Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT ADCON-L ADHESION CONTROL

Facility

$3,796.00

Hospital Charge Code	270610203
Hospital Revenue Code	272
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$569.40
Rate for Payer: Qualcare PPO/HMO/WC	$569.40

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$210.88
Max. Negotiated Rate	$4,375.00
Rate for Payer: Aetna Commercial	$3,325.00
Rate for Payer: Aetna Medicare Advantage	$2,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,231.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,231.25
Rate for Payer: Cigna Commercial	$4,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,625.00
Rate for Payer: Oxford Commercial	$1,750.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50
Rate for Payer: UnitedHealthcare Commercial	$1,750.00
Rate for Payer: UnitedHealthcare Community & State	$210.88
Rate for Payer: Wellpoint Medicaid Managed Care	$231.88

KIT ADD'L FRACTURE LNG

Facility

$8,750.00

Hospital Charge Code	270670665
Hospital Revenue Code	272
Min. Negotiated Rate	$1,312.50
Max. Negotiated Rate	$1,312.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,312.50

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$4.69

KIT AIR/WATER, SUCTION, BIOPSY

Facility

$31.25

Hospital Charge Code	270659906
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$15.62
Rate for Payer: Aetna Commercial	$11.88
Rate for Payer: Aetna Medicare Advantage	$9.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.97
Rate for Payer: Cigna Commercial	$15.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.38
Rate for Payer: Oxford Commercial	$6.25
Rate for Payer: Qualcare PPO/HMO/WC	$4.69
Rate for Payer: UnitedHealthcare Commercial	$6.25
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.83

KIT ALVEOSAMPLER QT00858-P

Facility

$57.65

Hospital Charge Code	270615591
Hospital Revenue Code	272
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$8.65
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

KIT ALVEOSAMPLER QT00858-P

Facility

$57.65

Hospital Charge Code	270615591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$21.91
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.30
Rate for Payer: Oxford Commercial	$11.53
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Commercial	$11.53
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

KIT AMS INFAST ULTRA 72440360

Facility

$3,316.85

Hospital Charge Code	270626150
Hospital Revenue Code	272
Min. Negotiated Rate	$79.94
Max. Negotiated Rate	$1,658.42
Rate for Payer: Aetna Commercial	$1,260.40
Rate for Payer: Aetna Medicare Advantage	$995.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$845.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$845.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$845.80
Rate for Payer: Cigna Commercial	$1,658.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$995.05
Rate for Payer: Oxford Commercial	$663.37
Rate for Payer: Qualcare PPO/HMO/WC	$497.53
Rate for Payer: UnitedHealthcare Commercial	$663.37
Rate for Payer: UnitedHealthcare Community & State	$79.94
Rate for Payer: Wellpoint Medicaid Managed Care	$87.90

KIT AMS INFAST ULTRA 72440360

Facility

$3,316.85

Hospital Charge Code	270626150
Hospital Revenue Code	272
Min. Negotiated Rate	$497.53
Max. Negotiated Rate	$497.53
Rate for Payer: Qualcare PPO/HMO/WC	$497.53

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$60.13
Max. Negotiated Rate	$1,247.50
Rate for Payer: Aetna Commercial	$948.10
Rate for Payer: Aetna Medicare Advantage	$748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.23
Rate for Payer: Cigna Commercial	$1,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.50
Rate for Payer: Oxford Commercial	$499.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.25
Rate for Payer: UnitedHealthcare Commercial	$499.00
Rate for Payer: UnitedHealthcare Community & State	$60.13
Rate for Payer: Wellpoint Medicaid Managed Care	$66.12

KIT AMZ DISPOSABLE

Facility

$2,495.00

Hospital Charge Code	270669795
Hospital Revenue Code	272
Min. Negotiated Rate	$374.25
Max. Negotiated Rate	$374.25
Rate for Payer: Qualcare PPO/HMO/WC	$374.25

KIT ANESTH CIR PEDS DYNJAP4003

Facility

$16.35

Hospital Charge Code	270639059
Hospital Revenue Code	272
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.45

KIT ANESTH CIR PEDS DYNJAP4003

Facility

$16.35

Hospital Charge Code	270639059
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.18
Rate for Payer: Aetna Commercial	$6.21
Rate for Payer: Aetna Medicare Advantage	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.17
Rate for Payer: Cigna Commercial	$8.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.45
Rate for Payer: UnitedHealthcare Commercial	$3.27
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

