Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$247.20
Max. Negotiated Rate	$247.20
Rate for Payer: Qualcare PPO/HMO/WC	$247.20

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$43.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.70

SNARE 12-20MM FRr X 120CM

Facility

$1,800.00

Hospital Charge Code	270658295N
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295
Hospital Revenue Code	272
Min. Negotiated Rate	$39.72
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.40
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$39.72
Rate for Payer: Wellpoint Medicaid Managed Care	$43.67

SNARE 12-20MM FRr X 120CM

Facility

$1,648.00

Hospital Charge Code	270658295S
Hospital Revenue Code	272
Min. Negotiated Rate	$39.72
Max. Negotiated Rate	$824.00
Rate for Payer: Aetna Commercial	$626.24
Rate for Payer: Aetna Medicare Advantage	$494.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.24
Rate for Payer: Cigna Commercial	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$494.40
Rate for Payer: Oxford Commercial	$329.60
Rate for Payer: Qualcare PPO/HMO/WC	$247.20
Rate for Payer: UnitedHealthcare Commercial	$329.60
Rate for Payer: UnitedHealthcare Community & State	$39.72
Rate for Payer: Wellpoint Medicaid Managed Care	$43.67

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887N
Hospital Revenue Code	272
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887S
Hospital Revenue Code	272
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

SNARE 2-4MM 3.2RR X 175CM

Facility

$3,300.00

Hospital Charge Code	270668887
Hospital Revenue Code	272
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$990.00
Rate for Payer: Oxford Commercial	$660.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Commercial	$660.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 12-20MM 6FR CATH

Facility

$1,425.00

Hospital Charge Code	270678018
Hospital Revenue Code	272
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

SNARE ATRIEVE 18-30MM 7FR CATH

Facility

$1,375.00

Hospital Charge Code	270678019
Hospital Revenue Code	272
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

SNARE ATRIEVE 27-45MM 7FR CATH

Facility

$1,425.00

Hospital Charge Code	270678020
Hospital Revenue Code	272
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$431.25
Max. Negotiated Rate	$431.25
Rate for Payer: Qualcare PPO/HMO/WC	$431.25

SNARE ATRIEVE 4-8MM 3.2FR CATH

Facility

$2,875.00

Hospital Charge Code	270678017
Hospital Revenue Code	272
Min. Negotiated Rate	$69.29
Max. Negotiated Rate	$1,437.50
Rate for Payer: Aetna Commercial	$1,092.50
Rate for Payer: Aetna Medicare Advantage	$862.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$733.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$733.12
Rate for Payer: Cigna Commercial	$1,437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$862.50
Rate for Payer: Oxford Commercial	$575.00
Rate for Payer: Qualcare PPO/HMO/WC	$431.25
Rate for Payer: UnitedHealthcare Commercial	$575.00
Rate for Payer: UnitedHealthcare Community & State	$69.29
Rate for Payer: Wellpoint Medicaid Managed Care	$76.19

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$11.37
Max. Negotiated Rate	$11.37
Rate for Payer: Qualcare PPO/HMO/WC	$11.37

SNARE CAPTIVATOR 25MM RD 2.8CM

Facility

$75.80

Hospital Charge Code	270679272
Hospital Revenue Code	272
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$37.90
Rate for Payer: Aetna Commercial	$28.80
Rate for Payer: Aetna Medicare Advantage	$22.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.33
Rate for Payer: Cigna Commercial	$37.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.74
Rate for Payer: Oxford Commercial	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$11.37
Rate for Payer: UnitedHealthcare Commercial	$15.16
Rate for Payer: UnitedHealthcare Community & State	$1.83
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$6.51
Max. Negotiated Rate	$6.51
Rate for Payer: Qualcare PPO/HMO/WC	$6.51

SNARE CFLEX MIC OVL OLY 624240

Facility

$43.43

Hospital Charge Code	270643592
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.71
Rate for Payer: Aetna Commercial	$16.50
Rate for Payer: Aetna Medicare Advantage	$13.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.07
Rate for Payer: Cigna Commercial	$21.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.03
Rate for Payer: Oxford Commercial	$8.69
Rate for Payer: Qualcare PPO/HMO/WC	$6.51
Rate for Payer: UnitedHealthcare Commercial	$8.69
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SNARE CFLX STD OVAL OLY 624040

Facility

$43.32

Hospital Charge Code	270643591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.66
Rate for Payer: Aetna Commercial	$16.46
Rate for Payer: Aetna Medicare Advantage	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.05
Rate for Payer: Cigna Commercial	$21.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.00
Rate for Payer: Oxford Commercial	$8.66
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$8.66
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

Know your out-of-pocket cost for care.

All Charges