Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PAD OB IND WRAP N/STER 11

Facility

$5.25

Hospital Charge Code	270651642
Hospital Revenue Code	270
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$2.00
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$1.05
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

PAD OB SANITARY V-PAD

Facility

$11.25

Hospital Charge Code	270301305
Hospital Revenue Code	270
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

PAD PERINEAL POST

Facility

$385.00

Hospital Charge Code	270681156
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.50
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$9.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

PAD POLYHESIVE REM MONITORING

Facility

$973.35

Hospital Charge Code	270654284
Hospital Revenue Code	272
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.68
Rate for Payer: Aetna Commercial	$369.87
Rate for Payer: Aetna Medicare Advantage	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.20
Rate for Payer: Cigna Commercial	$486.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.00
Rate for Payer: Oxford Commercial	$194.67
Rate for Payer: Qualcare PPO/HMO/WC	$146.00
Rate for Payer: UnitedHealthcare Commercial	$194.67
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.79

PAD POLYHESIVE REM MONITORING

Facility

$973.35

Hospital Charge Code	270654284
Hospital Revenue Code	272
Min. Negotiated Rate	$146.00
Max. Negotiated Rate	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.00

PAD PREP 24x44

Facility

$159.90

Hospital Charge Code	270651647
Hospital Revenue Code	270
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$79.95
Rate for Payer: Aetna Commercial	$60.76
Rate for Payer: Aetna Medicare Advantage	$47.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.77
Rate for Payer: Cigna Commercial	$79.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.97
Rate for Payer: Oxford Commercial	$31.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.98
Rate for Payer: UnitedHealthcare Commercial	$31.98
Rate for Payer: UnitedHealthcare Community & State	$3.85
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

PAD PREP 24x44

Facility

$159.90

Hospital Charge Code	270651647
Hospital Revenue Code	270
Min. Negotiated Rate	$23.98
Max. Negotiated Rate	$23.98
Rate for Payer: Qualcare PPO/HMO/WC	$23.98

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$6.59
Rate for Payer: Qualcare PPO/HMO/WC	$6.59

PAD PREP POVIDONE IODINE

Facility

$43.95

Hospital Charge Code	270651648
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$21.98
Rate for Payer: Aetna Commercial	$16.70
Rate for Payer: Aetna Medicare Advantage	$13.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.21
Rate for Payer: Cigna Commercial	$21.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.19
Rate for Payer: Oxford Commercial	$8.79
Rate for Payer: Qualcare PPO/HMO/WC	$6.59
Rate for Payer: UnitedHealthcare Commercial	$8.79
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$14.59
Max. Negotiated Rate	$14.59
Rate for Payer: Qualcare PPO/HMO/WC	$14.59

PAD PT DELUXE UNIVERSAL

Facility

$97.25

Hospital Charge Code	270683981
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.62
Rate for Payer: Aetna Commercial	$36.95
Rate for Payer: Aetna Medicare Advantage	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.80
Rate for Payer: Cigna Commercial	$48.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.18
Rate for Payer: Oxford Commercial	$19.45
Rate for Payer: Qualcare PPO/HMO/WC	$14.59
Rate for Payer: UnitedHealthcare Commercial	$19.45
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$19.38

PAD PT LATERAL POS'R

Facility

$129.17

Hospital Charge Code	270601203
Hospital Revenue Code	272
Min. Negotiated Rate	$3.11
Max. Negotiated Rate	$64.58
Rate for Payer: Aetna Commercial	$49.08
Rate for Payer: Aetna Medicare Advantage	$38.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.94
Rate for Payer: Cigna Commercial	$64.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.75
Rate for Payer: Oxford Commercial	$25.83
Rate for Payer: Qualcare PPO/HMO/WC	$19.38
Rate for Payer: UnitedHealthcare Commercial	$25.83
Rate for Payer: UnitedHealthcare Community & State	$3.11
Rate for Payer: Wellpoint Medicaid Managed Care	$3.42

PAD QK COMBO DEFIB 11996000017

Facility

$133.00

Hospital Charge Code	270641169
Hospital Revenue Code	270
Min. Negotiated Rate	$19.95
Max. Negotiated Rate	$19.95
Rate for Payer: Qualcare PPO/HMO/WC	$19.95

PAD QK COMBO DEFIB 11996000017

Facility

$133.00

Hospital Charge Code	270641169
Hospital Revenue Code	270
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$66.50
Rate for Payer: Aetna Commercial	$50.54
Rate for Payer: Aetna Medicare Advantage	$39.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.91
Rate for Payer: Cigna Commercial	$66.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.90
Rate for Payer: Oxford Commercial	$26.60
Rate for Payer: Qualcare PPO/HMO/WC	$19.95
Rate for Payer: UnitedHealthcare Commercial	$26.60
Rate for Payer: UnitedHealthcare Community & State	$3.21
Rate for Payer: Wellpoint Medicaid Managed Care	$3.52

PAD SANITARY XL 1380A

Facility

$0.72

Hospital Charge Code	270649198
Hospital Revenue Code	270
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$0.11
Rate for Payer: Qualcare PPO/HMO/WC	$0.11

PAD SANITARY XL 1380A

Facility

$0.72

Hospital Charge Code	270649198
Hospital Revenue Code	270
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.36
Rate for Payer: Aetna Commercial	$0.27
Rate for Payer: Aetna Medicare Advantage	$0.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.18
Rate for Payer: Cigna Commercial	$0.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.22
Rate for Payer: Oxford Commercial	$0.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.11
Rate for Payer: UnitedHealthcare Commercial	$0.14
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.02

PADS BABY 18X30

Facility

$13.23

Hospital Charge Code	270658697
Hospital Revenue Code	270
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.62
Rate for Payer: Aetna Commercial	$5.03
Rate for Payer: Aetna Medicare Advantage	$3.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.97
Rate for Payer: Oxford Commercial	$2.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$2.65
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

PADS BABY 18X30

Facility

$13.23

Hospital Charge Code	270658697
Hospital Revenue Code	270
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

PADS NASAL GEL SMALL GECKO

Facility

$74.75

Hospital Charge Code	270650421
Hospital Revenue Code	271
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$11.21
Rate for Payer: Qualcare PPO/HMO/WC	$11.21

PADS NASAL GEL SMALL GECKO

Facility

$74.75

Hospital Charge Code	270650421
Hospital Revenue Code	271
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$37.38
Rate for Payer: Aetna Commercial	$28.41
Rate for Payer: Aetna Medicare Advantage	$22.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.06
Rate for Payer: Cigna Commercial	$37.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.43
Rate for Payer: Oxford Commercial	$14.95
Rate for Payer: Qualcare PPO/HMO/WC	$11.21
Rate for Payer: UnitedHealthcare Commercial	$14.95
Rate for Payer: UnitedHealthcare Community & State	$1.80
Rate for Payer: Wellpoint Medicaid Managed Care	$1.98

PADS SOFT ON SOFT A0G22

Facility

$80.10

Hospital Charge Code	270632203
Hospital Revenue Code	272
Min. Negotiated Rate	$12.02
Max. Negotiated Rate	$12.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.02

PADS SOFT ON SOFT A0G22

Facility

$80.10

Hospital Charge Code	270632203
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.05
Rate for Payer: Aetna Commercial	$30.44
Rate for Payer: Aetna Medicare Advantage	$24.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.43
Rate for Payer: Cigna Commercial	$40.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.03
Rate for Payer: Oxford Commercial	$16.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.02
Rate for Payer: UnitedHealthcare Commercial	$16.02
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

Know your out-of-pocket cost for care.

All Charges