Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$10.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$10.40
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CATHETER THORACIC 36FR STR

Facility

$52.00

Hospital Charge Code	270331010
Hospital Revenue Code	272
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CATHETER THORACIC 40FR.

Facility

$54.00

Hospital Charge Code	270331620
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 40FR.

Facility

$54.00

Hospital Charge Code	270331620
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 STR.24FR

Facility

$20.47

Hospital Charge Code	270649068
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 STR.24FR

Facility

$20.47

Hospital Charge Code	270649068
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 THREE LUMEN KIT 20CM

Facility

$735.00

Service Code	HCPCS C1752
Hospital Charge Code	270698019
Hospital Revenue Code	278
Min. Negotiated Rate	$17.71
Max. Negotiated Rate	$367.50
Rate for Payer: Aetna Commercial	$279.30
Rate for Payer: Aetna Medicare Advantage	$220.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.43
Rate for Payer: Cigna Commercial	$367.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$161.70
Rate for Payer: Qualcare PPO/HMO/WC	$110.25
Rate for Payer: UnitedHealthcare Community & State	$17.71
Rate for Payer: Wellpoint Medicaid Managed Care	$19.48

CATHETER THREE LUMEN KIT 20CM

Facility

$735.00

Service Code	HCPCS C1752
Hospital Charge Code	270698019
Hospital Revenue Code	278
Min. Negotiated Rate	$110.25
Max. Negotiated Rate	$177.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$147.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$161.70
Rate for Payer: Qualcare PPO/HMO/WC	$110.25

CATHETER,THROMBOLECTOMY,EMBOL

Facility

$21.40

Service Code	HCPCS C1757
Hospital Charge Code	4800900
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

CATHETER,THROMBOLECTOMY,EMBOL

Facility

$21.40

Service Code	HCPCS C1757
Hospital Charge Code	4800900
Hospital Revenue Code	278
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

CATHETER TIEMANN COUDE 22FR

Facility

$139.00

Hospital Charge Code	270311612
Hospital Revenue Code	272
Min. Negotiated Rate	$3.35
Max. Negotiated Rate	$69.50
Rate for Payer: Aetna Commercial	$52.82
Rate for Payer: Aetna Medicare Advantage	$41.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.45
Rate for Payer: Cigna Commercial	$69.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.70
Rate for Payer: Oxford Commercial	$27.80
Rate for Payer: Qualcare PPO/HMO/WC	$20.85
Rate for Payer: UnitedHealthcare Commercial	$27.80
Rate for Payer: UnitedHealthcare Community & State	$3.35
Rate for Payer: Wellpoint Medicaid Managed Care	$3.68

CATHETER TIEMANN COUDE 22FR

Facility

$139.00

Hospital Charge Code	270311612
Hospital Revenue Code	272
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$20.85
Rate for Payer: Qualcare PPO/HMO/WC	$20.85

CATHETER TIEMANN COUDE 5CC 22

Facility

$106.00

Hospital Charge Code	270331133
Hospital Revenue Code	272
Min. Negotiated Rate	$15.90
Max. Negotiated Rate	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.90

CATHETER TIEMANN COUDE 5CC 22

Facility

$106.00

Hospital Charge Code	270331133
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 TIGERTAIL FLEX TIP

Facility

$95.35

Service Code	HCPCS C1758
Hospital Charge Code	270650582
Hospital Revenue Code	272
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$47.67
Rate for Payer: Aetna Commercial	$36.23
Rate for Payer: Aetna Medicare Advantage	$28.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.31
Rate for Payer: Cigna Commercial	$47.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.61
Rate for Payer: Oxford Commercial	$19.07
Rate for Payer: Qualcare PPO/HMO/WC	$14.30
Rate for Payer: UnitedHealthcare Commercial	$19.07
Rate for Payer: UnitedHealthcare Community & State	$2.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.53

CATHETER TIGERTAIL FLEX TIP

Facility

$95.35

Service Code	HCPCS C1758
Hospital Charge Code	270650582
Hospital Revenue Code	272
Min. Negotiated Rate	$14.30
Max. Negotiated Rate	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$14.30

