Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

LEAD QUI PCEMKR V 4034

Facility

$3,427.25

Hospital Charge Code	270617228
Hospital Revenue Code	275
Min. Negotiated Rate	$82.60
Max. Negotiated Rate	$1,713.62
Rate for Payer: Aetna Commercial	$1,302.36
Rate for Payer: Aetna Medicare Advantage	$1,028.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$873.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$873.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$685.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$873.95
Rate for Payer: Cigna Commercial	$1,713.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$829.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$754.00
Rate for Payer: Qualcare PPO/HMO/WC	$514.09
Rate for Payer: UnitedHealthcare Community & State	$82.60
Rate for Payer: Wellpoint Medicaid Managed Care	$90.82

LEAD QUI PCEMKR V 4034

Facility

$3,427.25

Hospital Charge Code	270617228
Hospital Revenue Code	275
Min. Negotiated Rate	$514.09
Max. Negotiated Rate	$829.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$685.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$829.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$754.00
Rate for Payer: Qualcare PPO/HMO/WC	$514.09

LEAD RV DEXTRUS

Facility

$3,000.00

Hospital Charge Code	270649287C
Hospital Revenue Code	275
Min. Negotiated Rate	$72.30
Max. Negotiated Rate	$1,500.00
Rate for Payer: Aetna Commercial	$1,140.00
Rate for Payer: Aetna Medicare Advantage	$900.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$765.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$765.00
Rate for Payer: Cigna Commercial	$1,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00
Rate for Payer: UnitedHealthcare Community & State	$72.30
Rate for Payer: Wellpoint Medicaid Managed Care	$79.50

LEAD RV DEXTRUS

Facility

$3,000.00

Hospital Charge Code	270649287C
Hospital Revenue Code	275
Min. Negotiated Rate	$450.00
Max. Negotiated Rate	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$726.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$450.00

LEAD SCREWIN TENDRIL 1488/46CM

Facility

$3,720.00

Hospital Charge Code	270633047
Hospital Revenue Code	275
Min. Negotiated Rate	$89.65
Max. Negotiated Rate	$1,860.00
Rate for Payer: Aetna Commercial	$1,413.60
Rate for Payer: Aetna Medicare Advantage	$1,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$948.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$948.60
Rate for Payer: Cigna Commercial	$1,860.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$818.40
Rate for Payer: Qualcare PPO/HMO/WC	$558.00
Rate for Payer: UnitedHealthcare Community & State	$89.65
Rate for Payer: Wellpoint Medicaid Managed Care	$98.58

LEAD SCREWIN TENDRIL 1488/46CM

Facility

$3,720.00

Hospital Charge Code	270633047
Hospital Revenue Code	275
Min. Negotiated Rate	$558.00
Max. Negotiated Rate	$900.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$744.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$900.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$818.40
Rate for Payer: Qualcare PPO/HMO/WC	$558.00

LEAD SELUTE PICOTIP 4064

Facility

$3,840.00

Hospital Charge Code	270627634
Hospital Revenue Code	275
Min. Negotiated Rate	$576.00
Max. Negotiated Rate	$929.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$768.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$929.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$844.80
Rate for Payer: Qualcare PPO/HMO/WC	$576.00

LEAD SELUTE PICOTIP 4064

Facility

$3,840.00

Hospital Charge Code	270627634
Hospital Revenue Code	275
Min. Negotiated Rate	$92.54
Max. Negotiated Rate	$1,920.00
Rate for Payer: Aetna Commercial	$1,459.20
Rate for Payer: Aetna Medicare Advantage	$1,152.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$979.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$979.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$768.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$979.20
Rate for Payer: Cigna Commercial	$1,920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$929.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$844.80
Rate for Payer: Qualcare PPO/HMO/WC	$576.00
Rate for Payer: UnitedHealthcare Community & State	$92.54
Rate for Payer: Wellpoint Medicaid Managed Care	$101.76

LEADSET 5-LEAD W/CLIP

Facility

$138.70

Hospital Charge Code	270682371
Hospital Revenue Code	272
Min. Negotiated Rate	$3.34
Max. Negotiated Rate	$69.35
Rate for Payer: Aetna Commercial	$52.71
Rate for Payer: Aetna Medicare Advantage	$41.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.37
Rate for Payer: Cigna Commercial	$69.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.61
Rate for Payer: Oxford Commercial	$27.74
Rate for Payer: Qualcare PPO/HMO/WC	$20.80
Rate for Payer: UnitedHealthcare Commercial	$27.74
Rate for Payer: UnitedHealthcare Community & State	$3.34
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

LEADSET 5-LEAD W/CLIP

Facility

$138.70

Hospital Charge Code	270682371
Hospital Revenue Code	272
Min. Negotiated Rate	$20.80
Max. Negotiated Rate	$20.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.80

LEAD SJM PACEMAKER 1346T/58

Facility

$3,447.25

Hospital Charge Code	270621362
Hospital Revenue Code	275
Min. Negotiated Rate	$517.09
Max. Negotiated Rate	$834.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$758.39
Rate for Payer: Qualcare PPO/HMO/WC	$517.09

LEAD SJM PACEMAKER 1346T/58

Facility

$3,447.25

Hospital Charge Code	270621362
Hospital Revenue Code	275
Min. Negotiated Rate	$83.08
Max. Negotiated Rate	$1,723.62
Rate for Payer: Aetna Commercial	$1,309.95
Rate for Payer: Aetna Medicare Advantage	$1,034.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.05
Rate for Payer: Cigna Commercial	$1,723.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$758.39
Rate for Payer: Qualcare PPO/HMO/WC	$517.09
Rate for Payer: UnitedHealthcare Community & State	$83.08
Rate for Payer: Wellpoint Medicaid Managed Care	$91.35

