Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT GASTROSTOMY***

Facility

$494.00

Hospital Charge Code	2300515
Hospital Revenue Code	279
Min. Negotiated Rate	$11.91
Max. Negotiated Rate	$247.00
Rate for Payer: Aetna Commercial	$187.72
Rate for Payer: Aetna Medicare Advantage	$148.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.97
Rate for Payer: Cigna Commercial	$247.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.20
Rate for Payer: Oxford Commercial	$98.80
Rate for Payer: Qualcare PPO/HMO/WC	$74.10
Rate for Payer: UnitedHealthcare Commercial	$98.80
Rate for Payer: UnitedHealthcare Community & State	$11.91
Rate for Payer: Wellpoint Medicaid Managed Care	$13.09

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$79.13
Max. Negotiated Rate	$79.13
Rate for Payer: Qualcare PPO/HMO/WC	$79.13

KIT GASTROSTOMY 18F 2.5 CM

Facility

$527.55

Hospital Charge Code	270696646
Hospital Revenue Code	272
Min. Negotiated Rate	$12.71
Max. Negotiated Rate	$263.77
Rate for Payer: Aetna Commercial	$200.47
Rate for Payer: Aetna Medicare Advantage	$158.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.53
Rate for Payer: Cigna Commercial	$263.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.26
Rate for Payer: Oxford Commercial	$105.51
Rate for Payer: Qualcare PPO/HMO/WC	$79.13
Rate for Payer: UnitedHealthcare Commercial	$105.51
Rate for Payer: UnitedHealthcare Community & State	$12.71
Rate for Payer: Wellpoint Medicaid Managed Care	$13.98

KIT GEN SURG LTX FREE PG90MALF

Facility

$1,816.85

Hospital Charge Code	270617833
Hospital Revenue Code	272
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$908.42
Rate for Payer: Aetna Commercial	$690.40
Rate for Payer: Aetna Medicare Advantage	$545.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$463.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$463.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$463.30
Rate for Payer: Cigna Commercial	$908.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$545.05
Rate for Payer: Oxford Commercial	$363.37
Rate for Payer: Qualcare PPO/HMO/WC	$272.53
Rate for Payer: UnitedHealthcare Commercial	$363.37
Rate for Payer: UnitedHealthcare Community & State	$43.79
Rate for Payer: Wellpoint Medicaid Managed Care	$48.15

KIT GEN SURG LTX FREE PG90MALF

Facility

$1,816.85

Hospital Charge Code	270617833
Hospital Revenue Code	272
Min. Negotiated Rate	$272.53
Max. Negotiated Rate	$272.53
Rate for Payer: Qualcare PPO/HMO/WC	$272.53

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

KIT GENZYME ESSENTIALS 82004

Facility

$750.00

Hospital Charge Code	270634128
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

KIT GLOVE/CATH SUCT RUB 14-16F

Facility

$7.16

Hospital Charge Code	270649342
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.58
Rate for Payer: Aetna Commercial	$2.72
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.83
Rate for Payer: Cigna Commercial	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.15
Rate for Payer: Oxford Commercial	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$1.43
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

KIT GLOVE/CATH SUCT RUB 14-16F

Facility

$7.16

Hospital Charge Code	270649342
Hospital Revenue Code	270
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.07

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$36.02
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.35
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$39.60

KIT GOOSE NECK SNARE 10 GN1000

Facility

$1,494.50

Hospital Charge Code	270632044
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 15 GN1500

Facility

$1,705.00

Hospital Charge Code	270632252
Hospital Revenue Code	272
Min. Negotiated Rate	$41.09
Max. Negotiated Rate	$852.50
Rate for Payer: Aetna Commercial	$647.90
Rate for Payer: Aetna Medicare Advantage	$511.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$434.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$434.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$434.77
Rate for Payer: Cigna Commercial	$852.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.50
Rate for Payer: Oxford Commercial	$341.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.75
Rate for Payer: UnitedHealthcare Commercial	$341.00
Rate for Payer: UnitedHealthcare Community & State	$41.09
Rate for Payer: Wellpoint Medicaid Managed Care	$45.18

