Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER PROGREAT 2.4X 130 MM

Facility

$2,330.00

Hospital Charge Code	270696124
Hospital Revenue Code	279
Min. Negotiated Rate	$349.50
Max. Negotiated Rate	$349.50
Rate for Payer: Qualcare PPO/HMO/WC	$349.50

CATHETER PROGREAT COAXIAL

Facility

$2,800.00

Hospital Charge Code	270658289S
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 PROGREAT COAXIAL

Facility

$2,968.00

Hospital Charge Code	270658289O
Hospital Revenue Code	272
Min. Negotiated Rate	$445.20
Max. Negotiated Rate	$445.20
Rate for Payer: Qualcare PPO/HMO/WC	$445.20

CATHETER PROGREAT COAXIAL

Facility

$2,800.00

Hospital Charge Code	270658289S
Hospital Revenue Code	272
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

CATHETER PROGREAT COAXIAL

Facility

$2,968.00

Hospital Charge Code	270658289O
Hospital Revenue Code	272
Min. Negotiated Rate	$71.53
Max. Negotiated Rate	$1,484.00
Rate for Payer: Aetna Commercial	$1,127.84
Rate for Payer: Aetna Medicare Advantage	$890.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$756.84
Rate for Payer: Cigna Commercial	$1,484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.40
Rate for Payer: Oxford Commercial	$593.60
Rate for Payer: Qualcare PPO/HMO/WC	$445.20
Rate for Payer: UnitedHealthcare Commercial	$593.60
Rate for Payer: UnitedHealthcare Community & State	$71.53
Rate for Payer: Wellpoint Medicaid Managed Care	$78.65

CATHETER PROGREAT COAXIAL

Facility

$2,968.00

Hospital Charge Code	270658289N
Hospital Revenue Code	272
Min. Negotiated Rate	$71.53
Max. Negotiated Rate	$1,484.00
Rate for Payer: Aetna Commercial	$1,127.84
Rate for Payer: Aetna Medicare Advantage	$890.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$756.84
Rate for Payer: Cigna Commercial	$1,484.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$890.40
Rate for Payer: Oxford Commercial	$593.60
Rate for Payer: Qualcare PPO/HMO/WC	$445.20
Rate for Payer: UnitedHealthcare Commercial	$593.60
Rate for Payer: UnitedHealthcare Community & State	$71.53
Rate for Payer: Wellpoint Medicaid Managed Care	$78.65

CATHETER PROGREAT COAXIAL

Facility

$2,968.00

Hospital Charge Code	270658289N
Hospital Revenue Code	272
Min. Negotiated Rate	$445.20
Max. Negotiated Rate	$445.20
Rate for Payer: Qualcare PPO/HMO/WC	$445.20

CATHETER PROGREAT COAXIAL

Facility

$3,485.00

Hospital Charge Code	270658289
Hospital Revenue Code	272
Min. Negotiated Rate	$83.99
Max. Negotiated Rate	$1,742.50
Rate for Payer: Aetna Commercial	$1,324.30
Rate for Payer: Aetna Medicare Advantage	$1,045.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$888.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$888.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$888.67
Rate for Payer: Cigna Commercial	$1,742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,045.50
Rate for Payer: Oxford Commercial	$697.00
Rate for Payer: Qualcare PPO/HMO/WC	$522.75
Rate for Payer: UnitedHealthcare Commercial	$697.00
Rate for Payer: UnitedHealthcare Community & State	$83.99
Rate for Payer: Wellpoint Medicaid Managed Care	$92.35

CATHETER PROGREAT COAXIAL

Facility

$3,485.00

Hospital Charge Code	270658289
Hospital Revenue Code	272
Min. Negotiated Rate	$522.75
Max. Negotiated Rate	$522.75
Rate for Payer: Qualcare PPO/HMO/WC	$522.75

