Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT BONE ACCESS SZ 3

Facility

$2,375.00

Hospital Charge Code	270686422
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 DOWEL REVISION 16MM

Facility

$2,750.00

Hospital Charge Code	270693722
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT BONE DOWEL REVISION 16MM

Facility

$2,750.00

Hospital Charge Code	270693722
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

KIT BONE MARROW ASPRTN 30CC

Facility

$10,475.00

Hospital Charge Code	270650006
Hospital Revenue Code	272
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$1,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

KIT BONE MARROW ASPRTN 30CC

Facility

$10,475.00

Hospital Charge Code	270650006
Hospital Revenue Code	272
Min. Negotiated Rate	$252.45
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,980.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.50
Rate for Payer: Oxford Commercial	$2,095.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25
Rate for Payer: UnitedHealthcare Commercial	$2,095.00
Rate for Payer: UnitedHealthcare Community & State	$252.45
Rate for Payer: Wellpoint Medicaid Managed Care	$277.59

KIT BONE MARROW HARVEST

Facility

$10,475.00

Hospital Charge Code	270677368
Hospital Revenue Code	272
Min. Negotiated Rate	$1,571.25
Max. Negotiated Rate	$1,571.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25

KIT BONE MARROW HARVEST

Facility

$10,475.00

Hospital Charge Code	270677368
Hospital Revenue Code	272
Min. Negotiated Rate	$252.45
Max. Negotiated Rate	$5,237.50
Rate for Payer: Aetna Commercial	$3,980.50
Rate for Payer: Aetna Medicare Advantage	$3,142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,671.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,671.12
Rate for Payer: Cigna Commercial	$5,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,142.50
Rate for Payer: Oxford Commercial	$2,095.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,571.25
Rate for Payer: UnitedHealthcare Commercial	$2,095.00
Rate for Payer: UnitedHealthcare Community & State	$252.45
Rate for Payer: Wellpoint Medicaid Managed Care	$277.59

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$1,796.25
Max. Negotiated Rate	$1,796.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25

KIT BONE MARROW HARVEST

Facility

$11,975.00

Hospital Charge Code	270678224
Hospital Revenue Code	272
Min. Negotiated Rate	$288.60
Max. Negotiated Rate	$5,987.50
Rate for Payer: Aetna Commercial	$4,550.50
Rate for Payer: Aetna Medicare Advantage	$3,592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,053.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,053.62
Rate for Payer: Cigna Commercial	$5,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,592.50
Rate for Payer: Oxford Commercial	$2,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,796.25
Rate for Payer: UnitedHealthcare Commercial	$2,395.00
Rate for Payer: UnitedHealthcare Community & State	$288.60
Rate for Payer: Wellpoint Medicaid Managed Care	$317.34

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$1,462.50
Max. Negotiated Rate	$1,462.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50

KIT BONE MARROW MSC ASPIRATION

Facility

$9,750.00

Hospital Charge Code	270698050
Hospital Revenue Code	272
Min. Negotiated Rate	$234.97
Max. Negotiated Rate	$4,875.00
Rate for Payer: Aetna Commercial	$3,705.00
Rate for Payer: Aetna Medicare Advantage	$2,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,486.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,486.25
Rate for Payer: Cigna Commercial	$4,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,925.00
Rate for Payer: Oxford Commercial	$1,950.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,462.50
Rate for Payer: UnitedHealthcare Commercial	$1,950.00
Rate for Payer: UnitedHealthcare Community & State	$234.97
Rate for Payer: Wellpoint Medicaid Managed Care	$258.38

KIT BONE PLAST FILLER BP020

Facility

$3,350.00

Hospital Charge Code	270632402
Hospital Revenue Code	272
Min. Negotiated Rate	$80.73
Max. Negotiated Rate	$1,675.00
Rate for Payer: Aetna Commercial	$1,273.00
Rate for Payer: Aetna Medicare Advantage	$1,005.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$854.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$854.25
Rate for Payer: Cigna Commercial	$1,675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,005.00
Rate for Payer: Oxford Commercial	$670.00
Rate for Payer: Qualcare PPO/HMO/WC	$502.50
Rate for Payer: UnitedHealthcare Commercial	$670.00
Rate for Payer: UnitedHealthcare Community & State	$80.73
Rate for Payer: Wellpoint Medicaid Managed Care	$88.78

KIT BONE PLAST FILLER BP020

Facility

$3,350.00

Hospital Charge Code	270632402
Hospital Revenue Code	272
Min. Negotiated Rate	$502.50
Max. Negotiated Rate	$502.50
Rate for Payer: Qualcare PPO/HMO/WC	$502.50

