Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRANS ARTHER BRACHI-RT

Facility

$26,293.00

Service Code	HCPCS 0237TRT
Hospital Charge Code	7411261
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERECT AORTIC

Facility

$26,293.00

Service Code	HCPCS 0236T
Hospital Charge Code	7411255
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERECT AORTIC

Facility

$26,293.00

Service Code	HCPCS 0236T
Hospital Charge Code	7411255
Hospital Revenue Code	361
Min. Negotiated Rate	$633.66
Max. Negotiated Rate	$49,506.31
Rate for Payer: Aetna Commercial	$37,304.26
Rate for Payer: Aetna Medicare Advantage	$44,435.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,506.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,714.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,506.31
Rate for Payer: Cigna Commercial	$27,491.26
Rate for Payer: Cigna Medicare Advantage	$13,714.80
Rate for Payer: Clover Medicare Advantage	$13,029.06
Rate for Payer: EmblemHealth Commercial	$41,144.40
Rate for Payer: Humana Medicare Advantage	$14,126.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,714.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,887.90
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$633.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,714.80
Rate for Payer: Wellcare Medicare Advantage	$13,714.80
Rate for Payer: Wellpoint Medicaid Managed Care	$696.76

TRANS ARTHERE ILIAC-BI

Facility

$26,293.00

Service Code	HCPCS 0238T50
Hospital Charge Code	7411263
Hospital Revenue Code	361
Min. Negotiated Rate	$633.66
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$9,991.34
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,887.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95
Rate for Payer: UnitedHealthcare Community & State	$633.66
Rate for Payer: Wellpoint Medicaid Managed Care	$696.76

TRANS ARTHERE ILIAC-BI

Facility

$26,293.00

Service Code	HCPCS 0238T50
Hospital Charge Code	7411263
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-LT

Facility

$26,293.00

Service Code	HCPCS 0238TLT
Hospital Charge Code	7411265
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE ILIAC-LT

Facility

$26,293.00

Service Code	HCPCS 0238TLT
Hospital Charge Code	7411265
Hospital Revenue Code	361
Min. Negotiated Rate	$633.66
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$9,991.34
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,887.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95
Rate for Payer: UnitedHealthcare Community & State	$633.66
Rate for Payer: Wellpoint Medicaid Managed Care	$696.76

TRANS ARTHERE ILIAC-RT

Facility

$26,293.00

Service Code	HCPCS 0238TRT
Hospital Charge Code	7411267
Hospital Revenue Code	361
Min. Negotiated Rate	$633.66
Max. Negotiated Rate	$13,146.50
Rate for Payer: Aetna Commercial	$9,991.34
Rate for Payer: Aetna Medicare Advantage	$7,887.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,704.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,704.72
Rate for Payer: Cigna Commercial	$13,146.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,887.90
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95
Rate for Payer: UnitedHealthcare Community & State	$633.66
Rate for Payer: Wellpoint Medicaid Managed Care	$696.76

TRANS ARTHERE ILIAC-RT

Facility

$26,293.00

Service Code	HCPCS 0238TRT
Hospital Charge Code	7411267
Hospital Revenue Code	361
Min. Negotiated Rate	$3,943.95
Max. Negotiated Rate	$3,943.95
Rate for Payer: Qualcare PPO/HMO/WC	$3,943.95

TRANS ARTHERE RENAL-BI

Facility

$75,737.34

Service Code	HCPCS 3722550
Hospital Charge Code	2709011
Hospital Revenue Code	361
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$37,868.67
Rate for Payer: Aetna Commercial	$28,780.19
Rate for Payer: Aetna Medicare Advantage	$22,721.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,313.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,313.02
Rate for Payer: Cigna Commercial	$37,868.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22,721.20
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60
Rate for Payer: UnitedHealthcare Community & State	$1,825.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2,007.04

TRANS ARTHERE RENAL-BI

Facility

$75,737.34

Service Code	HCPCS 3722550
Hospital Charge Code	2709011
Hospital Revenue Code	361
Min. Negotiated Rate	$11,360.60
Max. Negotiated Rate	$11,360.60
Rate for Payer: Qualcare PPO/HMO/WC	$11,360.60

TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	2709013
Hospital Revenue Code	361
Min. Negotiated Rate	$1,149.85
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$18,130.47
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76
Rate for Payer: UnitedHealthcare Community & State	$1,149.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.36

