Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT MCV PEJ 20F 6520

Facility

$992.00

Hospital Charge Code	270627949
Hospital Revenue Code	272
Min. Negotiated Rate	$23.91
Max. Negotiated Rate	$496.00
Rate for Payer: Aetna Commercial	$376.96
Rate for Payer: Aetna Medicare Advantage	$297.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.96
Rate for Payer: Cigna Commercial	$496.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.60
Rate for Payer: Oxford Commercial	$198.40
Rate for Payer: Qualcare PPO/HMO/WC	$148.80
Rate for Payer: UnitedHealthcare Commercial	$198.40
Rate for Payer: UnitedHealthcare Community & State	$23.91
Rate for Payer: Wellpoint Medicaid Managed Care	$26.29

KIT MCV PEJ 20F 6520

Facility

$992.00

Hospital Charge Code	270627949
Hospital Revenue Code	272
Min. Negotiated Rate	$148.80
Max. Negotiated Rate	$148.80
Rate for Payer: Qualcare PPO/HMO/WC	$148.80

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.97
Rate for Payer: Oxford Commercial	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Commercial	$76.65
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

KIT MCV PULL GASTROST 20F 6820

Facility

$383.25

Hospital Charge Code	270603142
Hospital Revenue Code	272
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$57.49
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

KIT MCV VESIC SLING LG 820-112

Facility

$3,006.45

Hospital Charge Code	270601225
Hospital Revenue Code	278
Min. Negotiated Rate	$450.97
Max. Negotiated Rate	$727.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$601.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$661.42
Rate for Payer: Qualcare PPO/HMO/WC	$450.97

KIT MCV VESIC SLING LG 820-112

Facility

$3,006.45

Hospital Charge Code	270601225
Hospital Revenue Code	278
Min. Negotiated Rate	$72.46
Max. Negotiated Rate	$1,503.22
Rate for Payer: Aetna Commercial	$1,142.45
Rate for Payer: Aetna Medicare Advantage	$901.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$766.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$766.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$601.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$766.64
Rate for Payer: Cigna Commercial	$1,503.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$727.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$661.42
Rate for Payer: Qualcare PPO/HMO/WC	$450.97
Rate for Payer: UnitedHealthcare Community & State	$72.46
Rate for Payer: Wellpoint Medicaid Managed Care	$79.67

KIT MCV VESIC SLING LG 820-130

Facility

$4,562.45

Hospital Charge Code	270613183
Hospital Revenue Code	278
Min. Negotiated Rate	$684.37
Max. Negotiated Rate	$1,104.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.74
Rate for Payer: Qualcare PPO/HMO/WC	$684.37

KIT MCV VESIC SLING LG 820-130

Facility

$4,562.45

Hospital Charge Code	270613183
Hospital Revenue Code	278
Min. Negotiated Rate	$109.96
Max. Negotiated Rate	$2,281.22
Rate for Payer: Aetna Commercial	$1,733.73
Rate for Payer: Aetna Medicare Advantage	$1,368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,163.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,163.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$912.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,163.42
Rate for Payer: Cigna Commercial	$2,281.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,104.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,003.74
Rate for Payer: Qualcare PPO/HMO/WC	$684.37
Rate for Payer: UnitedHealthcare Community & State	$109.96
Rate for Payer: Wellpoint Medicaid Managed Care	$120.90

KIT MCV VESIC SLING ST 820-111

Facility

$4,061.65

Hospital Charge Code	270609180
Hospital Revenue Code	278
Min. Negotiated Rate	$609.25
Max. Negotiated Rate	$982.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$812.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$982.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$893.56
Rate for Payer: Qualcare PPO/HMO/WC	$609.25

KIT MCV VESIC SLING ST 820-111

Facility

$4,061.65

Hospital Charge Code	270609180
Hospital Revenue Code	278
Min. Negotiated Rate	$97.89
Max. Negotiated Rate	$2,030.83
Rate for Payer: Aetna Commercial	$1,543.43
Rate for Payer: Aetna Medicare Advantage	$1,218.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,035.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,035.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$812.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,035.72
Rate for Payer: Cigna Commercial	$2,030.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$982.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$893.56
Rate for Payer: Qualcare PPO/HMO/WC	$609.25
Rate for Payer: UnitedHealthcare Community & State	$97.89
Rate for Payer: Wellpoint Medicaid Managed Care	$107.63

KIT MCV VESIC SLING ST 820-131

Facility

$5,711.25

Hospital Charge Code	270601224
Hospital Revenue Code	278
Min. Negotiated Rate	$856.69
Max. Negotiated Rate	$1,382.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,256.47
Rate for Payer: Qualcare PPO/HMO/WC	$856.69

KIT MCV VESIC SLING ST 820-131

Facility

$5,711.25

Hospital Charge Code	270601224
Hospital Revenue Code	278
Min. Negotiated Rate	$137.64
Max. Negotiated Rate	$2,855.62
Rate for Payer: Aetna Commercial	$2,170.28
Rate for Payer: Aetna Medicare Advantage	$1,713.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,456.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,456.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,142.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,456.37
Rate for Payer: Cigna Commercial	$2,855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,382.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,256.47
Rate for Payer: Qualcare PPO/HMO/WC	$856.69
Rate for Payer: UnitedHealthcare Community & State	$137.64
Rate for Payer: Wellpoint Medicaid Managed Care	$151.35

