Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WALKER EQ LOW TOP SMALL

Facility

$152.00

Hospital Charge Code	270655835
Hospital Revenue Code	270
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

WALKER EQ LOW TOP SMALL

Facility

$152.00

Hospital Charge Code	270655835
Hospital Revenue Code	270
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.60
Rate for Payer: Oxford Commercial	$30.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$30.40
Rate for Payer: UnitedHealthcare Community & State	$3.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

WALKER EQ LOW TOP X-LAR

Facility

$145.00

Hospital Charge Code	270655836
Hospital Revenue Code	270
Min. Negotiated Rate	$21.75
Max. Negotiated Rate	$21.75
Rate for Payer: Qualcare PPO/HMO/WC	$21.75

WALKER EQ LOW TOP X-LAR

Facility

$145.00

Hospital Charge Code	270655836
Hospital Revenue Code	270
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.50
Rate for Payer: Aetna Commercial	$55.10
Rate for Payer: Aetna Medicare Advantage	$43.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.98
Rate for Payer: Cigna Commercial	$72.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.50
Rate for Payer: Oxford Commercial	$29.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.75
Rate for Payer: UnitedHealthcare Commercial	$29.00
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

WALKER FOLDING W/3 WHEELS

Facility

$177.81

Hospital Charge Code	270647798
Hospital Revenue Code	270
Min. Negotiated Rate	$26.67
Max. Negotiated Rate	$26.67
Rate for Payer: Qualcare PPO/HMO/WC	$26.67

WALKER FOLDING W/3 WHEELS

Facility

$177.81

Hospital Charge Code	270647798
Hospital Revenue Code	270
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$88.91
Rate for Payer: Aetna Commercial	$67.57
Rate for Payer: Aetna Medicare Advantage	$53.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.34
Rate for Payer: Cigna Commercial	$88.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.34
Rate for Payer: Oxford Commercial	$35.56
Rate for Payer: Qualcare PPO/HMO/WC	$26.67
Rate for Payer: UnitedHealthcare Commercial	$35.56
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4.71

WALKER FRACTURE INFANT LOW TOP

Facility

$243.10

Hospital Charge Code	270636640
Hospital Revenue Code	270
Min. Negotiated Rate	$36.47
Max. Negotiated Rate	$36.47
Rate for Payer: Qualcare PPO/HMO/WC	$36.47

WALKER FRACTURE INFANT LOW TOP

Facility

$243.10

Hospital Charge Code	270636640
Hospital Revenue Code	270
Min. Negotiated Rate	$5.86
Max. Negotiated Rate	$121.55
Rate for Payer: Aetna Commercial	$92.38
Rate for Payer: Aetna Medicare Advantage	$72.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.99
Rate for Payer: Cigna Commercial	$121.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.93
Rate for Payer: Oxford Commercial	$48.62
Rate for Payer: Qualcare PPO/HMO/WC	$36.47
Rate for Payer: UnitedHealthcare Commercial	$48.62
Rate for Payer: UnitedHealthcare Community & State	$5.86
Rate for Payer: Wellpoint Medicaid Managed Care	$6.44

WALKER LARGE LOW TOP

Facility

$143.15

Hospital Charge Code	270654884
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.58
Rate for Payer: Aetna Commercial	$54.40
Rate for Payer: Aetna Medicare Advantage	$42.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.50
Rate for Payer: Cigna Commercial	$71.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.95
Rate for Payer: Oxford Commercial	$28.63
Rate for Payer: Qualcare PPO/HMO/WC	$21.47
Rate for Payer: UnitedHealthcare Commercial	$28.63
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.79

WALKER LARGE LOW TOP

Facility

$143.15

Hospital Charge Code	270654884
Hospital Revenue Code	270
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$21.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.47

WALKER MED LOW TOP

Facility

$143.15

Hospital Charge Code	270654883
Hospital Revenue Code	270
Min. Negotiated Rate	$3.45
Max. Negotiated Rate	$71.58
Rate for Payer: Aetna Commercial	$54.40
Rate for Payer: Aetna Medicare Advantage	$42.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.50
Rate for Payer: Cigna Commercial	$71.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.95
Rate for Payer: Oxford Commercial	$28.63
Rate for Payer: Qualcare PPO/HMO/WC	$21.47
Rate for Payer: UnitedHealthcare Commercial	$28.63
Rate for Payer: UnitedHealthcare Community & State	$3.45
Rate for Payer: Wellpoint Medicaid Managed Care	$3.79

WALKER MED LOW TOP

Facility

$143.15

Hospital Charge Code	270654883
Hospital Revenue Code	270
Min. Negotiated Rate	$21.47
Max. Negotiated Rate	$21.47
Rate for Payer: Qualcare PPO/HMO/WC	$21.47

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$31.84
Max. Negotiated Rate	$31.84
Rate for Payer: Qualcare PPO/HMO/WC	$31.84

WALKER ROLLER

Facility

$212.30

Service Code	HCPCS E0143
Hospital Charge Code	270691278
Hospital Revenue Code	292
Min. Negotiated Rate	$5.12
Max. Negotiated Rate	$106.15
Rate for Payer: Aetna Commercial	$80.67
Rate for Payer: Aetna Medicare Advantage	$63.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.14
Rate for Payer: Cigna Commercial	$106.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.69
Rate for Payer: Qualcare PPO/HMO/WC	$31.84
Rate for Payer: UnitedHealthcare Community & State	$5.12
Rate for Payer: Wellpoint Medicaid Managed Care	$5.63

