Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PAD DEFIB PEDIATRIC

Facility

$582.70

Hospital Charge Code	270650190
Hospital Revenue Code	270
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$291.35
Rate for Payer: Aetna Commercial	$221.43
Rate for Payer: Aetna Medicare Advantage	$174.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.59
Rate for Payer: Cigna Commercial	$291.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.81
Rate for Payer: Oxford Commercial	$116.54
Rate for Payer: Qualcare PPO/HMO/WC	$87.41
Rate for Payer: UnitedHealthcare Commercial	$116.54
Rate for Payer: UnitedHealthcare Community & State	$14.04
Rate for Payer: Wellpoint Medicaid Managed Care	$15.44

PADDING CAST 3 4YDS

Facility

$2.52

Hospital Charge Code	270649196
Hospital Revenue Code	272
Min. Negotiated Rate	$0.06
Max. Negotiated Rate	$1.26
Rate for Payer: Aetna Commercial	$0.96
Rate for Payer: Aetna Medicare Advantage	$0.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.64
Rate for Payer: Cigna Commercial	$1.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.76
Rate for Payer: Oxford Commercial	$0.50
Rate for Payer: Qualcare PPO/HMO/WC	$0.38
Rate for Payer: UnitedHealthcare Commercial	$0.50
Rate for Payer: UnitedHealthcare Community & State	$0.06
Rate for Payer: Wellpoint Medicaid Managed Care	$0.07

PADDING CAST 3 4YDS

Facility

$2.52

Hospital Charge Code	270649196
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$0.38
Rate for Payer: Qualcare PPO/HMO/WC	$0.38

PADDING CAST 3 X 4 YDS

Facility

$3.25

Hospital Charge Code	270300795
Hospital Revenue Code	270
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.62
Rate for Payer: Aetna Commercial	$1.24
Rate for Payer: Aetna Medicare Advantage	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.83
Rate for Payer: Cigna Commercial	$1.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.98
Rate for Payer: Oxford Commercial	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.49
Rate for Payer: UnitedHealthcare Commercial	$0.65
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.09

PADDING CAST 3 X 4 YDS

Facility

$3.25

Hospital Charge Code	270300795
Hospital Revenue Code	270
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$0.49
Rate for Payer: Qualcare PPO/HMO/WC	$0.49

PADDING CAST 4 4YDS

Facility

$4.32

Hospital Charge Code	270649197
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$0.65
Rate for Payer: Qualcare PPO/HMO/WC	$0.65

PADDING CAST 4 4YDS

Facility

$4.32

Hospital Charge Code	270649197
Hospital Revenue Code	272
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.16
Rate for Payer: Aetna Commercial	$1.64
Rate for Payer: Aetna Medicare Advantage	$1.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.10
Rate for Payer: Cigna Commercial	$2.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Oxford Commercial	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.65
Rate for Payer: UnitedHealthcare Commercial	$0.86
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

PADDING CAST 4 X 4 YDS

Facility

$4.10

Hospital Charge Code	270300800
Hospital Revenue Code	270
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.05
Rate for Payer: Aetna Commercial	$1.56
Rate for Payer: Aetna Medicare Advantage	$1.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.05
Rate for Payer: Cigna Commercial	$2.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.23
Rate for Payer: Oxford Commercial	$0.82
Rate for Payer: Qualcare PPO/HMO/WC	$0.62
Rate for Payer: UnitedHealthcare Commercial	$0.82
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

PADDING CAST 4 X 4 YDS

Facility

$4.10

Hospital Charge Code	270300800
Hospital Revenue Code	270
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$0.62
Rate for Payer: Qualcare PPO/HMO/WC	$0.62

PADDING CAST 6 X 4 YDS

Facility

$6.19

Hospital Charge Code	270300805
Hospital Revenue Code	270
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.10
Rate for Payer: Aetna Commercial	$2.35
Rate for Payer: Aetna Medicare Advantage	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.58
Rate for Payer: Cigna Commercial	$3.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.86
Rate for Payer: Oxford Commercial	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$0.93
Rate for Payer: UnitedHealthcare Commercial	$1.24
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

PADDING CAST 6 X 4 YDS

Facility

$6.19

Hospital Charge Code	270300805
Hospital Revenue Code	270
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$0.93
Rate for Payer: Qualcare PPO/HMO/WC	$0.93

PADDING COTTON 4 ************

Facility

$4.00

Hospital Charge Code	8004442
Hospital Revenue Code	279
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

PADDING COTTON 4 ************

Facility

$4.00

Hospital Charge Code	8004442
Hospital Revenue Code	279
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

