Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER KIT UROFORCE 4MMx6CM

Facility

$813.40

Hospital Charge Code	270682632
Hospital Revenue Code	272
Min. Negotiated Rate	$19.60
Max. Negotiated Rate	$406.70
Rate for Payer: Aetna Commercial	$309.09
Rate for Payer: Aetna Medicare Advantage	$244.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.42
Rate for Payer: Cigna Commercial	$406.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$244.02
Rate for Payer: Oxford Commercial	$162.68
Rate for Payer: Qualcare PPO/HMO/WC	$122.01
Rate for Payer: UnitedHealthcare Commercial	$162.68
Rate for Payer: UnitedHealthcare Community & State	$19.60
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

CATHETER L 160 CM X 2.5 ML PRO

Facility

$2,800.00

Hospital Charge Code	270688445
Hospital Revenue Code	272
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

CATHETER L 160 CM X 2.5 ML PRO

Facility

$2,800.00

Hospital Charge Code	270688445
Hospital Revenue Code	272
Min. Negotiated Rate	$67.48
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.00
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$560.00
Rate for Payer: UnitedHealthcare Community & State	$67.48
Rate for Payer: Wellpoint Medicaid Managed Care	$74.20

CATHETER LEAD PACE 4FR 38MM

Facility

$3,300.00

Service Code	HCPCS C1898
Hospital Charge Code	270699655S
Hospital Revenue Code	278
Min. Negotiated Rate	$79.53
Max. Negotiated Rate	$1,650.00
Rate for Payer: Aetna Commercial	$1,254.00
Rate for Payer: Aetna Medicare Advantage	$990.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$841.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$841.50
Rate for Payer: Cigna Commercial	$1,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00
Rate for Payer: UnitedHealthcare Community & State	$79.53
Rate for Payer: Wellpoint Medicaid Managed Care	$87.45

CATHETER LEAD PACE 4FR 38MM

Facility

$3,300.00

Service Code	HCPCS C1898
Hospital Charge Code	270699655S
Hospital Revenue Code	278
Min. Negotiated Rate	$495.00
Max. Negotiated Rate	$798.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$798.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$726.00
Rate for Payer: Qualcare PPO/HMO/WC	$495.00

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075S
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075R
Hospital Revenue Code	272
Min. Negotiated Rate	$7.90
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$124.64
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.40
Rate for Payer: Oxford Commercial	$65.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$65.60
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075R
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075S
Hospital Revenue Code	272
Min. Negotiated Rate	$7.90
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$124.64
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.40
Rate for Payer: Oxford Commercial	$65.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$65.60
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

CATHETER LOCKING DRAINAGE 12FR

Facility

$346.75

Hospital Charge Code	270655075N
Hospital Revenue Code	272
Min. Negotiated Rate	$8.36
Max. Negotiated Rate	$173.38
Rate for Payer: Aetna Commercial	$131.76
Rate for Payer: Aetna Medicare Advantage	$104.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.42
Rate for Payer: Cigna Commercial	$173.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$104.03
Rate for Payer: Oxford Commercial	$69.35
Rate for Payer: Qualcare PPO/HMO/WC	$52.01
Rate for Payer: UnitedHealthcare Commercial	$69.35
Rate for Payer: UnitedHealthcare Community & State	$8.36
Rate for Payer: Wellpoint Medicaid Managed Care	$9.19

CATHETER LOCKING DRAINAGE 12FR

Facility

$346.75

Hospital Charge Code	270655075N
Hospital Revenue Code	272
Min. Negotiated Rate	$52.01
Max. Negotiated Rate	$52.01
Rate for Payer: Qualcare PPO/HMO/WC	$52.01

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075
Hospital Revenue Code	272
Min. Negotiated Rate	$7.90
Max. Negotiated Rate	$164.00
Rate for Payer: Aetna Commercial	$124.64
Rate for Payer: Aetna Medicare Advantage	$98.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.64
Rate for Payer: Cigna Commercial	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.40
Rate for Payer: Oxford Commercial	$65.60
Rate for Payer: Qualcare PPO/HMO/WC	$49.20
Rate for Payer: UnitedHealthcare Commercial	$65.60
Rate for Payer: UnitedHealthcare Community & State	$7.90
Rate for Payer: Wellpoint Medicaid Managed Care	$8.69

