Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MESH MAX 3D LEFT 10.8CM X 16CM

Facility

$1,169.05

Hospital Charge Code	270657165
Hospital Revenue Code	278
Min. Negotiated Rate	$175.36
Max. Negotiated Rate	$282.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$257.19
Rate for Payer: Qualcare PPO/HMO/WC	$175.36

MESH MAX 3D LEFT 10.8CM X 16CM

Facility

$1,169.05

Hospital Charge Code	270657165
Hospital Revenue Code	278
Min. Negotiated Rate	$28.17
Max. Negotiated Rate	$584.52
Rate for Payer: Aetna Commercial	$444.24
Rate for Payer: Aetna Medicare Advantage	$350.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$233.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.11
Rate for Payer: Cigna Commercial	$584.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$257.19
Rate for Payer: Qualcare PPO/HMO/WC	$175.36
Rate for Payer: UnitedHealthcare Community & State	$28.17
Rate for Payer: Wellpoint Medicaid Managed Care	$30.98

MESH OVAL ULTRA PRO LARGE

Facility

$995.00

Hospital Charge Code	270701545
Hospital Revenue Code	278
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$497.50
Rate for Payer: Aetna Commercial	$378.10
Rate for Payer: Aetna Medicare Advantage	$298.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$253.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$253.72
Rate for Payer: Cigna Commercial	$497.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25
Rate for Payer: UnitedHealthcare Community & State	$23.98
Rate for Payer: Wellpoint Medicaid Managed Care	$26.37

MESH OVAL ULTRA PRO LARGE

Facility

$995.00

Hospital Charge Code	270701545
Hospital Revenue Code	278
Min. Negotiated Rate	$149.25
Max. Negotiated Rate	$240.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$199.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.90
Rate for Payer: Qualcare PPO/HMO/WC	$149.25

MESH PARIATIX SKIRT 6 X 4

Facility

$3,192.50

Service Code	HCPCS C1781
Hospital Charge Code	270679896
Hospital Revenue Code	278
Min. Negotiated Rate	$478.88
Max. Negotiated Rate	$772.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$638.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$772.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$702.35
Rate for Payer: Qualcare PPO/HMO/WC	$478.88

MESH PARIATIX SKIRT 6 X 4

Facility

$3,192.50

Service Code	HCPCS C1781
Hospital Charge Code	270679896
Hospital Revenue Code	278
Min. Negotiated Rate	$76.94
Max. Negotiated Rate	$1,596.25
Rate for Payer: Aetna Commercial	$1,213.15
Rate for Payer: Aetna Medicare Advantage	$957.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$814.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$814.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$638.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$814.09
Rate for Payer: Cigna Commercial	$1,596.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$772.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$702.35
Rate for Payer: Qualcare PPO/HMO/WC	$478.88
Rate for Payer: UnitedHealthcare Community & State	$76.94
Rate for Payer: Wellpoint Medicaid Managed Care	$84.60

MESH PARIETEX 9cm ROUND

Facility

$1,571.90

Service Code	HCPCS C1781
Hospital Charge Code	270664234
Hospital Revenue Code	278
Min. Negotiated Rate	$235.78
Max. Negotiated Rate	$380.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.78

MESH PARIETEX 9cm ROUND

Facility

$1,571.90

Service Code	HCPCS C1781
Hospital Charge Code	270664234
Hospital Revenue Code	278
Min. Negotiated Rate	$37.88
Max. Negotiated Rate	$785.95
Rate for Payer: Aetna Commercial	$597.32
Rate for Payer: Aetna Medicare Advantage	$471.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$400.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$314.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$400.83
Rate for Payer: Cigna Commercial	$785.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$380.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$345.82
Rate for Payer: Qualcare PPO/HMO/WC	$235.78
Rate for Payer: UnitedHealthcare Community & State	$37.88
Rate for Payer: Wellpoint Medicaid Managed Care	$41.66

MESH PARIETEX RETANGLE 25X20CM

Facility

$12,810.00

Hospital Charge Code	270671349
Hospital Revenue Code	278
Min. Negotiated Rate	$1,921.50
Max. Negotiated Rate	$3,100.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,818.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50

