Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,942.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

Catheter FlowGate 8F 95cm

Facility

$6,475.00

Hospital Charge Code	270685066N
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$156.05
Max. Negotiated Rate	$3,237.50
Rate for Payer: Aetna Commercial	$2,460.50
Rate for Payer: Aetna Medicare Advantage	$1,942.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,651.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,651.12
Rate for Payer: Cigna Commercial	$3,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,942.50
Rate for Payer: Oxford Commercial	$1,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$971.25
Rate for Payer: UnitedHealthcare Commercial	$1,295.00
Rate for Payer: UnitedHealthcare Community & State	$156.05
Rate for Payer: Wellpoint Medicaid Managed Care	$171.59

CATHETER FLOWGATE 8F 95 CM

Facility

$6,475.00

Hospital Charge Code	270685066
Hospital Revenue Code	272
Min. Negotiated Rate	$971.25
Max. Negotiated Rate	$971.25
Rate for Payer: Qualcare PPO/HMO/WC	$971.25

CATHETER FOGARTY ARTERIAL

Facility

$249.35

Hospital Charge Code	270654327
Hospital Revenue Code	272
Min. Negotiated Rate	$37.40
Max. Negotiated Rate	$37.40
Rate for Payer: Qualcare PPO/HMO/WC	$37.40

CATHETER FOGARTY ARTERIAL

Facility

$249.35

Hospital Charge Code	270654327
Hospital Revenue Code	272
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$124.67
Rate for Payer: Aetna Commercial	$94.75
Rate for Payer: Aetna Medicare Advantage	$74.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.58
Rate for Payer: Cigna Commercial	$124.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.81
Rate for Payer: Oxford Commercial	$49.87
Rate for Payer: Qualcare PPO/HMO/WC	$37.40
Rate for Payer: UnitedHealthcare Commercial	$49.87
Rate for Payer: UnitedHealthcare Community & State	$6.01
Rate for Payer: Wellpoint Medicaid Managed Care	$6.61

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$89.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$80.96
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

CATHETER FOGARTY EMBOLECTOM

Facility

$368.00

Hospital Charge Code	270331682
Hospital Revenue Code	278
Min. Negotiated Rate	$8.87
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$139.84
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$73.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$80.96
Rate for Payer: Qualcare PPO/HMO/WC	$55.20
Rate for Payer: UnitedHealthcare Community & State	$8.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.75

CATHETER FOGARTY IRR.5FR/80CM

Facility

$110.00

Hospital Charge Code	270650854
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

CATHETER FOGARTY IRR.5FR/80CM

Facility

$110.00

Hospital Charge Code	270650854
Hospital Revenue Code	272
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.00
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$22.00
Rate for Payer: UnitedHealthcare Community & State	$2.65
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

CATHETER: FOGARTY OCCLUSION

Facility

$392.00

Hospital Charge Code	270331862
Hospital Revenue Code	278
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$148.96
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.24
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

CATHETER: FOGARTY OCCLUSION

Facility

$392.00

Hospital Charge Code	270331862
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.24
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

CATHETER FOLEY 20FR. 5CC 2 EYE

Facility

$106.00

Hospital Charge Code	270331926
Hospital Revenue Code	272
Min. Negotiated Rate	$2.55
Max. Negotiated Rate	$53.00
Rate for Payer: Aetna Commercial	$40.28
Rate for Payer: Aetna Medicare Advantage	$31.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.03
Rate for Payer: Cigna Commercial	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.80
Rate for Payer: Oxford Commercial	$21.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.90
Rate for Payer: UnitedHealthcare Commercial	$21.20
Rate for Payer: UnitedHealthcare Community & State	$2.55
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

CATHETER FOLEY 20FR. 5CC 2 EYE

Facility

$106.00

Hospital Charge Code	270331926
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CATHETER FOLEY 22FR 30CC 2-WAY

Facility

$99.00

Hospital Charge Code	270331119
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.50
Rate for Payer: Aetna Commercial	$37.62
Rate for Payer: Aetna Medicare Advantage	$29.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.25
Rate for Payer: Cigna Commercial	$49.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.70
Rate for Payer: Oxford Commercial	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.80
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

CATHETER FOLEY 22FR 30CC 2-WAY

Facility

$99.00

Hospital Charge Code	270331119
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

CATHETER FOLEY 26FR 30CC 2 WAY

Facility

$118.00

Hospital Charge Code	270331101
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

CATHETER FOLEY 26FR 30CC 2 WAY

Facility

$118.00

Hospital Charge Code	270331101
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 FOLEY 26FR 3-WAY

Facility

$258.00

Hospital Charge Code	270332043
Hospital Revenue Code	272
Min. Negotiated Rate	$6.22
Max. Negotiated Rate	$129.00
Rate for Payer: Aetna Commercial	$98.04
Rate for Payer: Aetna Medicare Advantage	$77.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.79
Rate for Payer: Cigna Commercial	$129.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$77.40
Rate for Payer: Oxford Commercial	$51.60
Rate for Payer: Qualcare PPO/HMO/WC	$38.70
Rate for Payer: UnitedHealthcare Commercial	$51.60
Rate for Payer: UnitedHealthcare Community & State	$6.22
Rate for Payer: Wellpoint Medicaid Managed Care	$6.84

CATHETER FOLEY 26FR 3-WAY

Facility

$258.00

Hospital Charge Code	270332043
Hospital Revenue Code	272
Min. Negotiated Rate	$38.70
Max. Negotiated Rate	$38.70
Rate for Payer: Qualcare PPO/HMO/WC	$38.70

CATHETER FOLEY 26FR 5CC 2 WAY

Facility

$92.00

Hospital Charge Code	270331099
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

CATHETER FOLEY 26FR 5CC 2 WAY

Facility

$92.00

Hospital Charge Code	270331099
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

CATHETER FOLEY 28FR 2 EYE

Facility

$92.00

Hospital Charge Code	270331477
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.00
Rate for Payer: Aetna Commercial	$34.96
Rate for Payer: Aetna Medicare Advantage	$27.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.46
Rate for Payer: Cigna Commercial	$46.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.60
Rate for Payer: Oxford Commercial	$18.40
Rate for Payer: Qualcare PPO/HMO/WC	$13.80
Rate for Payer: UnitedHealthcare Commercial	$18.40
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

CATHETER FOLEY 28FR 2 EYE

Facility

$92.00

Hospital Charge Code	270331477
Hospital Revenue Code	272
Min. Negotiated Rate	$13.80
Max. Negotiated Rate	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$13.80

CATHETER FOLEY 30CC

Facility

$398.95

Hospital Charge Code	270663718
Hospital Revenue Code	272
Min. Negotiated Rate	$9.61
Max. Negotiated Rate	$199.47
Rate for Payer: Aetna Commercial	$151.60
Rate for Payer: Aetna Medicare Advantage	$119.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101.73
Rate for Payer: Cigna Commercial	$199.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.69
Rate for Payer: Oxford Commercial	$79.79
Rate for Payer: Qualcare PPO/HMO/WC	$59.84
Rate for Payer: UnitedHealthcare Commercial	$79.79
Rate for Payer: UnitedHealthcare Community & State	$9.61
Rate for Payer: Wellpoint Medicaid Managed Care	$10.57

Know your out-of-pocket cost for care.

All Charges