Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT INTRODUCER MINI ACCESS

Facility

$330.00

Hospital Charge Code	270659650S
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

KIT -IN;VISION PROGR 8840PAK1

Facility

$7,440.00

Hospital Charge Code	270632267
Hospital Revenue Code	272
Min. Negotiated Rate	$179.30
Max. Negotiated Rate	$3,720.00
Rate for Payer: Aetna Commercial	$2,827.20
Rate for Payer: Aetna Medicare Advantage	$2,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,897.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,897.20
Rate for Payer: Cigna Commercial	$3,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,232.00
Rate for Payer: Oxford Commercial	$1,488.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00
Rate for Payer: UnitedHealthcare Commercial	$1,488.00
Rate for Payer: UnitedHealthcare Community & State	$179.30
Rate for Payer: Wellpoint Medicaid Managed Care	$197.16

KIT -IN;VISION PROGR 8840PAK1

Facility

$7,440.00

Hospital Charge Code	270632267
Hospital Revenue Code	272
Min. Negotiated Rate	$1,116.00
Max. Negotiated Rate	$1,116.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,116.00

KIT ISOMED REFILL CMPLTE 8553

Facility

$123.75

Hospital Charge Code	270638585
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$61.88
Rate for Payer: Aetna Commercial	$47.02
Rate for Payer: Aetna Medicare Advantage	$37.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.56
Rate for Payer: Cigna Commercial	$61.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.12
Rate for Payer: Oxford Commercial	$24.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.56
Rate for Payer: UnitedHealthcare Commercial	$24.75
Rate for Payer: UnitedHealthcare Community & State	$2.98
Rate for Payer: Wellpoint Medicaid Managed Care	$3.28

KIT ISOMED REFILL CMPLTE 8553

Facility

$123.75

Hospital Charge Code	270638585
Hospital Revenue Code	272
Min. Negotiated Rate	$18.56
Max. Negotiated Rate	$18.56
Rate for Payer: Qualcare PPO/HMO/WC	$18.56

KIT ITREL SYSTEM 7425-EZ

Facility

$39,975.00

Hospital Charge Code	270605172
Hospital Revenue Code	278
Min. Negotiated Rate	$5,996.25
Max. Negotiated Rate	$9,673.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,794.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25

KIT ITREL SYSTEM 7425-EZ

Facility

$39,975.00

Hospital Charge Code	270605172
Hospital Revenue Code	278
Min. Negotiated Rate	$963.40
Max. Negotiated Rate	$19,987.50
Rate for Payer: Aetna Commercial	$15,190.50
Rate for Payer: Aetna Medicare Advantage	$11,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,193.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,193.62
Rate for Payer: Cigna Commercial	$19,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,673.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,794.50
Rate for Payer: Qualcare PPO/HMO/WC	$5,996.25
Rate for Payer: UnitedHealthcare Community & State	$963.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1,059.34

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637
Hospital Revenue Code	270
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

KIT IV START

Facility

$5.00

Hospital Charge Code	270649637
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

KIT JOINT PREP ORTHOLOC 2

Facility

$2,520.00

Hospital Charge Code	270697011
Hospital Revenue Code	272
Min. Negotiated Rate	$378.00
Max. Negotiated Rate	$378.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00

KIT JOINT PREP ORTHOLOC 2

Facility

$2,520.00

Hospital Charge Code	270697011
Hospital Revenue Code	272
Min. Negotiated Rate	$60.73
Max. Negotiated Rate	$1,260.00
Rate for Payer: Aetna Commercial	$957.60
Rate for Payer: Aetna Medicare Advantage	$756.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$642.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$642.60
Rate for Payer: Cigna Commercial	$1,260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.00
Rate for Payer: Oxford Commercial	$504.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.00
Rate for Payer: UnitedHealthcare Commercial	$504.00
Rate for Payer: UnitedHealthcare Community & State	$60.73
Rate for Payer: Wellpoint Medicaid Managed Care	$66.78

KIT JUGULAR PUNCTURE ARROW****

Facility

$90.00

Hospital Charge Code	7000615
Hospital Revenue Code	279
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

KIT JUGULAR PUNCTURE ARROW****

Facility

$90.00

Hospital Charge Code	7000615
Hospital Revenue Code	279
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

KIT KCL DONUT

Facility

$151.00

Hospital Charge Code	270331415
Hospital Revenue Code	272
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$22.65
Rate for Payer: Qualcare PPO/HMO/WC	$22.65

KIT KCL DONUT

Facility

$151.00

Hospital Charge Code	270331415
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.50
Rate for Payer: Aetna Commercial	$57.38
Rate for Payer: Aetna Medicare Advantage	$45.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.51
Rate for Payer: Cigna Commercial	$75.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.30
Rate for Payer: Oxford Commercial	$30.20
Rate for Payer: Qualcare PPO/HMO/WC	$22.65
Rate for Payer: UnitedHealthcare Commercial	$30.20
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.00

KIT KNOTLESS HIP

Facility

$2,750.00

Hospital Charge Code	270687983
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

KIT KNOTLESS HIP

Facility

$2,750.00

Hospital Charge Code	270687983
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 KPN XPANDER 15/3 KP1510

Facility

$18,128.00

Hospital Charge Code	270629339
Hospital Revenue Code	272
Min. Negotiated Rate	$2,719.20
Max. Negotiated Rate	$2,719.20
Rate for Payer: Qualcare PPO/HMO/WC	$2,719.20

KIT KPN XPANDER 15/3 KP1510

Facility

$18,128.00

Hospital Charge Code	270629339
Hospital Revenue Code	272
Min. Negotiated Rate	$436.88
Max. Negotiated Rate	$9,064.00
Rate for Payer: Aetna Commercial	$6,888.64
Rate for Payer: Aetna Medicare Advantage	$5,438.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,622.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,622.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,622.64
Rate for Payer: Cigna Commercial	$9,064.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,438.40
Rate for Payer: Oxford Commercial	$3,625.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,719.20
Rate for Payer: UnitedHealthcare Commercial	$3,625.60
Rate for Payer: UnitedHealthcare Community & State	$436.88
Rate for Payer: Wellpoint Medicaid Managed Care	$480.39

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$520.56
Max. Negotiated Rate	$10,800.00
Rate for Payer: Aetna Commercial	$8,208.00
Rate for Payer: Aetna Medicare Advantage	$6,480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,508.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,508.00
Rate for Payer: Cigna Commercial	$10,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,480.00
Rate for Payer: Oxford Commercial	$4,320.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00
Rate for Payer: UnitedHealthcare Commercial	$4,320.00
Rate for Payer: UnitedHealthcare Community & State	$520.56
Rate for Payer: Wellpoint Medicaid Managed Care	$572.40

KIT KYPHOPLASTY FIRST FRACT

Facility

$21,600.00

Hospital Charge Code	270647891
Hospital Revenue Code	272
Min. Negotiated Rate	$3,240.00
Max. Negotiated Rate	$3,240.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,240.00

Know your out-of-pocket cost for care.

All Charges