Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH COBRA1 5F 65CM 0.38IN

Facility

$90.00

Hospital Charge Code	270678510
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

CATH COBRA1 5F 65CM 0.38IN

Facility

$90.00

Hospital Charge Code	270678510
Hospital Revenue Code	272
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) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

CATH COBRA 5FR 65cm

Facility

$317.50

Hospital Charge Code	270638835
Hospital Revenue Code	272
Min. Negotiated Rate	$47.62
Max. Negotiated Rate	$47.62
Rate for Payer: Qualcare PPO/HMO/WC	$47.62

CATH COBRA 5FR 65cm

Facility

$317.50

Hospital Charge Code	270638835
Hospital Revenue Code	272
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) PPO	$80.96
Rate for Payer: Cigna Commercial	$158.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.25
Rate for Payer: Oxford Commercial	$63.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.62
Rate for Payer: UnitedHealthcare Commercial	$63.50
Rate for Payer: UnitedHealthcare Community & State	$7.65
Rate for Payer: Wellpoint Medicaid Managed Care	$8.41

CATH COBRAI 5F 035x65 10719701

Facility

$515.90

Hospital Charge Code	270634929
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$257.95
Rate for Payer: Aetna Commercial	$196.04
Rate for Payer: Aetna Medicare Advantage	$154.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.55
Rate for Payer: Cigna Commercial	$257.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.77
Rate for Payer: Oxford Commercial	$103.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.39
Rate for Payer: UnitedHealthcare Commercial	$103.18
Rate for Payer: UnitedHealthcare Community & State	$12.43
Rate for Payer: Wellpoint Medicaid Managed Care	$13.67

CATH COBRAI 5F 035x65 10719701

Facility

$515.90

Hospital Charge Code	270634929
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

CATH COCIL TIP 22F 5 220196L22

Facility

$61.76

Hospital Charge Code	270633136
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$30.88
Rate for Payer: Aetna Commercial	$23.47
Rate for Payer: Aetna Medicare Advantage	$18.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.75
Rate for Payer: Cigna Commercial	$30.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.53
Rate for Payer: Oxford Commercial	$12.35
Rate for Payer: Qualcare PPO/HMO/WC	$9.26
Rate for Payer: UnitedHealthcare Commercial	$12.35
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

CATH COCIL TIP 22F 5 220196L22

Facility

$61.76

Hospital Charge Code	270633136
Hospital Revenue Code	272
Min. Negotiated Rate	$9.26
Max. Negotiated Rate	$9.26
Rate for Payer: Qualcare PPO/HMO/WC	$9.26

CATH CONT IRR 30CC 18FR

Facility

$125.00

Hospital Charge Code	270331013
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

CATH CONT IRR 30CC 18FR

Facility

$125.00

Hospital Charge Code	270331013
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

CATH COUDE 2W 12FR 5CC

Facility

$52.77

Hospital Charge Code	270303245
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.39
Rate for Payer: Aetna Commercial	$20.05
Rate for Payer: Aetna Medicare Advantage	$15.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.46
Rate for Payer: Cigna Commercial	$26.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.83
Rate for Payer: Oxford Commercial	$10.55
Rate for Payer: Qualcare PPO/HMO/WC	$7.92
Rate for Payer: UnitedHealthcare Commercial	$10.55
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

CATH COUDE 2W 12FR 5CC

Facility

$52.77

Hospital Charge Code	270303245
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$7.92

CATH COUDE 2W 14FR 30CC

Facility

$48.33

Hospital Charge Code	270303250
Hospital Revenue Code	272
Min. Negotiated Rate	$7.25
Max. Negotiated Rate	$7.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.25

CATH COUDE 2W 14FR 30CC

Facility

$48.33

Hospital Charge Code	270303250
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.16
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.32
Rate for Payer: Cigna Commercial	$24.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.50
Rate for Payer: Oxford Commercial	$9.67
Rate for Payer: Qualcare PPO/HMO/WC	$7.25
Rate for Payer: UnitedHealthcare Commercial	$9.67
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

CATH COUDE 2W 14FR 5CC

Facility

$43.57

Hospital Charge Code	270303285
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.79
Rate for Payer: Aetna Commercial	$16.56
Rate for Payer: Aetna Medicare Advantage	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Oxford Commercial	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.71
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

CATH COUDE 2W 14FR 5CC

Facility

$43.57

Hospital Charge Code	270303285
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

CATH COUDE 2W 16FR 30CC

Facility

$48.33

Hospital Charge Code	270303255
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.16
Rate for Payer: Aetna Commercial	$18.37
Rate for Payer: Aetna Medicare Advantage	$14.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.32
Rate for Payer: Cigna Commercial	$24.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.50
Rate for Payer: Oxford Commercial	$9.67
Rate for Payer: Qualcare PPO/HMO/WC	$7.25
Rate for Payer: UnitedHealthcare Commercial	$9.67
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

CATH COUDE 2W 16FR 30CC

Facility

$48.33

Hospital Charge Code	270303255
Hospital Revenue Code	272
Min. Negotiated Rate	$7.25
Max. Negotiated Rate	$7.25
Rate for Payer: Qualcare PPO/HMO/WC	$7.25

CATH COUDE 2W 16FR 5CC

Facility

$43.57

Hospital Charge Code	270303290
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

CATH COUDE 2W 16FR 5CC

Facility

$43.57

Hospital Charge Code	270303290
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.79
Rate for Payer: Aetna Commercial	$16.56
Rate for Payer: Aetna Medicare Advantage	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Oxford Commercial	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.71
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

CATH COUDE 2W 18FR 30CC

Facility

$47.41

Hospital Charge Code	270303260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.70
Rate for Payer: Aetna Commercial	$18.02
Rate for Payer: Aetna Medicare Advantage	$14.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.09
Rate for Payer: Cigna Commercial	$23.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.22
Rate for Payer: Oxford Commercial	$9.48
Rate for Payer: Qualcare PPO/HMO/WC	$7.11
Rate for Payer: UnitedHealthcare Commercial	$9.48
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.26

CATH COUDE 2W 18FR 30CC

Facility

$47.41

Hospital Charge Code	270303260
Hospital Revenue Code	272
Min. Negotiated Rate	$7.11
Max. Negotiated Rate	$7.11
Rate for Payer: Qualcare PPO/HMO/WC	$7.11

CATH COUDE 2W 18FR 5CC

Facility

$43.57

Hospital Charge Code	270303295
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$6.54
Rate for Payer: Qualcare PPO/HMO/WC	$6.54

CATH COUDE 2W 18FR 5CC

Facility

$43.57

Hospital Charge Code	270303295
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.79
Rate for Payer: Aetna Commercial	$16.56
Rate for Payer: Aetna Medicare Advantage	$13.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.07
Rate for Payer: Oxford Commercial	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.54
Rate for Payer: UnitedHealthcare Commercial	$8.71
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

CATH COUDE 2W 20FR 30CC

Facility

$48.80

Hospital Charge Code	270303265
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$24.40
Rate for Payer: Aetna Commercial	$18.54
Rate for Payer: Aetna Medicare Advantage	$14.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.44
Rate for Payer: Cigna Commercial	$24.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.64
Rate for Payer: Oxford Commercial	$9.76
Rate for Payer: Qualcare PPO/HMO/WC	$7.32
Rate for Payer: UnitedHealthcare Commercial	$9.76
Rate for Payer: UnitedHealthcare Community & State	$1.18
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

Know your out-of-pocket cost for care.

All Charges