Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH CK BALN DIL 7FR 200621

Facility

$1,382.45

Hospital Charge Code	270600990
Hospital Revenue Code	272
Min. Negotiated Rate	$33.32
Max. Negotiated Rate	$691.23
Rate for Payer: Aetna Commercial	$525.33
Rate for Payer: Aetna Medicare Advantage	$414.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.52
Rate for Payer: Cigna Commercial	$691.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.74
Rate for Payer: Oxford Commercial	$276.49
Rate for Payer: Qualcare PPO/HMO/WC	$207.37
Rate for Payer: UnitedHealthcare Commercial	$276.49
Rate for Payer: UnitedHealthcare Community & State	$33.32
Rate for Payer: Wellpoint Medicaid Managed Care	$36.63

CATH CK CBRA CST P5.03565M2SC2

Facility

$175.25

Hospital Charge Code	270601460
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.58
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

CATH CK CBRA CST P5.03565M2SC2

Facility

$175.25

Hospital Charge Code	270601460
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK CBRA P5.03565M2SC3

Facility

$175.25

Hospital Charge Code	270601459
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK CBRA P5.03565M2SC3

Facility

$175.25

Hospital Charge Code	270601459
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.58
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

CATH CK COBRA VISCERAL 214402

Facility

$88.00

Hospital Charge Code	270623305
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.40
Rate for Payer: Oxford Commercial	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$17.60
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

CATH CK COBRA VISCERAL 214402

Facility

$88.00

Hospital Charge Code	270623305
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH CK CST BPS6.53865MNS

Facility

$175.25

Hospital Charge Code	270601462
Hospital Revenue Code	272
Min. Negotiated Rate	$26.29
Max. Negotiated Rate	$26.29
Rate for Payer: Qualcare PPO/HMO/WC	$26.29

CATH CK CST BPS6.53865MNS

Facility

$175.25

Hospital Charge Code	270601462
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.62
Rate for Payer: Aetna Commercial	$66.59
Rate for Payer: Aetna Medicare Advantage	$52.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.69
Rate for Payer: Cigna Commercial	$87.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.58
Rate for Payer: Oxford Commercial	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$26.29
Rate for Payer: UnitedHealthcare Commercial	$35.05
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

CATH CK CUSTOM HIGH FLO TORQUE

Facility

$161.65

Hospital Charge Code	270601463
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

CATH CK CUSTOM HIGH FLO TORQUE

Facility

$161.65

Hospital Charge Code	270601463
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$32.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$32.33
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

CATH CK ERCP-1

Facility

$360.85

Hospital Charge Code	270600974
Hospital Revenue Code	272
Min. Negotiated Rate	$54.13
Max. Negotiated Rate	$54.13
Rate for Payer: Qualcare PPO/HMO/WC	$54.13

CATH CK ERCP-1

Facility

$360.85

Hospital Charge Code	270600974
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$180.43
Rate for Payer: Aetna Commercial	$137.12
Rate for Payer: Aetna Medicare Advantage	$108.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.02
Rate for Payer: Cigna Commercial	$180.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.25
Rate for Payer: Oxford Commercial	$72.17
Rate for Payer: Qualcare PPO/HMO/WC	$54.13
Rate for Payer: UnitedHealthcare Commercial	$72.17
Rate for Payer: UnitedHealthcare Community & State	$8.70
Rate for Payer: Wellpoint Medicaid Managed Care	$9.56

CATH CK HN5 5F 100 214202

Facility

$104.85

Hospital Charge Code	270624954
Hospital Revenue Code	272
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$15.73

CATH CK HN5 5F 100 214202

Facility

$104.85

Hospital Charge Code	270624954
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.42
Rate for Payer: Aetna Commercial	$39.84
Rate for Payer: Aetna Medicare Advantage	$31.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.74
Rate for Payer: Cigna Commercial	$52.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.45
Rate for Payer: Oxford Commercial	$20.97
Rate for Payer: Qualcare PPO/HMO/WC	$15.73
Rate for Payer: UnitedHealthcare Commercial	$20.97
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

