Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRESSING AG AQUACEL 3.5X3.75

Facility

$101.44

Hospital Charge Code	270678573
Hospital Revenue Code	272
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$50.72
Rate for Payer: Aetna Commercial	$38.55
Rate for Payer: Aetna Medicare Advantage	$30.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.87
Rate for Payer: Cigna Commercial	$50.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.43
Rate for Payer: Oxford Commercial	$20.29
Rate for Payer: Qualcare PPO/HMO/WC	$15.22
Rate for Payer: UnitedHealthcare Commercial	$20.29
Rate for Payer: UnitedHealthcare Community & State	$2.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.69

DRESSING ALGIDEX AG TRACH 4X4

Facility

$41.10

Hospital Charge Code	270677760
Hospital Revenue Code	272
Min. Negotiated Rate	$6.17
Max. Negotiated Rate	$6.17
Rate for Payer: Qualcare PPO/HMO/WC	$6.17

DRESSING ALGIDEX AG TRACH 4X4

Facility

$41.10

Hospital Charge Code	270677760
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$20.55
Rate for Payer: Aetna Commercial	$15.62
Rate for Payer: Aetna Medicare Advantage	$12.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.48
Rate for Payer: Cigna Commercial	$20.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.33
Rate for Payer: Oxford Commercial	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$6.17
Rate for Payer: UnitedHealthcare Commercial	$8.22
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

DRESSING ALGISTE M 4x4

Facility

$15.47

Hospital Charge Code	270661088
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$7.74
Rate for Payer: Aetna Commercial	$5.88
Rate for Payer: Aetna Medicare Advantage	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.94
Rate for Payer: Cigna Commercial	$7.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.64
Rate for Payer: Oxford Commercial	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$3.09
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

DRESSING ALGISTE M 4x4

Facility

$15.47

Hospital Charge Code	270661088
Hospital Revenue Code	272
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

DRESSING ALLDRESS 4 x 4 IN

Facility

$5.19

Hospital Charge Code	270685409
Hospital Revenue Code	272
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$0.78
Rate for Payer: Qualcare PPO/HMO/WC	$0.78

DRESSING ALLDRESS 4 x 4 IN

Facility

$5.19

Hospital Charge Code	270685409
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.60
Rate for Payer: Aetna Commercial	$1.97
Rate for Payer: Aetna Medicare Advantage	$1.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.32
Rate for Payer: Cigna Commercial	$2.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.56
Rate for Payer: Oxford Commercial	$1.04
Rate for Payer: Qualcare PPO/HMO/WC	$0.78
Rate for Payer: UnitedHealthcare Commercial	$1.04
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

DRESSING ALLDRESS 6 x 6 IN

Facility

$6.48

Hospital Charge Code	270685410
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.24
Rate for Payer: Aetna Commercial	$2.46
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.65
Rate for Payer: Cigna Commercial	$3.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.30
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

DRESSING ALLDRESS 6 x 6 IN

Facility

$6.48

Hospital Charge Code	270685410
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

DRESSING ALLEVYN+ 5X5

Facility

$33.90

Hospital Charge Code	270650198
Hospital Revenue Code	270
Min. Negotiated Rate	$0.82
Max. Negotiated Rate	$16.95
Rate for Payer: Aetna Commercial	$12.88
Rate for Payer: Aetna Medicare Advantage	$10.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.64
Rate for Payer: Cigna Commercial	$16.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.17
Rate for Payer: Oxford Commercial	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$5.08
Rate for Payer: UnitedHealthcare Commercial	$6.78
Rate for Payer: UnitedHealthcare Community & State	$0.82
Rate for Payer: Wellpoint Medicaid Managed Care	$0.90

DRESSING ALLEVYN+ 5X5

Facility

$33.90

Hospital Charge Code	270650198
Hospital Revenue Code	270
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$5.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.08

DRESSING ALLEVYN+ 7X7

Facility

$6.44

Hospital Charge Code	270650199
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.22
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

