Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KNOT PUSHER/SUTURE CUT W PORT

Facility

$1,137.70

Hospital Charge Code	270702601
Hospital Revenue Code	279
Min. Negotiated Rate	$170.66
Max. Negotiated Rate	$170.66
Rate for Payer: Qualcare PPO/HMO/WC	$170.66

KNOT PUSHER/SUTURE CUT W PORT

Facility

$1,137.70

Hospital Charge Code	270702601
Hospital Revenue Code	279
Min. Negotiated Rate	$27.42
Max. Negotiated Rate	$568.85
Rate for Payer: Aetna Commercial	$432.33
Rate for Payer: Aetna Medicare Advantage	$341.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.11
Rate for Payer: Cigna Commercial	$568.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.31
Rate for Payer: Oxford Commercial	$227.54
Rate for Payer: Qualcare PPO/HMO/WC	$170.66
Rate for Payer: UnitedHealthcare Commercial	$227.54
Rate for Payer: UnitedHealthcare Community & State	$27.42
Rate for Payer: Wellpoint Medicaid Managed Care	$30.15

KNOT PUSTER CUTTER STRAIGHT

Facility

$710.70

Hospital Charge Code	270646585
Hospital Revenue Code	272
Min. Negotiated Rate	$17.13
Max. Negotiated Rate	$355.35
Rate for Payer: Aetna Commercial	$270.07
Rate for Payer: Aetna Medicare Advantage	$213.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.23
Rate for Payer: Cigna Commercial	$355.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.21
Rate for Payer: Oxford Commercial	$142.14
Rate for Payer: Qualcare PPO/HMO/WC	$106.61
Rate for Payer: UnitedHealthcare Commercial	$142.14
Rate for Payer: UnitedHealthcare Community & State	$17.13
Rate for Payer: Wellpoint Medicaid Managed Care	$18.83

KNOT PUSTER CUTTER STRAIGHT

Facility

$710.70

Hospital Charge Code	270646585
Hospital Revenue Code	272
Min. Negotiated Rate	$106.61
Max. Negotiated Rate	$106.61
Rate for Payer: Qualcare PPO/HMO/WC	$106.61

KNOWLES PIN

Facility

$372.00

Hospital Charge Code	270335010
Hospital Revenue Code	278
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$90.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

KNOWLES PIN

Facility

$372.00

Hospital Charge Code	270335010
Hospital Revenue Code	278
Min. Negotiated Rate	$8.97
Max. Negotiated Rate	$186.00
Rate for Payer: Aetna Commercial	$141.36
Rate for Payer: Aetna Medicare Advantage	$111.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$94.86
Rate for Payer: Cigna Commercial	$186.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.80
Rate for Payer: UnitedHealthcare Community & State	$8.97
Rate for Payer: Wellpoint Medicaid Managed Care	$9.86

KOBYGARD DISP.BLADE

Facility

$232.00

Hospital Charge Code	270339451
Hospital Revenue Code	272
Min. Negotiated Rate	$34.80
Max. Negotiated Rate	$34.80
Rate for Payer: Qualcare PPO/HMO/WC	$34.80

KOBYGARD DISP.BLADE

Facility

$232.00

Hospital Charge Code	270339451
Hospital Revenue Code	272
Min. Negotiated Rate	$5.59
Max. Negotiated Rate	$116.00
Rate for Payer: Aetna Commercial	$88.16
Rate for Payer: Aetna Medicare Advantage	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.16
Rate for Payer: Cigna Commercial	$116.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.60
Rate for Payer: Oxford Commercial	$46.40
Rate for Payer: Qualcare PPO/HMO/WC	$34.80
Rate for Payer: UnitedHealthcare Commercial	$46.40
Rate for Payer: UnitedHealthcare Community & State	$5.59
Rate for Payer: Wellpoint Medicaid Managed Care	$6.15

