Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STOCKINETTE IMPERV STER

Facility

$29.61

Hospital Charge Code	270061525
Hospital Revenue Code	272
Min. Negotiated Rate	$4.44
Max. Negotiated Rate	$4.44
Rate for Payer: Qualcare PPO/HMO/WC	$4.44

STOCKINETTE IMPERV STER

Facility

$29.61

Hospital Charge Code	270061525
Hospital Revenue Code	272
Min. Negotiated Rate	$0.71
Max. Negotiated Rate	$14.80
Rate for Payer: Aetna Commercial	$11.25
Rate for Payer: Aetna Medicare Advantage	$8.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.55
Rate for Payer: Cigna Commercial	$14.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.88
Rate for Payer: Oxford Commercial	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.44
Rate for Payer: UnitedHealthcare Commercial	$5.92
Rate for Payer: UnitedHealthcare Community & State	$0.71
Rate for Payer: Wellpoint Medicaid Managed Care	$0.78

STOCKINETTE MEDIUM

Facility

$19.57

Hospital Charge Code	270654105
Hospital Revenue Code	270
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.79
Rate for Payer: Aetna Commercial	$7.44
Rate for Payer: Aetna Medicare Advantage	$5.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.99
Rate for Payer: Cigna Commercial	$9.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.87
Rate for Payer: Oxford Commercial	$3.91
Rate for Payer: Qualcare PPO/HMO/WC	$2.94
Rate for Payer: UnitedHealthcare Commercial	$3.91
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

STOCKINETTE MEDIUM

Facility

$19.57

Hospital Charge Code	270654105
Hospital Revenue Code	270
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.94

STOCKINETTE N/STAR 3X25 YD

Facility

$55.25

Hospital Charge Code	270649012
Hospital Revenue Code	270
Min. Negotiated Rate	$8.29
Max. Negotiated Rate	$8.29
Rate for Payer: Qualcare PPO/HMO/WC	$8.29

STOCKINETTE N/STAR 3X25 YD

Facility

$55.25

Hospital Charge Code	270649012
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 N/STER 2X25 YD

Facility

$33.15

Hospital Charge Code	270649011
Hospital Revenue Code	272
Min. Negotiated Rate	$4.97
Max. Negotiated Rate	$4.97
Rate for Payer: Qualcare PPO/HMO/WC	$4.97

STOCKINETTE N/STER 2X25 YD

Facility

$33.15

Hospital Charge Code	270649011
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.57
Rate for Payer: Aetna Commercial	$12.60
Rate for Payer: Aetna Medicare Advantage	$9.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.45
Rate for Payer: Cigna Commercial	$16.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.95
Rate for Payer: Oxford Commercial	$6.63
Rate for Payer: Qualcare PPO/HMO/WC	$4.97
Rate for Payer: UnitedHealthcare Commercial	$6.63
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.88

STOCKINETTE N/STER 4X25 YD

Facility

$32.90

Hospital Charge Code	270649013
Hospital Revenue Code	270
Min. Negotiated Rate	$4.93
Max. Negotiated Rate	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$4.93

STOCKINETTE N/STER 4X25 YD

Facility

$32.90

Hospital Charge Code	270649013
Hospital Revenue Code	270
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$16.45
Rate for Payer: Aetna Commercial	$12.50
Rate for Payer: Aetna Medicare Advantage	$9.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.39
Rate for Payer: Cigna Commercial	$16.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.87
Rate for Payer: Oxford Commercial	$6.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.93
Rate for Payer: UnitedHealthcare Commercial	$6.58
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

STOCKINETTE SPECIALIST 6X25YD

Facility

$117.25

Hospital Charge Code	270663268
Hospital Revenue Code	270
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$17.59
Rate for Payer: Qualcare PPO/HMO/WC	$17.59

STOCKINETTE SPECIALIST 6X25YD

Facility

$117.25

Hospital Charge Code	270663268
Hospital Revenue Code	270
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$58.62
Rate for Payer: Aetna Commercial	$44.55
Rate for Payer: Aetna Medicare Advantage	$35.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.90
Rate for Payer: Cigna Commercial	$58.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.17
Rate for Payer: Oxford Commercial	$23.45
Rate for Payer: Qualcare PPO/HMO/WC	$17.59
Rate for Payer: UnitedHealthcare Commercial	$23.45
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.11