MESH PARIETEX RETANGLE 25X20CM

Facility

$12,810.00

Hospital Charge Code	270671349
Hospital Revenue Code	278
Min. Negotiated Rate	$308.72
Max. Negotiated Rate	$6,405.00
Rate for Payer: Aetna Commercial	$4,867.80
Rate for Payer: Aetna Medicare Advantage	$3,843.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,266.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,562.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,266.55
Rate for Payer: Cigna Commercial	$6,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,100.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,818.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,921.50
Rate for Payer: UnitedHealthcare Community & State	$308.72
Rate for Payer: Wellpoint Medicaid Managed Care	$339.46

MESH PARTIALCONTOUR

Facility

$25,272.00

Hospital Charge Code	270662168
Hospital Revenue Code	278
Min. Negotiated Rate	$609.06
Max. Negotiated Rate	$12,636.00
Rate for Payer: Aetna Commercial	$9,603.36
Rate for Payer: Aetna Medicare Advantage	$7,581.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,444.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,444.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,054.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,444.36
Rate for Payer: Cigna Commercial	$12,636.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,115.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,559.84
Rate for Payer: Qualcare PPO/HMO/WC	$3,790.80
Rate for Payer: UnitedHealthcare Community & State	$609.06
Rate for Payer: Wellpoint Medicaid Managed Care	$669.71

MESH PARTIALCONTOUR

Facility

$25,272.00

Hospital Charge Code	270662168
Hospital Revenue Code	278
Min. Negotiated Rate	$3,790.80
Max. Negotiated Rate	$6,115.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,054.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,115.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,559.84
Rate for Payer: Qualcare PPO/HMO/WC	$3,790.80

MESH PELVIC SLING URETH SOLYX

Facility

$10,797.10

Service Code	HCPCS C1771
Hospital Charge Code	270695722
Hospital Revenue Code	278
Min. Negotiated Rate	$1,619.57
Max. Negotiated Rate	$2,612.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,375.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.57

MESH PELVIC SLING URETH SOLYX

Facility

$10,797.10

Service Code	HCPCS C1771
Hospital Charge Code	270695722
Hospital Revenue Code	278
Min. Negotiated Rate	$260.21
Max. Negotiated Rate	$5,398.55
Rate for Payer: Aetna Commercial	$4,102.90
Rate for Payer: Aetna Medicare Advantage	$3,239.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,753.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,753.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,159.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,753.26
Rate for Payer: Cigna Commercial	$5,398.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,612.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,375.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,619.57
Rate for Payer: UnitedHealthcare Community & State	$260.21
Rate for Payer: Wellpoint Medicaid Managed Care	$286.12

MESH PELVITEX POLYPRO 486015

Facility

$1,934.45

Hospital Charge Code	270634048
Hospital Revenue Code	278
Min. Negotiated Rate	$290.17
Max. Negotiated Rate	$468.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.58
Rate for Payer: Qualcare PPO/HMO/WC	$290.17

MESH PELVITEX POLYPRO 486015

Facility

$1,934.45

Hospital Charge Code	270634048
Hospital Revenue Code	278
Min. Negotiated Rate	$46.62
Max. Negotiated Rate	$967.23
Rate for Payer: Aetna Commercial	$735.09
Rate for Payer: Aetna Medicare Advantage	$580.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$493.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$493.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$493.28
Rate for Payer: Cigna Commercial	$967.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$468.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.58
Rate for Payer: Qualcare PPO/HMO/WC	$290.17
Rate for Payer: UnitedHealthcare Community & State	$46.62
Rate for Payer: Wellpoint Medicaid Managed Care	$51.26

MESH PERMACOL 10x15cm x 1.0mm

Facility

$17,294.00

Hospital Charge Code	2701663577
Hospital Revenue Code	278
Min. Negotiated Rate	$2,594.10
Max. Negotiated Rate	$4,185.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,458.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,185.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,804.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.10

MESH PERMACOL 10x15cm x 1.0mm

Facility

$17,294.00

Hospital Charge Code	2701663577
Hospital Revenue Code	278
Min. Negotiated Rate	$416.79
Max. Negotiated Rate	$8,647.00
Rate for Payer: Aetna Commercial	$6,571.72
Rate for Payer: Aetna Medicare Advantage	$5,188.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,409.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,409.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,458.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,409.97
Rate for Payer: Cigna Commercial	$8,647.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,185.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,804.68
Rate for Payer: Qualcare PPO/HMO/WC	$2,594.10
Rate for Payer: UnitedHealthcare Community & State	$416.79
Rate for Payer: Wellpoint Medicaid Managed Care	$458.29

