Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$6.63
Rate for Payer: Qualcare PPO/HMO/WC	$6.63

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.20

Hospital Charge Code	270302630
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.10
Rate for Payer: Aetna Commercial	$16.80
Rate for Payer: Aetna Medicare Advantage	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.27
Rate for Payer: Cigna Commercial	$22.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.26
Rate for Payer: Oxford Commercial	$8.84
Rate for Payer: Qualcare PPO/HMO/WC	$6.63
Rate for Payer: UnitedHealthcare Commercial	$8.84
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.17

CATH FOLEY 3-WAY 20FR 5CC

Facility

$44.52

Hospital Charge Code	270302651
Hospital Revenue Code	272
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$22.26
Rate for Payer: Aetna Commercial	$16.92
Rate for Payer: Aetna Medicare Advantage	$13.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.35
Rate for Payer: Cigna Commercial	$22.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.36
Rate for Payer: Oxford Commercial	$8.90
Rate for Payer: Qualcare PPO/HMO/WC	$6.68
Rate for Payer: UnitedHealthcare Commercial	$8.90
Rate for Payer: UnitedHealthcare Community & State	$1.07
Rate for Payer: Wellpoint Medicaid Managed Care	$1.18

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.68
Rate for Payer: Aetna Commercial	$16.48
Rate for Payer: Aetna Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.06
Rate for Payer: Cigna Commercial	$21.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.01
Rate for Payer: Oxford Commercial	$8.67
Rate for Payer: Qualcare PPO/HMO/WC	$6.50
Rate for Payer: UnitedHealthcare Commercial	$8.67
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

CATH FOLEY 3-WAY 22FR 5CC

Facility

$43.36

Hospital Charge Code	270302591
Hospital Revenue Code	272
Min. Negotiated Rate	$6.50
Max. Negotiated Rate	$6.50
Rate for Payer: Qualcare PPO/HMO/WC	$6.50

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$16.59
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.10
Rate for Payer: Oxford Commercial	$8.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

CATH FOLEY 3-WAY 24FR 30CC

Facility

$43.67

Hospital Charge Code	270302655
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.84
Rate for Payer: Aetna Commercial	$16.59
Rate for Payer: Aetna Medicare Advantage	$13.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.14
Rate for Payer: Cigna Commercial	$21.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.10
Rate for Payer: Oxford Commercial	$8.73
Rate for Payer: Qualcare PPO/HMO/WC	$6.55
Rate for Payer: UnitedHealthcare Commercial	$8.73
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

CATH FOLEY 3-WAY 26FR 30CC

Facility

$43.67

Hospital Charge Code	270302660
Hospital Revenue Code	272
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$6.55
Rate for Payer: Qualcare PPO/HMO/WC	$6.55

CATH FOLEY 3-WAY 26FR 5CC

Facility

$99.25

Hospital Charge Code	270302593
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

CATH FOLEY 3-WAY 26FR 5CC

Facility

$99.25

Hospital Charge Code	270302593
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

CATH FOLEY 3-WAY 5CC

Facility

$99.25

Hospital Charge Code	270302592
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.62
Rate for Payer: Aetna Commercial	$37.72
Rate for Payer: Aetna Medicare Advantage	$29.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.31
Rate for Payer: Cigna Commercial	$49.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.77
Rate for Payer: Oxford Commercial	$19.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.89
Rate for Payer: UnitedHealthcare Commercial	$19.85
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.63

CATH FOLEY 3-WAY 5CC

Facility

$99.25

Hospital Charge Code	270302592
Hospital Revenue Code	272
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$14.89
Rate for Payer: Qualcare PPO/HMO/WC	$14.89

CATH FOLEY 3 WAY-SET UP ******

Facility

$108.00

Hospital Charge Code	8000333
Hospital Revenue Code	279
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$54.00
Rate for Payer: Aetna Commercial	$41.04
Rate for Payer: Aetna Medicare Advantage	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.54
Rate for Payer: Cigna Commercial	$54.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.40
Rate for Payer: Oxford Commercial	$21.60
Rate for Payer: Qualcare PPO/HMO/WC	$16.20
Rate for Payer: UnitedHealthcare Commercial	$21.60
Rate for Payer: UnitedHealthcare Community & State	$2.60
Rate for Payer: Wellpoint Medicaid Managed Care	$2.86

CATH FOLEY 3 WAY-SET UP ******

Facility

$108.00

Hospital Charge Code	8000333
Hospital Revenue Code	279
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.20

CATH FOLEY 6FR HYDROGEL

Facility

$89.95

Hospital Charge Code	270676492
Hospital Revenue Code	272
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$13.49
Rate for Payer: Qualcare PPO/HMO/WC	$13.49

CATH FOLEY 6FR HYDROGEL

Facility

$89.95

Hospital Charge Code	270676492
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$44.98
Rate for Payer: Aetna Commercial	$34.18
Rate for Payer: Aetna Medicare Advantage	$26.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.94
Rate for Payer: Cigna Commercial	$44.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.98
Rate for Payer: Oxford Commercial	$17.99
Rate for Payer: Qualcare PPO/HMO/WC	$13.49
Rate for Payer: UnitedHealthcare Commercial	$17.99
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

CATH FOLEY COUDE 12FR 5cc 2W

Facility

$133.18

Hospital Charge Code	270649858
Hospital Revenue Code	272
Min. Negotiated Rate	$19.98
Max. Negotiated Rate	$19.98
Rate for Payer: Qualcare PPO/HMO/WC	$19.98

CATH FOLEY COUDE 12FR 5cc 2W

Facility

$133.18

Hospital Charge Code	270649858
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$66.59
Rate for Payer: Aetna Commercial	$50.61
Rate for Payer: Aetna Medicare Advantage	$39.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.96
Rate for Payer: Cigna Commercial	$66.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.95
Rate for Payer: Oxford Commercial	$26.64
Rate for Payer: Qualcare PPO/HMO/WC	$19.98
Rate for Payer: UnitedHealthcare Commercial	$26.64
Rate for Payer: UnitedHealthcare Community & State	$3.21
Rate for Payer: Wellpoint Medicaid Managed Care	$3.53

CATH FOLEY COUDE 14FR 2W 5cc

Facility

$75.66

Hospital Charge Code	270649022
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 14FR 2W 5cc

Facility

$75.66

Hospital Charge Code	270649022
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.70
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

CATH FOLEY COUDE 16FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649854
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.70
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

CATH FOLEY COUDE 16FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649854
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 18FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649855
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

CATH FOLEY COUDE 18FR 5cc 2W

Facility

$75.66

Hospital Charge Code	270649855
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$37.83
Rate for Payer: Aetna Commercial	$28.75
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.29
Rate for Payer: Cigna Commercial	$37.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.70
Rate for Payer: Oxford Commercial	$15.13
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.13
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$2.00

Know your out-of-pocket cost for care.

All Charges