Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KUZYME/CAP

Facility

$3.00

Hospital Charge Code	60633253
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

KUZYME/CAP

Facility

$3.00

Hospital Charge Code	60633253
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

K WIRE

Facility

$81.95

Service Code	HCPCS C1713
Hospital Charge Code	270687143
Hospital Revenue Code	278
Min. Negotiated Rate	$12.29
Max. Negotiated Rate	$19.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.03
Rate for Payer: Qualcare PPO/HMO/WC	$12.29

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$25.16
Max. Negotiated Rate	$521.92
Rate for Payer: Aetna Commercial	$396.66
Rate for Payer: Aetna Medicare Advantage	$313.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.18
Rate for Payer: Cigna Commercial	$521.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.15
Rate for Payer: Oxford Commercial	$208.77
Rate for Payer: Qualcare PPO/HMO/WC	$156.58
Rate for Payer: UnitedHealthcare Commercial	$208.77
Rate for Payer: UnitedHealthcare Community & State	$25.16
Rate for Payer: Wellpoint Medicaid Managed Care	$27.66

K WIRE

Facility

$1,043.85

Hospital Charge Code	270704847
Hospital Revenue Code	279
Min. Negotiated Rate	$156.58
Max. Negotiated Rate	$156.58
Rate for Payer: Qualcare PPO/HMO/WC	$156.58

K WIRE

Facility

$250.00

Hospital Charge Code	270705833
Hospital Revenue Code	279
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

K WIRE

Facility

$81.95

Service Code	HCPCS C1713
Hospital Charge Code	270687143
Hospital Revenue Code	278
Min. Negotiated Rate	$1.97
Max. Negotiated Rate	$40.98
Rate for Payer: Aetna Commercial	$31.14
Rate for Payer: Aetna Medicare Advantage	$24.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.90
Rate for Payer: Cigna Commercial	$40.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.03
Rate for Payer: Qualcare PPO/HMO/WC	$12.29
Rate for Payer: UnitedHealthcare Community & State	$1.97
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

K WIRE

Facility

$110.00

Hospital Charge Code	270661627
Hospital Revenue Code	272
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.00
Rate for Payer: Oxford Commercial	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Commercial	$22.00
Rate for Payer: UnitedHealthcare Community & State	$2.65
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

K WIRE

Facility

$110.00

Hospital Charge Code	270661627
Hospital Revenue Code	272
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

K WIRE

Facility

$250.00

Hospital Charge Code	270705833
Hospital Revenue Code	279
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

K-WIRE

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	270688268
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

K-WIRE

Facility

$154.70

Service Code	HCPCS C1713
Hospital Charge Code	270686981
Hospital Revenue Code	278
Min. Negotiated Rate	$23.20
Max. Negotiated Rate	$37.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.03
Rate for Payer: Qualcare PPO/HMO/WC	$23.20

K-WIRE

Facility

$75.00

Hospital Charge Code	270683326
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

K-WIRE

Facility

$100.00

Hospital Charge Code	270668044
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

K-WIRE

Facility

$75.00

Hospital Charge Code	270683326
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

K-WIRE

Facility

$150.00

Service Code	HCPCS C1713
Hospital Charge Code	270688268
Hospital Revenue Code	278
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

K-WIRE

Facility

$49.45

Service Code	HCPCS C1713
Hospital Charge Code	270662023
Hospital Revenue Code	278
Min. Negotiated Rate	$7.42
Max. Negotiated Rate	$11.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.42

K-WIRE

Facility

$49.45

Service Code	HCPCS C1713
Hospital Charge Code	270662023
Hospital Revenue Code	278
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.73
Rate for Payer: Aetna Commercial	$18.79
Rate for Payer: Aetna Medicare Advantage	$14.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.61
Rate for Payer: Cigna Commercial	$24.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$7.42
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

K-WIRE

Facility

$1,040.00

Hospital Charge Code	270674915
Hospital Revenue Code	272
Min. Negotiated Rate	$25.06
Max. Negotiated Rate	$520.00
Rate for Payer: Aetna Commercial	$395.20
Rate for Payer: Aetna Medicare Advantage	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.20
Rate for Payer: Cigna Commercial	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.00
Rate for Payer: Oxford Commercial	$208.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00
Rate for Payer: UnitedHealthcare Commercial	$208.00
Rate for Payer: UnitedHealthcare Community & State	$25.06
Rate for Payer: Wellpoint Medicaid Managed Care	$27.56

K-WIRE

Facility

$1,040.00

Hospital Charge Code	270674915
Hospital Revenue Code	272
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00

K-WIRE

Facility

$100.00

Hospital Charge Code	270668044
Hospital Revenue Code	278
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

K-WIRE

Facility

$154.70

Service Code	HCPCS C1713
Hospital Charge Code	270686981
Hospital Revenue Code	278
Min. Negotiated Rate	$3.73
Max. Negotiated Rate	$77.35
Rate for Payer: Aetna Commercial	$58.79
Rate for Payer: Aetna Medicare Advantage	$46.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.45
Rate for Payer: Cigna Commercial	$77.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$34.03
Rate for Payer: Qualcare PPO/HMO/WC	$23.20
Rate for Payer: UnitedHealthcare Community & State	$3.73
Rate for Payer: Wellpoint Medicaid Managed Care	$4.10

KWIRE

Facility

$100.00

Hospital Charge Code	270656512
Hospital Revenue Code	271
Min. Negotiated Rate	$2.41
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.00
Rate for Payer: Oxford Commercial	$20.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Commercial	$20.00
Rate for Payer: UnitedHealthcare Community & State	$2.41
Rate for Payer: Wellpoint Medicaid Managed Care	$2.65

KWIRE

Facility

$100.00

Hospital Charge Code	270656512
Hospital Revenue Code	271
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

KWIRE 0.014 MM

Facility

$225.00

Service Code	HCPCS C1713
Hospital Charge Code	270702090
Hospital Revenue Code	278
Min. Negotiated Rate	$33.75
Max. Negotiated Rate	$54.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$33.75

Know your out-of-pocket cost for care.

All Charges