KIT ANESTHESIA CIRCUIT PEDIAT-

Facility

$31.90

Hospital Charge Code	270637628
Hospital Revenue Code	272
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$4.79
Rate for Payer: Qualcare PPO/HMO/WC	$4.79

KIT ANESTHESIA CIRCUIT PEDIAT-

Facility

$31.90

Hospital Charge Code	270637628
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$15.95
Rate for Payer: Aetna Commercial	$12.12
Rate for Payer: Aetna Medicare Advantage	$9.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.13
Rate for Payer: Cigna Commercial	$15.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.57
Rate for Payer: Oxford Commercial	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.79
Rate for Payer: UnitedHealthcare Commercial	$6.38
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.85

KIT ANESTHESIA CIRCUIT W/MASK

Facility

$29.84

Hospital Charge Code	270070051
Hospital Revenue Code	270
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$4.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.48

KIT ANESTHESIA CIRCUIT W/MASK

Facility

$29.84

Hospital Charge Code	270070051
Hospital Revenue Code	270
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$14.92
Rate for Payer: Aetna Commercial	$11.34
Rate for Payer: Aetna Medicare Advantage	$8.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.61
Rate for Payer: Cigna Commercial	$14.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.95
Rate for Payer: Oxford Commercial	$5.97
Rate for Payer: Qualcare PPO/HMO/WC	$4.48
Rate for Payer: UnitedHealthcare Commercial	$5.97
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.79

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

KIT ANGEL BLOOD ACCESS

Facility

$375.00

Hospital Charge Code	270676776
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$118.09
Max. Negotiated Rate	$2,450.00
Rate for Payer: Aetna Commercial	$1,862.00
Rate for Payer: Aetna Medicare Advantage	$1,470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,249.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,249.50
Rate for Payer: Cigna Commercial	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,470.00
Rate for Payer: Oxford Commercial	$980.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00
Rate for Payer: UnitedHealthcare Commercial	$980.00
Rate for Payer: UnitedHealthcare Community & State	$118.09
Rate for Payer: Wellpoint Medicaid Managed Care	$129.85

KIT ANGEL BMC

Facility

$4,900.00

Hospital Charge Code	270676777
Hospital Revenue Code	272
Min. Negotiated Rate	$735.00
Max. Negotiated Rate	$735.00
Rate for Payer: Qualcare PPO/HMO/WC	$735.00

KIT ANGIO 25 MG GREEN IC

Facility

$2,518.00

Hospital Charge Code	270658433
Hospital Revenue Code	272
Min. Negotiated Rate	$377.70
Max. Negotiated Rate	$377.70
Rate for Payer: Qualcare PPO/HMO/WC	$377.70

KIT ANGIO 25 MG GREEN IC

Facility

$2,518.00

Hospital Charge Code	270658433
Hospital Revenue Code	272
Min. Negotiated Rate	$60.68
Max. Negotiated Rate	$1,259.00
Rate for Payer: Aetna Commercial	$956.84
Rate for Payer: Aetna Medicare Advantage	$755.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.09
Rate for Payer: Cigna Commercial	$1,259.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.40
Rate for Payer: Oxford Commercial	$503.60
Rate for Payer: Qualcare PPO/HMO/WC	$377.70
Rate for Payer: UnitedHealthcare Commercial	$503.60
Rate for Payer: UnitedHealthcare Community & State	$60.68
Rate for Payer: Wellpoint Medicaid Managed Care	$66.73

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$54.45
Rate for Payer: Aetna Commercial	$41.38
Rate for Payer: Aetna Medicare Advantage	$32.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.77
Rate for Payer: Cigna Commercial	$54.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.67
Rate for Payer: Oxford Commercial	$21.78
Rate for Payer: Qualcare PPO/HMO/WC	$16.34
Rate for Payer: UnitedHealthcare Commercial	$21.78
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

KIT ANTISEPTIC CHG SKIN/NASAL

Facility

$108.90

Hospital Charge Code	270676889
Hospital Revenue Code	272
Min. Negotiated Rate	$16.34
Max. Negotiated Rate	$16.34
Rate for Payer: Qualcare PPO/HMO/WC	$16.34

Know your out-of-pocket cost for care.

All Charges