Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MESH DUAL PLUS 20x30x1 1DMCP07

Facility

$9,255.00

Hospital Charge Code	270643255
Hospital Revenue Code	278
Min. Negotiated Rate	$1,388.25
Max. Negotiated Rate	$2,239.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,851.00
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

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$31.52
Max. Negotiated Rate	$654.00
Rate for Payer: Aetna Commercial	$497.04
Rate for Payer: Aetna Medicare Advantage	$392.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$333.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$333.54
Rate for Payer: Cigna Commercial	$654.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$287.76
Rate for Payer: Qualcare PPO/HMO/WC	$196.20
Rate for Payer: UnitedHealthcare Community & State	$31.52
Rate for Payer: Wellpoint Medicaid Managed Care	$34.66

MESH ECHELON REINFORCEMNT 60MM

Facility

$1,308.00

Service Code	HCPCS C1781
Hospital Charge Code	270694423
Hospital Revenue Code	278
Min. Negotiated Rate	$196.20
Max. Negotiated Rate	$316.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$261.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$316.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$287.76
Rate for Payer: Qualcare PPO/HMO/WC	$196.20

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$10,286.21
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$533.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$533.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,501.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$533.66
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,286.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,351.10
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75
Rate for Payer: UnitedHealthcare Community & State	$1,024.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$1,126.38

MESHED BILAYER MATRIX 8X10

Facility

$42,505.00

Service Code	HCPCS Q4104
Hospital Charge Code	270667912
Hospital Revenue Code	278
Min. Negotiated Rate	$6,375.75
Max. Negotiated Rate	$10,286.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,501.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,286.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,351.10
Rate for Payer: Qualcare PPO/HMO/WC	$6,375.75

MESH ELLIPSE 6 X 8 IN

Facility

$6,431.50

Service Code	HCPCS C1781
Hospital Charge Code	270690918
Hospital Revenue Code	278
Min. Negotiated Rate	$155.00
Max. Negotiated Rate	$3,215.75
Rate for Payer: Aetna Commercial	$2,443.97
Rate for Payer: Aetna Medicare Advantage	$1,929.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,640.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,640.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,286.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,640.03
Rate for Payer: Cigna Commercial	$3,215.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,556.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,414.93
Rate for Payer: Qualcare PPO/HMO/WC	$964.73
Rate for Payer: UnitedHealthcare Community & State	$155.00
Rate for Payer: Wellpoint Medicaid Managed Care	$170.43

MESH ELLIPSE 6 X 8 IN

Facility

$6,431.50

Service Code	HCPCS C1781
Hospital Charge Code	270690918
Hospital Revenue Code	278
Min. Negotiated Rate	$964.73
Max. Negotiated Rate	$1,556.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,286.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,556.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,414.93
Rate for Payer: Qualcare PPO/HMO/WC	$964.73

MESH ELLIPSE 7 X9 IN VENTRALIG

Facility

$8,593.50

Service Code	HCPCS C1781
Hospital Charge Code	270690919
Hospital Revenue Code	278
Min. Negotiated Rate	$207.10
Max. Negotiated Rate	$4,296.75
Rate for Payer: Aetna Commercial	$3,265.53
Rate for Payer: Aetna Medicare Advantage	$2,578.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,191.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,191.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,718.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,191.34
Rate for Payer: Cigna Commercial	$4,296.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,079.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,890.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,289.03
Rate for Payer: UnitedHealthcare Community & State	$207.10
Rate for Payer: Wellpoint Medicaid Managed Care	$227.73

MESH ELLIPSE 7 X9 IN VENTRALIG

Facility

$8,593.50

Service Code	HCPCS C1781
Hospital Charge Code	270690919
Hospital Revenue Code	278
Min. Negotiated Rate	$1,289.03
Max. Negotiated Rate	$2,079.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,718.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,079.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,890.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,289.03

MESH ELLIPSE 8 X 10 IN

Facility

$11,102.00

Service Code	HCPCS C1781
Hospital Charge Code	270690920
Hospital Revenue Code	278
Min. Negotiated Rate	$1,665.30
Max. Negotiated Rate	$2,686.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,442.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.30

MESH ELLIPSE 8 X 10 IN

Facility

$11,102.00

Service Code	HCPCS C1781
Hospital Charge Code	270690920
Hospital Revenue Code	278
Min. Negotiated Rate	$267.56
Max. Negotiated Rate	$5,551.00
Rate for Payer: Aetna Commercial	$4,218.76
Rate for Payer: Aetna Medicare Advantage	$3,330.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,831.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,831.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,220.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,831.01
Rate for Payer: Cigna Commercial	$5,551.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,686.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,442.44
Rate for Payer: Qualcare PPO/HMO/WC	$1,665.30
Rate for Payer: UnitedHealthcare Community & State	$267.56
Rate for Payer: Wellpoint Medicaid Managed Care	$294.20

