Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BANDAGE SPANDAGE SZ 2

Facility

$69.65

Hospital Charge Code	270600769
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.83
Rate for Payer: Aetna Commercial	$26.47
Rate for Payer: Aetna Medicare Advantage	$20.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.76
Rate for Payer: Cigna Commercial	$34.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.89
Rate for Payer: Oxford Commercial	$13.93
Rate for Payer: Qualcare PPO/HMO/WC	$10.45
Rate for Payer: UnitedHealthcare Commercial	$13.93
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

BANDAGE SPANDAGE SZ 2

Facility

$69.65

Hospital Charge Code	270600769
Hospital Revenue Code	272
Min. Negotiated Rate	$10.45
Max. Negotiated Rate	$10.45
Rate for Payer: Qualcare PPO/HMO/WC	$10.45

BANDAGE SPANDAGE SZ.2 10YD

Facility

$60.00

Hospital Charge Code	270331100
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BANDAGE SPANDAGE SZ.2 10YD

Facility

$60.00

Hospital Charge Code	270331100
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BANDAGE SPANDAGE SZ. 4 10YD

Facility

$15.00

Hospital Charge Code	270331259
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

BANDAGE SPANDAGE SZ. 4 10YD

Facility

$15.00

Hospital Charge Code	270331259
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

BANDAGE SYS PROFORE 4-LAYER

Facility

$61.98

Hospital Charge Code	270650138
Hospital Revenue Code	270
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$30.99
Rate for Payer: Aetna Commercial	$23.55
Rate for Payer: Aetna Medicare Advantage	$18.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.80
Rate for Payer: Cigna Commercial	$30.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.59
Rate for Payer: Oxford Commercial	$12.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$12.40
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

BANDAGE SYS PROFORE 4-LAYER

Facility

$61.98

Hospital Charge Code	270650138
Hospital Revenue Code	270
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.30

BANDAGE TENSOPLAST 2IN X 5YDS

Facility

$564.90

Hospital Charge Code	270655949
Hospital Revenue Code	272
Min. Negotiated Rate	$84.73
Max. Negotiated Rate	$84.73
Rate for Payer: Qualcare PPO/HMO/WC	$84.73

BANDAGE TENSOPLAST 2IN X 5YDS

Facility

$564.90

Hospital Charge Code	270655949
Hospital Revenue Code	272
Min. Negotiated Rate	$13.61
Max. Negotiated Rate	$282.45
Rate for Payer: Aetna Commercial	$214.66
Rate for Payer: Aetna Medicare Advantage	$169.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.05
Rate for Payer: Cigna Commercial	$282.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.47
Rate for Payer: Oxford Commercial	$112.98
Rate for Payer: Qualcare PPO/HMO/WC	$84.73
Rate for Payer: UnitedHealthcare Commercial	$112.98
Rate for Payer: UnitedHealthcare Community & State	$13.61
Rate for Payer: Wellpoint Medicaid Managed Care	$14.97

BANDAGE THERMAL LATEX FREE 7IN

Facility

$9.22

Hospital Charge Code	270654003
Hospital Revenue Code	270
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.61
Rate for Payer: Aetna Commercial	$3.50
Rate for Payer: Aetna Medicare Advantage	$2.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.35
Rate for Payer: Cigna Commercial	$4.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.77
Rate for Payer: Oxford Commercial	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.38
Rate for Payer: UnitedHealthcare Commercial	$1.84
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

BANDAGE THERMAL LATEX FREE 7IN

Facility

$9.22

Hospital Charge Code	270654003
Hospital Revenue Code	270
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$1.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.38

BANDAGE UNNA BOOT 4

Facility

$27.23

Hospital Charge Code	270649893
Hospital Revenue Code	272
Min. Negotiated Rate	$4.08
Max. Negotiated Rate	$4.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.08

BANDAGE UNNA BOOT 4

Facility

$27.23

Hospital Charge Code	270649893
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$13.62
Rate for Payer: Aetna Commercial	$10.35
Rate for Payer: Aetna Medicare Advantage	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.94
Rate for Payer: Cigna Commercial	$13.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.17
Rate for Payer: Oxford Commercial	$5.45
Rate for Payer: Qualcare PPO/HMO/WC	$4.08
Rate for Payer: UnitedHealthcare Commercial	$5.45
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

