Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT APC

Facility

$3,451.25

Hospital Charge Code	270605358
Hospital Revenue Code	272
Min. Negotiated Rate	$83.18
Max. Negotiated Rate	$1,725.62
Rate for Payer: Aetna Commercial	$1,311.47
Rate for Payer: Aetna Medicare Advantage	$1,035.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$880.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$880.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$880.07
Rate for Payer: Cigna Commercial	$1,725.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,035.38
Rate for Payer: Oxford Commercial	$690.25
Rate for Payer: Qualcare PPO/HMO/WC	$517.69
Rate for Payer: UnitedHealthcare Commercial	$690.25
Rate for Payer: UnitedHealthcare Community & State	$83.18
Rate for Payer: Wellpoint Medicaid Managed Care	$91.46

KIT APC

Facility

$3,451.25

Hospital Charge Code	270605358
Hospital Revenue Code	272
Min. Negotiated Rate	$517.69
Max. Negotiated Rate	$517.69
Rate for Payer: Qualcare PPO/HMO/WC	$517.69

KIT APHERESIS CLOSE SYS 4R2230

Facility

$1,429.65

Hospital Charge Code	270600828
Hospital Revenue Code	270
Min. Negotiated Rate	$214.45
Max. Negotiated Rate	$214.45
Rate for Payer: Qualcare PPO/HMO/WC	$214.45

KIT APHERESIS CLOSE SYS 4R2230

Facility

$1,429.65

Hospital Charge Code	270600828
Hospital Revenue Code	270
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$714.83
Rate for Payer: Aetna Commercial	$543.27
Rate for Payer: Aetna Medicare Advantage	$428.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.56
Rate for Payer: Cigna Commercial	$714.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.89
Rate for Payer: Oxford Commercial	$285.93
Rate for Payer: Qualcare PPO/HMO/WC	$214.45
Rate for Payer: UnitedHealthcare Commercial	$285.93
Rate for Payer: UnitedHealthcare Community & State	$34.45
Rate for Payer: Wellpoint Medicaid Managed Care	$37.89

KIT APPLICATOR 800-0250

Facility

$175.00

Hospital Charge Code	270638792
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

KIT APPLICATOR 800-0250

Facility

$175.00

Hospital Charge Code	270638792
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

KIT AQUAPAK 650ml STERILE H20

Facility

$7.60

Hospital Charge Code	270634580
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

KIT AQUAPAK 650ml STERILE H20

Facility

$7.60

Hospital Charge Code	270634580
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.80
Rate for Payer: Aetna Commercial	$2.89
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.28
Rate for Payer: Oxford Commercial	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$1.52
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

KIT ARROW MULTI-LUMEN CVC ****

Facility

$160.00

Hospital Charge Code	8002594
Hospital Revenue Code	279
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

KIT ARROW MULTI-LUMEN CVC ****

Facility

$160.00

Hospital Charge Code	8002594
Hospital Revenue Code	279
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

KIT ARR TRER OTW 7FR PT65709WC

Facility

$2,961.05

Hospital Charge Code	270640064
Hospital Revenue Code	278
Min. Negotiated Rate	$444.16
Max. Negotiated Rate	$716.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.43
Rate for Payer: Qualcare PPO/HMO/WC	$444.16

KIT ARR TRER OTW 7FR PT65709WC

Facility

$2,961.05

Hospital Charge Code	270640064
Hospital Revenue Code	278
Min. Negotiated Rate	$71.36
Max. Negotiated Rate	$1,480.53
Rate for Payer: Aetna Commercial	$1,125.20
Rate for Payer: Aetna Medicare Advantage	$888.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$755.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$755.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$592.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$755.07
Rate for Payer: Cigna Commercial	$1,480.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$716.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$651.43
Rate for Payer: Qualcare PPO/HMO/WC	$444.16
Rate for Payer: UnitedHealthcare Community & State	$71.36
Rate for Payer: Wellpoint Medicaid Managed Care	$78.47

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$16.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

KIT ARTERIAL 70036160

Facility

$109.68

Hospital Charge Code	270632529
Hospital Revenue Code	272
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$54.84
Rate for Payer: Aetna Commercial	$41.68
Rate for Payer: Aetna Medicare Advantage	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.97
Rate for Payer: Cigna Commercial	$54.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.90
Rate for Payer: Oxford Commercial	$21.94
Rate for Payer: Qualcare PPO/HMO/WC	$16.45
Rate for Payer: UnitedHealthcare Commercial	$21.94
Rate for Payer: UnitedHealthcare Community & State	$2.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2.91

