Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER BERN 5FR 125CM

Facility

$300.00

Service Code	HCPCS C1887
Hospital Charge Code	270700328
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

CATHETER BILLARY 10FR

Facility

$399.95

Hospital Charge Code	270651773
Hospital Revenue Code	272
Min. Negotiated Rate	$59.99
Max. Negotiated Rate	$59.99
Rate for Payer: Qualcare PPO/HMO/WC	$59.99

CATHETER BILLARY 10FR

Facility

$399.95

Hospital Charge Code	270651773
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$199.97
Rate for Payer: Aetna Commercial	$151.98
Rate for Payer: Aetna Medicare Advantage	$119.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.99
Rate for Payer: Cigna Commercial	$199.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.98
Rate for Payer: Oxford Commercial	$79.99
Rate for Payer: Qualcare PPO/HMO/WC	$59.99
Rate for Payer: UnitedHealthcare Commercial	$79.99
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

CATHETER BILLARY 8FR

Facility

$399.95

Hospital Charge Code	270654389
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$199.97
Rate for Payer: Aetna Commercial	$151.98
Rate for Payer: Aetna Medicare Advantage	$119.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.99
Rate for Payer: Cigna Commercial	$199.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.98
Rate for Payer: Oxford Commercial	$79.99
Rate for Payer: Qualcare PPO/HMO/WC	$59.99
Rate for Payer: UnitedHealthcare Commercial	$79.99
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

CATHETER BILLARY 8FR

Facility

$399.95

Hospital Charge Code	270654389
Hospital Revenue Code	272
Min. Negotiated Rate	$59.99
Max. Negotiated Rate	$59.99
Rate for Payer: Qualcare PPO/HMO/WC	$59.99

CATHETER BLACKHAWK 14X12X6D-8H

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704750
Hospital Revenue Code	278
Min. Negotiated Rate	$482.00
Max. Negotiated Rate	$10,000.00
Rate for Payer: Aetna Commercial	$7,600.00
Rate for Payer: Aetna Medicare Advantage	$6,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,100.00
Rate for Payer: Cigna Commercial	$10,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00
Rate for Payer: UnitedHealthcare Community & State	$482.00
Rate for Payer: Wellpoint Medicaid Managed Care	$530.00

CATHETER BLACKHAWK 14X12X6D-8H

Facility

$20,000.00

Service Code	HCPCS C1713
Hospital Charge Code	270704750
Hospital Revenue Code	278
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$4,840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,840.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,400.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

CATHETER BLADDER 10FR LUMAX

Facility

$2,000.00

Hospital Charge Code	270657870
Hospital Revenue Code	272
Min. Negotiated Rate	$48.20
Max. Negotiated Rate	$1,000.00
Rate for Payer: Aetna Commercial	$760.00
Rate for Payer: Aetna Medicare Advantage	$600.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.00
Rate for Payer: Cigna Commercial	$1,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$600.00
Rate for Payer: Oxford Commercial	$400.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00
Rate for Payer: UnitedHealthcare Commercial	$400.00
Rate for Payer: UnitedHealthcare Community & State	$48.20
Rate for Payer: Wellpoint Medicaid Managed Care	$53.00

CATHETER BLADDER 10FR LUMAX

Facility

$2,000.00

Hospital Charge Code	270657870
Hospital Revenue Code	272
Min. Negotiated Rate	$300.00
Max. Negotiated Rate	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.00

CATHETER BMK70MP 120BER 95CM

Facility

$4,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270690321S
Hospital Revenue Code	272
Min. Negotiated Rate	$107.85
Max. Negotiated Rate	$2,237.50
Rate for Payer: Aetna Commercial	$1,700.50
Rate for Payer: Aetna Medicare Advantage	$1,342.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,141.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,141.12
Rate for Payer: Cigna Commercial	$2,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,342.50
Rate for Payer: Oxford Commercial	$895.00
Rate for Payer: Qualcare PPO/HMO/WC	$671.25
Rate for Payer: UnitedHealthcare Commercial	$895.00
Rate for Payer: UnitedHealthcare Community & State	$107.85
Rate for Payer: Wellpoint Medicaid Managed Care	$118.59

CATHETER BMK70MP 120BER 95CM

Facility

$4,475.00

Service Code	HCPCS C1887
Hospital Charge Code	270690321S
Hospital Revenue Code	272
Min. Negotiated Rate	$671.25
Max. Negotiated Rate	$671.25
Rate for Payer: Qualcare PPO/HMO/WC	$671.25

