Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STOCK ANTI-EM THIGH XL

Facility

$60.88

Hospital Charge Code	270303030
Hospital Revenue Code	270
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.44
Rate for Payer: Aetna Commercial	$23.13
Rate for Payer: Aetna Medicare Advantage	$18.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.52
Rate for Payer: Cigna Commercial	$30.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.26
Rate for Payer: Oxford Commercial	$12.18
Rate for Payer: Qualcare PPO/HMO/WC	$9.13
Rate for Payer: UnitedHealthcare Commercial	$12.18
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.61

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.18
Rate for Payer: Aetna Commercial	$16.09
Rate for Payer: Aetna Medicare Advantage	$12.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.80
Rate for Payer: Cigna Commercial	$21.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.71
Rate for Payer: Oxford Commercial	$8.47
Rate for Payer: Qualcare PPO/HMO/WC	$6.35
Rate for Payer: UnitedHealthcare Commercial	$8.47
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

STOCKINETTE 2 WIDE

Facility

$42.35

Hospital Charge Code	270302950
Hospital Revenue Code	270
Min. Negotiated Rate	$6.35
Max. Negotiated Rate	$6.35
Rate for Payer: Qualcare PPO/HMO/WC	$6.35

STOCKINETTE 3

Facility

$55.50

Hospital Charge Code	302955
Hospital Revenue Code	270
Min. Negotiated Rate	$1.34
Max. Negotiated Rate	$27.75
Rate for Payer: Aetna Commercial	$21.09
Rate for Payer: Aetna Medicare Advantage	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.15
Rate for Payer: Cigna Commercial	$27.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.65
Rate for Payer: Oxford Commercial	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$8.32
Rate for Payer: UnitedHealthcare Commercial	$11.10
Rate for Payer: UnitedHealthcare Community & State	$1.34
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

STOCKINETTE 3

Facility

$55.50

Hospital Charge Code	302955
Hospital Revenue Code	270
Min. Negotiated Rate	$8.32
Max. Negotiated Rate	$8.32
Rate for Payer: Qualcare PPO/HMO/WC	$8.32

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.62
Rate for Payer: Aetna Commercial	$21.00
Rate for Payer: Aetna Medicare Advantage	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.09
Rate for Payer: Cigna Commercial	$27.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.57
Rate for Payer: Oxford Commercial	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$8.29
Rate for Payer: UnitedHealthcare Commercial	$11.05
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

STOCKINETTE 3 WIDE

Facility

$55.25

Hospital Charge Code	270302955
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

STOCKINETTE 3 X 25YDS 3M

Facility

$106.45

Hospital Charge Code	270300785
Hospital Revenue Code	270
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$53.23
Rate for Payer: Aetna Commercial	$40.45
Rate for Payer: Aetna Medicare Advantage	$31.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.14
Rate for Payer: Cigna Commercial	$53.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.93
Rate for Payer: Oxford Commercial	$21.29
Rate for Payer: Qualcare PPO/HMO/WC	$15.97
Rate for Payer: UnitedHealthcare Commercial	$21.29
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.82

STOCKINETTE 3 X 25YDS 3M

Facility

$106.45

Hospital Charge Code	270300785
Hospital Revenue Code	270
Min. Negotiated Rate	$15.97
Max. Negotiated Rate	$15.97
Rate for Payer: Qualcare PPO/HMO/WC	$15.97

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960W
Hospital Revenue Code	270
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.47
Rate for Payer: Oxford Commercial	$12.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$12.98
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960W
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960
Hospital Revenue Code	270
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.45
Rate for Payer: Aetna Commercial	$24.66
Rate for Payer: Aetna Medicare Advantage	$19.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.55
Rate for Payer: Cigna Commercial	$32.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.47
Rate for Payer: Oxford Commercial	$12.98
Rate for Payer: Qualcare PPO/HMO/WC	$9.73
Rate for Payer: UnitedHealthcare Commercial	$12.98
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.72

STOCKINETTE 4 WIDE

Facility

$64.90

Hospital Charge Code	270302960
Hospital Revenue Code	270
Min. Negotiated Rate	$9.73
Max. Negotiated Rate	$9.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.73

