Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIT VIZADISC HIP

Facility

$1,150.00

Hospital Charge Code	270668614
Hospital Revenue Code	272
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$575.00
Rate for Payer: Aetna Commercial	$437.00
Rate for Payer: Aetna Medicare Advantage	$345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.25
Rate for Payer: Cigna Commercial	$575.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.00
Rate for Payer: Oxford Commercial	$230.00
Rate for Payer: Qualcare PPO/HMO/WC	$172.50
Rate for Payer: UnitedHealthcare Commercial	$230.00
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.48

KIT WAVE WRITER ALPHA THAL

Facility

$500.00

Hospital Charge Code	270701897
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

KIT WAVE WRITER ALPHA THAL

Facility

$500.00

Hospital Charge Code	270701897
Hospital Revenue Code	278
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) NJ Health	$100.00
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	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

KIT WOUND DRAIN 3/16

Facility

$218.45

Hospital Charge Code	270605807
Hospital Revenue Code	272
Min. Negotiated Rate	$32.77
Max. Negotiated Rate	$32.77
Rate for Payer: Qualcare PPO/HMO/WC	$32.77

KIT WOUND DRAIN 3/16

Facility

$218.45

Hospital Charge Code	270605807
Hospital Revenue Code	272
Min. Negotiated Rate	$5.26
Max. Negotiated Rate	$109.22
Rate for Payer: Aetna Commercial	$83.01
Rate for Payer: Aetna Medicare Advantage	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55.70
Rate for Payer: Cigna Commercial	$109.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$65.53
Rate for Payer: Oxford Commercial	$43.69
Rate for Payer: Qualcare PPO/HMO/WC	$32.77
Rate for Payer: UnitedHealthcare Commercial	$43.69
Rate for Payer: UnitedHealthcare Community & State	$5.26
Rate for Payer: Wellpoint Medicaid Managed Care	$5.79

KIT WOUNDEVAC 400ml SU1304040

Facility

$41.05

Hospital Charge Code	270627962
Hospital Revenue Code	272
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.16

KIT WOUNDEVAC 400ml SU1304040

Facility

$41.05

Hospital Charge Code	270627962
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$20.52
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$12.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.47
Rate for Payer: Cigna Commercial	$20.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.31
Rate for Payer: Oxford Commercial	$8.21
Rate for Payer: Qualcare PPO/HMO/WC	$6.16
Rate for Payer: UnitedHealthcare Commercial	$8.21
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

KIT WOUND SUCTION SURGIVAC ***

Facility

$109.00

Hospital Charge Code	1606086
Hospital Revenue Code	272
Min. Negotiated Rate	$16.35
Max. Negotiated Rate	$16.35
Rate for Payer: Qualcare PPO/HMO/WC	$16.35

KIT WOUND SUCTION SURGIVAC ***

Facility

$109.00

Hospital Charge Code	1606086
Hospital Revenue Code	272
Min. Negotiated Rate	$2.63
Max. Negotiated Rate	$54.50
Rate for Payer: Aetna Commercial	$41.42
Rate for Payer: Aetna Medicare Advantage	$32.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.80
Rate for Payer: Cigna Commercial	$54.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.70
Rate for Payer: Oxford Commercial	$21.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.35
Rate for Payer: UnitedHealthcare Commercial	$21.80
Rate for Payer: UnitedHealthcare Community & State	$2.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.89

KIT WRISTFIX

Facility

$7,655.00

Hospital Charge Code	270649253
Hospital Revenue Code	271
Min. Negotiated Rate	$1,148.25
Max. Negotiated Rate	$1,148.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,148.25

KIT WRISTFIX

Facility

$7,655.00

Hospital Charge Code	270649253
Hospital Revenue Code	271
Min. Negotiated Rate	$184.49
Max. Negotiated Rate	$3,827.50
Rate for Payer: Aetna Commercial	$2,908.90
Rate for Payer: Aetna Medicare Advantage	$2,296.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,952.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,952.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,952.03
Rate for Payer: Cigna Commercial	$3,827.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,296.50
Rate for Payer: Oxford Commercial	$1,531.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,148.25
Rate for Payer: UnitedHealthcare Commercial	$1,531.00
Rate for Payer: UnitedHealthcare Community & State	$184.49
Rate for Payer: Wellpoint Medicaid Managed Care	$202.86

KIT WRIST LARGE TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688363
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT WRIST LARGE TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688363
Hospital Revenue Code	272
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$137.67
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.69
Rate for Payer: Oxford Commercial	$72.46
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$72.46
Rate for Payer: UnitedHealthcare Community & State	$8.73
Rate for Payer: Wellpoint Medicaid Managed Care	$9.60