CATHETER LOCKING DRAINAGE 12FR

Facility

$328.00

Hospital Charge Code	270655075
Hospital Revenue Code	272
Min. Negotiated Rate	$49.20
Max. Negotiated Rate	$49.20
Rate for Payer: Qualcare PPO/HMO/WC	$49.20

CATHETER LOW-PROFILE 6MM X 6CM

Facility

$1,200.00

Hospital Charge Code	270667763
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

CATHETER LOW-PROFILE 6MM X 6CM

Facility

$1,200.00

Hospital Charge Code	270667763
Hospital Revenue Code	272
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.00
Rate for Payer: Oxford Commercial	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$240.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

CATHETER LP PTA 4.0FR 4CM

Facility

$2,650.00

Hospital Charge Code	270668377
Hospital Revenue Code	278
Min. Negotiated Rate	$397.50
Max. Negotiated Rate	$641.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$583.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50

CATHETER LP PTA 4.0FR 4CM

Facility

$2,650.00

Hospital Charge Code	270668377
Hospital Revenue Code	278
Min. Negotiated Rate	$63.87
Max. Negotiated Rate	$1,325.00
Rate for Payer: Aetna Commercial	$1,007.00
Rate for Payer: Aetna Medicare Advantage	$795.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$530.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.75
Rate for Payer: Cigna Commercial	$1,325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$583.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.50
Rate for Payer: UnitedHealthcare Community & State	$63.87
Rate for Payer: Wellpoint Medicaid Managed Care	$70.22

CATHETER MAHURKA

Facility

$514.11

Hospital Charge Code	270655948
Hospital Revenue Code	270
Min. Negotiated Rate	$12.39
Max. Negotiated Rate	$257.06
Rate for Payer: Aetna Commercial	$195.36
Rate for Payer: Aetna Medicare Advantage	$154.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.10
Rate for Payer: Cigna Commercial	$257.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.23
Rate for Payer: Oxford Commercial	$102.82
Rate for Payer: Qualcare PPO/HMO/WC	$77.12
Rate for Payer: UnitedHealthcare Commercial	$102.82
Rate for Payer: UnitedHealthcare Community & State	$12.39
Rate for Payer: Wellpoint Medicaid Managed Care	$13.62

CATHETER MAHURKA

Facility

$514.11

Hospital Charge Code	270655948
Hospital Revenue Code	270
Min. Negotiated Rate	$77.12
Max. Negotiated Rate	$77.12
Rate for Payer: Qualcare PPO/HMO/WC	$77.12

CATHETER MALECOT URET. 18FR

Facility

$65.00

Hospital Charge Code	270331471
Hospital Revenue Code	278
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Community & State	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

CATHETER MALECOT URET. 18FR

Facility

$65.00

Hospital Charge Code	270331471
Hospital Revenue Code	278
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$15.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

CATHETER MANI 5FR

Facility

$327.55

Hospital Charge Code	270651792
Hospital Revenue Code	270
Min. Negotiated Rate	$49.13
Max. Negotiated Rate	$49.13
Rate for Payer: Qualcare PPO/HMO/WC	$49.13

CATHETER MANI 5FR

Facility

$327.55

Hospital Charge Code	270651792
Hospital Revenue Code	270
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$163.78
Rate for Payer: Aetna Commercial	$124.47
Rate for Payer: Aetna Medicare Advantage	$98.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.53
Rate for Payer: Cigna Commercial	$163.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.27
Rate for Payer: Oxford Commercial	$65.51
Rate for Payer: Qualcare PPO/HMO/WC	$49.13
Rate for Payer: UnitedHealthcare Commercial	$65.51
Rate for Payer: UnitedHealthcare Community & State	$7.89
Rate for Payer: Wellpoint Medicaid Managed Care	$8.68

CATHETER MANI 5FR 100 x .035

Facility

$60.00

Service Code	HCPCS C1725
Hospital Charge Code	270665046
Hospital Revenue Code	278
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$14.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

CATHETER MANI 5FR 100 x .035

Facility

$60.00

Service Code	HCPCS C1725
Hospital Charge Code	270665046
Hospital Revenue Code	278
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

Know your out-of-pocket cost for care.

All Charges