Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GLOVE EXAM NITRILE STER LG

Facility

$0.14

Hospital Charge Code	270649551
Hospital Revenue Code	270
Max. Negotiated Rate	$0.07
Rate for Payer: Aetna Commercial	$0.05
Rate for Payer: Aetna Medicare Advantage	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.04
Rate for Payer: Cigna Commercial	$0.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.04
Rate for Payer: Oxford Commercial	$0.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.02
Rate for Payer: UnitedHealthcare Commercial	$0.03
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

GLOVE EXAM SYNTHETIC LG

Facility

$20.25

Hospital Charge Code	270649765
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.12
Rate for Payer: Aetna Commercial	$7.70
Rate for Payer: Aetna Medicare Advantage	$6.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.16
Rate for Payer: Cigna Commercial	$10.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.08
Rate for Payer: Oxford Commercial	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$3.04
Rate for Payer: UnitedHealthcare Commercial	$4.05
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

GLOVE EXAM SYNTHETIC LG

Facility

$20.25

Hospital Charge Code	270649765
Hospital Revenue Code	270
Min. Negotiated Rate	$3.04
Max. Negotiated Rate	$3.04
Rate for Payer: Qualcare PPO/HMO/WC	$3.04

GLOVE EXAM SYNTHETIC SM

Facility

$13.50

Hospital Charge Code	270649764
Hospital Revenue Code	270
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

GLOVE EXAM SYNTHETIC SM

Facility

$13.50

Hospital Charge Code	270649764
Hospital Revenue Code	270
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.75
Rate for Payer: Aetna Commercial	$5.13
Rate for Payer: Aetna Medicare Advantage	$4.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.44
Rate for Payer: Cigna Commercial	$6.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.05
Rate for Payer: Oxford Commercial	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$2.70
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

GLOVE EXAM VINYL LG POWDER/LF

Facility

$19.39

Hospital Charge Code	270649546
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.70
Rate for Payer: Aetna Commercial	$7.37
Rate for Payer: Aetna Medicare Advantage	$5.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.94
Rate for Payer: Cigna Commercial	$9.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.82
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

GLOVE EXAM VINYL LG POWDER/LF

Facility

$19.39

Hospital Charge Code	270649546
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

GLOVE EXAM VINYL MED POWDER/LF

Facility

$19.42

Hospital Charge Code	270649547
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

GLOVE EXAM VINYL MED POWDER/LF

Facility

$19.42

Hospital Charge Code	270649547
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.71
Rate for Payer: Aetna Commercial	$7.38
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

GLOVE EXAM VINYL SM POWDER/LF

Facility

$19.42

Hospital Charge Code	270649548
Hospital Revenue Code	270
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$2.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.91

GLOVE EXAM VINYL SM POWDER/LF

Facility

$19.42

Hospital Charge Code	270649548
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.71
Rate for Payer: Aetna Commercial	$7.38
Rate for Payer: Aetna Medicare Advantage	$5.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.95
Rate for Payer: Cigna Commercial	$9.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.83
Rate for Payer: Oxford Commercial	$3.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.91
Rate for Payer: UnitedHealthcare Commercial	$3.88
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

GLOVELINERPERRYCUTRESISTANT LG

Facility

$140.00

Hospital Charge Code	270653727
Hospital Revenue Code	270
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

GLOVELINERPERRYCUTRESISTANT LG

Facility

$140.00

Hospital Charge Code	270653727
Hospital Revenue Code	270
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$53.20
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.00
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Commercial	$28.00
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.71

GLOVE P2 HIGH RISK MED PF

Facility

$183.45

Hospital Charge Code	270650923
Hospital Revenue Code	272
Min. Negotiated Rate	$4.42
Max. Negotiated Rate	$91.72
Rate for Payer: Aetna Commercial	$69.71
Rate for Payer: Aetna Medicare Advantage	$55.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.78
Rate for Payer: Cigna Commercial	$91.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.03
Rate for Payer: Oxford Commercial	$36.69
Rate for Payer: Qualcare PPO/HMO/WC	$27.52
Rate for Payer: UnitedHealthcare Commercial	$36.69
Rate for Payer: UnitedHealthcare Community & State	$4.42
Rate for Payer: Wellpoint Medicaid Managed Care	$4.86

GLOVE P2 HIGH RISK MED PF

Facility

$183.45

Hospital Charge Code	270650923
Hospital Revenue Code	272
Min. Negotiated Rate	$27.52
Max. Negotiated Rate	$27.52
Rate for Payer: Qualcare PPO/HMO/WC	$27.52

GLOVE P2 HIGH RISK XLG PF

Facility

$226.25

Hospital Charge Code	270650925
Hospital Revenue Code	272
Min. Negotiated Rate	$33.94
Max. Negotiated Rate	$33.94
Rate for Payer: Qualcare PPO/HMO/WC	$33.94

GLOVE P2 HIGH RISK XLG PF

Facility

$226.25

Hospital Charge Code	270650925
Hospital Revenue Code	272
Min. Negotiated Rate	$5.45
Max. Negotiated Rate	$113.12
Rate for Payer: Aetna Commercial	$85.97
Rate for Payer: Aetna Medicare Advantage	$67.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.69
Rate for Payer: Cigna Commercial	$113.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.88
Rate for Payer: Oxford Commercial	$45.25
Rate for Payer: Qualcare PPO/HMO/WC	$33.94
Rate for Payer: UnitedHealthcare Commercial	$45.25
Rate for Payer: UnitedHealthcare Community & State	$5.45
Rate for Payer: Wellpoint Medicaid Managed Care	$6.00

GLOVES FLOOR ***********

Facility

$9.00

Hospital Charge Code	8000861
Hospital Revenue Code	279
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

GLOVES FLOOR ***********

Facility

$9.00

Hospital Charge Code	8000861
Hospital Revenue Code	279
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

GLOVES NEOPRENE SURGICAL FREE

Facility

$6.54

Hospital Charge Code	270653706
Hospital Revenue Code	270
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.27
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.67
Rate for Payer: Cigna Commercial	$3.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$1.31
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

GLOVES NEOPRENE SURGICAL FREE

Facility

$6.54

Hospital Charge Code	270653706
Hospital Revenue Code	270
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

GLOVES OR ***********

Facility

$38.00

Hospital Charge Code	8000846
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

GLOVES OR ***********

Facility

$38.00

Hospital Charge Code	8000846
Hospital Revenue Code	279
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

GLOVES S/P BRAND DISP

Facility

$2.45

Hospital Charge Code	270605301
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.23
Rate for Payer: Aetna Commercial	$0.93
Rate for Payer: Aetna Medicare Advantage	$0.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.62
Rate for Payer: Cigna Commercial	$1.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.74
Rate for Payer: Oxford Commercial	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.37
Rate for Payer: UnitedHealthcare Commercial	$0.49
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

GLOVES S/P BRAND DISP

Facility

$2.45

Hospital Charge Code	270605301
Hospital Revenue Code	272
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$0.37
Rate for Payer: Qualcare PPO/HMO/WC	$0.37

Know your out-of-pocket cost for care.

All Charges