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$249.68
Max. Negotiated Rate	$5,180.00
Rate for Payer: Aetna Commercial	$3,936.80
Rate for Payer: Aetna Medicare Advantage	$3,108.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,641.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,641.80
Rate for Payer: Cigna Commercial	$5,180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,108.00
Rate for Payer: Oxford Commercial	$2,072.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00
Rate for Payer: UnitedHealthcare Commercial	$2,072.00
Rate for Payer: UnitedHealthcare Community & State	$249.68
Rate for Payer: Wellpoint Medicaid Managed Care	$274.54

KIT ARTHROBROSTROM

Facility

$10,360.00

Hospital Charge Code	270667769
Hospital Revenue Code	272
Min. Negotiated Rate	$1,554.00
Max. Negotiated Rate	$1,554.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,554.00

KIT ARTHROSCOPY CUSTOM ******

Facility

$162.00

Hospital Charge Code	1607100
Hospital Revenue Code	251
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$61.56
Rate for Payer: Aetna Medicare Advantage	$48.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.31
Rate for Payer: Cigna Commercial	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.60
Rate for Payer: Oxford Commercial	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$24.30
Rate for Payer: UnitedHealthcare Commercial	$32.40
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

KIT ARTHROSCOPY CUSTOM ******

Facility

$162.00

Hospital Charge Code	1607100
Hospital Revenue Code	251
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$24.30
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$213.75
Max. Negotiated Rate	$213.75
Rate for Payer: Qualcare PPO/HMO/WC	$213.75

KIT ASPIRATING 3 HOLE 6 NDLE

Facility

$1,425.00

Hospital Charge Code	270667357
Hospital Revenue Code	272
Min. Negotiated Rate	$34.34
Max. Negotiated Rate	$712.50
Rate for Payer: Aetna Commercial	$541.50
Rate for Payer: Aetna Medicare Advantage	$427.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$363.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$363.38
Rate for Payer: Cigna Commercial	$712.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.50
Rate for Payer: Oxford Commercial	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.75
Rate for Payer: UnitedHealthcare Commercial	$285.00
Rate for Payer: UnitedHealthcare Community & State	$34.34
Rate for Payer: Wellpoint Medicaid Managed Care	$37.76

KIT ASPIRATION 3-HOLE

Facility

$1,085.00

Hospital Charge Code	270657931
Hospital Revenue Code	272
Min. Negotiated Rate	$162.75
Max. Negotiated Rate	$162.75
Rate for Payer: Qualcare PPO/HMO/WC	$162.75

KIT ASPIRATION 3-HOLE

Facility

$1,085.00

Hospital Charge Code	270657931
Hospital Revenue Code	272
Min. Negotiated Rate	$26.15
Max. Negotiated Rate	$542.50
Rate for Payer: Aetna Commercial	$412.30
Rate for Payer: Aetna Medicare Advantage	$325.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.68
Rate for Payer: Cigna Commercial	$542.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.50
Rate for Payer: Oxford Commercial	$217.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.75
Rate for Payer: UnitedHealthcare Commercial	$217.00
Rate for Payer: UnitedHealthcare Community & State	$26.15
Rate for Payer: Wellpoint Medicaid Managed Care	$28.75

KIT ASSEMBLY 9480SC

Facility

$1,760.85

Hospital Charge Code	270633679
Hospital Revenue Code	272
Min. Negotiated Rate	$42.44
Max. Negotiated Rate	$880.42
Rate for Payer: Aetna Commercial	$669.12
Rate for Payer: Aetna Medicare Advantage	$528.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$449.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$449.02
Rate for Payer: Cigna Commercial	$880.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$528.25
Rate for Payer: Oxford Commercial	$352.17
Rate for Payer: Qualcare PPO/HMO/WC	$264.13
Rate for Payer: UnitedHealthcare Commercial	$352.17
Rate for Payer: UnitedHealthcare Community & State	$42.44
Rate for Payer: Wellpoint Medicaid Managed Care	$46.66

KIT ASSEMBLY 9480SC

Facility

$1,760.85

Hospital Charge Code	270633679
Hospital Revenue Code	272
Min. Negotiated Rate	$264.13
Max. Negotiated Rate	$264.13
Rate for Payer: Qualcare PPO/HMO/WC	$264.13

KIT ATHX ACL DISP AR18985

Facility

$1,331.25

Hospital Charge Code	270610587
Hospital Revenue Code	272
Min. Negotiated Rate	$199.69
Max. Negotiated Rate	$199.69
Rate for Payer: Qualcare PPO/HMO/WC	$199.69

Know your out-of-pocket cost for care.

All Charges