Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 16FR 3WAY 30cc

Facility

$63.18

Hospital Charge Code	270649432
Hospital Revenue Code	272
Min. Negotiated Rate	$9.48
Max. Negotiated Rate	$9.48
Rate for Payer: Qualcare PPO/HMO/WC	$9.48

CATH FOLEY 16FR 3WAY 30cc

Facility

$63.18

Hospital Charge Code	270649432
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.59
Rate for Payer: Aetna Commercial	$24.01
Rate for Payer: Aetna Medicare Advantage	$18.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.11
Rate for Payer: Cigna Commercial	$31.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.95
Rate for Payer: Oxford Commercial	$12.64
Rate for Payer: Qualcare PPO/HMO/WC	$9.48
Rate for Payer: UnitedHealthcare Commercial	$12.64
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

CATH FOLEY 16FR 3WAY 5cc

Facility

$64.26

Hospital Charge Code	270649438
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$32.13
Rate for Payer: Aetna Commercial	$24.42
Rate for Payer: Aetna Medicare Advantage	$19.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.39
Rate for Payer: Cigna Commercial	$32.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.28
Rate for Payer: Oxford Commercial	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.64
Rate for Payer: UnitedHealthcare Commercial	$12.85
Rate for Payer: UnitedHealthcare Community & State	$1.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

CATH FOLEY 16FR 3WAY 5cc

Facility

$64.26

Hospital Charge Code	270649438
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$9.64
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

CATH FOLEY 18FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649433
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH FOLEY 18FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649433
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.37
Rate for Payer: Aetna Commercial	$24.60
Rate for Payer: Aetna Medicare Advantage	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.51
Rate for Payer: Cigna Commercial	$32.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.42
Rate for Payer: Oxford Commercial	$12.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.71
Rate for Payer: UnitedHealthcare Commercial	$12.95
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

CATH FOLEY 18FR 3WAY 5cc

Facility

$64.26

Hospital Charge Code	270649439
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$9.64
Rate for Payer: Qualcare PPO/HMO/WC	$9.64

CATH FOLEY 18FR 3WAY 5cc

Facility

$64.26

Hospital Charge Code	270649439
Hospital Revenue Code	272
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$32.13
Rate for Payer: Aetna Commercial	$24.42
Rate for Payer: Aetna Medicare Advantage	$19.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.39
Rate for Payer: Cigna Commercial	$32.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.28
Rate for Payer: Oxford Commercial	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$9.64
Rate for Payer: UnitedHealthcare Commercial	$12.85
Rate for Payer: UnitedHealthcare Community & State	$1.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

CATH FOLEY 20FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649434
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH FOLEY 20FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649434
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.37
Rate for Payer: Aetna Commercial	$24.60
Rate for Payer: Aetna Medicare Advantage	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.51
Rate for Payer: Cigna Commercial	$32.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.42
Rate for Payer: Oxford Commercial	$12.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.71
Rate for Payer: UnitedHealthcare Commercial	$12.95
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

CATH FOLEY 20FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649440
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$32.91
Rate for Payer: Aetna Commercial	$25.02
Rate for Payer: Aetna Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.79
Rate for Payer: Cigna Commercial	$32.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.75
Rate for Payer: Oxford Commercial	$13.17
Rate for Payer: Qualcare PPO/HMO/WC	$9.87
Rate for Payer: UnitedHealthcare Commercial	$13.17
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

CATH FOLEY 20FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649440
Hospital Revenue Code	272
Min. Negotiated Rate	$9.87
Max. Negotiated Rate	$9.87
Rate for Payer: Qualcare PPO/HMO/WC	$9.87

CATH FOLEY 20FR LATEX 2 WAY

Facility

$40.25

Service Code	HCPCS C2627
Hospital Charge Code	270649040
Hospital Revenue Code	278
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$20.12
Rate for Payer: Aetna Commercial	$15.29
Rate for Payer: Aetna Medicare Advantage	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.26
Rate for Payer: Cigna Commercial	$20.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.04
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$1.07