KIT WRIST MEDIUM TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688364
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT WRIST MEDIUM TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688364
Hospital Revenue Code	272
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$137.67
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.69
Rate for Payer: Oxford Commercial	$72.46
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$72.46
Rate for Payer: UnitedHealthcare Community & State	$8.73
Rate for Payer: Wellpoint Medicaid Managed Care	$9.60

KIT WRIST SMALL TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688365
Hospital Revenue Code	272
Min. Negotiated Rate	$8.73
Max. Negotiated Rate	$181.15
Rate for Payer: Aetna Commercial	$137.67
Rate for Payer: Aetna Medicare Advantage	$108.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.39
Rate for Payer: Cigna Commercial	$181.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.69
Rate for Payer: Oxford Commercial	$72.46
Rate for Payer: Qualcare PPO/HMO/WC	$54.34
Rate for Payer: UnitedHealthcare Commercial	$72.46
Rate for Payer: UnitedHealthcare Community & State	$8.73
Rate for Payer: Wellpoint Medicaid Managed Care	$9.60

KIT WRIST SMALL TENET SYSTEM

Facility

$362.30

Hospital Charge Code	270688365
Hospital Revenue Code	272
Min. Negotiated Rate	$54.34
Max. Negotiated Rate	$54.34
Rate for Payer: Qualcare PPO/HMO/WC	$54.34

KIT ZIM BONE CEMENT 5049-21-01

Facility

$891.90

Hospital Charge Code	270622630
Hospital Revenue Code	272
Min. Negotiated Rate	$21.49
Max. Negotiated Rate	$445.95
Rate for Payer: Aetna Commercial	$338.92
Rate for Payer: Aetna Medicare Advantage	$267.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.43
Rate for Payer: Cigna Commercial	$445.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.57
Rate for Payer: Oxford Commercial	$178.38
Rate for Payer: Qualcare PPO/HMO/WC	$133.78
Rate for Payer: UnitedHealthcare Commercial	$178.38
Rate for Payer: UnitedHealthcare Community & State	$21.49
Rate for Payer: Wellpoint Medicaid Managed Care	$23.64

KIT ZIM BONE CEMENT 5049-21-01

Facility

$891.90

Hospital Charge Code	270622630
Hospital Revenue Code	272
Min. Negotiated Rate	$133.78
Max. Negotiated Rate	$133.78
Rate for Payer: Qualcare PPO/HMO/WC	$133.78

KIT ZIM PULSEVAC FAN 5150-475

Facility

$650.00

Hospital Charge Code	270626178
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

KIT ZIM PULSEVAC FAN 5150-475

Facility

$650.00

Hospital Charge Code	270626178
Hospital Revenue Code	272
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 ZIM VAR-A-PULSE 5150-775

Facility

$272.85

Hospital Charge Code	270615303
Hospital Revenue Code	272
Min. Negotiated Rate	$40.93
Max. Negotiated Rate	$40.93
Rate for Payer: Qualcare PPO/HMO/WC	$40.93

KIT ZIM VAR-A-PULSE 5150-775

Facility

$272.85

Hospital Charge Code	270615303
Hospital Revenue Code	272
Min. Negotiated Rate	$6.58
Max. Negotiated Rate	$136.43
Rate for Payer: Aetna Commercial	$103.68
Rate for Payer: Aetna Medicare Advantage	$81.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.58
Rate for Payer: Cigna Commercial	$136.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.86
Rate for Payer: Oxford Commercial	$54.57
Rate for Payer: Qualcare PPO/HMO/WC	$40.93
Rate for Payer: UnitedHealthcare Commercial	$54.57
Rate for Payer: UnitedHealthcare Community & State	$6.58
Rate for Payer: Wellpoint Medicaid Managed Care	$7.23

KLEIHAUER-BETKE STAIN

Facility

$226.10

Service Code	HCPCS 85460
Hospital Charge Code	397043304
Hospital Revenue Code	305
Min. Negotiated Rate	$5.99
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.03
Rate for Payer: Aetna Medicare Advantage	$25.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.90
Rate for Payer: Cigna Commercial	$113.05
Rate for Payer: Cigna Medicare Advantage	$7.73
Rate for Payer: Clover Medicare Advantage	$7.34
Rate for Payer: EmblemHealth Commercial	$23.19
Rate for Payer: Humana Medicare Advantage	$7.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.83
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.91
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$6.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.73
Rate for Payer: Wellcare Medicare Advantage	$7.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5.99

KLEIHAUER-BETKE STAIN

Facility

$226.10

Service Code	HCPCS 85460
Hospital Charge Code	397043304
Hospital Revenue Code	305
Min. Negotiated Rate	$33.91
Max. Negotiated Rate	$33.91
Rate for Payer: Qualcare PPO/HMO/WC	$33.91

Know your out-of-pocket cost for care.

All Charges