KIT BONE SCREW W/SLING 7835220

Facility

$4,865.65

Hospital Charge Code	270619684
Hospital Revenue Code	272
Min. Negotiated Rate	$729.85
Max. Negotiated Rate	$729.85
Rate for Payer: Qualcare PPO/HMO/WC	$729.85

KIT BONE SCREW W/SLING 7835220

Facility

$4,865.65

Hospital Charge Code	270619684
Hospital Revenue Code	272
Min. Negotiated Rate	$117.26
Max. Negotiated Rate	$2,432.82
Rate for Payer: Aetna Commercial	$1,848.95
Rate for Payer: Aetna Medicare Advantage	$1,459.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,240.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,240.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,240.74
Rate for Payer: Cigna Commercial	$2,432.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,459.69
Rate for Payer: Oxford Commercial	$973.13
Rate for Payer: Qualcare PPO/HMO/WC	$729.85
Rate for Payer: UnitedHealthcare Commercial	$973.13
Rate for Payer: UnitedHealthcare Community & State	$117.26
Rate for Payer: Wellpoint Medicaid Managed Care	$128.94

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$344.03
Max. Negotiated Rate	$7,137.50
Rate for Payer: Aetna Commercial	$5,424.50
Rate for Payer: Aetna Medicare Advantage	$4,282.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,640.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,640.12
Rate for Payer: Cigna Commercial	$7,137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,140.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25
Rate for Payer: UnitedHealthcare Community & State	$344.03
Rate for Payer: Wellpoint Medicaid Managed Care	$378.29

KIT BONE TAMP

Facility

$14,275.00

Hospital Charge Code	270660326
Hospital Revenue Code	278
Min. Negotiated Rate	$2,141.25
Max. Negotiated Rate	$3,454.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,855.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,454.55
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,140.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,141.25

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$2,943.75
Max. Negotiated Rate	$4,749.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,317.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75

KIT BONE TAMP KPX203PB FFX2

Facility

$19,625.00

Hospital Charge Code	270672072
Hospital Revenue Code	278
Min. Negotiated Rate	$472.96
Max. Negotiated Rate	$9,812.50
Rate for Payer: Aetna Commercial	$7,457.50
Rate for Payer: Aetna Medicare Advantage	$5,887.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,004.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,004.38
Rate for Payer: Cigna Commercial	$9,812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,749.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,317.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,943.75
Rate for Payer: UnitedHealthcare Community & State	$472.96
Rate for Payer: Wellpoint Medicaid Managed Care	$520.06

KIT BONE TENDON ACL DIS 909822

Facility

$1,656.70

Hospital Charge Code	270630825
Hospital Revenue Code	272
Min. Negotiated Rate	$39.93
Max. Negotiated Rate	$828.35
Rate for Payer: Aetna Commercial	$629.55
Rate for Payer: Aetna Medicare Advantage	$497.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.46
Rate for Payer: Cigna Commercial	$828.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$497.01
Rate for Payer: Oxford Commercial	$331.34
Rate for Payer: Qualcare PPO/HMO/WC	$248.50
Rate for Payer: UnitedHealthcare Commercial	$331.34
Rate for Payer: UnitedHealthcare Community & State	$39.93
Rate for Payer: Wellpoint Medicaid Managed Care	$43.90

KIT BONE TENDON ACL DIS 909822

Facility

$1,656.70

Hospital Charge Code	270630825
Hospital Revenue Code	272
Min. Negotiated Rate	$248.50
Max. Negotiated Rate	$248.50
Rate for Payer: Qualcare PPO/HMO/WC	$248.50

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$178.12
Rate for Payer: Aetna Commercial	$135.38
Rate for Payer: Aetna Medicare Advantage	$106.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.84
Rate for Payer: Cigna Commercial	$178.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.88
Rate for Payer: Oxford Commercial	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$53.44
Rate for Payer: UnitedHealthcare Commercial	$71.25
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.44

KIT BOWL 125ML

Facility

$356.25

Hospital Charge Code	270663105
Hospital Revenue Code	272
Min. Negotiated Rate	$53.44
Max. Negotiated Rate	$53.44
Rate for Payer: Qualcare PPO/HMO/WC	$53.44

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$451.88
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$7,125.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50
Rate for Payer: UnitedHealthcare Community & State	$451.88
Rate for Payer: Wellpoint Medicaid Managed Care	$496.88

KIT BPH

Facility

$18,750.00

Hospital Charge Code	270703594
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

Know your out-of-pocket cost for care.

All Charges