Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$10.29
Max. Negotiated Rate	$213.50
Rate for Payer: Aetna Commercial	$162.26
Rate for Payer: Aetna Medicare Advantage	$128.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.89
Rate for Payer: Cigna Commercial	$213.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05
Rate for Payer: UnitedHealthcare Community & State	$10.29
Rate for Payer: Wellpoint Medicaid Managed Care	$11.32

KINEVAC 5 MCG IV

Facility

$427.00

Hospital Charge Code	2008080
Hospital Revenue Code	636
Min. Negotiated Rate	$64.05
Max. Negotiated Rate	$103.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.33
Rate for Payer: Qualcare PPO/HMO/WC	$64.05

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,387.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX GEL 5ML BONE VOID FILLER

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270695459
Hospital Revenue Code	278
Min. Negotiated Rate	$261.49
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$4,123.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,387.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50
Rate for Payer: UnitedHealthcare Community & State	$261.49
Rate for Payer: Wellpoint Medicaid Managed Care	$287.52

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$1,627.50
Max. Negotiated Rate	$2,625.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,387.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50

KINEX PLUS BLOACTIVE GEL 5CC

Facility

$10,850.00

Service Code	HCPCS C1713
Hospital Charge Code	270659459
Hospital Revenue Code	278
Min. Negotiated Rate	$261.49
Max. Negotiated Rate	$5,425.00
Rate for Payer: Aetna Commercial	$4,123.00
Rate for Payer: Aetna Medicare Advantage	$3,255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,766.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,170.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,766.75
Rate for Payer: Cigna Commercial	$5,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,387.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,627.50
Rate for Payer: UnitedHealthcare Community & State	$261.49
Rate for Payer: Wellpoint Medicaid Managed Care	$287.52

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.75
Rate for Payer: Aetna Commercial	$15.01
Rate for Payer: Aetna Medicare Advantage	$11.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.85
Rate for Payer: Oxford Commercial	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$7.90
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

KING BREATHING KIT

Facility

$39.50

Hospital Charge Code	270654292
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

KINGFISHER SUTURE RETRIEVER

Facility

$7,475.00

Hospital Charge Code	270656523
Hospital Revenue Code	271
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

KINGFISHER SUTURE RETRIEVER

Facility

$7,475.00

Hospital Charge Code	270656523
Hospital Revenue Code	271
Min. Negotiated Rate	$180.15
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,242.50
Rate for Payer: Oxford Commercial	$1,495.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Commercial	$1,495.00
Rate for Payer: UnitedHealthcare Community & State	$180.15
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

KIRBY BAUER

Facility

$124.00

Service Code	HCPCS 87184
Hospital Charge Code	38475029
Hospital Revenue Code	309
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

KIRBY BAUER

Facility

$124.00

Service Code	HCPCS 87184
Hospital Charge Code	38475029
Hospital Revenue Code	309
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$20.35
Rate for Payer: Aetna Medicare Advantage	$24.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.48
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	$27.00
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: Cigna Medicare Advantage	$7.48
Rate for Payer: Clover Medicare Advantage	$7.11
Rate for Payer: EmblemHealth Commercial	$22.44
Rate for Payer: Humana Medicare Advantage	$7.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.20
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.48
Rate for Payer: Wellcare Medicare Advantage	$7.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

KIRSCHER WIRE 0.45

Facility

$61.92

Hospital Charge Code	270656387
Hospital Revenue Code	270
Min. Negotiated Rate	$9.29
Max. Negotiated Rate	$9.29
Rate for Payer: Qualcare PPO/HMO/WC	$9.29

KIRSCHER WIRE 0.45

Facility

$61.92

Hospital Charge Code	270656387
Hospital Revenue Code	270
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$30.96
Rate for Payer: Aetna Commercial	$23.53
Rate for Payer: Aetna Medicare Advantage	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.79
Rate for Payer: Cigna Commercial	$30.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.58
Rate for Payer: Oxford Commercial	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.29
Rate for Payer: UnitedHealthcare Commercial	$12.38
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