WALKING CAST

Facility

$1,066.99

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$160.05
Max. Negotiated Rate	$160.05
Rate for Payer: Qualcare PPO/HMO/WC	$160.05

WALKING CAST

Facility

$1,066.99

Service Code	HCPCS 29425
Hospital Charge Code	5770060
Hospital Revenue Code	450
Min. Negotiated Rate	$28.28
Max. Negotiated Rate	$1,199.43
Rate for Payer: Aetna Commercial	$903.80
Rate for Payer: Aetna Medicare Advantage	$1,076.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,199.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,199.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$332.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$90.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,199.43
Rate for Payer: Cigna Commercial	$666.07
Rate for Payer: Cigna Medicare Advantage	$332.28
Rate for Payer: Clover Medicare Advantage	$315.67
Rate for Payer: EmblemHealth Commercial	$996.84
Rate for Payer: Humana Medicare Advantage	$342.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$332.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$320.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$850.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.05
Rate for Payer: UnitedHealthcare Community & State	$140.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$332.28
Rate for Payer: Wellcare Medicare Advantage	$332.28
Rate for Payer: Wellpoint Medicaid Managed Care	$28.28

WALLFLEXFC18/23-25mmx10cmEsoSt

Facility

$9,900.00

Hospital Charge Code	643739
Hospital Revenue Code	272
Min. Negotiated Rate	$1,485.00
Max. Negotiated Rate	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.00

WALLFLEXFC18/23-25mmx10cmEsoSt

Facility

$9,900.00

Hospital Charge Code	643739
Hospital Revenue Code	272
Min. Negotiated Rate	$238.59
Max. Negotiated Rate	$4,950.00
Rate for Payer: Aetna Commercial	$3,762.00
Rate for Payer: Aetna Medicare Advantage	$2,970.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,524.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,524.50
Rate for Payer: Cigna Commercial	$4,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,970.00
Rate for Payer: Oxford Commercial	$1,980.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.00
Rate for Payer: UnitedHealthcare Commercial	$1,980.00
Rate for Payer: UnitedHealthcare Community & State	$238.59
Rate for Payer: Wellpoint Medicaid Managed Care	$262.35

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$289.08
Max. Negotiated Rate	$5,997.50
Rate for Payer: Aetna Commercial	$4,558.10
Rate for Payer: Aetna Medicare Advantage	$3,598.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,058.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,058.72
Rate for Payer: Cigna Commercial	$5,997.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,638.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25
Rate for Payer: UnitedHealthcare Community & State	$289.08
Rate for Payer: Wellpoint Medicaid Managed Care	$317.87

WALLFLEX FC 18/23-25x10 1670

Facility

$11,995.00

Service Code	HCPCS C1874
Hospital Charge Code	270643739
Hospital Revenue Code	278
Min. Negotiated Rate	$1,799.25
Max. Negotiated Rate	$2,902.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,399.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,902.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,638.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,799.25

WALLFLEXFC18/23-25x12 Eso 5612

Facility

$12,375.00

Hospital Charge Code	270643743
Hospital Revenue Code	278
Min. Negotiated Rate	$1,856.25
Max. Negotiated Rate	$2,994.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,994.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,856.25

WALLFLEXFC18/23-25x12 Eso 5612

Facility

$12,375.00

Hospital Charge Code	270643743
Hospital Revenue Code	278
Min. Negotiated Rate	$298.24
Max. Negotiated Rate	$6,187.50
Rate for Payer: Aetna Commercial	$4,702.50
Rate for Payer: Aetna Medicare Advantage	$3,712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,155.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,155.62
Rate for Payer: Cigna Commercial	$6,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,994.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,722.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,856.25
Rate for Payer: UnitedHealthcare Community & State	$298.24
Rate for Payer: Wellpoint Medicaid Managed Care	$327.94

WALLGRAFT 10x50 ENDOPROST 7050

Facility

$10,675.00

Hospital Charge Code	270623517V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,601.25
Max. Negotiated Rate	$2,583.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,135.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,583.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,348.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,601.25

WALLGRAFT 10x50 ENDOPROST 7050

Facility

$9,672.00

Hospital Charge Code	270623518V
Hospital Revenue Code	278
Min. Negotiated Rate	$233.10
Max. Negotiated Rate	$4,836.00
Rate for Payer: Aetna Commercial	$3,675.36
Rate for Payer: Aetna Medicare Advantage	$2,901.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,466.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,466.36
Rate for Payer: Cigna Commercial	$4,836.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,127.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80
Rate for Payer: UnitedHealthcare Community & State	$233.10
Rate for Payer: Wellpoint Medicaid Managed Care	$256.31

WALLGRAFT 10x50 ENDOPROST 7050

Facility

$9,672.00

Hospital Charge Code	270623518V
Hospital Revenue Code	278
Min. Negotiated Rate	$1,450.80
Max. Negotiated Rate	$2,340.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,934.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,340.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,127.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,450.80

Know your out-of-pocket cost for care.

All Charges