DRESSING ALLEVYN+ 7X7

Facility

$6.44

Hospital Charge Code	270650199
Hospital Revenue Code	270
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

DRESSING ALLEVYN ADHESIVE 3x3

Facility

$11.38

Hospital Charge Code	270649912
Hospital Revenue Code	270
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$1.71
Rate for Payer: Qualcare PPO/HMO/WC	$1.71

DRESSING ALLEVYN ADHESIVE 3x3

Facility

$11.38

Hospital Charge Code	270649912
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.69
Rate for Payer: Aetna Commercial	$4.32
Rate for Payer: Aetna Medicare Advantage	$3.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.90
Rate for Payer: Cigna Commercial	$5.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.41
Rate for Payer: Oxford Commercial	$2.28
Rate for Payer: Qualcare PPO/HMO/WC	$1.71
Rate for Payer: UnitedHealthcare Commercial	$2.28
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

DRESSING ALLEVYN ADHESIVE 5x5

Facility

$14.81

Hospital Charge Code	270649913
Hospital Revenue Code	270
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$2.22

DRESSING ALLEVYN ADHESIVE 5x5

Facility

$14.81

Hospital Charge Code	270649913
Hospital Revenue Code	270
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.41
Rate for Payer: Aetna Commercial	$5.63
Rate for Payer: Aetna Medicare Advantage	$4.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.78
Rate for Payer: Cigna Commercial	$7.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.44
Rate for Payer: Oxford Commercial	$2.96
Rate for Payer: Qualcare PPO/HMO/WC	$2.22
Rate for Payer: UnitedHealthcare Commercial	$2.96
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

DRESSING ALLEVYN+ CAVITY 4X4

Facility

$6.44

Hospital Charge Code	270650200
Hospital Revenue Code	270
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

DRESSING ALLEVYN+ CAVITY 4X4

Facility

$6.44

Hospital Charge Code	270650200
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.22
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.93
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

DRESSING ALLEVYN SACRUM

Facility

$30.53

Hospital Charge Code	270649915
Hospital Revenue Code	270
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$4.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.58

DRESSING ALLEVYN SACRUM

Facility

$30.53

Hospital Charge Code	270649915
Hospital Revenue Code	270
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$15.27
Rate for Payer: Aetna Commercial	$11.60
Rate for Payer: Aetna Medicare Advantage	$9.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.79
Rate for Payer: Cigna Commercial	$15.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.16
Rate for Payer: Oxford Commercial	$6.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.58
Rate for Payer: UnitedHealthcare Commercial	$6.11
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

DRESSING ALLEVYN THIN 4X4

Facility

$2.13

Hospital Charge Code	270649731
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$0.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.32

DRESSING ALLEVYN THIN 4X4

Facility

$2.13

Hospital Charge Code	270649731
Hospital Revenue Code	270
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.06
Rate for Payer: Aetna Commercial	$0.81
Rate for Payer: Aetna Medicare Advantage	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.54
Rate for Payer: Cigna Commercial	$1.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.64
Rate for Payer: Oxford Commercial	$0.43
Rate for Payer: Qualcare PPO/HMO/WC	$0.32
Rate for Payer: UnitedHealthcare Commercial	$0.43
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

DRESSING AQUACEL

Facility

$26.60

Hospital Charge Code	270703762
Hospital Revenue Code	279
Min. Negotiated Rate	$3.99
Max. Negotiated Rate	$3.99
Rate for Payer: Qualcare PPO/HMO/WC	$3.99

DRESSING AQUACEL

Facility

$26.60

Hospital Charge Code	270703762
Hospital Revenue Code	279
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.30
Rate for Payer: Aetna Commercial	$10.11
Rate for Payer: Aetna Medicare Advantage	$7.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.78
Rate for Payer: Cigna Commercial	$13.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.98
Rate for Payer: Oxford Commercial	$5.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.99
Rate for Payer: UnitedHealthcare Commercial	$5.32
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

Know your out-of-pocket cost for care.

All Charges