Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH BALN TALON 5-4 135c 11614

Facility

$1,927.40

Hospital Charge Code	270623536V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$466.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.03
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 5-4 135c 11614

Facility

$1,909.65

Hospital Charge Code	270623536
Hospital Revenue Code	278
Min. Negotiated Rate	$46.02
Max. Negotiated Rate	$954.83
Rate for Payer: Aetna Commercial	$725.67
Rate for Payer: Aetna Medicare Advantage	$572.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.96
Rate for Payer: Cigna Commercial	$954.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$420.12
Rate for Payer: Qualcare PPO/HMO/WC	$286.45
Rate for Payer: UnitedHealthcare Community & State	$46.02
Rate for Payer: Wellpoint Medicaid Managed Care	$50.61

CATH BALN TALON 5-4 135c 11614

Facility

$1,927.40

Hospital Charge Code	270623536V
Hospital Revenue Code	278
Min. Negotiated Rate	$46.45
Max. Negotiated Rate	$963.70
Rate for Payer: Aetna Commercial	$732.41
Rate for Payer: Aetna Medicare Advantage	$578.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.49
Rate for Payer: Cigna Commercial	$963.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.03
Rate for Payer: Qualcare PPO/HMO/WC	$289.11
Rate for Payer: UnitedHealthcare Community & State	$46.45
Rate for Payer: Wellpoint Medicaid Managed Care	$51.08

CATH BALN TALON 5-4 135c 11614

Facility

$1,909.65

Hospital Charge Code	270623536
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$462.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$420.12
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 5-4 135c 11614

Facility

$2,387.00

Hospital Charge Code	270623539
Hospital Revenue Code	272
Min. Negotiated Rate	$57.53
Max. Negotiated Rate	$1,193.50
Rate for Payer: Aetna Commercial	$907.06
Rate for Payer: Aetna Medicare Advantage	$716.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$608.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$608.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$608.68
Rate for Payer: Cigna Commercial	$1,193.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.10
Rate for Payer: Oxford Commercial	$477.40
Rate for Payer: Qualcare PPO/HMO/WC	$358.05
Rate for Payer: UnitedHealthcare Commercial	$477.40
Rate for Payer: UnitedHealthcare Community & State	$57.53
Rate for Payer: Wellpoint Medicaid Managed Care	$63.26

CATH BALN TALON 5-4 135c 11614

Facility

$2,387.00

Hospital Charge Code	270623539
Hospital Revenue Code	272
Min. Negotiated Rate	$358.05
Max. Negotiated Rate	$358.05
Rate for Payer: Qualcare PPO/HMO/WC	$358.05

CATH BALN TALON 6-4 135c 11623

Facility

$1,927.40

Hospital Charge Code	270623538V
Hospital Revenue Code	278
Min. Negotiated Rate	$46.45
Max. Negotiated Rate	$963.70
Rate for Payer: Aetna Commercial	$732.41
Rate for Payer: Aetna Medicare Advantage	$578.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.49
Rate for Payer: Cigna Commercial	$963.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.03
Rate for Payer: Qualcare PPO/HMO/WC	$289.11
Rate for Payer: UnitedHealthcare Community & State	$46.45
Rate for Payer: Wellpoint Medicaid Managed Care	$51.08

CATH BALN TALON 6-4 135c 11623

Facility

$1,927.40

Hospital Charge Code	270623538V
Hospital Revenue Code	278
Min. Negotiated Rate	$289.11
Max. Negotiated Rate	$466.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$385.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$466.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$424.03
Rate for Payer: Qualcare PPO/HMO/WC	$289.11

CATH BALN TALON 6-4 135c 11623

Facility

$1,909.65

Hospital Charge Code	270623538
Hospital Revenue Code	278
Min. Negotiated Rate	$286.45
Max. Negotiated Rate	$462.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$420.12
Rate for Payer: Qualcare PPO/HMO/WC	$286.45

CATH BALN TALON 6-4 135c 11623

Facility

$1,909.65

Hospital Charge Code	270623538
Hospital Revenue Code	278
Min. Negotiated Rate	$46.02
Max. Negotiated Rate	$954.83
Rate for Payer: Aetna Commercial	$725.67
Rate for Payer: Aetna Medicare Advantage	$572.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$381.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.96
Rate for Payer: Cigna Commercial	$954.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$462.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$420.12
Rate for Payer: Qualcare PPO/HMO/WC	$286.45
Rate for Payer: UnitedHealthcare Community & State	$46.02
Rate for Payer: Wellpoint Medicaid Managed Care	$50.61

