Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

POLARCATH .014 3x100 150cm

Facility

$4,745.25

Hospital Charge Code	270644102C
Hospital Revenue Code	278
Min. Negotiated Rate	$711.79
Max. Negotiated Rate	$1,148.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$711.79

POLARCATH .014 3x100 150cm

Facility

$4,745.25

Hospital Charge Code	270644102C
Hospital Revenue Code	278
Min. Negotiated Rate	$114.36
Max. Negotiated Rate	$2,372.62
Rate for Payer: Aetna Commercial	$1,803.19
Rate for Payer: Aetna Medicare Advantage	$1,423.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,210.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,210.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,210.04
Rate for Payer: Cigna Commercial	$2,372.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$711.79
Rate for Payer: UnitedHealthcare Community & State	$114.36
Rate for Payer: Wellpoint Medicaid Managed Care	$125.75

POLARCATH .014 4X20 150CM

Facility

$4,232.25

Hospital Charge Code	270642201
Hospital Revenue Code	278
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$2,116.12
Rate for Payer: Aetna Commercial	$1,608.26
Rate for Payer: Aetna Medicare Advantage	$1,269.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,079.22
Rate for Payer: Cigna Commercial	$2,116.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84
Rate for Payer: UnitedHealthcare Community & State	$102.00
Rate for Payer: Wellpoint Medicaid Managed Care	$112.15

POLARCATH .014 4X20 150CM

Facility

$4,232.25

Hospital Charge Code	270642201
Hospital Revenue Code	278
Min. Negotiated Rate	$634.84
Max. Negotiated Rate	$1,024.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84

POLARCATH .014 4x40 150cm

Facility

$4,232.25

Hospital Charge Code	270642202C
Hospital Revenue Code	278
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$2,116.12
Rate for Payer: Aetna Commercial	$1,608.26
Rate for Payer: Aetna Medicare Advantage	$1,269.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,079.22
Rate for Payer: Cigna Commercial	$2,116.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84
Rate for Payer: UnitedHealthcare Community & State	$102.00
Rate for Payer: Wellpoint Medicaid Managed Care	$112.15

POLARCATH .014 4x40 150cm

Facility

$4,232.25

Hospital Charge Code	270642202C
Hospital Revenue Code	278
Min. Negotiated Rate	$634.84
Max. Negotiated Rate	$1,024.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84

POLARCATH 035 5x150 P515012001

Facility

$4,745.00

Hospital Charge Code	270644390C
Hospital Revenue Code	278
Min. Negotiated Rate	$114.35
Max. Negotiated Rate	$2,372.50
Rate for Payer: Aetna Commercial	$1,803.10
Rate for Payer: Aetna Medicare Advantage	$1,423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,209.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,209.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,209.97
Rate for Payer: Cigna Commercial	$2,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.90
Rate for Payer: Qualcare PPO/HMO/WC	$711.75
Rate for Payer: UnitedHealthcare Community & State	$114.35
Rate for Payer: Wellpoint Medicaid Managed Care	$125.74

POLARCATH 035 5x150 P515012001

Facility

$4,745.00

Hospital Charge Code	270644390C
Hospital Revenue Code	278
Min. Negotiated Rate	$711.75
Max. Negotiated Rate	$1,148.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.90
Rate for Payer: Qualcare PPO/HMO/WC	$711.75

POLARCATH .035 6x100 120cm

Facility

$3,695.50

Hospital Charge Code	270638810C
Hospital Revenue Code	278
Min. Negotiated Rate	$554.33
Max. Negotiated Rate	$894.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$739.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$894.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$813.01
Rate for Payer: Qualcare PPO/HMO/WC	$554.33

POLARCATH .035 6x100 120cm

Facility

$3,695.50

Hospital Charge Code	270638810C
Hospital Revenue Code	278
Min. Negotiated Rate	$89.06
Max. Negotiated Rate	$1,847.75
Rate for Payer: Aetna Commercial	$1,404.29
Rate for Payer: Aetna Medicare Advantage	$1,108.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$942.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$942.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$739.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$942.35
Rate for Payer: Cigna Commercial	$1,847.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$894.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$813.01
Rate for Payer: Qualcare PPO/HMO/WC	$554.33
Rate for Payer: UnitedHealthcare Community & State	$89.06
Rate for Payer: Wellpoint Medicaid Managed Care	$97.93

POLARCATH .035 6x150

Facility

$4,745.00

Hospital Charge Code	270644391C
Hospital Revenue Code	278
Min. Negotiated Rate	$711.75
Max. Negotiated Rate	$1,148.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.90
Rate for Payer: Qualcare PPO/HMO/WC	$711.75

POLARCATH .035 6x150

Facility

$4,745.00

Hospital Charge Code	270644391C
Hospital Revenue Code	278
Min. Negotiated Rate	$114.35
Max. Negotiated Rate	$2,372.50
Rate for Payer: Aetna Commercial	$1,803.10
Rate for Payer: Aetna Medicare Advantage	$1,423.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,209.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,209.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,209.97
Rate for Payer: Cigna Commercial	$2,372.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.90
Rate for Payer: Qualcare PPO/HMO/WC	$711.75
Rate for Payer: UnitedHealthcare Community & State	$114.35
Rate for Payer: Wellpoint Medicaid Managed Care	$125.74

