Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER 6FR PIGTAIL STRAIGHT

Facility

$37.35

Hospital Charge Code	270658044S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$18.68
Rate for Payer: Aetna Commercial	$14.19
Rate for Payer: Aetna Medicare Advantage	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.52
Rate for Payer: Cigna Commercial	$18.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.21
Rate for Payer: Oxford Commercial	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$5.60
Rate for Payer: UnitedHealthcare Commercial	$7.47
Rate for Payer: UnitedHealthcare Community & State	$0.90
Rate for Payer: Wellpoint Medicaid Managed Care	$0.99

CATHETER 6FR PWR PLUS PPLUS120

Facility

$12,000.00

Hospital Charge Code	270646608C
Hospital Revenue Code	278
Min. Negotiated Rate	$1,800.00
Max. Negotiated Rate	$2,904.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00

CATHETER 6FR PWR PLUS PPLUS120

Facility

$12,000.00

Hospital Charge Code	270646608C
Hospital Revenue Code	278
Min. Negotiated Rate	$289.20
Max. Negotiated Rate	$6,000.00
Rate for Payer: Aetna Commercial	$4,560.00
Rate for Payer: Aetna Medicare Advantage	$3,600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,060.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,060.00
Rate for Payer: Cigna Commercial	$6,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,904.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,640.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,800.00
Rate for Payer: UnitedHealthcare Community & State	$289.20
Rate for Payer: Wellpoint Medicaid Managed Care	$318.00

CATHETER 6FR TIG 100CM

Facility

$225.00

Hospital Charge Code	270643104
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATHETER 6FR TIG 100CM

Facility

$225.00

Hospital Charge Code	270643104S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.42
Max. Negotiated Rate	$112.50
Rate for Payer: Aetna Commercial	$85.50
Rate for Payer: Aetna Medicare Advantage	$67.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.38
Rate for Payer: Cigna Commercial	$112.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.50
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.75
Rate for Payer: UnitedHealthcare Commercial	$45.00
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$5.96

CATHETER 6FR TIG 100CM

Facility

$225.00

Hospital Charge Code	270643104
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATHETER 6FR TIG 100CM

Facility

$275.00

Hospital Charge Code	270643104N
Hospital Revenue Code	272
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

CATHETER 6FR TIG 100CM

Facility

$275.00

Hospital Charge Code	270643104N
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

CATHETER 6FR TIG 100CM

Facility

$225.00

Hospital Charge Code	270643104S
Hospital Revenue Code	272
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER 7.5FR 40 CC FIBER

Facility

$5,227.25

Hospital Charge Code	270682409
Hospital Revenue Code	272
Min. Negotiated Rate	$125.98
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,986.36
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,568.17
Rate for Payer: Oxford Commercial	$1,045.45
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$1,045.45
Rate for Payer: UnitedHealthcare Community & State	$125.98
Rate for Payer: Wellpoint Medicaid Managed Care	$138.52

CATHETER 7FR AL1 527-740

Facility

$52.15

Hospital Charge Code	270618296
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$26.07
Rate for Payer: Aetna Commercial	$19.82
Rate for Payer: Aetna Medicare Advantage	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.30
Rate for Payer: Cigna Commercial	$26.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.64
Rate for Payer: Oxford Commercial	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$10.43
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CATHETER 7FR AL1 527-740

Facility

$52.15

Hospital Charge Code	270618296
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

CATHETER 7FR JL5.0 SH 78800900

Facility

$280.00

Hospital Charge Code	270662300
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

CATHETER 7FR JL5.0 SH 78800900

Facility

$280.00

Hospital Charge Code	270662300
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

CATHETER 7FR XB 3-1 INTERVENTN

Facility

$220.00

Service Code	HCPCS C1751
Hospital Charge Code	270658029
Hospital Revenue Code	278
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$784.09
Max. Negotiated Rate	$784.09
Rate for Payer: Qualcare PPO/HMO/WC	$784.09

CATHETER 8 F 50CC IAB FIBER

Facility

$5,227.25

Hospital Charge Code	270682408
Hospital Revenue Code	272
Min. Negotiated Rate	$125.98
Max. Negotiated Rate	$2,613.62
Rate for Payer: Aetna Commercial	$1,986.36
Rate for Payer: Aetna Medicare Advantage	$1,568.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,332.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,332.95
Rate for Payer: Cigna Commercial	$2,613.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,568.17
Rate for Payer: Oxford Commercial	$1,045.45
Rate for Payer: Qualcare PPO/HMO/WC	$784.09
Rate for Payer: UnitedHealthcare Commercial	$1,045.45
Rate for Payer: UnitedHealthcare Community & State	$125.98
Rate for Payer: Wellpoint Medicaid Managed Care	$138.52

CATHETER 8FR. FLEXIMA NEPHROST

Facility

$359.45

Hospital Charge Code	2706000659
Hospital Revenue Code	272
Min. Negotiated Rate	$8.66
Max. Negotiated Rate	$179.72
Rate for Payer: Aetna Commercial	$136.59
Rate for Payer: Aetna Medicare Advantage	$107.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.66
Rate for Payer: Cigna Commercial	$179.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$107.83
Rate for Payer: Oxford Commercial	$71.89
Rate for Payer: Qualcare PPO/HMO/WC	$53.92
Rate for Payer: UnitedHealthcare Commercial	$71.89
Rate for Payer: UnitedHealthcare Community & State	$8.66
Rate for Payer: Wellpoint Medicaid Managed Care	$9.53

CATHETER 8FR. FLEXIMA NEPHROST

Facility

$359.45

Hospital Charge Code	2706000659
Hospital Revenue Code	272
Min. Negotiated Rate	$53.92
Max. Negotiated Rate	$53.92
Rate for Payer: Qualcare PPO/HMO/WC	$53.92

CATHETER ABDOMINAL 10FR LUMAX

Facility

$1,927.00

Hospital Charge Code	270657869
Hospital Revenue Code	272
Min. Negotiated Rate	$46.44
Max. Negotiated Rate	$963.50
Rate for Payer: Aetna Commercial	$732.26
Rate for Payer: Aetna Medicare Advantage	$578.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.38
Rate for Payer: Cigna Commercial	$963.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.10
Rate for Payer: Oxford Commercial	$385.40
Rate for Payer: Qualcare PPO/HMO/WC	$289.05
Rate for Payer: UnitedHealthcare Commercial	$385.40
Rate for Payer: UnitedHealthcare Community & State	$46.44
Rate for Payer: Wellpoint Medicaid Managed Care	$51.07

CATHETER ABDOMINAL 10FR LUMAX

Facility

$1,927.00

Hospital Charge Code	270657869
Hospital Revenue Code	272
Min. Negotiated Rate	$289.05
Max. Negotiated Rate	$289.05
Rate for Payer: Qualcare PPO/HMO/WC	$289.05

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$70.50
Max. Negotiated Rate	$70.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.50

CATHETER,AC-CIRC.C KIT19CM-13

Facility

$470.00

Hospital Charge Code	270335404
Hospital Revenue Code	272
Min. Negotiated Rate	$11.33
Max. Negotiated Rate	$235.00
Rate for Payer: Aetna Commercial	$178.60
Rate for Payer: Aetna Medicare Advantage	$141.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.85
Rate for Payer: Cigna Commercial	$235.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.00
Rate for Payer: Oxford Commercial	$94.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.50
Rate for Payer: UnitedHealthcare Commercial	$94.00
Rate for Payer: UnitedHealthcare Community & State	$11.33
Rate for Payer: Wellpoint Medicaid Managed Care	$12.46

Know your out-of-pocket cost for care.

All Charges