Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MESH COMPOSIX PS 8.2x10.2

Facility

$10,719.40

Hospital Charge Code	270647920
Hospital Revenue Code	278
Min. Negotiated Rate	$258.34
Max. Negotiated Rate	$5,359.70
Rate for Payer: Aetna Commercial	$4,073.37
Rate for Payer: Aetna Medicare Advantage	$3,215.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,733.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,733.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,143.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,733.45
Rate for Payer: Cigna Commercial	$5,359.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,358.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,607.91
Rate for Payer: UnitedHealthcare Community & State	$258.34
Rate for Payer: Wellpoint Medicaid Managed Care	$284.06

MESH COMPOSIX PS 8.2x10.2

Facility

$10,719.40

Hospital Charge Code	270647920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,607.91
Max. Negotiated Rate	$2,594.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,143.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,594.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,358.27
Rate for Payer: Qualcare PPO/HMO/WC	$1,607.91

MESH C-QUAR 8X12

Facility

$5,577.50

Hospital Charge Code	270647407
Hospital Revenue Code	278
Min. Negotiated Rate	$836.62
Max. Negotiated Rate	$1,349.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,227.05
Rate for Payer: Qualcare PPO/HMO/WC	$836.62

MESH C-QUAR 8X12

Facility

$5,577.50

Hospital Charge Code	270647407
Hospital Revenue Code	278
Min. Negotiated Rate	$134.42
Max. Negotiated Rate	$2,788.75
Rate for Payer: Aetna Commercial	$2,119.45
Rate for Payer: Aetna Medicare Advantage	$1,673.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,422.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,422.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,422.26
Rate for Payer: Cigna Commercial	$2,788.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,349.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,227.05
Rate for Payer: Qualcare PPO/HMO/WC	$836.62
Rate for Payer: UnitedHealthcare Community & State	$134.42
Rate for Payer: Wellpoint Medicaid Managed Care	$147.80

MESH C-QUR 3X6

Facility

$1,324.05

Service Code	HCPCS C1781
Hospital Charge Code	270657915
Hospital Revenue Code	278
Min. Negotiated Rate	$198.61
Max. Negotiated Rate	$320.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.29
Rate for Payer: Qualcare PPO/HMO/WC	$198.61

MESH C-QUR 3X6

Facility

$1,324.05

Service Code	HCPCS C1781
Hospital Charge Code	270657915
Hospital Revenue Code	278
Min. Negotiated Rate	$31.91
Max. Negotiated Rate	$662.02
Rate for Payer: Aetna Commercial	$503.14
Rate for Payer: Aetna Medicare Advantage	$397.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.63
Rate for Payer: Cigna Commercial	$662.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$291.29
Rate for Payer: Qualcare PPO/HMO/WC	$198.61
Rate for Payer: UnitedHealthcare Community & State	$31.91
Rate for Payer: Wellpoint Medicaid Managed Care	$35.09

MESH C-QUR 4X6

Facility

$1,503.50

Hospital Charge Code	270653393
Hospital Revenue Code	278
Min. Negotiated Rate	$225.53
Max. Negotiated Rate	$363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.77
Rate for Payer: Qualcare PPO/HMO/WC	$225.53

MESH C-QUR 4X6

Facility

$1,503.50

Hospital Charge Code	270653393
Hospital Revenue Code	278
Min. Negotiated Rate	$36.23
Max. Negotiated Rate	$751.75
Rate for Payer: Aetna Commercial	$571.33
Rate for Payer: Aetna Medicare Advantage	$451.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$383.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$383.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$383.39
Rate for Payer: Cigna Commercial	$751.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.77
Rate for Payer: Qualcare PPO/HMO/WC	$225.53
Rate for Payer: UnitedHealthcare Community & State	$36.23
Rate for Payer: Wellpoint Medicaid Managed Care	$39.84

MESH C-QUR 5.12 x 5.12

Facility

$2,160.00

Hospital Charge Code	270663070
Hospital Revenue Code	278
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$522.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$432.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$475.20
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

MESH C-QUR 5.12 x 5.12

Facility

$2,160.00

Hospital Charge Code	270663070
Hospital Revenue Code	278
Min. Negotiated Rate	$52.06
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$820.80
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$432.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$522.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$475.20
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Community & State	$52.06
Rate for Payer: Wellpoint Medicaid Managed Care	$57.24

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$75.39
Max. Negotiated Rate	$1,564.12
Rate for Payer: Aetna Commercial	$1,188.73
Rate for Payer: Aetna Medicare Advantage	$938.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$797.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$797.70
Rate for Payer: Cigna Commercial	$1,564.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.22
Rate for Payer: Qualcare PPO/HMO/WC	$469.24
Rate for Payer: UnitedHealthcare Community & State	$75.39
Rate for Payer: Wellpoint Medicaid Managed Care	$82.90

MESH C-QUR 6X8

Facility

$3,128.25

Service Code	HCPCS C1781
Hospital Charge Code	270653394
Hospital Revenue Code	278
Min. Negotiated Rate	$469.24
Max. Negotiated Rate	$757.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$688.22
Rate for Payer: Qualcare PPO/HMO/WC	$469.24

MESH C-QUR 8.9cm X 31543

Facility

$1,350.00

Hospital Charge Code	270644116
Hospital Revenue Code	278
Min. Negotiated Rate	$32.53
Max. Negotiated Rate	$675.00
Rate for Payer: Aetna Commercial	$513.00
Rate for Payer: Aetna Medicare Advantage	$405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$344.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$344.25
Rate for Payer: Cigna Commercial	$675.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50
Rate for Payer: UnitedHealthcare Community & State	$32.53
Rate for Payer: Wellpoint Medicaid Managed Care	$35.77

