Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH BB CARD ZMED 28F 611810

Facility

$3,014.45

Hospital Charge Code	270623259
Hospital Revenue Code	272
Min. Negotiated Rate	$452.17
Max. Negotiated Rate	$452.17
Rate for Payer: Qualcare PPO/HMO/WC	$452.17

CATH BD COUNCIL 2W 18F 0196L18

Facility

$62.05

Hospital Charge Code	270626856
Hospital Revenue Code	272
Min. Negotiated Rate	$9.31
Max. Negotiated Rate	$9.31
Rate for Payer: Qualcare PPO/HMO/WC	$9.31

CATH BD COUNCIL 2W 18F 0196L18

Facility

$62.05

Hospital Charge Code	270626856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$31.02
Rate for Payer: Aetna Commercial	$23.58
Rate for Payer: Aetna Medicare Advantage	$18.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.82
Rate for Payer: Cigna Commercial	$31.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.61
Rate for Payer: Oxford Commercial	$12.41
Rate for Payer: Qualcare PPO/HMO/WC	$9.31
Rate for Payer: UnitedHealthcare Commercial	$12.41
Rate for Payer: UnitedHealthcare Community & State	$1.50
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

CATH BD LATEX 16 5CC 160196L16

Facility

$11.25

Hospital Charge Code	270616037
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

CATH BD LATEX 16 5CC 160196L16

Facility

$11.25

Hospital Charge Code	270616037
Hospital Revenue Code	272
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

CATH BD STONE REMOVL 7.5F 646

Facility

$923.25

Hospital Charge Code	270609567
Hospital Revenue Code	272
Min. Negotiated Rate	$138.49
Max. Negotiated Rate	$138.49
Rate for Payer: Qualcare PPO/HMO/WC	$138.49

CATH BD STONE REMOVL 7.5F 646

Facility

$923.25

Hospital Charge Code	270609567
Hospital Revenue Code	272
Min. Negotiated Rate	$22.25
Max. Negotiated Rate	$461.62
Rate for Payer: Aetna Commercial	$350.83
Rate for Payer: Aetna Medicare Advantage	$276.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.43
Rate for Payer: Cigna Commercial	$461.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.98
Rate for Payer: Oxford Commercial	$184.65
Rate for Payer: Qualcare PPO/HMO/WC	$138.49
Rate for Payer: UnitedHealthcare Commercial	$184.65
Rate for Payer: UnitedHealthcare Community & State	$22.25
Rate for Payer: Wellpoint Medicaid Managed Care	$24.47

CATH BERENSTEIN 4FR .035 100CM

Facility

$90.00

Service Code	HCPCS C1887
Hospital Charge Code	270647405
Hospital Revenue Code	278
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

CATH BERENSTEIN 4FR .035 100CM

Facility

$90.00

Service Code	HCPCS C1887
Hospital Charge Code	270647405
Hospital Revenue Code	278
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$21.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CATH BERENSTEIN 5FR .038 65CM

Facility

$152.00

Hospital Charge Code	270647404
Hospital Revenue Code	278
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$36.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.44
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

CATH BERENSTEIN 5FR .038 65CM

Facility

$152.00

Hospital Charge Code	270647404
Hospital Revenue Code	278
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.44
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Community & State	$3.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

CATH BERENSTEIN MARINER 100cm

Facility

$317.50

Hospital Charge Code	270638836
Hospital Revenue Code	278
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$76.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

CATH BERENSTEIN MARINER 100cm

Facility

$317.50

Hospital Charge Code	270638836
Hospital Revenue Code	278
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$158.75
Rate for Payer: Aetna Commercial	$120.65
Rate for Payer: Aetna Medicare Advantage	$95.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$63.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.96
Rate for Payer: Cigna Commercial	$158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$69.85
Rate for Payer: Qualcare PPO/HMO/WC	$47.62
Rate for Payer: UnitedHealthcare Community & State	$7.65
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

CATH BERENSTEIN MARINER 65cm

Facility

$368.00

Hospital Charge Code	270638837
Hospital Revenue Code	278
Min. Negotiated Rate	$8.87
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$139.84
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$80.96
Rate for Payer: Qualcare PPO/HMO/WC	$55.20
Rate for Payer: UnitedHealthcare Community & State	$8.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.75

CATH BERENSTEIN MARINER 65cm

Facility

$368.00

Hospital Charge Code	270638837
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$89.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$80.96
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATH BERENSTEIN TEMPO 5FR100CM

Facility

$74.75

Service Code	HCPCS C1887
Hospital Charge Code	270623709
Hospital Revenue Code	278
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$18.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

CATH BERENSTEIN TEMPO 5FR100CM

Facility

$74.75

Service Code	HCPCS C1887
Hospital Charge Code	270623709
Hospital Revenue Code	278
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$37.38
Rate for Payer: Aetna Commercial	$28.41
Rate for Payer: Aetna Medicare Advantage	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.06
Rate for Payer: Cigna Commercial	$37.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

CATH BERN IMPRESS 5FX100CM

Facility

$300.00

Service Code	HCPCS C1887
Hospital Charge Code	270700330S
Hospital Revenue Code	278
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

CATH BERN IMPRESS 5FX100CM

Facility

$300.00

Service Code	HCPCS C1887
Hospital Charge Code	270700330S
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

CATH BIOFLO 15FR 55CM SNGL VLV

Facility

$2,050.00

Hospital Charge Code	270677954
Hospital Revenue Code	272
Min. Negotiated Rate	$307.50
Max. Negotiated Rate	$307.50
Rate for Payer: Qualcare PPO/HMO/WC	$307.50

CATH BIOFLO 15FR 55CM SNGL VLV

Facility

$2,050.00

Hospital Charge Code	270677954
Hospital Revenue Code	272
Min. Negotiated Rate	$49.41
Max. Negotiated Rate	$1,025.00
Rate for Payer: Aetna Commercial	$779.00
Rate for Payer: Aetna Medicare Advantage	$615.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$522.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$522.75
Rate for Payer: Cigna Commercial	$1,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.00
Rate for Payer: Oxford Commercial	$410.00
Rate for Payer: Qualcare PPO/HMO/WC	$307.50
Rate for Payer: UnitedHealthcare Commercial	$410.00
Rate for Payer: UnitedHealthcare Community & State	$49.41
Rate for Payer: Wellpoint Medicaid Managed Care	$54.33

CATH BIOFLO PICC 5FR DUAL 70CM

Facility

$450.00

Service Code	HCPCS C1769
Hospital Charge Code	270676708
Hospital Revenue Code	272
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

CATH BIOFLO PICC 5FR DUAL 70CM

Facility

$450.00

Service Code	HCPCS C1769
Hospital Charge Code	270676708
Hospital Revenue Code	272
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$225.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.00
Rate for Payer: Oxford Commercial	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$90.00
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

CATH BIOFLO PICC DUAL 145cm

Facility

$600.00

Service Code	HCPCS C1751
Hospital Charge Code	270673435
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

CATH BIOFLO PICC DUAL 145cm

Facility

$600.00

Service Code	HCPCS C1751
Hospital Charge Code	270673435
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

Know your out-of-pocket cost for care.

All Charges