Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER SUCTION 8FRX14

Facility

$1.20

Hospital Charge Code	270650217
Hospital Revenue Code	272
Min. Negotiated Rate	$0.03
Max. Negotiated Rate	$0.60
Rate for Payer: Aetna Commercial	$0.46
Rate for Payer: Aetna Medicare Advantage	$0.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.31
Rate for Payer: Cigna Commercial	$0.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.36
Rate for Payer: Oxford Commercial	$0.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.18
Rate for Payer: UnitedHealthcare Commercial	$0.24
Rate for Payer: UnitedHealthcare Community & State	$0.03
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

CATHETER SUCTION GRAD WITH

Facility

$3.25

Hospital Charge Code	270650255
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.62
Rate for Payer: Aetna Commercial	$1.24
Rate for Payer: Aetna Medicare Advantage	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.83
Rate for Payer: Cigna Commercial	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.98
Rate for Payer: Oxford Commercial	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.49
Rate for Payer: UnitedHealthcare Commercial	$0.65
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

CATHETER SUCTION GRAD WITH

Facility

$3.25

Hospital Charge Code	270650255
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.49

CATHETER SWAN GANZ 5FR TRUE SI

Facility

$670.30

Service Code	HCPCS C1751
Hospital Charge Code	270658685
Hospital Revenue Code	278
Min. Negotiated Rate	$100.55
Max. Negotiated Rate	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.47
Rate for Payer: Qualcare PPO/HMO/WC	$100.55

CATHETER SWAN GANZ 5FR TRUE SI

Facility

$670.30

Service Code	HCPCS C1751
Hospital Charge Code	270658685
Hospital Revenue Code	278
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.15
Rate for Payer: Aetna Commercial	$254.71
Rate for Payer: Aetna Medicare Advantage	$201.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$134.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.93
Rate for Payer: Cigna Commercial	$335.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$147.47
Rate for Payer: Qualcare PPO/HMO/WC	$100.55
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.76

CATHETER SWAN-GANZ S-TIP

Facility

$405.00

Hospital Charge Code	270331254
Hospital Revenue Code	272
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$202.50
Rate for Payer: Aetna Commercial	$153.90
Rate for Payer: Aetna Medicare Advantage	$121.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.28
Rate for Payer: Cigna Commercial	$202.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.50
Rate for Payer: Oxford Commercial	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.75
Rate for Payer: UnitedHealthcare Commercial	$81.00
Rate for Payer: UnitedHealthcare Community & State	$9.76
Rate for Payer: Wellpoint Medicaid Managed Care	$10.73

CATHETER SWAN-GANZ S-TIP

Facility

$405.00

Hospital Charge Code	270331254
Hospital Revenue Code	272
Min. Negotiated Rate	$60.75
Max. Negotiated Rate	$60.75
Rate for Payer: Qualcare PPO/HMO/WC	$60.75

CATHETER SWAN GANZ VIP 7.5FR

Facility

$559.50

Hospital Charge Code	270649797
Hospital Revenue Code	278
Min. Negotiated Rate	$83.92
Max. Negotiated Rate	$135.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.09
Rate for Payer: Qualcare PPO/HMO/WC	$83.92

CATHETER SWAN GANZ VIP 7.5FR

Facility

$559.50

Hospital Charge Code	270649797
Hospital Revenue Code	278
Min. Negotiated Rate	$13.48
Max. Negotiated Rate	$279.75
Rate for Payer: Aetna Commercial	$212.61
Rate for Payer: Aetna Medicare Advantage	$167.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$111.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.67
Rate for Payer: Cigna Commercial	$279.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$123.09
Rate for Payer: Qualcare PPO/HMO/WC	$83.92
Rate for Payer: UnitedHealthcare Community & State	$13.48
Rate for Payer: Wellpoint Medicaid Managed Care	$14.83

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.00
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976S
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

CATHETER TEMPOAGUA 4 FRX125 CM

Facility

$210.00

Hospital Charge Code	270682976
Hospital Revenue Code	272
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.00
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$405.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$368.50
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

CATHETER TESIO RT W/6F INTRO/T

Facility

$1,675.00

Service Code	HCPCS C1750
Hospital Charge Code	270658144
Hospital Revenue Code	278
Min. Negotiated Rate	$40.37
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$636.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$335.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$405.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$368.50
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Community & State	$40.37
Rate for Payer: Wellpoint Medicaid Managed Care	$44.39

CATHETER THERMODILUTION 131HF7

Facility

$373.22

Hospital Charge Code	270100428
Hospital Revenue Code	272
Min. Negotiated Rate	$55.98
Max. Negotiated Rate	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$55.98

CATHETER THERMODILUTION 131HF7

Facility

$373.22

Hospital Charge Code	270100428
Hospital Revenue Code	272
Min. Negotiated Rate	$8.99
Max. Negotiated Rate	$186.61
Rate for Payer: Aetna Commercial	$141.82
Rate for Payer: Aetna Medicare Advantage	$111.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.17
Rate for Payer: Cigna Commercial	$186.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.97
Rate for Payer: Oxford Commercial	$74.64
Rate for Payer: Qualcare PPO/HMO/WC	$55.98
Rate for Payer: UnitedHealthcare Commercial	$74.64
Rate for Payer: UnitedHealthcare Community & State	$8.99
Rate for Payer: Wellpoint Medicaid Managed Care	$9.89

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.23
Rate for Payer: Aetna Commercial	$7.78
Rate for Payer: Aetna Medicare Advantage	$6.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.22
Rate for Payer: Cigna Commercial	$10.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.14
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.07
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

CATHETER THORACIC 28 FR 8028

Facility

$20.47

Hospital Charge Code	270649069
Hospital Revenue Code	272
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$3.07
Rate for Payer: Qualcare PPO/HMO/WC	$3.07

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 28FR. STANDR

Facility

$54.00

Hospital Charge Code	270331007
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.20
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.43

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$27.00
Rate for Payer: Aetna Commercial	$20.52
Rate for Payer: Aetna Medicare Advantage	$16.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.77
Rate for Payer: Cigna Commercial	$27.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.20
Rate for Payer: Oxford Commercial	$10.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.10
Rate for Payer: UnitedHealthcare Commercial	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.30
Rate for Payer: Wellpoint Medicaid Managed Care	$1.43

CATHETER THORACIC 32FR STR

Facility

$54.00

Hospital Charge Code	270331009
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$8.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.10

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$2.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.92

CATHETER THORACIC 36FR 8036

Facility

$19.45

Hospital Charge Code	270649073
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.72
Rate for Payer: Aetna Commercial	$7.39
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.96
Rate for Payer: Cigna Commercial	$9.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$3.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.92
Rate for Payer: UnitedHealthcare Commercial	$3.89
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

Know your out-of-pocket cost for care.

All Charges