MESH PERMACOL 10X15CMX1MM

Facility

$17,838.25

Service Code	HCPCS C1781
Hospital Charge Code	270663577
Hospital Revenue Code	278
Min. Negotiated Rate	$2,675.74
Max. Negotiated Rate	$4,316.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,567.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,316.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,924.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,675.74

MESH PERMACOL 10X15CMX1MM

Facility

$17,838.25

Service Code	HCPCS C1781
Hospital Charge Code	270663577
Hospital Revenue Code	278
Min. Negotiated Rate	$429.90
Max. Negotiated Rate	$8,919.12
Rate for Payer: Aetna Commercial	$6,778.53
Rate for Payer: Aetna Medicare Advantage	$5,351.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,548.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,548.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,567.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,548.75
Rate for Payer: Cigna Commercial	$8,919.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,316.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,924.41
Rate for Payer: Qualcare PPO/HMO/WC	$2,675.74
Rate for Payer: UnitedHealthcare Community & State	$429.90
Rate for Payer: Wellpoint Medicaid Managed Care	$472.71

MESH PERMACOL 10X15X1.5MM

Facility

$17,404.00

Hospital Charge Code	270677075
Hospital Revenue Code	278
Min. Negotiated Rate	$419.44
Max. Negotiated Rate	$8,702.00
Rate for Payer: Aetna Commercial	$6,613.52
Rate for Payer: Aetna Medicare Advantage	$5,221.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,438.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,438.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,480.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,438.02
Rate for Payer: Cigna Commercial	$8,702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,211.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,828.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,610.60
Rate for Payer: UnitedHealthcare Community & State	$419.44
Rate for Payer: Wellpoint Medicaid Managed Care	$461.21

MESH PERMACOL 10X15X1.5MM

Facility

$17,404.00

Hospital Charge Code	270677075
Hospital Revenue Code	278
Min. Negotiated Rate	$2,610.60
Max. Negotiated Rate	$4,211.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,480.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,211.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,828.88
Rate for Payer: Qualcare PPO/HMO/WC	$2,610.60

MESH PERMACOL 20x30cm x 1.5mm

Facility

$61,236.25

Service Code	HCPCS C1781
Hospital Charge Code	270663578
Hospital Revenue Code	278
Min. Negotiated Rate	$1,475.79
Max. Negotiated Rate	$30,618.12
Rate for Payer: Aetna Commercial	$23,269.78
Rate for Payer: Aetna Medicare Advantage	$18,370.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,615.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,615.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,247.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,615.24
Rate for Payer: Cigna Commercial	$30,618.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,819.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,471.98
Rate for Payer: Qualcare PPO/HMO/WC	$9,185.44
Rate for Payer: UnitedHealthcare Community & State	$1,475.79
Rate for Payer: Wellpoint Medicaid Managed Care	$1,622.76

MESH PERMACOL 20x30cm x 1.5mm

Facility

$61,236.25

Service Code	HCPCS C1781
Hospital Charge Code	270663578
Hospital Revenue Code	278
Min. Negotiated Rate	$9,185.44
Max. Negotiated Rate	$14,819.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12,247.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14,819.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13,471.98
Rate for Payer: Qualcare PPO/HMO/WC	$9,185.44

MESH PEROG W/INTERPRO 72404046

Facility

$7,975.00

Hospital Charge Code	270634316
Hospital Revenue Code	278
Min. Negotiated Rate	$192.20
Max. Negotiated Rate	$3,987.50
Rate for Payer: Aetna Commercial	$3,030.50
Rate for Payer: Aetna Medicare Advantage	$2,392.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,033.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,033.62
Rate for Payer: Cigna Commercial	$3,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,929.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,754.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,196.25
Rate for Payer: UnitedHealthcare Community & State	$192.20
Rate for Payer: Wellpoint Medicaid Managed Care	$211.34

Know your out-of-pocket cost for care.

All Charges