LEAD SJM PACEMAKER 1346T/58

Facility

$3,475.00

Hospital Charge Code	270621362C
Hospital Revenue Code	275
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$764.50
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Community & State	$83.75
Rate for Payer: Wellpoint Medicaid Managed Care	$92.09

LEAD SJM PACEMAKER 1346T/58

Facility

$3,475.00

Hospital Charge Code	270621362C
Hospital Revenue Code	275
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$764.50
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

LEAD SLZR PCEMKR 430-07

Facility

$3,376.85

Hospital Charge Code	270605851
Hospital Revenue Code	275
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$1,688.42
Rate for Payer: Aetna Commercial	$1,283.20
Rate for Payer: Aetna Medicare Advantage	$1,013.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$861.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$861.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$861.10
Rate for Payer: Cigna Commercial	$1,688.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$817.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.91
Rate for Payer: Qualcare PPO/HMO/WC	$506.53
Rate for Payer: UnitedHealthcare Community & State	$81.38
Rate for Payer: Wellpoint Medicaid Managed Care	$89.49

LEAD SLZR PCEMKR 430-07

Facility

$3,376.85

Hospital Charge Code	270605851
Hospital Revenue Code	275
Min. Negotiated Rate	$506.53
Max. Negotiated Rate	$817.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$675.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$817.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.91
Rate for Payer: Qualcare PPO/HMO/WC	$506.53

LEAD SLZR PCEMKR 430-07-58

Facility

$3,127.25

Hospital Charge Code	270606423
Hospital Revenue Code	278
Min. Negotiated Rate	$75.37
Max. Negotiated Rate	$1,563.62
Rate for Payer: Aetna Commercial	$1,188.36
Rate for Payer: Aetna Medicare Advantage	$938.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$797.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$797.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$797.45
Rate for Payer: Cigna Commercial	$1,563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.00
Rate for Payer: Qualcare PPO/HMO/WC	$469.09
Rate for Payer: UnitedHealthcare Community & State	$75.37
Rate for Payer: Wellpoint Medicaid Managed Care	$82.87

LEAD SLZR PCEMKR 430-07-58

Facility

$3,127.25

Hospital Charge Code	270606423
Hospital Revenue Code	278
Min. Negotiated Rate	$469.09
Max. Negotiated Rate	$756.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.00
Rate for Payer: Qualcare PPO/HMO/WC	$469.09

LEAD SLZR PCEMKR ZY52PJUSBV

Facility

$3,268.85

Hospital Charge Code	270605852
Hospital Revenue Code	275
Min. Negotiated Rate	$490.33
Max. Negotiated Rate	$791.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$719.15
Rate for Payer: Qualcare PPO/HMO/WC	$490.33

LEAD SLZR PCEMKR ZY52PJUSBV

Facility

$3,268.85

Hospital Charge Code	270605852
Hospital Revenue Code	275
Min. Negotiated Rate	$78.78
Max. Negotiated Rate	$1,634.42
Rate for Payer: Aetna Commercial	$1,242.16
Rate for Payer: Aetna Medicare Advantage	$980.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$833.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$653.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$833.56
Rate for Payer: Cigna Commercial	$1,634.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$791.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$719.15
Rate for Payer: Qualcare PPO/HMO/WC	$490.33
Rate for Payer: UnitedHealthcare Community & State	$78.78
Rate for Payer: Wellpoint Medicaid Managed Care	$86.62

LEAD STEROID ELUTNG 1346T/52CM

Facility

$3,447.25

Hospital Charge Code	270633048
Hospital Revenue Code	275
Min. Negotiated Rate	$83.08
Max. Negotiated Rate	$1,723.62
Rate for Payer: Aetna Commercial	$1,309.95
Rate for Payer: Aetna Medicare Advantage	$1,034.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$879.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$879.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$879.05
Rate for Payer: Cigna Commercial	$1,723.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$758.39
Rate for Payer: Qualcare PPO/HMO/WC	$517.09
Rate for Payer: UnitedHealthcare Community & State	$83.08
Rate for Payer: Wellpoint Medicaid Managed Care	$91.35

LEAD STEROID ELUTNG 1346T/52CM

Facility

$3,447.25

Hospital Charge Code	270633048
Hospital Revenue Code	275
Min. Negotiated Rate	$517.09
Max. Negotiated Rate	$834.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$689.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$758.39
Rate for Payer: Qualcare PPO/HMO/WC	$517.09

LEAD TENDRIL 46cm

Facility

$4,040.00

Hospital Charge Code	270CH0117
Hospital Revenue Code	275
Min. Negotiated Rate	$97.36
Max. Negotiated Rate	$2,020.00
Rate for Payer: Aetna Commercial	$1,535.20
Rate for Payer: Aetna Medicare Advantage	$1,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.20
Rate for Payer: Cigna Commercial	$2,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$977.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$888.80
Rate for Payer: Qualcare PPO/HMO/WC	$606.00
Rate for Payer: UnitedHealthcare Community & State	$97.36
Rate for Payer: Wellpoint Medicaid Managed Care	$107.06

LEAD TENDRIL 46cm

Facility

$4,040.00

Hospital Charge Code	270CH0117
Hospital Revenue Code	275
Min. Negotiated Rate	$606.00
Max. Negotiated Rate	$977.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$808.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$977.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$888.80
Rate for Payer: Qualcare PPO/HMO/WC	$606.00

LEAD TENDRIL 46cm

Facility

$4,040.00

Hospital Charge Code	2709007246
Hospital Revenue Code	272
Min. Negotiated Rate	$606.00
Max. Negotiated Rate	$606.00
Rate for Payer: Qualcare PPO/HMO/WC	$606.00

Know your out-of-pocket cost for care.

All Charges