CATH CK KUMPE ACCESS 10732701

Facility

$94.45

Hospital Charge Code	270623311
Hospital Revenue Code	272
Min. Negotiated Rate	$2.28
Max. Negotiated Rate	$47.23
Rate for Payer: Aetna Commercial	$35.89
Rate for Payer: Aetna Medicare Advantage	$28.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.08
Rate for Payer: Cigna Commercial	$47.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.34
Rate for Payer: Oxford Commercial	$18.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.17
Rate for Payer: UnitedHealthcare Commercial	$18.89
Rate for Payer: UnitedHealthcare Community & State	$2.28
Rate for Payer: Wellpoint Medicaid Managed Care	$2.50

CATH CK KUMPE ACCESS 10732701

Facility

$94.45

Hospital Charge Code	270623311
Hospital Revenue Code	272
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$14.17
Rate for Payer: Qualcare PPO/HMO/WC	$14.17

CATH CK KUMPE ACCESS 228361

Facility

$88.00

Hospital Charge Code	270623303
Hospital Revenue Code	272
Min. Negotiated Rate	$13.20
Max. Negotiated Rate	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$13.20

CATH CK KUMPE ACCESS 228361

Facility

$88.00

Hospital Charge Code	270623303
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$44.00
Rate for Payer: Aetna Commercial	$33.44
Rate for Payer: Aetna Medicare Advantage	$26.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.44
Rate for Payer: Cigna Commercial	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.40
Rate for Payer: Oxford Commercial	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$13.20
Rate for Payer: UnitedHealthcare Commercial	$17.60
Rate for Payer: UnitedHealthcare Community & State	$2.12
Rate for Payer: Wellpoint Medicaid Managed Care	$2.33

CATH CK SIZING 5 100 250684

Facility

$666.45

Hospital Charge Code	270622443
Hospital Revenue Code	272
Min. Negotiated Rate	$16.06
Max. Negotiated Rate	$333.23
Rate for Payer: Aetna Commercial	$253.25
Rate for Payer: Aetna Medicare Advantage	$199.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.94
Rate for Payer: Cigna Commercial	$333.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.94
Rate for Payer: Oxford Commercial	$133.29
Rate for Payer: Qualcare PPO/HMO/WC	$99.97
Rate for Payer: UnitedHealthcare Commercial	$133.29
Rate for Payer: UnitedHealthcare Community & State	$16.06
Rate for Payer: Wellpoint Medicaid Managed Care	$17.66

CATH CK SIZING 5 100 250684

Facility

$666.45

Hospital Charge Code	270622443
Hospital Revenue Code	272
Min. Negotiated Rate	$99.97
Max. Negotiated Rate	$99.97
Rate for Payer: Qualcare PPO/HMO/WC	$99.97

CATH CK SLIP 251316

Facility

$237.65

Hospital Charge Code	270621636
Hospital Revenue Code	272
Min. Negotiated Rate	$5.73
Max. Negotiated Rate	$118.83
Rate for Payer: Aetna Commercial	$90.31
Rate for Payer: Aetna Medicare Advantage	$71.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.60
Rate for Payer: Cigna Commercial	$118.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.30
Rate for Payer: Oxford Commercial	$47.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.65
Rate for Payer: UnitedHealthcare Commercial	$47.53
Rate for Payer: UnitedHealthcare Community & State	$5.73
Rate for Payer: Wellpoint Medicaid Managed Care	$6.30

CATH CK SLIP 251316

Facility

$237.65

Hospital Charge Code	270621636
Hospital Revenue Code	272
Min. Negotiated Rate	$35.65
Max. Negotiated Rate	$35.65
Rate for Payer: Qualcare PPO/HMO/WC	$35.65

CATH CK TORCON 5F 217671

Facility

$82.45

Hospital Charge Code	270624600
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$41.23
Rate for Payer: Aetna Commercial	$31.33
Rate for Payer: Aetna Medicare Advantage	$24.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.02
Rate for Payer: Cigna Commercial	$41.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.73
Rate for Payer: Oxford Commercial	$16.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.37
Rate for Payer: UnitedHealthcare Commercial	$16.49
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.18

CATH CK TORCON 5F 217671

Facility

$82.45

Hospital Charge Code	270624600
Hospital Revenue Code	272
Min. Negotiated Rate	$12.37
Max. Negotiated Rate	$12.37
Rate for Payer: Qualcare PPO/HMO/WC	$12.37

Know your out-of-pocket cost for care.

All Charges