POLARCATH 25x100 T2510015001

Facility

$4,745.25

Hospital Charge Code	270638612C
Hospital Revenue Code	278
Min. Negotiated Rate	$711.79
Max. Negotiated Rate	$1,148.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$711.79

POLARCATH 25x100 T2510015001

Facility

$4,745.25

Hospital Charge Code	270638612C
Hospital Revenue Code	278
Min. Negotiated Rate	$114.36
Max. Negotiated Rate	$2,372.62
Rate for Payer: Aetna Commercial	$1,803.19
Rate for Payer: Aetna Medicare Advantage	$1,423.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,210.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,210.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$949.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,210.04
Rate for Payer: Cigna Commercial	$2,372.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,148.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,043.95
Rate for Payer: Qualcare PPO/HMO/WC	$711.79
Rate for Payer: UnitedHealthcare Community & State	$114.36
Rate for Payer: Wellpoint Medicaid Managed Care	$125.75

POLARCATH .35 6X20 120CM

Facility

$3,000.00

Hospital Charge Code	270642203
Hospital Revenue Code	278
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

POLARCATH .35 6X20 120CM

Facility

$3,000.00

Hospital Charge Code	270642203
Hospital Revenue Code	278
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

POLARCATH .35 7X20 120CM

Facility

$3,000.00

Hospital Charge Code	270642204
Hospital Revenue Code	278
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

POLARCATH .35 7X20 120CM

Facility

$3,000.00

Hospital Charge Code	270642204
Hospital Revenue Code	278
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

POLARCATH 3x20 150 T302015001

Facility

$4,232.25

Hospital Charge Code	270642199C
Hospital Revenue Code	278
Min. Negotiated Rate	$634.84
Max. Negotiated Rate	$1,024.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84

POLARCATH 3x20 150 T302015001

Facility

$4,232.25

Hospital Charge Code	270642199C
Hospital Revenue Code	278
Min. Negotiated Rate	$102.00
Max. Negotiated Rate	$2,116.12
Rate for Payer: Aetna Commercial	$1,608.26
Rate for Payer: Aetna Medicare Advantage	$1,269.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,079.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$846.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,079.22
Rate for Payer: Cigna Commercial	$2,116.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,024.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$931.10
Rate for Payer: Qualcare PPO/HMO/WC	$634.84
Rate for Payer: UnitedHealthcare Community & State	$102.00
Rate for Payer: Wellpoint Medicaid Managed Care	$112.15

POLAR CATH 4.0mmx100mmx120cm

Facility

$3,890.00

Hospital Charge Code	2709006409
Hospital Revenue Code	272
Min. Negotiated Rate	$583.50
Max. Negotiated Rate	$583.50
Rate for Payer: Qualcare PPO/HMO/WC	$583.50

POLAR CATH 4.0mmx100mmx120cm

Facility

$3,890.00

Hospital Charge Code	2709006409
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$1,945.00
Rate for Payer: Aetna Commercial	$1,478.20
Rate for Payer: Aetna Medicare Advantage	$1,167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$991.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$991.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$991.95
Rate for Payer: Cigna Commercial	$1,945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.00
Rate for Payer: Oxford Commercial	$778.00
Rate for Payer: Qualcare PPO/HMO/WC	$583.50
Rate for Payer: UnitedHealthcare Commercial	$778.00
Rate for Payer: UnitedHealthcare Community & State	$93.75
Rate for Payer: Wellpoint Medicaid Managed Care	$103.08

POLAR CATH 5.0mmx100mmx120cm

Facility

$3,890.00

Hospital Charge Code	2709006410
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$1,945.00
Rate for Payer: Aetna Commercial	$1,478.20
Rate for Payer: Aetna Medicare Advantage	$1,167.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$991.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$991.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$991.95
Rate for Payer: Cigna Commercial	$1,945.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.00
Rate for Payer: Oxford Commercial	$778.00
Rate for Payer: Qualcare PPO/HMO/WC	$583.50
Rate for Payer: UnitedHealthcare Commercial	$778.00
Rate for Payer: UnitedHealthcare Community & State	$93.75
Rate for Payer: Wellpoint Medicaid Managed Care	$103.08

POLAR CATH 5.0mmx100mmx120cm

Facility

$3,890.00

Hospital Charge Code	2709006410
Hospital Revenue Code	272
Min. Negotiated Rate	$583.50
Max. Negotiated Rate	$583.50
Rate for Payer: Qualcare PPO/HMO/WC	$583.50

POLAR CATH 5MMX100MMX120MM

Facility

$778.00

Hospital Charge Code	270638809
Hospital Revenue Code	272
Min. Negotiated Rate	$116.70
Max. Negotiated Rate	$116.70
Rate for Payer: Qualcare PPO/HMO/WC	$116.70

Know your out-of-pocket cost for care.

All Charges