CATH FOLEY 20FR LATEX 2 WAY

Facility

$40.25

Service Code	HCPCS C2627
Hospital Charge Code	270649040
Hospital Revenue Code	278
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$9.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.86
Rate for Payer: Qualcare PPO/HMO/WC	$6.04

CATH FOLEY 22FR 3WAY 30cc

Facility

$65.36

Hospital Charge Code	270649435
Hospital Revenue Code	272
Min. Negotiated Rate	$9.80
Max. Negotiated Rate	$9.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.80

CATH FOLEY 22FR 3WAY 30cc

Facility

$65.36

Hospital Charge Code	270649435
Hospital Revenue Code	272
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.68
Rate for Payer: Aetna Commercial	$24.84
Rate for Payer: Aetna Medicare Advantage	$19.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.67
Rate for Payer: Cigna Commercial	$32.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.61
Rate for Payer: Oxford Commercial	$13.07
Rate for Payer: Qualcare PPO/HMO/WC	$9.80
Rate for Payer: UnitedHealthcare Commercial	$13.07
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.73

CATH FOLEY 22FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649441
Hospital Revenue Code	272
Min. Negotiated Rate	$9.87
Max. Negotiated Rate	$9.87
Rate for Payer: Qualcare PPO/HMO/WC	$9.87

CATH FOLEY 22FR 3WAY 5cc

Facility

$65.83

Hospital Charge Code	270649441
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$32.91
Rate for Payer: Aetna Commercial	$25.02
Rate for Payer: Aetna Medicare Advantage	$19.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.79
Rate for Payer: Cigna Commercial	$32.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.75
Rate for Payer: Oxford Commercial	$13.17
Rate for Payer: Qualcare PPO/HMO/WC	$9.87
Rate for Payer: UnitedHealthcare Commercial	$13.17
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

CATH FOLEY 24FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649436
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.37
Rate for Payer: Aetna Commercial	$24.60
Rate for Payer: Aetna Medicare Advantage	$19.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.51
Rate for Payer: Cigna Commercial	$32.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.42
Rate for Payer: Oxford Commercial	$12.95
Rate for Payer: Qualcare PPO/HMO/WC	$9.71
Rate for Payer: UnitedHealthcare Commercial	$12.95
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

CATH FOLEY 24FR 3WAY 30cc

Facility

$64.74

Hospital Charge Code	270649436
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$9.71
Rate for Payer: Qualcare PPO/HMO/WC	$9.71

CATH FOLEY 26FR 3WAY 30cc

Facility

$63.50

Hospital Charge Code	270649437
Hospital Revenue Code	272
Min. Negotiated Rate	$1.53
Max. Negotiated Rate	$31.75
Rate for Payer: Aetna Commercial	$24.13
Rate for Payer: Aetna Medicare Advantage	$19.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.19
Rate for Payer: Cigna Commercial	$31.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.05
Rate for Payer: Oxford Commercial	$12.70
Rate for Payer: Qualcare PPO/HMO/WC	$9.53
Rate for Payer: UnitedHealthcare Commercial	$12.70
Rate for Payer: UnitedHealthcare Community & State	$1.53
Rate for Payer: Wellpoint Medicaid Managed Care	$1.68

CATH FOLEY 26FR 3WAY 30cc

Facility

$63.50

Hospital Charge Code	270649437
Hospital Revenue Code	272
Min. Negotiated Rate	$9.53
Max. Negotiated Rate	$9.53
Rate for Payer: Qualcare PPO/HMO/WC	$9.53

CATH FOLEY 2-WAY ********

Facility

$9.00

Hospital Charge Code	8000309
Hospital Revenue Code	272
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

CATH FOLEY 2-WAY ********

Facility

$9.00

Hospital Charge Code	8000309
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

CATH FOLEY 2-WAY 12FR 30CC

Facility

$12.30

Hospital Charge Code	270302631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.15
Rate for Payer: Aetna Commercial	$4.67
Rate for Payer: Aetna Medicare Advantage	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.14
Rate for Payer: Cigna Commercial	$6.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.69
Rate for Payer: Oxford Commercial	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$2.46
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

Know your out-of-pocket cost for care.

All Charges