Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC CATHETERIZATION****

Facility

$5,130.00

Service Code	HCPCS 99999
Hospital Charge Code	5100011
Hospital Revenue Code	481
Min. Negotiated Rate	$123.63
Max. Negotiated Rate	$6,600.00
Rate for Payer: Aetna Commercial	$1,949.40
Rate for Payer: Aetna Medicare Advantage	$1,539.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,308.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,308.15
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	$1,308.15
Rate for Payer: Cigna Commercial	$2,565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,539.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$769.50
Rate for Payer: UnitedHealthcare Community & State	$123.63
Rate for Payer: Wellpoint Medicaid Managed Care	$135.94

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$11,505.74

Service Code	APR-DRG 1911
Min. Negotiated Rate	$11,280.14
Max. Negotiated Rate	$11,505.74
Rate for Payer: UnitedHealthcare Community & State	$11,280.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,505.74
Rate for Payer: Wellpoint Medicaid Managed Care	$11,280.14

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$28,826.81

Service Code	APR-DRG 1914
Min. Negotiated Rate	$28,261.58
Max. Negotiated Rate	$28,826.81
Rate for Payer: UnitedHealthcare Community & State	$28,261.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,826.81
Rate for Payer: Wellpoint Medicaid Managed Care	$28,261.58

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$13,395.26

Service Code	APR-DRG 1912
Min. Negotiated Rate	$13,132.61
Max. Negotiated Rate	$13,395.26
Rate for Payer: UnitedHealthcare Community & State	$13,132.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,395.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13,132.61

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$17,436.03

Service Code	APR-DRG 1913
Min. Negotiated Rate	$17,094.15
Max. Negotiated Rate	$17,436.03
Rate for Payer: UnitedHealthcare Community & State	$17,094.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,436.03
Rate for Payer: Wellpoint Medicaid Managed Care	$17,094.15

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$37,351.43

Service Code	APR-DRG 1924
Min. Negotiated Rate	$36,619.05
Max. Negotiated Rate	$37,351.43
Rate for Payer: UnitedHealthcare Community & State	$36,619.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,351.43
Rate for Payer: Wellpoint Medicaid Managed Care	$36,619.05

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$15,211.98

Service Code	APR-DRG 1922
Min. Negotiated Rate	$14,913.71
Max. Negotiated Rate	$15,211.98
Rate for Payer: UnitedHealthcare Community & State	$14,913.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,211.98
Rate for Payer: Wellpoint Medicaid Managed Care	$14,913.71

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$21,532.99

Service Code	APR-DRG 1923
Min. Negotiated Rate	$21,110.77
Max. Negotiated Rate	$21,532.99
Rate for Payer: UnitedHealthcare Community & State	$21,110.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,532.99
Rate for Payer: Wellpoint Medicaid Managed Care	$21,110.77

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$12,279.36

Service Code	APR-DRG 1921
Min. Negotiated Rate	$12,038.59
Max. Negotiated Rate	$12,279.36
Rate for Payer: UnitedHealthcare Community & State	$12,038.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,279.36
Rate for Payer: Wellpoint Medicaid Managed Care	$12,038.59

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	5100777
Hospital Revenue Code	300
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.40
Rate for Payer: Aetna Medicare Advantage	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.71
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Medicare Advantage	$9.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	5100777
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	74110078
Hospital Revenue Code	300
Min. Negotiated Rate	$3.94
Max. Negotiated Rate	$3.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.94

CARDIAC CATH VENIPUNCTURE

Facility

$26.25

Service Code	HCPCS 36415
Hospital Charge Code	74110078
Hospital Revenue Code	300
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.40
Rate for Payer: Aetna Medicare Advantage	$30.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.71
Rate for Payer: Cigna Commercial	$13.12
Rate for Payer: Cigna Medicare Advantage	$9.34
Rate for Payer: Clover Medicare Advantage	$8.87
Rate for Payer: EmblemHealth Commercial	$28.02
Rate for Payer: Humana Medicare Advantage	$9.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.88
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$3.94
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.34
Rate for Payer: Wellcare Medicare Advantage	$9.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$53,066.52

Service Code	MSDRG 306
Min. Negotiated Rate	$16,158.08
Max. Negotiated Rate	$53,066.52
Rate for Payer: Aetna Commercial	$36,720.08
Rate for Payer: Aetna Medicare Advantage	$53,066.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,008.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,821.94
Rate for Payer: Cigna Commercial	$29,489.52
Rate for Payer: Cigna Medicare Advantage	$17,008.50
Rate for Payer: Clover Medicare Advantage	$16,158.08
Rate for Payer: EmblemHealth Commercial	$51,025.50
Rate for Payer: Humana Medicare Advantage	$17,518.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,008.50
Rate for Payer: Oxford Commercial	$21,194.51
Rate for Payer: UnitedHealthcare Commercial	$37,165.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,008.50
Rate for Payer: Wellcare Medicare Advantage	$17,008.50