STOCKINETTE 4 X 25YDS 3M

Facility

$265.65

Hospital Charge Code	270300786
Hospital Revenue Code	270
Min. Negotiated Rate	$39.85
Max. Negotiated Rate	$39.85
Rate for Payer: Qualcare PPO/HMO/WC	$39.85

STOCKINETTE 4 X 25YDS 3M

Facility

$265.65

Hospital Charge Code	270300786
Hospital Revenue Code	270
Min. Negotiated Rate	$6.40
Max. Negotiated Rate	$132.82
Rate for Payer: Aetna Commercial	$100.95
Rate for Payer: Aetna Medicare Advantage	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.74
Rate for Payer: Cigna Commercial	$132.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.69
Rate for Payer: Oxford Commercial	$53.13
Rate for Payer: Qualcare PPO/HMO/WC	$39.85
Rate for Payer: UnitedHealthcare Commercial	$53.13
Rate for Payer: UnitedHealthcare Community & State	$6.40
Rate for Payer: Wellpoint Medicaid Managed Care	$7.04

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965W
Hospital Revenue Code	270
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$15.11
Rate for Payer: Qualcare PPO/HMO/WC	$15.11

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965W
Hospital Revenue Code	270
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$50.35
Rate for Payer: Aetna Commercial	$38.27
Rate for Payer: Aetna Medicare Advantage	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.68
Rate for Payer: Cigna Commercial	$50.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Oxford Commercial	$20.14
Rate for Payer: Qualcare PPO/HMO/WC	$15.11
Rate for Payer: UnitedHealthcare Commercial	$20.14
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965
Hospital Revenue Code	270
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$50.35
Rate for Payer: Aetna Commercial	$38.27
Rate for Payer: Aetna Medicare Advantage	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.68
Rate for Payer: Cigna Commercial	$50.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: Oxford Commercial	$20.14
Rate for Payer: Qualcare PPO/HMO/WC	$15.11
Rate for Payer: UnitedHealthcare Commercial	$20.14
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.67

STOCKINETTE 6 WIDE

Facility

$100.70

Hospital Charge Code	270302965
Hospital Revenue Code	270
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$15.11
Rate for Payer: Qualcare PPO/HMO/WC	$15.11

STOCKINETTE 6 X 25YDS 3M

Facility

$285.65

Hospital Charge Code	270300790
Hospital Revenue Code	270
Min. Negotiated Rate	$42.85
Max. Negotiated Rate	$42.85
Rate for Payer: Qualcare PPO/HMO/WC	$42.85

STOCKINETTE 6 X 25YDS 3M

Facility

$285.65

Hospital Charge Code	270300790
Hospital Revenue Code	270
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$142.82
Rate for Payer: Aetna Commercial	$108.55
Rate for Payer: Aetna Medicare Advantage	$85.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.84
Rate for Payer: Cigna Commercial	$142.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.69
Rate for Payer: Oxford Commercial	$57.13
Rate for Payer: Qualcare PPO/HMO/WC	$42.85
Rate for Payer: UnitedHealthcare Commercial	$57.13
Rate for Payer: UnitedHealthcare Community & State	$6.88
Rate for Payer: Wellpoint Medicaid Managed Care	$7.57

STOCKINETTE IMPERVIOUS *****

Facility

$81.00

Hospital Charge Code	1601145
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

STOCKINETTE IMPERVIOUS *****

Facility

$81.00

Hospital Charge Code	1601145
Hospital Revenue Code	272
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

STOCKINETTE IMPERVIOUS 1587

Facility

$16.45

Hospital Charge Code	270648976
Hospital Revenue Code	272
Min. Negotiated Rate	$2.47
Max. Negotiated Rate	$2.47
Rate for Payer: Qualcare PPO/HMO/WC	$2.47

STOCKINETTE IMPERVIOUS 1587

Facility

$16.45

Hospital Charge Code	270648976
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.22
Rate for Payer: Aetna Commercial	$6.25
Rate for Payer: Aetna Medicare Advantage	$4.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.19
Rate for Payer: Cigna Commercial	$8.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.93
Rate for Payer: Oxford Commercial	$3.29
Rate for Payer: Qualcare PPO/HMO/WC	$2.47
Rate for Payer: UnitedHealthcare Commercial	$3.29
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

Know your out-of-pocket cost for care.

All Charges