PADDING COTTON 6 ***********

Facility

$5.00

Hospital Charge Code	8004434
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

PADDING COTTON 6 ***********

Facility

$5.00

Hospital Charge Code	8004434
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

PADDING FELT 1/2 X 36X36

Facility

$291.25

Hospital Charge Code	270650843
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$145.62
Rate for Payer: Aetna Commercial	$110.67
Rate for Payer: Aetna Medicare Advantage	$87.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.27
Rate for Payer: Cigna Commercial	$145.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.38
Rate for Payer: Oxford Commercial	$58.25
Rate for Payer: Qualcare PPO/HMO/WC	$43.69
Rate for Payer: UnitedHealthcare Commercial	$58.25
Rate for Payer: UnitedHealthcare Community & State	$7.02
Rate for Payer: Wellpoint Medicaid Managed Care	$7.72

PADDING FELT 1/2 X 36X36

Facility

$291.25

Hospital Charge Code	270650843
Hospital Revenue Code	272
Min. Negotiated Rate	$43.69
Max. Negotiated Rate	$43.69
Rate for Payer: Qualcare PPO/HMO/WC	$43.69

PADDING WEBRIL 4YD 3 KC2394

Facility

$5.51

Hospital Charge Code	270639102
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.75
Rate for Payer: Aetna Commercial	$2.09
Rate for Payer: Aetna Medicare Advantage	$1.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.41
Rate for Payer: Cigna Commercial	$2.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.65
Rate for Payer: Oxford Commercial	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.83
Rate for Payer: UnitedHealthcare Commercial	$1.10
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

PADDING WEBRIL 4YD 3 KC2394

Facility

$5.51

Hospital Charge Code	270639102
Hospital Revenue Code	270
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$0.83
Rate for Payer: Qualcare PPO/HMO/WC	$0.83

PADDLE

Facility

$2,153.50

Hospital Charge Code	270665803
Hospital Revenue Code	270
Min. Negotiated Rate	$51.90
Max. Negotiated Rate	$1,076.75
Rate for Payer: Aetna Commercial	$818.33
Rate for Payer: Aetna Medicare Advantage	$646.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$549.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$549.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$549.14
Rate for Payer: Cigna Commercial	$1,076.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$646.05
Rate for Payer: Oxford Commercial	$430.70
Rate for Payer: Qualcare PPO/HMO/WC	$323.02
Rate for Payer: UnitedHealthcare Commercial	$430.70
Rate for Payer: UnitedHealthcare Community & State	$51.90
Rate for Payer: Wellpoint Medicaid Managed Care	$57.07

PADDLE

Facility

$2,153.50

Hospital Charge Code	270665803
Hospital Revenue Code	270
Min. Negotiated Rate	$323.02
Max. Negotiated Rate	$323.02
Rate for Payer: Qualcare PPO/HMO/WC	$323.02

PAD DRIFLR FLUID ABSRTN MAT

Facility

$41.04

Hospital Charge Code	270651634
Hospital Revenue Code	270
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$20.52
Rate for Payer: Aetna Commercial	$15.60
Rate for Payer: Aetna Medicare Advantage	$12.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.47
Rate for Payer: Cigna Commercial	$20.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.31
Rate for Payer: Oxford Commercial	$8.21
Rate for Payer: Qualcare PPO/HMO/WC	$6.16
Rate for Payer: UnitedHealthcare Commercial	$8.21
Rate for Payer: UnitedHealthcare Community & State	$0.99
Rate for Payer: Wellpoint Medicaid Managed Care	$1.09

PAD DRIFLR FLUID ABSRTN MAT

Facility

$41.04

Hospital Charge Code	270651634
Hospital Revenue Code	270
Min. Negotiated Rate	$6.16
Max. Negotiated Rate	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$6.16

PAD ELECTRODE

Facility

$80.33

Hospital Charge Code	270609591
Hospital Revenue Code	272
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$40.16
Rate for Payer: Aetna Commercial	$30.53
Rate for Payer: Aetna Medicare Advantage	$24.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.48
Rate for Payer: Cigna Commercial	$40.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.10
Rate for Payer: Oxford Commercial	$16.07
Rate for Payer: Qualcare PPO/HMO/WC	$12.05
Rate for Payer: UnitedHealthcare Commercial	$16.07
Rate for Payer: UnitedHealthcare Community & State	$1.94
Rate for Payer: Wellpoint Medicaid Managed Care	$2.13

PAD ELECTRODE

Facility

$80.33

Hospital Charge Code	270609591
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$12.05
Rate for Payer: Qualcare PPO/HMO/WC	$12.05

Know your out-of-pocket cost for care.

All Charges