Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$12.26
Max. Negotiated Rate	$254.40
Rate for Payer: Aetna Commercial	$193.34
Rate for Payer: Aetna Medicare Advantage	$152.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.74
Rate for Payer: Cigna Commercial	$254.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.32
Rate for Payer: UnitedHealthcare Community & State	$12.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.48

CATHETER CONNECTOR ST S.STEEL

Facility

$508.80

Hospital Charge Code	270679735
Hospital Revenue Code	278
Min. Negotiated Rate	$76.32
Max. Negotiated Rate	$123.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.94
Rate for Payer: Qualcare PPO/HMO/WC	$76.32

CATHETER CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

CATHETER CONTINUOUS IRRIGATION

Facility

$80.00

Hospital Charge Code	270331113
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 CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
Hospital Revenue Code	272
Min. Negotiated Rate	$8.37
Max. Negotiated Rate	$8.37
Rate for Payer: Qualcare PPO/HMO/WC	$8.37

CATHETER CONTRA FLUSH 65CM

Facility

$55.82

Hospital Charge Code	270663945
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$27.91
Rate for Payer: Aetna Commercial	$21.21
Rate for Payer: Aetna Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.23
Rate for Payer: Cigna Commercial	$27.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.75
Rate for Payer: Oxford Commercial	$11.16
Rate for Payer: Qualcare PPO/HMO/WC	$8.37
Rate for Payer: UnitedHealthcare Commercial	$11.16
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

CATHETER COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$37.65
Max. Negotiated Rate	$37.65
Rate for Payer: Qualcare PPO/HMO/WC	$37.65

CATHETER COUDE 16FR 30CC

Facility

$251.00

Hospital Charge Code	270332042
Hospital Revenue Code	272
Min. Negotiated Rate	$6.05
Max. Negotiated Rate	$125.50
Rate for Payer: Aetna Commercial	$95.38
Rate for Payer: Aetna Medicare Advantage	$75.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.00
Rate for Payer: Cigna Commercial	$125.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.30
Rate for Payer: Oxford Commercial	$50.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.65
Rate for Payer: UnitedHealthcare Commercial	$50.20
Rate for Payer: UnitedHealthcare Community & State	$6.05
Rate for Payer: Wellpoint Medicaid Managed Care	$6.65

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CATHETER COUNCIL MODEL 12FR

Facility

$118.00

Hospital Charge Code	270331064
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$44.84
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.40
Rate for Payer: Oxford Commercial	$23.60
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$23.60
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.13

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$224.03
Max. Negotiated Rate	$361.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.57
Rate for Payer: Qualcare PPO/HMO/WC	$224.03

CATHETER COYOTE ES 3X40X145CM

Facility

$1,493.50

Service Code	HCPCS C1725
Hospital Charge Code	270669598
Hospital Revenue Code	278
Min. Negotiated Rate	$35.99
Max. Negotiated Rate	$746.75
Rate for Payer: Aetna Commercial	$567.53
Rate for Payer: Aetna Medicare Advantage	$448.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$380.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$298.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$380.84
Rate for Payer: Cigna Commercial	$746.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$361.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$328.57
Rate for Payer: Qualcare PPO/HMO/WC	$224.03
Rate for Payer: UnitedHealthcare Community & State	$35.99
Rate for Payer: Wellpoint Medicaid Managed Care	$39.58

CATHETER CRAGG-MCNAMARA

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRAGG-MCNAMARA

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270657466N
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

CATHETER CRAGG-MCNAMARA

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463
Hospital Revenue Code	278
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

CATHETER CRAGG-MCNAMARA

Facility

$800.00

Service Code	HCPCS C1887
Hospital Charge Code	270657466N
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

CATHETER CRAGG-MCNAMARA

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270657466
Hospital Revenue Code	278
Min. Negotiated Rate	$18.30
Max. Negotiated Rate	$379.75
Rate for Payer: Aetna Commercial	$288.61
Rate for Payer: Aetna Medicare Advantage	$227.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.67
Rate for Payer: Cigna Commercial	$379.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$167.09
Rate for Payer: Qualcare PPO/HMO/WC	$113.92
Rate for Payer: UnitedHealthcare Community & State	$18.30
Rate for Payer: Wellpoint Medicaid Managed Care	$20.13

CATHETER CRAGG-MCNAMARA

Facility

$759.50

Service Code	HCPCS C1887
Hospital Charge Code	270657466
Hospital Revenue Code	278
Min. Negotiated Rate	$113.92
Max. Negotiated Rate	$183.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$167.09
Rate for Payer: Qualcare PPO/HMO/WC	$113.92

CATHETER CRAGG-MCNAMARA

Facility

$500.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463N
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

CATHETER CRAGG-MCNAMARA

Facility

$500.00

Service Code	HCPCS C1887
Hospital Charge Code	270657463N
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

CATHETER CRAGG-MCNAMARA 5FR/13

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657469
Hospital Revenue Code	278
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

CATHETER CRAGG-MCNAMARA 5FR/13

Facility

$490.00

Service Code	HCPCS C1887
Hospital Charge Code	270657469
Hospital Revenue Code	278
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.80
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

CATHETER CRYO 2 x 40 x 150

Facility

$4,455.00

Hospital Charge Code	270CH0046
Hospital Revenue Code	272
Min. Negotiated Rate	$668.25
Max. Negotiated Rate	$668.25
Rate for Payer: Qualcare PPO/HMO/WC	$668.25

CATHETER CRYO 2 x 40 x 150

Facility

$4,455.00

Hospital Charge Code	270CH0046
Hospital Revenue Code	272
Min. Negotiated Rate	$107.37
Max. Negotiated Rate	$2,227.50
Rate for Payer: Aetna Commercial	$1,692.90
Rate for Payer: Aetna Medicare Advantage	$1,336.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.03
Rate for Payer: Cigna Commercial	$2,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,336.50
Rate for Payer: Oxford Commercial	$891.00
Rate for Payer: Qualcare PPO/HMO/WC	$668.25
Rate for Payer: UnitedHealthcare Commercial	$891.00
Rate for Payer: UnitedHealthcare Community & State	$107.37
Rate for Payer: Wellpoint Medicaid Managed Care	$118.06

CATHETER CRYO 2 X 40 X 150

Facility

$4,455.00

Hospital Charge Code	2709006441
Hospital Revenue Code	272
Min. Negotiated Rate	$107.37
Max. Negotiated Rate	$2,227.50
Rate for Payer: Aetna Commercial	$1,692.90
Rate for Payer: Aetna Medicare Advantage	$1,336.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.03
Rate for Payer: Cigna Commercial	$2,227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,336.50
Rate for Payer: Oxford Commercial	$891.00
Rate for Payer: Qualcare PPO/HMO/WC	$668.25
Rate for Payer: UnitedHealthcare Commercial	$891.00
Rate for Payer: UnitedHealthcare Community & State	$107.37
Rate for Payer: Wellpoint Medicaid Managed Care	$118.06

Know your out-of-pocket cost for care.

All Charges