CATHETER TIGERTIEVER 17 23MM

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270694967S
Hospital Revenue Code	278
Min. Negotiated Rate	$819.40
Max. Negotiated Rate	$17,000.00
Rate for Payer: Aetna Commercial	$12,920.00
Rate for Payer: Aetna Medicare Advantage	$10,200.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,670.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,670.00
Rate for Payer: Cigna Commercial	$17,000.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,480.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00
Rate for Payer: UnitedHealthcare Community & State	$819.40
Rate for Payer: Wellpoint Medicaid Managed Care	$901.00

CATHETER TIGERTIEVER 17 23MM

Facility

$34,000.00

Service Code	HCPCS C1757
Hospital Charge Code	270694967S
Hospital Revenue Code	278
Min. Negotiated Rate	$5,100.00
Max. Negotiated Rate	$8,228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,228.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,480.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,100.00

CATHETER TI ISP SI 8cf INT, S

Facility

$2,175.00

Hospital Charge Code	270CH0064
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

CATHETER TI ISP SI 8cf INT, S

Facility

$2,175.00

Hospital Charge Code	270CH0064
Hospital Revenue Code	272
Min. Negotiated Rate	$52.42
Max. Negotiated Rate	$1,087.50
Rate for Payer: Aetna Commercial	$826.50
Rate for Payer: Aetna Medicare Advantage	$652.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$554.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$554.62
Rate for Payer: Cigna Commercial	$1,087.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$652.50
Rate for Payer: Oxford Commercial	$435.00
Rate for Payer: Qualcare PPO/HMO/WC	$326.25
Rate for Payer: UnitedHealthcare Commercial	$435.00
Rate for Payer: UnitedHealthcare Community & State	$52.42
Rate for Payer: Wellpoint Medicaid Managed Care	$57.64

CATHETER TIP 5FR 65CM RIM

Facility

$561.00

Hospital Charge Code	270675909
Hospital Revenue Code	272
Min. Negotiated Rate	$84.15
Max. Negotiated Rate	$84.15
Rate for Payer: Qualcare PPO/HMO/WC	$84.15

CATHETER TIP 5FR 65CM RIM

Facility

$561.00

Hospital Charge Code	270675909
Hospital Revenue Code	272
Min. Negotiated Rate	$13.52
Max. Negotiated Rate	$280.50
Rate for Payer: Aetna Commercial	$213.18
Rate for Payer: Aetna Medicare Advantage	$168.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$143.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$143.06
Rate for Payer: Cigna Commercial	$280.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.30
Rate for Payer: Oxford Commercial	$112.20
Rate for Payer: Qualcare PPO/HMO/WC	$84.15
Rate for Payer: UnitedHealthcare Commercial	$112.20
Rate for Payer: UnitedHealthcare Community & State	$13.52
Rate for Payer: Wellpoint Medicaid Managed Care	$14.87

CATHETER TIP CULTURE

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3036052
Hospital Revenue Code	306
Min. Negotiated Rate	$6.90
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$23.45
Rate for Payer: Aetna Medicare Advantage	$27.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.12
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$8.62
Rate for Payer: Clover Medicare Advantage	$8.19
Rate for Payer: EmblemHealth Commercial	$25.86
Rate for Payer: Humana Medicare Advantage	$8.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.90
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.62
Rate for Payer: Wellcare Medicare Advantage	$8.62
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CATHETER TIP CULTURE

Facility

$390.00

Service Code	HCPCS 87070
Hospital Charge Code	3036052
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CATHETER TORCON C1 .038mmX65cm

Facility

$74.30

Hospital Charge Code	270678586
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$37.15
Rate for Payer: Aetna Commercial	$28.23
Rate for Payer: Aetna Medicare Advantage	$22.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.95
Rate for Payer: Cigna Commercial	$37.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.29
Rate for Payer: Oxford Commercial	$14.86
Rate for Payer: Qualcare PPO/HMO/WC	$11.14
Rate for Payer: UnitedHealthcare Commercial	$14.86
Rate for Payer: UnitedHealthcare Community & State	$1.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1.97

Know your out-of-pocket cost for care.

All Charges