KIRSCHNER WIRE 0.35

Facility

$71.50

Hospital Charge Code	270656388
Hospital Revenue Code	270
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.75
Rate for Payer: Aetna Commercial	$27.17
Rate for Payer: Aetna Medicare Advantage	$21.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.23
Rate for Payer: Cigna Commercial	$35.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.45
Rate for Payer: Oxford Commercial	$14.30
Rate for Payer: Qualcare PPO/HMO/WC	$10.72
Rate for Payer: UnitedHealthcare Commercial	$14.30
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

KIRSCHNER WIRE 0.35

Facility

$71.50

Hospital Charge Code	270656388
Hospital Revenue Code	270
Min. Negotiated Rate	$10.72
Max. Negotiated Rate	$10.72
Rate for Payer: Qualcare PPO/HMO/WC	$10.72

KIRSCHNER WIRE 0.62

Facility

$58.98

Hospital Charge Code	270656390
Hospital Revenue Code	270
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$29.49
Rate for Payer: Aetna Commercial	$22.41
Rate for Payer: Aetna Medicare Advantage	$17.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.04
Rate for Payer: Cigna Commercial	$29.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.69
Rate for Payer: Oxford Commercial	$11.80
Rate for Payer: Qualcare PPO/HMO/WC	$8.85
Rate for Payer: UnitedHealthcare Commercial	$11.80
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.56

KIRSCHNER WIRE 0.62

Facility

$58.98

Hospital Charge Code	270656390
Hospital Revenue Code	270
Min. Negotiated Rate	$8.85
Max. Negotiated Rate	$8.85
Rate for Payer: Qualcare PPO/HMO/WC	$8.85

KIRSCHNER WIRE 150MM

Facility

$460.60

Service Code	HCPCS C1713
Hospital Charge Code	270604432
Hospital Revenue Code	278
Min. Negotiated Rate	$69.09
Max. Negotiated Rate	$111.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.33
Rate for Payer: Qualcare PPO/HMO/WC	$69.09

KIRSCHNER WIRE 150MM

Facility

$460.60

Service Code	HCPCS C1713
Hospital Charge Code	270604432
Hospital Revenue Code	278
Min. Negotiated Rate	$11.10
Max. Negotiated Rate	$230.30
Rate for Payer: Aetna Commercial	$175.03
Rate for Payer: Aetna Medicare Advantage	$138.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.45
Rate for Payer: Cigna Commercial	$230.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.33
Rate for Payer: Qualcare PPO/HMO/WC	$69.09
Rate for Payer: UnitedHealthcare Community & State	$11.10
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

KIRSCHNER WIRE STY 6 1.1x229mm

Facility

$28.49

Hospital Charge Code	270650934
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$4.27
Rate for Payer: Qualcare PPO/HMO/WC	$4.27

KIRSCHNER WIRE STY 6 1.1x229mm

Facility

$28.49

Hospital Charge Code	270650934
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.24
Rate for Payer: Aetna Commercial	$10.83
Rate for Payer: Aetna Medicare Advantage	$8.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.26
Rate for Payer: Cigna Commercial	$14.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.55
Rate for Payer: Oxford Commercial	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$4.27
Rate for Payer: UnitedHealthcare Commercial	$5.70
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

KIRSCHNER WIRE STY 6 1.6x229mm

Facility

$36.51

Hospital Charge Code	270650935
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.25
Rate for Payer: Aetna Commercial	$13.87
Rate for Payer: Aetna Medicare Advantage	$10.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.95
Rate for Payer: Oxford Commercial	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.48
Rate for Payer: UnitedHealthcare Commercial	$7.30
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

KIRSCHNER WIRE STY 6 1.6x229mm

Facility

$36.51

Hospital Charge Code	270650935
Hospital Revenue Code	272
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$5.48
Rate for Payer: Qualcare PPO/HMO/WC	$5.48

KIRSCH WIRE W/TROCAR TIP 2.5MM

Facility

$165.00

Service Code	HCPCS C1713
Hospital Charge Code	270688155
Hospital Revenue Code	278
Min. Negotiated Rate	$24.75
Max. Negotiated Rate	$39.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$24.75

Know your out-of-pocket cost for care.

All Charges