Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BARD 3D MAX MESH LARGE

Facility

$1,237.50

Service Code	HCPCS C1781
Hospital Charge Code	270685595
Hospital Revenue Code	278
Min. Negotiated Rate	$29.82
Max. Negotiated Rate	$618.75
Rate for Payer: Aetna Commercial	$470.25
Rate for Payer: Aetna Medicare Advantage	$371.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.56
Rate for Payer: Cigna Commercial	$618.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$185.62
Rate for Payer: UnitedHealthcare Community & State	$29.82
Rate for Payer: Wellpoint Medicaid Managed Care	$32.79

BARD 3D MAX MESH LARGE

Facility

$1,237.50

Service Code	HCPCS C1781
Hospital Charge Code	270685595
Hospital Revenue Code	278
Min. Negotiated Rate	$185.62
Max. Negotiated Rate	$299.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$272.25
Rate for Payer: Qualcare PPO/HMO/WC	$185.62

BARD AET SILICONE PEG GUIDE***

Facility

$531.00

Hospital Charge Code	2300572
Hospital Revenue Code	279
Min. Negotiated Rate	$12.80
Max. Negotiated Rate	$265.50
Rate for Payer: Aetna Commercial	$201.78
Rate for Payer: Aetna Medicare Advantage	$159.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.41
Rate for Payer: Cigna Commercial	$265.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.30
Rate for Payer: Oxford Commercial	$106.20
Rate for Payer: Qualcare PPO/HMO/WC	$79.65
Rate for Payer: UnitedHealthcare Commercial	$106.20
Rate for Payer: UnitedHealthcare Community & State	$12.80
Rate for Payer: Wellpoint Medicaid Managed Care	$14.07

BARD AET SILICONE PEG GUIDE***

Facility

$531.00

Hospital Charge Code	2300572
Hospital Revenue Code	279
Min. Negotiated Rate	$79.65
Max. Negotiated Rate	$79.65
Rate for Payer: Qualcare PPO/HMO/WC	$79.65

BARD MARLEX MESH PLUG

Facility

$489.00

Hospital Charge Code	270335369
Hospital Revenue Code	278
Min. Negotiated Rate	$73.35
Max. Negotiated Rate	$118.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35

BARD MARLEX MESH PLUG

Facility

$489.00

Hospital Charge Code	270335369
Hospital Revenue Code	278
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$244.50
Rate for Payer: Aetna Commercial	$185.82
Rate for Payer: Aetna Medicare Advantage	$146.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$97.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.69
Rate for Payer: Cigna Commercial	$244.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.58
Rate for Payer: Qualcare PPO/HMO/WC	$73.35
Rate for Payer: UnitedHealthcare Community & State	$11.78
Rate for Payer: Wellpoint Medicaid Managed Care	$12.96

BARD MESH 2X4

Facility

$309.50

Service Code	HCPCS C1781
Hospital Charge Code	270691387
Hospital Revenue Code	278
Min. Negotiated Rate	$7.46
Max. Negotiated Rate	$154.75
Rate for Payer: Aetna Commercial	$117.61
Rate for Payer: Aetna Medicare Advantage	$92.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.92
Rate for Payer: Cigna Commercial	$154.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$68.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.42
Rate for Payer: UnitedHealthcare Community & State	$7.46
Rate for Payer: Wellpoint Medicaid Managed Care	$8.20

BARD MESH 2X4

Facility

$309.50

Service Code	HCPCS C1781
Hospital Charge Code	270691387
Hospital Revenue Code	278
Min. Negotiated Rate	$46.42
Max. Negotiated Rate	$74.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$68.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.42

BARD MESH 3X6

Facility

$285.50

Service Code	HCPCS C1781
Hospital Charge Code	270600193
Hospital Revenue Code	278
Min. Negotiated Rate	$42.83
Max. Negotiated Rate	$69.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$42.83

BARD MESH 3X6

Facility

$285.50

Service Code	HCPCS C1781
Hospital Charge Code	270600193
Hospital Revenue Code	278
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$142.75
Rate for Payer: Aetna Commercial	$108.49
Rate for Payer: Aetna Medicare Advantage	$85.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$57.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.80
Rate for Payer: Cigna Commercial	$142.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$62.81
Rate for Payer: Qualcare PPO/HMO/WC	$42.83
Rate for Payer: UnitedHealthcare Community & State	$6.88
Rate for Payer: Wellpoint Medicaid Managed Care	$7.57

BARD MESH 6X6

Facility

$394.50

Service Code	HCPCS C1781
Hospital Charge Code	270691390
Hospital Revenue Code	278
Min. Negotiated Rate	$59.17
Max. Negotiated Rate	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.79
Rate for Payer: Qualcare PPO/HMO/WC	$59.17