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$31,650.22

Service Code	MSDRG 307
Min. Negotiated Rate	$9,637.08
Max. Negotiated Rate	$31,650.22
Rate for Payer: Aetna Commercial	$22,004.61
Rate for Payer: Aetna Medicare Advantage	$31,650.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,144.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,865.34
Rate for Payer: Cigna Commercial	$17,089.62
Rate for Payer: Cigna Medicare Advantage	$10,144.30
Rate for Payer: Clover Medicare Advantage	$9,637.08
Rate for Payer: EmblemHealth Commercial	$30,432.90
Rate for Payer: Humana Medicare Advantage	$10,448.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,144.30
Rate for Payer: Oxford Commercial	$12,282.54
Rate for Payer: UnitedHealthcare Commercial	$21,537.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,144.30
Rate for Payer: Wellcare Medicare Advantage	$10,144.30

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$232,600.40

Service Code	MSDRG 275
Min. Negotiated Rate	$70,823.84
Max. Negotiated Rate	$232,600.40
Rate for Payer: Aetna Commercial	$160,080.30
Rate for Payer: Aetna Medicare Advantage	$232,600.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$74,551.41
Rate for Payer: Cigna Commercial	$133,438.31
Rate for Payer: Cigna Medicare Advantage	$74,551.41
Rate for Payer: Clover Medicare Advantage	$70,823.84
Rate for Payer: EmblemHealth Commercial	$223,654.23
Rate for Payer: Humana Medicare Advantage	$76,787.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$74,551.41
Rate for Payer: Oxford Commercial	$95,903.88
Rate for Payer: UnitedHealthcare Commercial	$168,170.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$74,551.41
Rate for Payer: Wellcare Medicare Advantage	$74,551.41

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$196,277.30

Service Code	MSDRG 276
Min. Negotiated Rate	$59,763.92
Max. Negotiated Rate	$196,277.30
Rate for Payer: Aetna Commercial	$135,122.20
Rate for Payer: Aetna Medicare Advantage	$196,277.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$62,909.39
Rate for Payer: Cigna Commercial	$112,407.51
Rate for Payer: Cigna Medicare Advantage	$62,909.39
Rate for Payer: Clover Medicare Advantage	$59,763.92
Rate for Payer: EmblemHealth Commercial	$188,728.17
Rate for Payer: Humana Medicare Advantage	$64,796.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$62,909.39
Rate for Payer: Oxford Commercial	$80,788.77
Rate for Payer: UnitedHealthcare Commercial	$141,665.66
Rate for Payer: UnitedHealthcare Medicare Advantage	$62,909.39
Rate for Payer: Wellcare Medicare Advantage	$62,909.39

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$151,411.63

Service Code	MSDRG 277
Min. Negotiated Rate	$46,102.90
Max. Negotiated Rate	$151,411.63
Rate for Payer: Aetna Commercial	$104,294.36
Rate for Payer: Aetna Medicare Advantage	$151,411.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$48,529.37
Rate for Payer: Cigna Commercial	$86,430.61
Rate for Payer: Cigna Medicare Advantage	$48,529.37
Rate for Payer: Clover Medicare Advantage	$46,102.90
Rate for Payer: EmblemHealth Commercial	$145,588.11
Rate for Payer: Humana Medicare Advantage	$49,985.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$48,529.37
Rate for Payer: Oxford Commercial	$62,118.82
Rate for Payer: UnitedHealthcare Commercial	$108,927.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$48,529.37
Rate for Payer: Wellcare Medicare Advantage	$48,529.37

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$105.32
Max. Negotiated Rate	$6,600.00
Rate for Payer: Aetna Commercial	$1,660.60
Rate for Payer: Aetna Medicare Advantage	$1,311.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,114.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,114.35
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	$1,114.35
Rate for Payer: Cigna Commercial	$2,185.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,311.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$655.50
Rate for Payer: UnitedHealthcare Community & State	$105.32
Rate for Payer: Wellpoint Medicaid Managed Care	$115.81

CARDIAC LITHOTRIPSY

Facility

$4,370.00

Service Code	HCPCS 92972
Hospital Charge Code	411093602
Hospital Revenue Code	481
Min. Negotiated Rate	$655.50
Max. Negotiated Rate	$655.50
Rate for Payer: Qualcare PPO/HMO/WC	$655.50

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$3,750.00
Max. Negotiated Rate	$6,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837
Hospital Revenue Code	278
Min. Negotiated Rate	$602.50
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$9,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00
Rate for Payer: UnitedHealthcare Community & State	$602.50
Rate for Payer: Wellpoint Medicaid Managed Care	$662.50

CARDIAC MONITOR ICM

Facility

$25,000.00

Service Code	HCPCS C1764
Hospital Charge Code	270684837N
Hospital Revenue Code	278
Min. Negotiated Rate	$602.50
Max. Negotiated Rate	$12,500.00
Rate for Payer: Aetna Commercial	$9,500.00
Rate for Payer: Aetna Medicare Advantage	$7,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,375.00
Rate for Payer: Cigna Commercial	$12,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,050.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,750.00
Rate for Payer: UnitedHealthcare Community & State	$602.50
Rate for Payer: Wellpoint Medicaid Managed Care	$662.50

CARDIAC MONITOR IMPLANTABLE

Facility

$21,850.00

Hospital Charge Code	270663950
Hospital Revenue Code	278
Min. Negotiated Rate	$3,277.50
Max. Negotiated Rate	$5,287.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,370.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,287.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,807.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.50

Know your out-of-pocket cost for care.

All Charges