CATHETER BONNANO 14G-18G

Facility

$273.95

Hospital Charge Code	270649749
Hospital Revenue Code	270
Min. Negotiated Rate	$6.60
Max. Negotiated Rate	$136.97
Rate for Payer: Aetna Commercial	$104.10
Rate for Payer: Aetna Medicare Advantage	$82.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.86
Rate for Payer: Cigna Commercial	$136.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.19
Rate for Payer: Oxford Commercial	$54.79
Rate for Payer: Qualcare PPO/HMO/WC	$41.09
Rate for Payer: UnitedHealthcare Commercial	$54.79
Rate for Payer: UnitedHealthcare Community & State	$6.60
Rate for Payer: Wellpoint Medicaid Managed Care	$7.26

CATHETER BONNANO 14G-18G

Facility

$273.95

Hospital Charge Code	270649749
Hospital Revenue Code	270
Min. Negotiated Rate	$41.09
Max. Negotiated Rate	$41.09
Rate for Payer: Qualcare PPO/HMO/WC	$41.09

CATHETER, BROVIAC

Facility

$449.00

Hospital Charge Code	270335415
Hospital Revenue Code	278
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$170.62
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.78
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.90

CATHETER, BROVIAC

Facility

$449.00

Hospital Charge Code	270335415
Hospital Revenue Code	278
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$108.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.78
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

CATHETER BROVIAL 6.6 SINGLE

Facility

$875.00

Hospital Charge Code	270665543
Hospital Revenue Code	278
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$211.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

CATHETER BROVIAL 6.6 SINGLE

Facility

$875.00

Hospital Charge Code	270665543
Hospital Revenue Code	278
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.50
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

CATHETER CARDIOVASCULAR VISTA

Facility

$217.50

Hospital Charge Code	270639851
Hospital Revenue Code	272
Min. Negotiated Rate	$32.62
Max. Negotiated Rate	$32.62
Rate for Payer: Qualcare PPO/HMO/WC	$32.62

CATHETER CARDIOVASCULAR VISTA

Facility

$217.50

Hospital Charge Code	270639851
Hospital Revenue Code	272
Min. Negotiated Rate	$5.24
Max. Negotiated Rate	$108.75
Rate for Payer: Aetna Commercial	$82.65
Rate for Payer: Aetna Medicare Advantage	$65.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.46
Rate for Payer: Cigna Commercial	$108.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.25
Rate for Payer: Oxford Commercial	$43.50
Rate for Payer: Qualcare PPO/HMO/WC	$32.62
Rate for Payer: UnitedHealthcare Commercial	$43.50
Rate for Payer: UnitedHealthcare Community & State	$5.24
Rate for Payer: Wellpoint Medicaid Managed Care	$5.76

Catheter Cart 24D x 30W x 79

Facility

$4,080.00

Hospital Charge Code	270665972
Hospital Revenue Code	270
Min. Negotiated Rate	$612.00
Max. Negotiated Rate	$612.00
Rate for Payer: Qualcare PPO/HMO/WC	$612.00

Catheter Cart 24D x 30W x 79

Facility

$4,080.00

Hospital Charge Code	270665972
Hospital Revenue Code	270
Min. Negotiated Rate	$98.33
Max. Negotiated Rate	$2,040.00
Rate for Payer: Aetna Commercial	$1,550.40
Rate for Payer: Aetna Medicare Advantage	$1,224.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,040.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,040.40
Rate for Payer: Cigna Commercial	$2,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,224.00
Rate for Payer: Oxford Commercial	$816.00
Rate for Payer: Qualcare PPO/HMO/WC	$612.00
Rate for Payer: UnitedHealthcare Commercial	$816.00
Rate for Payer: UnitedHealthcare Community & State	$98.33
Rate for Payer: Wellpoint Medicaid Managed Care	$108.12

CATHETER CENTEZE 5 FR 10 CM

Facility

$80.00

Hospital Charge Code	270685418
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.00
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

CATHETER CENTEZE 5 FR 10 CM

Facility

$80.00

Hospital Charge Code	270685418
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CENTEZE 5 FR 15 CM

Facility

$85.00

Hospital Charge Code	270685420
Hospital Revenue Code	272
Min. Negotiated Rate	$12.75
Max. Negotiated Rate	$12.75
Rate for Payer: Qualcare PPO/HMO/WC	$12.75

CATHETER CENTEZE 5 FR 15 CM

Facility

$85.00

Hospital Charge Code	270685420
Hospital Revenue Code	272
Min. Negotiated Rate	$2.05
Max. Negotiated Rate	$42.50
Rate for Payer: Aetna Commercial	$32.30
Rate for Payer: Aetna Medicare Advantage	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.68
Rate for Payer: Cigna Commercial	$42.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.50
Rate for Payer: Oxford Commercial	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.75
Rate for Payer: UnitedHealthcare Commercial	$17.00
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$2.25

Know your out-of-pocket cost for care.

All Charges