Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT BIOPSY CARTILAGE

Facility

$2,730.00

Hospital Charge Code	270633802
Hospital Revenue Code	272
Min. Negotiated Rate	$65.79
Max. Negotiated Rate	$1,365.00
Rate for Payer: Aetna Commercial	$1,037.40
Rate for Payer: Aetna Medicare Advantage	$819.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$696.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$696.15
Rate for Payer: Cigna Commercial	$1,365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$819.00
Rate for Payer: Oxford Commercial	$546.00
Rate for Payer: Qualcare PPO/HMO/WC	$409.50
Rate for Payer: UnitedHealthcare Commercial	$546.00
Rate for Payer: UnitedHealthcare Community & State	$65.79
Rate for Payer: Wellpoint Medicaid Managed Care	$72.34

KIT BIOPSY CARTILAGE

Facility

$2,730.00

Hospital Charge Code	270633802
Hospital Revenue Code	272
Min. Negotiated Rate	$409.50
Max. Negotiated Rate	$409.50
Rate for Payer: Qualcare PPO/HMO/WC	$409.50

KIT BIOPSY CARTILAGE 80001

Facility

$2,455.25

Hospital Charge Code	270633801
Hospital Revenue Code	272
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$1,227.62
Rate for Payer: Aetna Commercial	$933.00
Rate for Payer: Aetna Medicare Advantage	$736.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$626.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$626.09
Rate for Payer: Cigna Commercial	$1,227.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$736.58
Rate for Payer: Oxford Commercial	$491.05
Rate for Payer: Qualcare PPO/HMO/WC	$368.29
Rate for Payer: UnitedHealthcare Commercial	$491.05
Rate for Payer: UnitedHealthcare Community & State	$59.17
Rate for Payer: Wellpoint Medicaid Managed Care	$65.06

KIT BIOPSY CARTILAGE 80001

Facility

$2,455.25

Hospital Charge Code	270633801
Hospital Revenue Code	272
Min. Negotiated Rate	$368.29
Max. Negotiated Rate	$368.29
Rate for Payer: Qualcare PPO/HMO/WC	$368.29

KIT BIO TENODESIS AR1675DS

Facility

$892.85

Hospital Charge Code	270633795
Hospital Revenue Code	272
Min. Negotiated Rate	$133.93
Max. Negotiated Rate	$133.93
Rate for Payer: Qualcare PPO/HMO/WC	$133.93

KIT BIO TENODESIS AR1675DS

Facility

$892.85

Hospital Charge Code	270633795
Hospital Revenue Code	272
Min. Negotiated Rate	$21.52
Max. Negotiated Rate	$446.43
Rate for Payer: Aetna Commercial	$339.28
Rate for Payer: Aetna Medicare Advantage	$267.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.68
Rate for Payer: Cigna Commercial	$446.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.86
Rate for Payer: Oxford Commercial	$178.57
Rate for Payer: Qualcare PPO/HMO/WC	$133.93
Rate for Payer: UnitedHealthcare Commercial	$178.57
Rate for Payer: UnitedHealthcare Community & State	$21.52
Rate for Payer: Wellpoint Medicaid Managed Care	$23.66

KIT BLAKE DRAIN *********

Facility

$132.00

Hospital Charge Code	1606557
Hospital Revenue Code	279
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$19.80
Rate for Payer: Qualcare PPO/HMO/WC	$19.80

KIT BLAKE DRAIN *********

Facility

$132.00

Hospital Charge Code	1606557
Hospital Revenue Code	279
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$66.00
Rate for Payer: Aetna Commercial	$50.16
Rate for Payer: Aetna Medicare Advantage	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.66
Rate for Payer: Cigna Commercial	$66.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.60
Rate for Payer: Oxford Commercial	$26.40
Rate for Payer: Qualcare PPO/HMO/WC	$19.80
Rate for Payer: UnitedHealthcare Commercial	$26.40
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

KIT BLOOD ACCES ANGL ANGBAK250

Facility

$365.00

Hospital Charge Code	270639729
Hospital Revenue Code	272
Min. Negotiated Rate	$8.80
Max. Negotiated Rate	$182.50
Rate for Payer: Aetna Commercial	$138.70
Rate for Payer: Aetna Medicare Advantage	$109.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.08
Rate for Payer: Cigna Commercial	$182.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.50
Rate for Payer: Oxford Commercial	$73.00
Rate for Payer: Qualcare PPO/HMO/WC	$54.75
Rate for Payer: UnitedHealthcare Commercial	$73.00
Rate for Payer: UnitedHealthcare Community & State	$8.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9.67

KIT BLOOD ACCES ANGL ANGBAK250

Facility

$365.00

Hospital Charge Code	270639729
Hospital Revenue Code	272
Min. Negotiated Rate	$54.75
Max. Negotiated Rate	$54.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.75

KIT BLOOD DRAW

Facility

$4,096.30

Hospital Charge Code	270663733
Hospital Revenue Code	270
Min. Negotiated Rate	$98.72
Max. Negotiated Rate	$2,048.15
Rate for Payer: Aetna Commercial	$1,556.59
Rate for Payer: Aetna Medicare Advantage	$1,228.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,044.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,044.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,044.56
Rate for Payer: Cigna Commercial	$2,048.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,228.89
Rate for Payer: Oxford Commercial	$819.26
Rate for Payer: Qualcare PPO/HMO/WC	$614.45
Rate for Payer: UnitedHealthcare Commercial	$819.26
Rate for Payer: UnitedHealthcare Community & State	$98.72
Rate for Payer: Wellpoint Medicaid Managed Care	$108.55

