate	$545.25
Rate for Payer: Qualcare PPO/HMO/WC	$545.25

Lead Envirolite .5mm PVK-2pc f

Facility

$3,635.00

Hospital Charge Code	270667068
Hospital Revenue Code	270
Min. Negotiated Rate	$87.60
Max. Negotiated Rate	$1,817.50
Rate for Payer: Aetna Commercial	$1,381.30
Rate for Payer: Aetna Medicare Advantage	$1,090.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$926.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$926.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$926.92
Rate for Payer: Cigna Commercial	$1,817.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,090.50
Rate for Payer: Oxford Commercial	$727.00
Rate for Payer: Qualcare PPO/HMO/WC	$545.25
Rate for Payer: UnitedHealthcare Commercial	$727.00
Rate for Payer: UnitedHealthcare Community & State	$87.60
Rate for Payer: Wellpoint Medicaid Managed Care	$96.33

LEAD EON 60cm

Facility

$16,075.00

Service Code	HCPCS C1778
Hospital Charge Code	270642323
Hospital Revenue Code	278
Min. Negotiated Rate	$387.41
Max. Negotiated Rate	$8,037.50
Rate for Payer: Aetna Commercial	$6,108.50
Rate for Payer: Aetna Medicare Advantage	$4,822.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,099.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,215.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,099.12
Rate for Payer: Cigna Commercial	$8,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,890.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,536.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,411.25
Rate for Payer: UnitedHealthcare Community & State	$387.41
Rate for Payer: Wellpoint Medicaid Managed Care	$425.99

Know your out-of-pocket cost for care.

All Charges