Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704870
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704867
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704869
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

KREULOCK COMPRESSION SCREW

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270704868
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

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$36.64
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$577.71
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.47
Rate for Payer: Qualcare PPO/HMO/WC	$228.04
Rate for Payer: UnitedHealthcare Community & State	$36.64
Rate for Payer: Wellpoint Medicaid Managed Care	$40.29

KREU LOCK SCREW 2.7X16MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270699398
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.47
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$228.04
Max. Negotiated Rate	$367.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.47
Rate for Payer: Qualcare PPO/HMO/WC	$228.04

KREU LOCK SCREW 2.7X18MM

Facility

$1,520.30

Service Code	HCPCS C1713
Hospital Charge Code	270704674
Hospital Revenue Code	278
Min. Negotiated Rate	$36.64
Max. Negotiated Rate	$760.15
Rate for Payer: Aetna Commercial	$577.71
Rate for Payer: Aetna Medicare Advantage	$456.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$304.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.68
Rate for Payer: Cigna Commercial	$760.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$334.47
Rate for Payer: Qualcare PPO/HMO/WC	$228.04
Rate for Payer: UnitedHealthcare Community & State	$36.64
Rate for Payer: Wellpoint Medicaid Managed Care	$40.29

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
Hospital Revenue Code	278
Min. Negotiated Rate	$227.89
Max. Negotiated Rate	$367.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.85
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

KREULOCK SCREW 3X20MM

Facility

$1,519.25

Service Code	HCPCS C1713
Hospital Charge Code	270705868
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

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$868.23
Max. Negotiated Rate	$18,013.00
Rate for Payer: Aetna Commercial	$13,689.88
Rate for Payer: Aetna Medicare Advantage	$10,807.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,186.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,186.63
Rate for Payer: Cigna Commercial	$18,013.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,807.80
Rate for Payer: Oxford Commercial	$7,205.20
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90
Rate for Payer: UnitedHealthcare Commercial	$7,205.20
Rate for Payer: UnitedHealthcare Community & State	$868.23
Rate for Payer: Wellpoint Medicaid Managed Care	$954.69

KRYSTEXXA SF 8 MG/ML VIAL

Facility

$36,026.00

Hospital Charge Code	606390586
Hospital Revenue Code	259
Min. Negotiated Rate	$5,403.90
Max. Negotiated Rate	$5,403.90
Rate for Payer: Qualcare PPO/HMO/WC	$5,403.90

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

KTI ANCHOR INJEX BI WING

Facility

$1,450.00

Hospital Charge Code	270696984
Hospital Revenue Code	272
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$34.95
Rate for Payer: Wellpoint Medicaid Managed Care	$38.42

KUGEL HERNIA PATCH 5.5X7

Facility

$4,120.00

Hospital Charge Code	270657654
Hospital Revenue Code	278
Min. Negotiated Rate	$99.29
Max. Negotiated Rate	$2,060.00
Rate for Payer: Aetna Commercial	$1,565.60
Rate for Payer: Aetna Medicare Advantage	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,050.60
Rate for Payer: Cigna Commercial	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$906.40
Rate for Payer: Qualcare PPO/HMO/WC	$618.00
Rate for Payer: UnitedHealthcare Community & State	$99.29
Rate for Payer: Wellpoint Medicaid Managed Care	$109.18

KUGEL HERNIA PATCH 5.5X7

Facility

$4,120.00

Hospital Charge Code	270657654
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$997.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$906.40
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 5.5 X 7IN

Facility

$4,120.00

Hospital Charge Code	270658609
Hospital Revenue Code	278
Min. Negotiated Rate	$618.00
Max. Negotiated Rate	$997.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$906.40
Rate for Payer: Qualcare PPO/HMO/WC	$618.00

KUGEL HERNIA PATCH 5.5 X 7IN

Facility

$4,120.00

Hospital Charge Code	270658609
Hospital Revenue Code	278
Min. Negotiated Rate	$99.29
Max. Negotiated Rate	$2,060.00
Rate for Payer: Aetna Commercial	$1,565.60
Rate for Payer: Aetna Medicare Advantage	$1,236.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,050.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$824.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,050.60
Rate for Payer: Cigna Commercial	$2,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$997.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$906.40
Rate for Payer: Qualcare PPO/HMO/WC	$618.00
Rate for Payer: UnitedHealthcare Community & State	$99.29
Rate for Payer: Wellpoint Medicaid Managed Care	$109.18

KUGEL HERNIA PATCH 8.7 X 10.7

Facility

$9,230.00

Hospital Charge Code	270657655
Hospital Revenue Code	278
Min. Negotiated Rate	$1,384.50
Max. Negotiated Rate	$2,233.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,030.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50

KUGEL HERNIA PATCH 8.7 X 10.7

Facility

$9,230.00

Hospital Charge Code	270657655
Hospital Revenue Code	278
Min. Negotiated Rate	$222.44
Max. Negotiated Rate	$4,615.00
Rate for Payer: Aetna Commercial	$3,507.40
Rate for Payer: Aetna Medicare Advantage	$2,769.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,353.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,846.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,353.65
Rate for Payer: Cigna Commercial	$4,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,233.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,030.60
Rate for Payer: Qualcare PPO/HMO/WC	$1,384.50
Rate for Payer: UnitedHealthcare Community & State	$222.44
Rate for Payer: Wellpoint Medicaid Managed Care	$244.59

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

K,URINE RANDOM

Facility

$119.00

Service Code	HCPCS 84133
Hospital Charge Code	38479035
Hospital Revenue Code	301
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$12.87
Rate for Payer: Aetna Medicare Advantage	$15.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.07
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: Cigna Medicare Advantage	$4.73
Rate for Payer: Clover Medicare Advantage	$4.49
Rate for Payer: EmblemHealth Commercial	$14.19
Rate for Payer: Humana Medicare Advantage	$4.87
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.73
Rate for Payer: Wellcare Medicare Advantage	$4.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.15

Know your out-of-pocket cost for care.

All Charges