Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MESH STRATTICE 6x10CM

Facility

$10,815.00

Service Code	HCPCS C1781
Hospital Charge Code	270683760
Hospital Revenue Code	278
Min. Negotiated Rate	$1,622.25
Max. Negotiated Rate	$2,617.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,163.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,617.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,379.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,622.25

MESH STRATTICE 6X8CM

Facility

$8,100.00

Service Code	HCPCS Q4130
Hospital Charge Code	270676314
Hospital Revenue Code	278
Min. Negotiated Rate	$140.45
Max. Negotiated Rate	$1,960.20
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	$1,620.00
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	$1,960.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,782.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00
Rate for Payer: UnitedHealthcare Community & State	$195.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$214.65

MESH STRATTICE 6X8CM

Facility

$8,100.00

Service Code	HCPCS Q4130
Hospital Charge Code	270676314
Hospital Revenue Code	278
Min. Negotiated Rate	$1,215.00
Max. Negotiated Rate	$1,960.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,620.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,960.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,782.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,215.00

MESH STRATTICE 6X8CM/SQCMJW

Facility

$166.56

Hospital Charge Code	270676314W
Hospital Revenue Code	636
Min. Negotiated Rate	$24.98
Max. Negotiated Rate	$40.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$24.98

MESH STRATTICE 6X8CM/SQCMJW

Facility

$166.56

Hospital Charge Code	270676314W
Hospital Revenue Code	636
Min. Negotiated Rate	$4.01
Max. Negotiated Rate	$83.28
Rate for Payer: Aetna Commercial	$63.29
Rate for Payer: Aetna Medicare Advantage	$49.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.47
Rate for Payer: Cigna Commercial	$83.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.31
Rate for Payer: Qualcare PPO/HMO/WC	$24.98
Rate for Payer: UnitedHealthcare Community & State	$4.01
Rate for Payer: Wellpoint Medicaid Managed Care	$4.41

MESH SURGICAL MOTIMESH 7.5x15

Facility

$1.00

Hospital Charge Code	270644453
Hospital Revenue Code	278
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

MESH SURGICAL MOTIMESH 7.5x15

Facility

$1.00

Hospital Charge Code	270644453
Hospital Revenue Code	278
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$0.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$0.22
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

MESH SURGI-PRO 3 X 5 SPM-35-W

Facility

$225.65

Hospital Charge Code	270601102
Hospital Revenue Code	278
Min. Negotiated Rate	$5.44
Max. Negotiated Rate	$112.83
Rate for Payer: Aetna Commercial	$85.75
Rate for Payer: Aetna Medicare Advantage	$67.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.54
Rate for Payer: Cigna Commercial	$112.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.64
Rate for Payer: Qualcare PPO/HMO/WC	$33.85
Rate for Payer: UnitedHealthcare Community & State	$5.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.98

MESH SURGI-PRO 3 X 5 SPM-35-W

Facility

$225.65

Hospital Charge Code	270601102
Hospital Revenue Code	278
Min. Negotiated Rate	$33.85
Max. Negotiated Rate	$54.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$45.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$49.64
Rate for Payer: Qualcare PPO/HMO/WC	$33.85

MESH SURGI-PRO 6 X 6 SPM-66-W

Facility

$374.45

Hospital Charge Code	270601103
Hospital Revenue Code	278
Min. Negotiated Rate	$56.17
Max. Negotiated Rate	$90.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.38
Rate for Payer: Qualcare PPO/HMO/WC	$56.17

MESH SURGI-PRO 6 X 6 SPM-66-W

Facility

$374.45

Hospital Charge Code	270601103
Hospital Revenue Code	278
Min. Negotiated Rate	$9.02
Max. Negotiated Rate	$187.22
Rate for Payer: Aetna Commercial	$142.29
Rate for Payer: Aetna Medicare Advantage	$112.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.48
Rate for Payer: Cigna Commercial	$187.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.38
Rate for Payer: Qualcare PPO/HMO/WC	$56.17
Rate for Payer: UnitedHealthcare Community & State	$9.02
Rate for Payer: Wellpoint Medicaid Managed Care	$9.92

MESH SURG PROCEED 10x14 PCDW1

Facility

$11,523.05

Hospital Charge Code	270635312
Hospital Revenue Code	278
Min. Negotiated Rate	$277.71
Max. Negotiated Rate	$5,761.52
Rate for Payer: Aetna Commercial	$4,378.76
Rate for Payer: Aetna Medicare Advantage	$3,456.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,938.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,938.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,938.38
Rate for Payer: Cigna Commercial	$5,761.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,788.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,535.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.46
Rate for Payer: UnitedHealthcare Community & State	$277.71
Rate for Payer: Wellpoint Medicaid Managed Care	$305.36