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,400.00
Rate for Payer: Oxford Commercial	$1,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$1,600.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$192.80
Max. Negotiated Rate	$4,000.00
Rate for Payer: Aetna Commercial	$3,040.00
Rate for Payer: Aetna Medicare Advantage	$2,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,040.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,040.00
Rate for Payer: Cigna Commercial	$4,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,400.00
Rate for Payer: Oxford Commercial	$1,600.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00
Rate for Payer: UnitedHealthcare Commercial	$1,600.00
Rate for Payer: UnitedHealthcare Community & State	$192.80
Rate for Payer: Wellpoint Medicaid Managed Care	$212.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485O
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PROIMAL CEREBRAL ULTR

Facility

$8,000.00

Hospital Charge Code	270681485
Hospital Revenue Code	272
Min. Negotiated Rate	$1,200.00
Max. Negotiated Rate	$1,200.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,200.00

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$477.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

CATHETER PRO-LINE 5F X 60CM

Facility

$1,975.00

Service Code	HCPCS C1751
Hospital Charge Code	270678222
Hospital Revenue Code	278
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$395.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$477.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$434.50
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PROTECTIV 18GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662927
Hospital Revenue Code	270
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$596.07
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.58
Rate for Payer: Oxford Commercial	$313.72
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$313.72
Rate for Payer: UnitedHealthcare Community & State	$37.80
Rate for Payer: Wellpoint Medicaid Managed Care	$41.57

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$37.80
Max. Negotiated Rate	$784.30
Rate for Payer: Aetna Commercial	$596.07
Rate for Payer: Aetna Medicare Advantage	$470.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.99
Rate for Payer: Cigna Commercial	$784.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.58
Rate for Payer: Oxford Commercial	$313.72
Rate for Payer: Qualcare PPO/HMO/WC	$235.29
Rate for Payer: UnitedHealthcare Commercial	$313.72
Rate for Payer: UnitedHealthcare Community & State	$37.80
Rate for Payer: Wellpoint Medicaid Managed Care	$41.57

CATHETER PROTECTIV 20GX 1-1/4

Facility

$1,568.60

Hospital Charge Code	270662928
Hospital Revenue Code	270
Min. Negotiated Rate	$235.29
Max. Negotiated Rate	$235.29
Rate for Payer: Qualcare PPO/HMO/WC	$235.29

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 5 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689713
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$649.80
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.00
Rate for Payer: Oxford Commercial	$342.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$342.00
Rate for Payer: UnitedHealthcare Community & State	$41.21
Rate for Payer: Wellpoint Medicaid Managed Care	$45.31

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$256.50
Max. Negotiated Rate	$256.50
Rate for Payer: Qualcare PPO/HMO/WC	$256.50

CATHETER PTA AVIATOR 7 X 30 MM

Facility

$1,710.00

Service Code	HCPCS C1725
Hospital Charge Code	270689714
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$855.00
Rate for Payer: Aetna Commercial	$649.80
Rate for Payer: Aetna Medicare Advantage	$513.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.05
Rate for Payer: Cigna Commercial	$855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.00
Rate for Payer: Oxford Commercial	$342.00
Rate for Payer: Qualcare PPO/HMO/WC	$256.50
Rate for Payer: UnitedHealthcare Commercial	$342.00
Rate for Payer: UnitedHealthcare Community & State	$41.21
Rate for Payer: Wellpoint Medicaid Managed Care	$45.31

CATHETER PUSHING PC-3

Facility

$178.10

Hospital Charge Code	270634354
Hospital Revenue Code	272
Min. Negotiated Rate	$26.71
Max. Negotiated Rate	$26.71
Rate for Payer: Qualcare PPO/HMO/WC	$26.71

CATHETER PUSHING PC-3

Facility

$178.10

Hospital Charge Code	270634354
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$89.05
Rate for Payer: Aetna Commercial	$67.68
Rate for Payer: Aetna Medicare Advantage	$53.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.42
Rate for Payer: Cigna Commercial	$89.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.43
Rate for Payer: Oxford Commercial	$35.62
Rate for Payer: Qualcare PPO/HMO/WC	$26.71
Rate for Payer: UnitedHealthcare Commercial	$35.62
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4.72

Know your out-of-pocket cost for care.

All Charges