STOCKINETTE STERILE 4X36 2PLY

Facility

$30.42

Hospital Charge Code	270649008
Hospital Revenue Code	272
Min. Negotiated Rate	$4.56
Max. Negotiated Rate	$4.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.56

STOCKINETTE STERILE 4X36 2PLY

Facility

$30.42

Hospital Charge Code	270649008
Hospital Revenue Code	272
Min. Negotiated Rate	$0.73
Max. Negotiated Rate	$15.21
Rate for Payer: Aetna Commercial	$11.56
Rate for Payer: Aetna Medicare Advantage	$9.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.76
Rate for Payer: Cigna Commercial	$15.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.13
Rate for Payer: Oxford Commercial	$6.08
Rate for Payer: Qualcare PPO/HMO/WC	$4.56
Rate for Payer: UnitedHealthcare Commercial	$6.08
Rate for Payer: UnitedHealthcare Community & State	$0.73
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

STOCKINETTE STERILE 6X48 2PLY

Facility

$26.21

Hospital Charge Code	270649010
Hospital Revenue Code	272
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.93

STOCKINETTE STERILE 6X48 2PLY

Facility

$26.21

Hospital Charge Code	270649010
Hospital Revenue Code	272
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$13.11
Rate for Payer: Aetna Commercial	$9.96
Rate for Payer: Aetna Medicare Advantage	$7.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.68
Rate for Payer: Cigna Commercial	$13.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.86
Rate for Payer: Oxford Commercial	$5.24
Rate for Payer: Qualcare PPO/HMO/WC	$3.93
Rate for Payer: UnitedHealthcare Commercial	$5.24
Rate for Payer: UnitedHealthcare Community & State	$0.63
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

STOCKINETTE TUB 3X 25YD

Facility

$224.00

Hospital Charge Code	270331386
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$112.00
Rate for Payer: Aetna Commercial	$85.12
Rate for Payer: Aetna Medicare Advantage	$67.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.12
Rate for Payer: Cigna Commercial	$112.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$67.20
Rate for Payer: Oxford Commercial	$44.80
Rate for Payer: Qualcare PPO/HMO/WC	$33.60
Rate for Payer: UnitedHealthcare Commercial	$44.80
Rate for Payer: UnitedHealthcare Community & State	$5.40
Rate for Payer: Wellpoint Medicaid Managed Care	$5.94

STOCKINETTE TUB 3X 25YD

Facility

$224.00

Hospital Charge Code	270331386
Hospital Revenue Code	272
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$33.60

STOCKINETTE TUBULAR

Facility

$20.58

Hospital Charge Code	270602893
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

STOCKINETTE TUBULAR

Facility

$20.58

Hospital Charge Code	270602893
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.29
Rate for Payer: Aetna Commercial	$7.82
Rate for Payer: Aetna Medicare Advantage	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.25
Rate for Payer: Cigna Commercial	$10.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.17
Rate for Payer: Oxford Commercial	$4.12
Rate for Payer: Qualcare PPO/HMO/WC	$3.09
Rate for Payer: UnitedHealthcare Commercial	$4.12
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

STOCKINETTE TUBULAR ******

Facility

$14.00

Hospital Charge Code	8003683
Hospital Revenue Code	272
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.20
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

STOCKINETTE TUBULAR ******

Facility

$14.00

Hospital Charge Code	8003683
Hospital Revenue Code	272
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

STOCKINETTE TUBULAR 3X25

Facility

$62.90

Hospital Charge Code	270653376
Hospital Revenue Code	272
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$9.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.44

STOCKINETTE TUBULAR 3X25

Facility

$62.90

Hospital Charge Code	270653376
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.45
Rate for Payer: Aetna Commercial	$23.90
Rate for Payer: Aetna Medicare Advantage	$18.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.04
Rate for Payer: Cigna Commercial	$31.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.87
Rate for Payer: Oxford Commercial	$12.58
Rate for Payer: Qualcare PPO/HMO/WC	$9.44
Rate for Payer: UnitedHealthcare Commercial	$12.58
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

STOCKINETTE TUBULAR 4X25

Facility

$82.55

Hospital Charge Code	270653377
Hospital Revenue Code	272
Min. Negotiated Rate	$12.38
Max. Negotiated Rate	$12.38
Rate for Payer: Qualcare PPO/HMO/WC	$12.38

Know your out-of-pocket cost for care.

All Charges