MESH SURG PROCEED 10x14 PCDW1

Facility

$11,523.05

Hospital Charge Code	270635312
Hospital Revenue Code	278
Min. Negotiated Rate	$1,728.46
Max. Negotiated Rate	$2,788.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,304.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,788.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,535.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,728.46

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$530.80
Max. Negotiated Rate	$11,012.50
Rate for Payer: Aetna Commercial	$8,369.50
Rate for Payer: Aetna Medicare Advantage	$6,607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,616.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,616.38
Rate for Payer: Cigna Commercial	$11,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,845.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75
Rate for Payer: UnitedHealthcare Community & State	$530.80
Rate for Payer: Wellpoint Medicaid Managed Care	$583.66

MESH SYNCOR 20 X 30 MM

Facility

$22,025.00

Service Code	HCPCS C1781
Hospital Charge Code	270688743
Hospital Revenue Code	278
Min. Negotiated Rate	$3,303.75
Max. Negotiated Rate	$5,330.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,405.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,330.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,845.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,303.75

MESH SYS AP VAG VAULT 72404024

Facility

$4,935.25

Hospital Charge Code	270634016
Hospital Revenue Code	278
Min. Negotiated Rate	$740.29
Max. Negotiated Rate	$1,194.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.76
Rate for Payer: Qualcare PPO/HMO/WC	$740.29

MESH SYS AP VAG VAULT 72404024

Facility

$4,935.25

Hospital Charge Code	270634016
Hospital Revenue Code	278
Min. Negotiated Rate	$118.94
Max. Negotiated Rate	$2,467.62
Rate for Payer: Aetna Commercial	$1,875.39
Rate for Payer: Aetna Medicare Advantage	$1,480.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.49
Rate for Payer: Cigna Commercial	$2,467.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.76
Rate for Payer: Qualcare PPO/HMO/WC	$740.29
Rate for Payer: UnitedHealthcare Community & State	$118.94
Rate for Payer: Wellpoint Medicaid Managed Care	$130.78

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

MESH TASETRY BIO IMP 70X50MM

Facility

$13,250.00

Service Code	HCPCS C1781
Hospital Charge Code	270698279
Hospital Revenue Code	278
Min. Negotiated Rate	$319.32
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$5,035.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50
Rate for Payer: UnitedHealthcare Community & State	$319.32
Rate for Payer: Wellpoint Medicaid Managed Care	$351.12

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$447.75
Max. Negotiated Rate	$722.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$656.70
Rate for Payer: Qualcare PPO/HMO/WC	$447.75

MESH TISSUE REINFORCE 7x10CM

Facility

$2,985.00

Hospital Charge Code	270675948
Hospital Revenue Code	278
Min. Negotiated Rate	$71.94
Max. Negotiated Rate	$1,492.50
Rate for Payer: Aetna Commercial	$1,134.30
Rate for Payer: Aetna Medicare Advantage	$895.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$761.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$761.17
Rate for Payer: Cigna Commercial	$1,492.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$722.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$656.70
Rate for Payer: Qualcare PPO/HMO/WC	$447.75
Rate for Payer: UnitedHealthcare Community & State	$71.94
Rate for Payer: Wellpoint Medicaid Managed Care	$79.10

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$338.86
Max. Negotiated Rate	$546.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.99
Rate for Payer: Qualcare PPO/HMO/WC	$338.86

MESH ULTRAPRO HERNIA LG UHSL6

Facility

$2,259.06

Service Code	HCPCS C1781
Hospital Charge Code	270647932
Hospital Revenue Code	278
Min. Negotiated Rate	$54.44
Max. Negotiated Rate	$1,129.53
Rate for Payer: Aetna Commercial	$858.44
Rate for Payer: Aetna Medicare Advantage	$677.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$576.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$451.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$576.06
Rate for Payer: Cigna Commercial	$1,129.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$546.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$496.99
Rate for Payer: Qualcare PPO/HMO/WC	$338.86
Rate for Payer: UnitedHealthcare Community & State	$54.44
Rate for Payer: Wellpoint Medicaid Managed Care	$59.87

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$67.77
Max. Negotiated Rate	$1,405.95
Rate for Payer: Aetna Commercial	$1,068.52
Rate for Payer: Aetna Medicare Advantage	$843.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.03
Rate for Payer: Cigna Commercial	$1,405.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$618.62
Rate for Payer: Qualcare PPO/HMO/WC	$421.79
Rate for Payer: UnitedHealthcare Community & State	$67.77
Rate for Payer: Wellpoint Medicaid Managed Care	$74.52

MESH ULTRAPRO HERNIA MED UHSM6

Facility

$2,811.90

Service Code	HCPCS C1781
Hospital Charge Code	270647931
Hospital Revenue Code	278
Min. Negotiated Rate	$421.79
Max. Negotiated Rate	$680.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$618.62
Rate for Payer: Qualcare PPO/HMO/WC	$421.79

Know your out-of-pocket cost for care.

All Charges