CATH BALON HIGH PRESS 6X40X80

Facility

$950.00

Service Code	HCPCS C1725
Hospital Charge Code	270658398
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

CATH BALON HIGH PRESS 6X40X80

Facility

$950.00

Service Code	HCPCS C1725
Hospital Charge Code	270658398
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

CATH BAL PO 6x60x120 P66012001

Facility

$3,000.00

Hospital Charge Code	270634519V
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

CATH BAL PO 6x60x120 P66012001

Facility

$3,000.00

Hospital Charge Code	270634519V
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

CATH BAL POL5x60 120cP56012001

Facility

$3,000.00

Hospital Charge Code	270634518V
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

CATH BAL POL5x60 120cP56012001

Facility

$2,976.00

Hospital Charge Code	270634518
Hospital Revenue Code	278
Min. Negotiated Rate	$446.40
Max. Negotiated Rate	$720.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$654.72
Rate for Payer: Qualcare PPO/HMO/WC	$446.40

CATH BAL POL5x60 120cP56012001

Facility

$3,000.00

Hospital Charge Code	270634518V
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

CATH BAL POL5x60 120cP56012001

Facility

$2,976.00

Hospital Charge Code	270634518
Hospital Revenue Code	278
Min. Negotiated Rate	$71.72
Max. Negotiated Rate	$1,488.00
Rate for Payer: Aetna Commercial	$1,130.88
Rate for Payer: Aetna Medicare Advantage	$892.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.88
Rate for Payer: Cigna Commercial	$1,488.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$654.72
Rate for Payer: Qualcare PPO/HMO/WC	$446.40
Rate for Payer: UnitedHealthcare Community & State	$71.72
Rate for Payer: Wellpoint Medicaid Managed Care	$78.86

CATH BAL SAVVY 5x100 435-500L

Facility

$1,810.45

Hospital Charge Code	270634509
Hospital Revenue Code	278
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$905.23
Rate for Payer: Aetna Commercial	$687.97
Rate for Payer: Aetna Medicare Advantage	$543.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.66
Rate for Payer: Cigna Commercial	$905.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.30
Rate for Payer: Qualcare PPO/HMO/WC	$271.57
Rate for Payer: UnitedHealthcare Community & State	$43.63
Rate for Payer: Wellpoint Medicaid Managed Care	$47.98

CATH BAL SAVVY 5x100 435-500L

Facility

$1,810.45

Hospital Charge Code	270634509
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$438.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.30
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

CATH BARTHOLIN GLAND WORD***

Facility

$62.00

Hospital Charge Code	1604602
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$31.00
Rate for Payer: Aetna Commercial	$23.56
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.81
Rate for Payer: Cigna Commercial	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Oxford Commercial	$12.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$12.40
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

CATH BARTHOLIN GLAND WORD***

Facility

$62.00

Hospital Charge Code	1604602
Hospital Revenue Code	272
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.30

CATH BB CARD ZMED 22F 611760

Facility

$3,014.45

Hospital Charge Code	270623258
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

CATH BB CARD ZMED 22F 611760

Facility

$3,014.45

Hospital Charge Code	270623258
Hospital Revenue Code	272
Min. Negotiated Rate	$72.65
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$1,145.49
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$904.34
Rate for Payer: Oxford Commercial	$602.89
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$602.89
Rate for Payer: UnitedHealthcare Community & State	$72.65
Rate for Payer: Wellpoint Medicaid Managed Care	$79.88

CATH BB CARD ZMED 28F 611810

Facility

$3,014.45

Hospital Charge Code	270623259
Hospital Revenue Code	272
Min. Negotiated Rate	$72.65
Max. Negotiated Rate	$1,507.22
Rate for Payer: Aetna Commercial	$1,145.49
Rate for Payer: Aetna Medicare Advantage	$904.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$768.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$768.68
Rate for Payer: Cigna Commercial	$1,507.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$904.34
Rate for Payer: Oxford Commercial	$602.89
Rate for Payer: Qualcare PPO/HMO/WC	$452.17
Rate for Payer: UnitedHealthcare Commercial	$602.89
Rate for Payer: UnitedHealthcare Community & State	$72.65
Rate for Payer: Wellpoint Medicaid Managed Care	$79.88

Know your out-of-pocket cost for care.

All Charges