Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PROGRAMMER PATIENT EON MINI

Facility

$8,125.00

Service Code	HCPCS C1787
Hospital Charge Code	270642325
Hospital Revenue Code	278
Min. Negotiated Rate	$1,218.75
Max. Negotiated Rate	$1,966.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,966.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,787.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,218.75

PROGRAMMER POCKET

Facility

$7,500.00

Service Code	HCPCS C1787
Hospital Charge Code	270683892
Hospital Revenue Code	272
Min. Negotiated Rate	$180.75
Max. Negotiated Rate	$3,750.00
Rate for Payer: Aetna Commercial	$2,850.00
Rate for Payer: Aetna Medicare Advantage	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,912.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,912.50
Rate for Payer: Cigna Commercial	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,250.00
Rate for Payer: Oxford Commercial	$1,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00
Rate for Payer: UnitedHealthcare Commercial	$1,500.00
Rate for Payer: UnitedHealthcare Community & State	$180.75
Rate for Payer: Wellpoint Medicaid Managed Care	$198.75

PROGRAMMER POCKET

Facility

$7,500.00

Service Code	HCPCS C1787
Hospital Charge Code	270683892
Hospital Revenue Code	272
Min. Negotiated Rate	$1,125.00
Max. Negotiated Rate	$1,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,125.00

PROGRAMMER PT SYNERGY 7435

Facility

$4,935.25

Hospital Charge Code	270632006
Hospital Revenue Code	272
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$740.29
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

PROGRAMMER PT SYNERGY 7435

Facility

$4,935.25

Hospital Charge Code	270632006
Hospital Revenue Code	272
Min. Negotiated Rate	$118.94
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,875.39
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,480.58
Rate for Payer: Oxford Commercial	$987.05
Rate for Payer: Qualcare PPO/HMO/WC	$740.29
Rate for Payer: UnitedHealthcare Commercial	$987.05
Rate for Payer: UnitedHealthcare Community & State	$118.94
Rate for Payer: Wellpoint Medicaid Managed Care	$130.78

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$783.75
Max. Negotiated Rate	$783.75
Rate for Payer: Qualcare PPO/HMO/WC	$783.75

PROGRAMMER PT VANTA NEUROSTIM

Facility

$5,225.00

Service Code	HCPCS L8681
Hospital Charge Code	270699097
Hospital Revenue Code	271
Min. Negotiated Rate	$125.92
Max. Negotiated Rate	$2,612.50
Rate for Payer: Aetna Commercial	$1,985.50
Rate for Payer: Aetna Medicare Advantage	$1,567.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.38
Rate for Payer: Cigna Commercial	$2,612.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,567.50
Rate for Payer: Oxford Commercial	$1,045.00
Rate for Payer: Qualcare PPO/HMO/WC	$783.75
Rate for Payer: UnitedHealthcare Commercial	$1,045.00
Rate for Payer: UnitedHealthcare Community & State	$125.92
Rate for Payer: Wellpoint Medicaid Managed Care	$138.46

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$750.00
Max. Negotiated Rate	$1,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00

PROGRAMSENZANEUROSTIMREMOTEKIT

Facility

$5,000.00

Service Code	HCPCS L8681
Hospital Charge Code	270693286
Hospital Revenue Code	278
Min. Negotiated Rate	$120.50
Max. Negotiated Rate	$2,500.00
Rate for Payer: Aetna Commercial	$1,900.00
Rate for Payer: Aetna Medicare Advantage	$1,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,275.00
Rate for Payer: Cigna Commercial	$2,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,210.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,100.00
Rate for Payer: Qualcare PPO/HMO/WC	$750.00
Rate for Payer: UnitedHealthcare Community & State	$120.50
Rate for Payer: Wellpoint Medicaid Managed Care	$132.50

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$45.41
Max. Negotiated Rate	$942.15
Rate for Payer: Aetna Commercial	$716.03
Rate for Payer: Aetna Medicare Advantage	$565.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$480.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$480.50
Rate for Payer: Cigna Commercial	$942.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.55
Rate for Payer: Qualcare PPO/HMO/WC	$282.64
Rate for Payer: UnitedHealthcare Community & State	$45.41
Rate for Payer: Wellpoint Medicaid Managed Care	$49.93

PROGREAST MICROCATH 2.4F 130CM

Facility

$1,884.30

Service Code	HCPCS C1887
Hospital Charge Code	270696122
Hospital Revenue Code	278
Min. Negotiated Rate	$282.64
Max. Negotiated Rate	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.55
Rate for Payer: Qualcare PPO/HMO/WC	$282.64

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$47.06
Max. Negotiated Rate	$976.25
Rate for Payer: Aetna Commercial	$741.95
Rate for Payer: Aetna Medicare Advantage	$585.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$497.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$497.89
Rate for Payer: Cigna Commercial	$976.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$585.75
Rate for Payer: Oxford Commercial	$390.50
Rate for Payer: Qualcare PPO/HMO/WC	$292.88
Rate for Payer: UnitedHealthcare Commercial	$390.50
Rate for Payer: UnitedHealthcare Community & State	$47.06
Rate for Payer: Wellpoint Medicaid Managed Care	$51.74

PROGREAT MICROCATHETER 150 CM

Facility

$1,952.50

Hospital Charge Code	270679429
Hospital Revenue Code	272
Min. Negotiated Rate	$292.88
Max. Negotiated Rate	$292.88
Rate for Payer: Qualcare PPO/HMO/WC	$292.88

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

PROGREAT MICROCATHETER 2.8 FR

Facility

$1,650.00

Hospital Charge Code	270682539
Hospital Revenue Code	272
Min. Negotiated Rate	$39.77
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$39.77
Rate for Payer: Wellpoint Medicaid Managed Care	$43.73

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$40.00

Hospital Charge Code	2707400217
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$40.00

Hospital Charge Code	2707400217
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$8.00
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175N
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
Hospital Revenue Code	278
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

PROGRESSIVE RIGHT CORONARY 5FR

Facility

$37.35

Service Code	HCPCS C1887
Hospital Charge Code	270658175S
Hospital Revenue Code	278
Min. Negotiated Rate	$5.60
Max. Negotiated Rate	$9.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$5.60

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056
Hospital Revenue Code	278
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

PROGRESSIVE RIGHT CORONARY 6F

Facility

$37.90

Service Code	HCPCS C1887
Hospital Charge Code	270658056S
Hospital Revenue Code	278
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.34
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

Know your out-of-pocket cost for care.

All Charges