KIT BLOOD DRAW

Facility

$4,096.30

Hospital Charge Code	270663733
Hospital Revenue Code	270
Min. Negotiated Rate	$614.45
Max. Negotiated Rate	$614.45
Rate for Payer: Qualcare PPO/HMO/WC	$614.45

KIT BLOOD SAMPLING ARTERIAL

Facility

$6.60

Hospital Charge Code	270649790
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

KIT BLOOD SAMPLING ARTERIAL

Facility

$6.60

Hospital Charge Code	270649790
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.30
Rate for Payer: Aetna Commercial	$2.51
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.98
Rate for Payer: Oxford Commercial	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$1.32
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

KIT BMT HIP PREP 424700

Facility

$650.00

Hospital Charge Code	270621292
Hospital Revenue Code	270
Min. Negotiated Rate	$15.66
Max. Negotiated Rate	$325.00
Rate for Payer: Aetna Commercial	$247.00
Rate for Payer: Aetna Medicare Advantage	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.75
Rate for Payer: Cigna Commercial	$325.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.00
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$130.00
Rate for Payer: UnitedHealthcare Community & State	$15.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.23

KIT BMT HIP PREP 424700

Facility

$650.00

Hospital Charge Code	270621292
Hospital Revenue Code	270
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

KIT BMT IMPLANTATION 999881

Facility

$1,532.85

Hospital Charge Code	270605343
Hospital Revenue Code	272
Min. Negotiated Rate	$229.93
Max. Negotiated Rate	$229.93
Rate for Payer: Qualcare PPO/HMO/WC	$229.93

KIT BMT IMPLANTATION 999881

Facility

$1,532.85

Hospital Charge Code	270605343
Hospital Revenue Code	272
Min. Negotiated Rate	$36.94
Max. Negotiated Rate	$766.42
Rate for Payer: Aetna Commercial	$582.48
Rate for Payer: Aetna Medicare Advantage	$459.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.88
Rate for Payer: Cigna Commercial	$766.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.86
Rate for Payer: Oxford Commercial	$306.57
Rate for Payer: Qualcare PPO/HMO/WC	$229.93
Rate for Payer: UnitedHealthcare Commercial	$306.57
Rate for Payer: UnitedHealthcare Community & State	$36.94
Rate for Payer: Wellpoint Medicaid Managed Care	$40.62

KIT BMT IMPLANTATION 999999

Facility

$1,536.00

Hospital Charge Code	270606465
Hospital Revenue Code	272
Min. Negotiated Rate	$37.02
Max. Negotiated Rate	$768.00
Rate for Payer: Aetna Commercial	$583.68
Rate for Payer: Aetna Medicare Advantage	$460.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.68
Rate for Payer: Cigna Commercial	$768.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.80
Rate for Payer: Oxford Commercial	$307.20
Rate for Payer: Qualcare PPO/HMO/WC	$230.40
Rate for Payer: UnitedHealthcare Commercial	$307.20
Rate for Payer: UnitedHealthcare Community & State	$37.02
Rate for Payer: Wellpoint Medicaid Managed Care	$40.70

KIT BMT IMPLANTATION 999999

Facility

$1,536.00

Hospital Charge Code	270606465
Hospital Revenue Code	272
Min. Negotiated Rate	$230.40
Max. Negotiated Rate	$230.40
Rate for Payer: Qualcare PPO/HMO/WC	$230.40

KIT BMT OPTIVAX MIX 80G 200512

Facility

$713.65

Hospital Charge Code	270624394
Hospital Revenue Code	272
Min. Negotiated Rate	$17.20
Max. Negotiated Rate	$356.82
Rate for Payer: Aetna Commercial	$271.19
Rate for Payer: Aetna Medicare Advantage	$214.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.98
Rate for Payer: Cigna Commercial	$356.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.09
Rate for Payer: Oxford Commercial	$142.73
Rate for Payer: Qualcare PPO/HMO/WC	$107.05
Rate for Payer: UnitedHealthcare Commercial	$142.73
Rate for Payer: UnitedHealthcare Community & State	$17.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18.91

KIT BMT OPTIVAX MIX 80G 200512

Facility

$713.65

Hospital Charge Code	270624394
Hospital Revenue Code	272
Min. Negotiated Rate	$107.05
Max. Negotiated Rate	$107.05
Rate for Payer: Qualcare PPO/HMO/WC	$107.05

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422
Hospital Revenue Code	272
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$712.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422O
Hospital Revenue Code	272
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$356.25
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422O
Hospital Revenue Code	272
Min. Negotiated Rate	$57.24
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$902.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$712.50
Rate for Payer: Oxford Commercial	$475.00
Rate for Payer: Qualcare PPO/HMO/WC	$356.25
Rate for Payer: UnitedHealthcare Commercial	$475.00
Rate for Payer: UnitedHealthcare Community & State	$57.24
Rate for Payer: Wellpoint Medicaid Managed Care	$62.94

Know your out-of-pocket cost for care.

All Charges