BAND-AID XLG 2 WIDE

Facility

$5.00

Hospital Charge Code	270350175
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BAND-AID XLG 2 WIDE

Facility

$5.00

Hospital Charge Code	270350175
Hospital Revenue Code	272
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

BAND CLAMPS 177050070

Facility

$4,736.85

Hospital Charge Code	270632112
Hospital Revenue Code	272
Min. Negotiated Rate	$114.16
Max. Negotiated Rate	$2,368.43
Rate for Payer: Aetna Commercial	$1,800.00
Rate for Payer: Aetna Medicare Advantage	$1,421.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,207.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,207.90
Rate for Payer: Cigna Commercial	$2,368.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,421.06
Rate for Payer: Oxford Commercial	$947.37
Rate for Payer: Qualcare PPO/HMO/WC	$710.53
Rate for Payer: UnitedHealthcare Commercial	$947.37
Rate for Payer: UnitedHealthcare Community & State	$114.16
Rate for Payer: Wellpoint Medicaid Managed Care	$125.53

BAND CLAMPS 177050070

Facility

$4,736.85

Hospital Charge Code	270632112
Hospital Revenue Code	272
Min. Negotiated Rate	$710.53
Max. Negotiated Rate	$710.53
Rate for Payer: Qualcare PPO/HMO/WC	$710.53

BAND EXERCISE LEVEL 3 4in. 50y

Facility

$575.00

Hospital Charge Code	270665145
Hospital Revenue Code	270
Min. Negotiated Rate	$13.86
Max. Negotiated Rate	$287.50
Rate for Payer: Aetna Commercial	$218.50
Rate for Payer: Aetna Medicare Advantage	$172.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.62
Rate for Payer: Cigna Commercial	$287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$172.50
Rate for Payer: Oxford Commercial	$115.00
Rate for Payer: Qualcare PPO/HMO/WC	$86.25
Rate for Payer: UnitedHealthcare Commercial	$115.00
Rate for Payer: UnitedHealthcare Community & State	$13.86
Rate for Payer: Wellpoint Medicaid Managed Care	$15.24

BAND EXERCISE LEVEL 3 4in. 50y

Facility

$575.00

Hospital Charge Code	270665145
Hospital Revenue Code	270
Min. Negotiated Rate	$86.25
Max. Negotiated Rate	$86.25
Rate for Payer: Qualcare PPO/HMO/WC	$86.25

BAND GASTRIC ADJUSTABLE

Facility

$13,600.00

Hospital Charge Code	270676279
Hospital Revenue Code	278
Min. Negotiated Rate	$327.76
Max. Negotiated Rate	$6,800.00
Rate for Payer: Aetna Commercial	$5,168.00
Rate for Payer: Aetna Medicare Advantage	$4,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,468.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,468.00
Rate for Payer: Cigna Commercial	$6,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,291.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,992.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.00
Rate for Payer: UnitedHealthcare Community & State	$327.76
Rate for Payer: Wellpoint Medicaid Managed Care	$360.40

BAND GASTRIC ADJUSTABLE

Facility

$13,600.00

Hospital Charge Code	270676279
Hospital Revenue Code	278
Min. Negotiated Rate	$2,040.00
Max. Negotiated Rate	$3,291.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,720.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,291.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,992.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,040.00

BAND LEG FOLEY CATH

Facility

$33.65

Hospital Charge Code	270600286
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

BAND LEG FOLEY CATH

Facility

$33.65

Hospital Charge Code	270600286
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$12.79
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$6.73
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

BAND LIGATOR-6 SHOOTER SAEED M

Facility

$521.00

Hospital Charge Code	270334801
Hospital Revenue Code	272
Min. Negotiated Rate	$78.15
Max. Negotiated Rate	$78.15
Rate for Payer: Qualcare PPO/HMO/WC	$78.15

Know your out-of-pocket cost for care.

All Charges