MESH C-QUR 8.9cm X 31543

Facility

$1,350.00

Hospital Charge Code	270644116
Hospital Revenue Code	278
Min. Negotiated Rate	$202.50
Max. Negotiated Rate	$326.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$326.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$297.00
Rate for Payer: Qualcare PPO/HMO/WC	$202.50

MESH C-QUR 8X10

Facility

$6,105.00

Hospital Charge Code	270655390
Hospital Revenue Code	278
Min. Negotiated Rate	$915.75
Max. Negotiated Rate	$1,477.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,343.10
Rate for Payer: Qualcare PPO/HMO/WC	$915.75

MESH C-QUR 8X10

Facility

$6,105.00

Hospital Charge Code	270655390
Hospital Revenue Code	278
Min. Negotiated Rate	$147.13
Max. Negotiated Rate	$3,052.50
Rate for Payer: Aetna Commercial	$2,319.90
Rate for Payer: Aetna Medicare Advantage	$1,831.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,556.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,556.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,221.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,556.78
Rate for Payer: Cigna Commercial	$3,052.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,477.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,343.10
Rate for Payer: Qualcare PPO/HMO/WC	$915.75
Rate for Payer: UnitedHealthcare Community & State	$147.13
Rate for Payer: Wellpoint Medicaid Managed Care	$161.78

MESH C-QUR 8X12

Facility

$6,530.00

Hospital Charge Code	270653398
Hospital Revenue Code	278
Min. Negotiated Rate	$157.37
Max. Negotiated Rate	$3,265.00
Rate for Payer: Aetna Commercial	$2,481.40
Rate for Payer: Aetna Medicare Advantage	$1,959.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,665.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,665.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,665.15
Rate for Payer: Cigna Commercial	$3,265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,580.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,436.60
Rate for Payer: Qualcare PPO/HMO/WC	$979.50
Rate for Payer: UnitedHealthcare Community & State	$157.37
Rate for Payer: Wellpoint Medicaid Managed Care	$173.04

MESH C-QUR 8X12

Facility

$6,530.00

Hospital Charge Code	270653398
Hospital Revenue Code	278
Min. Negotiated Rate	$979.50
Max. Negotiated Rate	$1,580.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,580.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,436.60
Rate for Payer: Qualcare PPO/HMO/WC	$979.50

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$68.69
Max. Negotiated Rate	$1,425.00
Rate for Payer: Aetna Commercial	$1,083.00
Rate for Payer: Aetna Medicare Advantage	$855.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$726.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$726.75
Rate for Payer: Cigna Commercial	$1,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$627.00
Rate for Payer: Qualcare PPO/HMO/WC	$427.50
Rate for Payer: UnitedHealthcare Community & State	$68.69
Rate for Payer: Wellpoint Medicaid Managed Care	$75.53

MESH C-QUR RND 8.0x8.0CM

Facility

$2,850.00

Service Code	HCPCS C1781
Hospital Charge Code	270653392
Hospital Revenue Code	278
Min. Negotiated Rate	$427.50
Max. Negotiated Rate	$689.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$689.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$627.00
Rate for Payer: Qualcare PPO/HMO/WC	$427.50

MESH, DUAL 10CM X 15CM X 1MM

Facility

$1,965.00

Hospital Charge Code	270658081
Hospital Revenue Code	278
Min. Negotiated Rate	$294.75
Max. Negotiated Rate	$475.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$432.30
Rate for Payer: Qualcare PPO/HMO/WC	$294.75

MESH, DUAL 10CM X 15CM X 1MM

Facility

$1,965.00

Hospital Charge Code	270658081
Hospital Revenue Code	278
Min. Negotiated Rate	$47.36
Max. Negotiated Rate	$982.50
Rate for Payer: Aetna Commercial	$746.70
Rate for Payer: Aetna Medicare Advantage	$589.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$501.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$393.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$501.07
Rate for Payer: Cigna Commercial	$982.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$432.30
Rate for Payer: Qualcare PPO/HMO/WC	$294.75
Rate for Payer: UnitedHealthcare Community & State	$47.36
Rate for Payer: Wellpoint Medicaid Managed Care	$52.07

MESHDUAL DLMC 10x15cm 1.0mm

Facility

$2,490.00

Hospital Charge Code	270641527
Hospital Revenue Code	278
Min. Negotiated Rate	$60.01
Max. Negotiated Rate	$1,245.00
Rate for Payer: Aetna Commercial	$946.20
Rate for Payer: Aetna Medicare Advantage	$747.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$634.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$634.95
Rate for Payer: Cigna Commercial	$1,245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$547.80
Rate for Payer: Qualcare PPO/HMO/WC	$373.50
Rate for Payer: UnitedHealthcare Community & State	$60.01
Rate for Payer: Wellpoint Medicaid Managed Care	$65.98

MESHDUAL DLMC 10x15cm 1.0mm

Facility

$2,490.00

Hospital Charge Code	270641527
Hospital Revenue Code	278
Min. Negotiated Rate	$373.50
Max. Negotiated Rate	$602.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$547.80
Rate for Payer: Qualcare PPO/HMO/WC	$373.50

MESH DUAL PLUS 20x30x1 1DMCP07

Facility

$9,255.00

Hospital Charge Code	270643255
Hospital Revenue Code	278
Min. Negotiated Rate	$223.05
Max. Negotiated Rate	$4,627.50
Rate for Payer: Aetna Commercial	$3,516.90
Rate for Payer: Aetna Medicare Advantage	$2,776.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,360.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,360.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,851.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,360.03
Rate for Payer: Cigna Commercial	$4,627.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,239.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,036.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,388.25
Rate for Payer: UnitedHealthcare Community & State	$223.05
Rate for Payer: Wellpoint Medicaid Managed Care	$245.26

Know your out-of-pocket cost for care.

All Charges