Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$68.22
Rate for Payer: Aetna Commercial	$51.85
Rate for Payer: Aetna Medicare Advantage	$40.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.79
Rate for Payer: Cigna Commercial	$68.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.93
Rate for Payer: Oxford Commercial	$27.29
Rate for Payer: Qualcare PPO/HMO/WC	$20.47
Rate for Payer: UnitedHealthcare Commercial	$27.29
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

PAD AIR MATTRESS

Facility

$136.44

Hospital Charge Code	270301310
Hospital Revenue Code	270
Min. Negotiated Rate	$20.47
Max. Negotiated Rate	$20.47
Rate for Payer: Qualcare PPO/HMO/WC	$20.47

PAD AIR MATTRESS***

Facility

$161.00

Hospital Charge Code	8002909
Hospital Revenue Code	279
Min. Negotiated Rate	$24.15
Max. Negotiated Rate	$24.15
Rate for Payer: Qualcare PPO/HMO/WC	$24.15

PAD AIR MATTRESS***

Facility

$161.00

Hospital Charge Code	8002909
Hospital Revenue Code	279
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$80.50
Rate for Payer: Aetna Commercial	$61.18
Rate for Payer: Aetna Medicare Advantage	$48.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.05
Rate for Payer: Cigna Commercial	$80.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.30
Rate for Payer: Oxford Commercial	$32.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.15
Rate for Payer: UnitedHealthcare Commercial	$32.20
Rate for Payer: UnitedHealthcare Community & State	$3.88
Rate for Payer: Wellpoint Medicaid Managed Care	$4.27

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$104.69
Rate for Payer: Aetna Commercial	$79.56
Rate for Payer: Aetna Medicare Advantage	$62.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.39
Rate for Payer: Cigna Commercial	$104.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.81
Rate for Payer: Oxford Commercial	$41.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.41
Rate for Payer: UnitedHealthcare Commercial	$41.88
Rate for Payer: UnitedHealthcare Community & State	$5.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5.55

PAD ARM PKIT SST PILLOW

Facility

$209.38

Hospital Charge Code	270681481
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$31.41
Rate for Payer: Qualcare PPO/HMO/WC	$31.41

PAD ATTACH FOR FETAL EL

Facility

$5.65

Hospital Charge Code	270600585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

PAD ATTACH FOR FETAL EL

Facility

$5.65

Hospital Charge Code	270600585
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

PAD BETADINE GAUZE

Facility

$5.65

Hospital Charge Code	270301285
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$0.85
Rate for Payer: Qualcare PPO/HMO/WC	$0.85

PAD BETADINE GAUZE

Facility

$5.65

Hospital Charge Code	270301285
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.83
Rate for Payer: Aetna Commercial	$2.15
Rate for Payer: Aetna Medicare Advantage	$1.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.44
Rate for Payer: Cigna Commercial	$2.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.70
Rate for Payer: Oxford Commercial	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$0.85
Rate for Payer: UnitedHealthcare Commercial	$1.13
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

PAD BREAST

Facility

$36.00

Hospital Charge Code	1800291
Hospital Revenue Code	279
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

PAD BREAST

Facility

$36.00

Hospital Charge Code	1800291
Hospital Revenue Code	279
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$13.68
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.80
Rate for Payer: Oxford Commercial	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$7.20
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

PAD BREAST **********

Facility

$5.00

Hospital Charge Code	8003089
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PAD BREAST **********

Facility

$5.00

Hospital Charge Code	8003089
Hospital Revenue Code	279
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$59.50
Rate for Payer: Aetna Commercial	$45.22
Rate for Payer: Aetna Medicare Advantage	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.34
Rate for Payer: Cigna Commercial	$59.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.70
Rate for Payer: Oxford Commercial	$23.80
Rate for Payer: Qualcare PPO/HMO/WC	$17.85
Rate for Payer: UnitedHealthcare Commercial	$23.80
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.15

PAD CAST SOF-ROLL 2X 4YD

Facility

$119.00

Hospital Charge Code	270331387
Hospital Revenue Code	272
Min. Negotiated Rate	$17.85
Max. Negotiated Rate	$17.85
Rate for Payer: Qualcare PPO/HMO/WC	$17.85

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.70
Rate for Payer: Oxford Commercial	$5.80
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Commercial	$5.80
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

PAD CAST SOF-ROLL 3X 4YD

Facility

$29.00

Hospital Charge Code	270331389
Hospital Revenue Code	272
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$4.35
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$48.92
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.62
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$25.75
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

PAD CLOSUR SCV22P-AB

Facility

$128.75

Hospital Charge Code	270662926
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$9.41
Max. Negotiated Rate	$9.41
Rate for Payer: Qualcare PPO/HMO/WC	$9.41

PAD COMFORT FOAM EGGCRATE

Facility

$62.74

Hospital Charge Code	270301295
Hospital Revenue Code	270
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.37
Rate for Payer: Aetna Commercial	$23.84
Rate for Payer: Aetna Medicare Advantage	$18.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.00
Rate for Payer: Cigna Commercial	$31.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.82
Rate for Payer: Oxford Commercial	$12.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.41
Rate for Payer: UnitedHealthcare Commercial	$12.55
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$2.56
Max. Negotiated Rate	$53.03
Rate for Payer: Aetna Commercial	$40.31
Rate for Payer: Aetna Medicare Advantage	$31.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.05
Rate for Payer: Cigna Commercial	$53.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.82
Rate for Payer: Oxford Commercial	$21.21
Rate for Payer: Qualcare PPO/HMO/WC	$15.91
Rate for Payer: UnitedHealthcare Commercial	$21.21
Rate for Payer: UnitedHealthcare Community & State	$2.56
Rate for Payer: Wellpoint Medicaid Managed Care	$2.81

PAD DEFIB ADULT

Facility

$106.07

Hospital Charge Code	270650191
Hospital Revenue Code	270
Min. Negotiated Rate	$15.91
Max. Negotiated Rate	$15.91
Rate for Payer: Qualcare PPO/HMO/WC	$15.91

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$87.41
Max. Negotiated Rate	$87.41
Rate for Payer: Qualcare PPO/HMO/WC	$87.41

Know your out-of-pocket cost for care.

All Charges