KIT MEDT EXTENSION 7495-51

Facility

$3,796.00

Hospital Charge Code	270605171
Hospital Revenue Code	272
Min. Negotiated Rate	$569.40
Max. Negotiated Rate	$569.40
Rate for Payer: Qualcare PPO/HMO/WC	$569.40

KIT MEDT EXTENSION 7495-51

Facility

$3,796.00

Hospital Charge Code	270605171
Hospital Revenue Code	272
Min. Negotiated Rate	$91.48
Max. Negotiated Rate	$1,898.00
Rate for Payer: Aetna Commercial	$1,442.48
Rate for Payer: Aetna Medicare Advantage	$1,138.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.98
Rate for Payer: Cigna Commercial	$1,898.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.80
Rate for Payer: Oxford Commercial	$759.20
Rate for Payer: Qualcare PPO/HMO/WC	$569.40
Rate for Payer: UnitedHealthcare Commercial	$759.20
Rate for Payer: UnitedHealthcare Community & State	$91.48
Rate for Payer: Wellpoint Medicaid Managed Care	$100.59

KIT MEDT LEAD SPECIFY 3998

Facility

$13,400.00

Hospital Charge Code	270611254
Hospital Revenue Code	278
Min. Negotiated Rate	$322.94
Max. Negotiated Rate	$6,700.00
Rate for Payer: Aetna Commercial	$5,092.00
Rate for Payer: Aetna Medicare Advantage	$4,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,417.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,417.00
Rate for Payer: Cigna Commercial	$6,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,948.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00
Rate for Payer: UnitedHealthcare Community & State	$322.94
Rate for Payer: Wellpoint Medicaid Managed Care	$355.10

KIT MEDT LEAD SPECIFY 3998

Facility

$13,400.00

Hospital Charge Code	270611254
Hospital Revenue Code	278
Min. Negotiated Rate	$2,010.00
Max. Negotiated Rate	$3,242.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,242.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,948.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,010.00

KIT MEDT RESUME LEAD 3587-A

Facility

$5,405.65

Hospital Charge Code	270605170
Hospital Revenue Code	272
Min. Negotiated Rate	$130.28
Max. Negotiated Rate	$2,702.82
Rate for Payer: Aetna Commercial	$2,054.15
Rate for Payer: Aetna Medicare Advantage	$1,621.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,378.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,378.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,378.44
Rate for Payer: Cigna Commercial	$2,702.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,621.69
Rate for Payer: Oxford Commercial	$1,081.13
Rate for Payer: Qualcare PPO/HMO/WC	$810.85
Rate for Payer: UnitedHealthcare Commercial	$1,081.13
Rate for Payer: UnitedHealthcare Community & State	$130.28
Rate for Payer: Wellpoint Medicaid Managed Care	$143.25

KIT MEDT RESUME LEAD 3587-A

Facility

$5,405.65

Hospital Charge Code	270605170
Hospital Revenue Code	272
Min. Negotiated Rate	$810.85
Max. Negotiated Rate	$810.85
Rate for Payer: Qualcare PPO/HMO/WC	$810.85

KIT MEDT SERVICE 5873C

Facility

$556.00

Hospital Charge Code	270606343
Hospital Revenue Code	272
Min. Negotiated Rate	$83.40
Max. Negotiated Rate	$83.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.40

KIT MEDT SERVICE 5873C

Facility

$556.00

Hospital Charge Code	270606343
Hospital Revenue Code	272
Min. Negotiated Rate	$13.40
Max. Negotiated Rate	$278.00
Rate for Payer: Aetna Commercial	$211.28
Rate for Payer: Aetna Medicare Advantage	$166.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.78
Rate for Payer: Cigna Commercial	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.80
Rate for Payer: Oxford Commercial	$111.20
Rate for Payer: Qualcare PPO/HMO/WC	$83.40
Rate for Payer: UnitedHealthcare Commercial	$111.20
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.73

KIT MEDT WRENCH 5873W

Facility

$500.00

Hospital Charge Code	270604618
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KIT MEDT WRENCH 5873W

Facility

$500.00

Hospital Charge Code	270604618
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

KIT MEROCEL NON LINTING WIPE

Facility

$16.00

Hospital Charge Code	270660016
Hospital Revenue Code	270
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.80
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$3.20
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

KIT MEROCEL NON LINTING WIPE

Facility

$16.00

Hospital Charge Code	270660016
Hospital Revenue Code	270
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

KIT MESH PROLENE 4 HERNIA PHSE

Facility

$1,663.70

Hospital Charge Code	270633481
Hospital Revenue Code	272
Min. Negotiated Rate	$249.56
Max. Negotiated Rate	$249.56
Rate for Payer: Qualcare PPO/HMO/WC	$249.56

Know your out-of-pocket cost for care.

All Charges