KIT GOOSE NECK SNARE 15 GN1500

Facility

$1,705.00

Hospital Charge Code	270632252
Hospital Revenue Code	272
Min. Negotiated Rate	$255.75
Max. Negotiated Rate	$255.75
Rate for Payer: Qualcare PPO/HMO/WC	$255.75

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$36.02
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.35
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$39.60

KIT GOOSE NECK SNARE 25 GN2500

Facility

$1,494.50

Hospital Charge Code	270632045
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$36.02
Max. Negotiated Rate	$747.25
Rate for Payer: Aetna Commercial	$567.91
Rate for Payer: Aetna Medicare Advantage	$448.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.10
Rate for Payer: Cigna Commercial	$747.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.35
Rate for Payer: Oxford Commercial	$298.90
Rate for Payer: Qualcare PPO/HMO/WC	$224.18
Rate for Payer: UnitedHealthcare Commercial	$298.90
Rate for Payer: UnitedHealthcare Community & State	$36.02
Rate for Payer: Wellpoint Medicaid Managed Care	$39.60

KIT GOOSE NECK SNARE 5 GN500

Facility

$1,494.50

Hospital Charge Code	270632043
Hospital Revenue Code	272
Min. Negotiated Rate	$224.18
Max. Negotiated Rate	$224.18
Rate for Payer: Qualcare PPO/HMO/WC	$224.18

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$675.00
Max. Negotiated Rate	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00

KIT GPS KNEE USER

Facility

$4,500.00

Hospital Charge Code	270668735
Hospital Revenue Code	272
Min. Negotiated Rate	$108.45
Max. Negotiated Rate	$2,250.00
Rate for Payer: Aetna Commercial	$1,710.00
Rate for Payer: Aetna Medicare Advantage	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,147.50
Rate for Payer: Cigna Commercial	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,350.00
Rate for Payer: Oxford Commercial	$900.00
Rate for Payer: Qualcare PPO/HMO/WC	$675.00
Rate for Payer: UnitedHealthcare Commercial	$900.00
Rate for Payer: UnitedHealthcare Community & State	$108.45
Rate for Payer: Wellpoint Medicaid Managed Care	$119.25

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$457.50
Max. Negotiated Rate	$457.50
Rate for Payer: Qualcare PPO/HMO/WC	$457.50

KIT GRAFT TRANSFER

Facility

$3,050.00

Hospital Charge Code	270680503
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$1,525.00
Rate for Payer: Aetna Commercial	$1,159.00
Rate for Payer: Aetna Medicare Advantage	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$777.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$777.75
Rate for Payer: Cigna Commercial	$1,525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$915.00
Rate for Payer: Oxford Commercial	$610.00
Rate for Payer: Qualcare PPO/HMO/WC	$457.50
Rate for Payer: UnitedHealthcare Commercial	$610.00
Rate for Payer: UnitedHealthcare Community & State	$73.50
Rate for Payer: Wellpoint Medicaid Managed Care	$80.83

KIT GUIDEWIRE GASTROST 20 6821

Facility

$766.45

Hospital Charge Code	270603906
Hospital Revenue Code	278
Min. Negotiated Rate	$114.97
Max. Negotiated Rate	$185.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$114.97

KIT GUIDEWIRE GASTROST 20 6821

Facility

$766.45

Hospital Charge Code	270603906
Hospital Revenue Code	278
Min. Negotiated Rate	$18.47
Max. Negotiated Rate	$383.23
Rate for Payer: Aetna Commercial	$291.25
Rate for Payer: Aetna Medicare Advantage	$229.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.44
Rate for Payer: Cigna Commercial	$383.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$185.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$168.62
Rate for Payer: Qualcare PPO/HMO/WC	$114.97
Rate for Payer: UnitedHealthcare Community & State	$18.47
Rate for Payer: Wellpoint Medicaid Managed Care	$20.31

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,121.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

KIT HAND AND WRIST INTERNAL BR

Facility

$7,475.00

Hospital Charge Code	270682062
Hospital Revenue Code	272
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

Know your out-of-pocket cost for care.

All Charges