MESHGRAFT DERMATOME

Facility

$50.80

Hospital Charge Code	1603067
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$7.62
Rate for Payer: Qualcare PPO/HMO/WC	$7.62

MESHGRAFT DERMATOME

Facility

$50.80

Hospital Charge Code	1603067
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.40
Rate for Payer: Aetna Commercial	$19.30
Rate for Payer: Aetna Medicare Advantage	$15.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.95
Rate for Payer: Cigna Commercial	$25.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.24
Rate for Payer: Oxford Commercial	$10.16
Rate for Payer: Qualcare PPO/HMO/WC	$7.62
Rate for Payer: UnitedHealthcare Commercial	$10.16
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

MESH,HERNIA, BARD COMP 48 INCH

Facility

$257.00

Hospital Charge Code	270335383
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA, BARD COMP 48 INCH

Facility

$257.00

Hospital Charge Code	270335383
Hospital Revenue Code	278
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$97.66
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Community & State	$6.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

MESH,HERNIA,BARD COMPO 140 INC

Facility

$257.00

Hospital Charge Code	270335385
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO 140 INC

Facility

$257.00

Hospital Charge Code	270335385
Hospital Revenue Code	278
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$97.66
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Community & State	$6.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

MESH,HERNIA,BARD COMPO. 32 INC

Facility

$257.00

Hospital Charge Code	270335382
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA,BARD COMPO. 32 INC

Facility

$257.00

Hospital Charge Code	270335382
Hospital Revenue Code	278
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$97.66
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Community & State	$6.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

MESH,HERNIA BARD COMPO 80 INCH

Facility

$257.00

Hospital Charge Code	270335384
Hospital Revenue Code	278
Min. Negotiated Rate	$38.55
Max. Negotiated Rate	$62.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55

MESH,HERNIA BARD COMPO 80 INCH

Facility

$257.00

Hospital Charge Code	270335384
Hospital Revenue Code	278
Min. Negotiated Rate	$6.19
Max. Negotiated Rate	$128.50
Rate for Payer: Aetna Commercial	$97.66
Rate for Payer: Aetna Medicare Advantage	$77.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$51.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65.53
Rate for Payer: Cigna Commercial	$128.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$56.54
Rate for Payer: Qualcare PPO/HMO/WC	$38.55
Rate for Payer: UnitedHealthcare Community & State	$6.19
Rate for Payer: Wellpoint Medicaid Managed Care	$6.81

MESH,HERNIA,BARD COMPO 8-18 IN

Facility

$198.00

Hospital Charge Code	270335381
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$47.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$29.70

MESH,HERNIA,BARD COMPO 8-18 IN

Facility

$198.00

Hospital Charge Code	270335381
Hospital Revenue Code	278
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$99.00
Rate for Payer: Aetna Commercial	$75.24
Rate for Payer: Aetna Medicare Advantage	$59.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.49
Rate for Payer: Cigna Commercial	$99.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.56
Rate for Payer: Qualcare PPO/HMO/WC	$29.70
Rate for Payer: UnitedHealthcare Community & State	$4.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5.25

MESH HERNIA L30xW15CM RECT

Facility

$2,421.90

Service Code	HCPCS C1781
Hospital Charge Code	270686569
Hospital Revenue Code	278
Min. Negotiated Rate	$58.37
Max. Negotiated Rate	$1,210.95
Rate for Payer: Aetna Commercial	$920.32
Rate for Payer: Aetna Medicare Advantage	$726.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$617.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$617.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$617.58
Rate for Payer: Cigna Commercial	$1,210.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$532.82
Rate for Payer: Qualcare PPO/HMO/WC	$363.29
Rate for Payer: UnitedHealthcare Community & State	$58.37
Rate for Payer: Wellpoint Medicaid Managed Care	$64.18

MESH HERNIA L30xW15CM RECT

Facility

$2,421.90

Service Code	HCPCS C1781
Hospital Charge Code	270686569
Hospital Revenue Code	278
Min. Negotiated Rate	$363.29
Max. Negotiated Rate	$586.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$484.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$586.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$532.82
Rate for Payer: Qualcare PPO/HMO/WC	$363.29

Know your out-of-pocket cost for care.

All Charges