BARD MESH 6X6

Facility

$394.50

Service Code	HCPCS C1781
Hospital Charge Code	270691390
Hospital Revenue Code	278
Min. Negotiated Rate	$9.51
Max. Negotiated Rate	$197.25
Rate for Payer: Aetna Commercial	$149.91
Rate for Payer: Aetna Medicare Advantage	$118.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.60
Rate for Payer: Cigna Commercial	$197.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.79
Rate for Payer: Qualcare PPO/HMO/WC	$59.17
Rate for Payer: UnitedHealthcare Community & State	$9.51
Rate for Payer: Wellpoint Medicaid Managed Care	$10.45

BARD SLING ALIGN S SUPRAPUBIC

Facility

$1,597.20

Service Code	HCPCS C1771
Hospital Charge Code	270661718
Hospital Revenue Code	278
Min. Negotiated Rate	$38.49
Max. Negotiated Rate	$798.60
Rate for Payer: Aetna Commercial	$606.94
Rate for Payer: Aetna Medicare Advantage	$479.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$407.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$407.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$407.29
Rate for Payer: Cigna Commercial	$798.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.38
Rate for Payer: Qualcare PPO/HMO/WC	$239.58
Rate for Payer: UnitedHealthcare Community & State	$38.49
Rate for Payer: Wellpoint Medicaid Managed Care	$42.33

BARD SLING ALIGN S SUPRAPUBIC

Facility

$1,597.20

Service Code	HCPCS C1771
Hospital Charge Code	270661718
Hospital Revenue Code	278
Min. Negotiated Rate	$239.58
Max. Negotiated Rate	$386.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$319.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$386.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$351.38
Rate for Payer: Qualcare PPO/HMO/WC	$239.58

BARD TUBING

Facility

$459.00

Hospital Charge Code	60635887
Hospital Revenue Code	272
Min. Negotiated Rate	$11.06
Max. Negotiated Rate	$229.50
Rate for Payer: Aetna Commercial	$174.42
Rate for Payer: Aetna Medicare Advantage	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.05
Rate for Payer: Cigna Commercial	$229.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.70
Rate for Payer: Oxford Commercial	$91.80
Rate for Payer: Qualcare PPO/HMO/WC	$68.85
Rate for Payer: UnitedHealthcare Commercial	$91.80
Rate for Payer: UnitedHealthcare Community & State	$11.06
Rate for Payer: Wellpoint Medicaid Managed Care	$12.16

BARD TUBING

Facility

$459.00

Hospital Charge Code	60635887
Hospital Revenue Code	272
Min. Negotiated Rate	$68.85
Max. Negotiated Rate	$68.85
Rate for Payer: Qualcare PPO/HMO/WC	$68.85

BARD WOVEN FILIFORM STRAIGHT

Facility

$248.00

Hospital Charge Code	270332491
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

BARD WOVEN FILIFORM STRAIGHT

Facility

$248.00

Hospital Charge Code	270332491
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BARE WIRE FILT DEL 315 2244031

Facility

$800.00

Hospital Charge Code	270643423V
Hospital Revenue Code	278
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

BARE WIRE FILT DEL 315 2244031

Facility

$800.00

Hospital Charge Code	270643423V
Hospital Revenue Code	278
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$193.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

BARE WIRE FILT DEL 315 244031

Facility

$800.00

Hospital Charge Code	270643423C
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

BARE WIRE FILT DEL 315 244031

Facility

$800.00

Hospital Charge Code	270643423C
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

BARIATRIC BACK AND SEAT EXT (S

Facility

$21,852.90

Hospital Charge Code	270663230
Hospital Revenue Code	270
Min. Negotiated Rate	$526.65
Max. Negotiated Rate	$10,926.45
Rate for Payer: Aetna Commercial	$8,304.10
Rate for Payer: Aetna Medicare Advantage	$6,555.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,572.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,572.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,572.49
Rate for Payer: Cigna Commercial	$10,926.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,555.87
Rate for Payer: Oxford Commercial	$4,370.58
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.93
Rate for Payer: UnitedHealthcare Commercial	$4,370.58
Rate for Payer: UnitedHealthcare Community & State	$526.65
Rate for Payer: Wellpoint Medicaid Managed Care	$579.10

BARIATRIC BACK AND SEAT EXT (S

Facility

$21,852.90

Hospital Charge Code	270663230
Hospital Revenue Code	270
Min. Negotiated Rate	$3,277.93
Max. Negotiated Rate	$3,277.93
Rate for Payer: Qualcare PPO/HMO/WC	$3,277.93

BARIATRIC PADS

Facility

$875.00

Hospital Charge Code	270692091
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

Know your out-of-pocket cost for care.

All Charges