KOGENATE FS (FACTOR 8) 100 IU/

Facility

$8.91

Service Code	HCPCS J7192
Hospital Charge Code	606394263
Hospital Revenue Code	636
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$5.67
Rate for Payer: Aetna Commercial	$4.27
Rate for Payer: Aetna Medicare Advantage	$5.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.67
Rate for Payer: Cigna Medicare Advantage	$1.57
Rate for Payer: Clover Medicare Advantage	$1.49
Rate for Payer: EmblemHealth Commercial	$4.71
Rate for Payer: Humana Medicare Advantage	$1.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.34
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.57
Rate for Payer: Wellcare Medicare Advantage	$1.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

KOGENATE FS (FACTOR 8) 100 IU/

Facility

$8.91

Service Code	HCPCS J7192
Hospital Charge Code	606394263
Hospital Revenue Code	636
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.34

KOH PREP

Facility

$33.65

Service Code	HCPCS 87220
Hospital Charge Code	3000205
Hospital Revenue Code	309
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

KOH PREP

Facility

$33.65

Service Code	HCPCS 87220
Hospital Charge Code	3000205
Hospital Revenue Code	309
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

KOH PREP***

Facility

$12.00

Hospital Charge Code	3010204
Hospital Revenue Code	306
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

KOH PREP***

Facility

$12.00

Hospital Charge Code	3010204
Hospital Revenue Code	306
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

KOMPREX ORANGE FOAM SM KIDNEY

Facility

$9.75

Hospital Charge Code	270636433
Hospital Revenue Code	271
Min. Negotiated Rate	$1.46
Max. Negotiated Rate	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.46

KOMPREX ORANGE FOAM SM KIDNEY

Facility

$9.75

Hospital Charge Code	270636433
Hospital Revenue Code	271
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.88
Rate for Payer: Aetna Commercial	$3.71
Rate for Payer: Aetna Medicare Advantage	$2.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.49
Rate for Payer: Cigna Commercial	$4.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.92
Rate for Payer: Oxford Commercial	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.46
Rate for Payer: UnitedHealthcare Commercial	$1.95
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

KONAKION/1MG/0.5ML

Facility

$3.00

Hospital Charge Code	60633252
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

KONAKION/1MG/0.5ML

Facility

$3.00

Hospital Charge Code	60633252
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$2,280.55
Max. Negotiated Rate	$3,679.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,344.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55

KPHOPAK EXPRESS TRAY FIRST FRA

Facility

$15,203.70

Service Code	HCPCS C1889
Hospital Charge Code	270703704
Hospital Revenue Code	278
Min. Negotiated Rate	$366.41
Max. Negotiated Rate	$7,601.85
Rate for Payer: Aetna Commercial	$5,777.41
Rate for Payer: Aetna Medicare Advantage	$4,561.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,876.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,040.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,876.94
Rate for Payer: Cigna Commercial	$7,601.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,679.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,344.81
Rate for Payer: Qualcare PPO/HMO/WC	$2,280.55
Rate for Payer: UnitedHealthcare Community & State	$366.41
Rate for Payer: Wellpoint Medicaid Managed Care	$402.90

K+ PHOS INJ/3MM/ML/15ML

Facility

$3.00

Hospital Charge Code	60634292
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

K+ PHOS INJ/3MM/ML/15ML

Facility

$3.00

Hospital Charge Code	60634292
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

K+ PHOS INJ/3MM/ML/5ML

Facility

$3.00

Hospital Charge Code	60634291
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

K+ PHOS INJ/3MM/ML/5ML

Facility

$3.00

Hospital Charge Code	60634291
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704870
Hospital Revenue Code	278
Min. Negotiated Rate	$36.61
Max. Negotiated Rate	$759.62
Rate for Payer: Aetna Commercial	$577.32
Rate for Payer: Aetna Medicare Advantage	$455.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.41
Rate for Payer: Cigna Commercial	$759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.24
Rate for Payer: Qualcare PPO/HMO/WC	$227.89
Rate for Payer: UnitedHealthcare Community & State	$36.61
Rate for Payer: Wellpoint Medicaid Managed Care	$40.26

Know your out-of-pocket cost for care.

All Charges