TRANS ARTHERE RENAL-LT

Facility

$47,711.75

Service Code	HCPCS 37225LT
Hospital Charge Code	2709013
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2709015
Hospital Revenue Code	361
Min. Negotiated Rate	$1,149.85
Max. Negotiated Rate	$23,855.88
Rate for Payer: Aetna Commercial	$18,130.47
Rate for Payer: Aetna Medicare Advantage	$14,313.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,166.50
Rate for Payer: Cigna Commercial	$23,855.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,313.52
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76
Rate for Payer: UnitedHealthcare Community & State	$1,149.85
Rate for Payer: Wellpoint Medicaid Managed Care	$1,264.36

TRANS ARTHERE RENAL-RT

Facility

$47,711.75

Service Code	HCPCS 37225RT
Hospital Charge Code	2709015
Hospital Revenue Code	361
Min. Negotiated Rate	$7,156.76
Max. Negotiated Rate	$7,156.76
Rate for Payer: Qualcare PPO/HMO/WC	$7,156.76

TRANS BAL ANGIOPLA PERC VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	5600050
Hospital Revenue Code	361
Min. Negotiated Rate	$529.29
Max. Negotiated Rate	$10,981.15
Rate for Payer: Aetna Commercial	$8,345.67
Rate for Payer: Aetna Medicare Advantage	$6,588.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,600.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,600.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,600.39
Rate for Payer: Cigna Commercial	$10,981.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,588.69
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34
Rate for Payer: UnitedHealthcare Community & State	$529.29
Rate for Payer: Wellpoint Medicaid Managed Care	$582.00

TRANS BAL ANGIOPLA PERC VENOUS

Facility

$21,962.30

Service Code	HCPCS 35476
Hospital Charge Code	5600050
Hospital Revenue Code	361
Min. Negotiated Rate	$3,294.34
Max. Negotiated Rate	$3,294.34
Rate for Payer: Qualcare PPO/HMO/WC	$3,294.34

TRANS BAL ANGIOPLAS PERC ARTER

Facility

$22,087.30

Service Code	HCPCS 35475
Hospital Charge Code	5600045
Hospital Revenue Code	361
Min. Negotiated Rate	$3,313.09
Max. Negotiated Rate	$3,313.09
Rate for Payer: Qualcare PPO/HMO/WC	$3,313.09

TRANS BAL ANGIOPLAS PERC ARTER

Facility

$22,087.30

Service Code	HCPCS 35475
Hospital Charge Code	5600045
Hospital Revenue Code	361
Min. Negotiated Rate	$532.30
Max. Negotiated Rate	$11,043.65
Rate for Payer: Aetna Commercial	$8,393.17
Rate for Payer: Aetna Medicare Advantage	$6,626.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,632.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,632.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,632.26
Rate for Payer: Cigna Commercial	$11,043.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,626.19
Rate for Payer: Qualcare PPO/HMO/WC	$3,313.09
Rate for Payer: UnitedHealthcare Community & State	$532.30
Rate for Payer: Wellpoint Medicaid Managed Care	$585.31

TRANSCATH CLOSURE OF ASD

Facility

$21,146.91

Service Code	HCPCS 93580
Hospital Charge Code	69008135
Hospital Revenue Code	481
Min. Negotiated Rate	$3,172.04
Max. Negotiated Rate	$3,172.04
Rate for Payer: Qualcare PPO/HMO/WC	$3,172.04

TRANSCATH CLOSURE OF ASD

Facility

$21,146.91

Service Code	HCPCS 93580
Hospital Charge Code	69008135
Hospital Revenue Code	481
Min. Negotiated Rate	$509.64
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,194.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,344.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Oxford Commercial	$10,092.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,172.04
Rate for Payer: UnitedHealthcare Commercial	$17,313.00
Rate for Payer: UnitedHealthcare Community & State	$509.64
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$560.39

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	366861624
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	366861624
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	411061624
Hospital Revenue Code	361
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

TRANSCATH OCCLUSION CNS

Facility

$61,616.39

Service Code	HCPCS 61624
Hospital Charge Code	411061624
Hospital Revenue Code	361
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$78,613.74
Rate for Payer: Aetna Commercial	$59,237.44
Rate for Payer: Aetna Medicare Advantage	$70,562.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78,613.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,778.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78,613.74
Rate for Payer: Cigna Commercial	$43,654.87
Rate for Payer: Cigna Medicare Advantage	$21,778.47
Rate for Payer: Clover Medicare Advantage	$20,689.55
Rate for Payer: EmblemHealth Commercial	$65,335.41
Rate for Payer: Humana Medicare Advantage	$22,431.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,778.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Oxford Commercial	$9,689.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$16,605.00
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,778.47
Rate for Payer: Wellcare Medicare Advantage	$21,778.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

Know your out-of-pocket cost for care.

All Charges