Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIPE DISINFECTANT ANTIMICROBIL

Facility

$24.68

Hospital Charge Code	270653103
Hospital Revenue Code	270
Min. Negotiated Rate	$0.59
Max. Negotiated Rate	$12.34
Rate for Payer: Aetna Commercial	$9.38
Rate for Payer: Aetna Medicare Advantage	$7.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.29
Rate for Payer: Cigna Commercial	$12.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.40
Rate for Payer: Oxford Commercial	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.70
Rate for Payer: UnitedHealthcare Commercial	$4.94
Rate for Payer: UnitedHealthcare Community & State	$0.59
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

WIPE INSTRUMENT 3X3

Facility

$7.51

Hospital Charge Code	270658517
Hospital Revenue Code	270
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

WIPE INSTRUMENT 3X3

Facility

$7.51

Hospital Charge Code	270658517
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.75
Rate for Payer: Aetna Commercial	$2.85
Rate for Payer: Aetna Medicare Advantage	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.92
Rate for Payer: Cigna Commercial	$3.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.25
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.50
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

WIPE SANI HB DISINFECT

Facility

$20.58

Hospital Charge Code	270649958
Hospital Revenue Code	270
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

WIPE SANI HB DISINFECT

Facility

$20.58

Hospital Charge Code	270649958
Hospital Revenue Code	270
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

WIPES BABY FRAGRANCE FREE

Facility

$148.40

Hospital Charge Code	270663231
Hospital Revenue Code	270
Min. Negotiated Rate	$22.26
Max. Negotiated Rate	$22.26
Rate for Payer: Qualcare PPO/HMO/WC	$22.26

WIPES BABY FRAGRANCE FREE

Facility

$148.40

Hospital Charge Code	270663231
Hospital Revenue Code	270
Min. Negotiated Rate	$3.58
Max. Negotiated Rate	$74.20
Rate for Payer: Aetna Commercial	$56.39
Rate for Payer: Aetna Medicare Advantage	$44.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.84
Rate for Payer: Cigna Commercial	$74.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.52
Rate for Payer: Oxford Commercial	$29.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.26
Rate for Payer: UnitedHealthcare Commercial	$29.68
Rate for Payer: UnitedHealthcare Community & State	$3.58
Rate for Payer: Wellpoint Medicaid Managed Care	$3.93

WIPES CLOTH GERMICIDAL STERIS

Facility

$20.58

Hospital Charge Code	270649264
Hospital Revenue Code	270
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

WIPES CLOTH GERMICIDAL STERIS

Facility

$20.58

Hospital Charge Code	270649264
Hospital Revenue Code	270
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$3.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.09

WIRE 0.14

Facility

$900.00

Hospital Charge Code	270660505C
Hospital Revenue Code	272
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

WIRE 0.14

Facility

$900.00

Hospital Charge Code	270660505C
Hospital Revenue Code	272
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.00
Rate for Payer: Oxford Commercial	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Commercial	$180.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

WIRE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692245
Hospital Revenue Code	278
Min. Negotiated Rate	$17.89
Max. Negotiated Rate	$371.25
Rate for Payer: Aetna Commercial	$282.15
Rate for Payer: Aetna Medicare Advantage	$222.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.34
Rate for Payer: Cigna Commercial	$371.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38
Rate for Payer: UnitedHealthcare Community & State	$17.89
Rate for Payer: Wellpoint Medicaid Managed Care	$19.68

WIRE 1.25MM

Facility

$742.50

Service Code	HCPCS C1713
Hospital Charge Code	270692245
Hospital Revenue Code	278
Min. Negotiated Rate	$111.38
Max. Negotiated Rate	$179.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.35
Rate for Payer: Qualcare PPO/HMO/WC	$111.38

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$78.00
Max. Negotiated Rate	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00

WIRE 24 GAGE 6.5MM

Facility

$520.00

Hospital Charge Code	270663597
Hospital Revenue Code	270
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$260.00
Rate for Payer: Aetna Commercial	$197.60
Rate for Payer: Aetna Medicare Advantage	$156.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.60
Rate for Payer: Cigna Commercial	$260.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.00
Rate for Payer: Oxford Commercial	$104.00
Rate for Payer: Qualcare PPO/HMO/WC	$78.00
Rate for Payer: UnitedHealthcare Commercial	$104.00
Rate for Payer: UnitedHealthcare Community & State	$12.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

WIRE 3.2mm STRAIGHT 27949

Facility

$456.75

Service Code	HCPCS C1769
Hospital Charge Code	270636767
Hospital Revenue Code	278
Min. Negotiated Rate	$68.51
Max. Negotiated Rate	$110.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.48
Rate for Payer: Qualcare PPO/HMO/WC	$68.51

WIRE 3.2mm STRAIGHT 27949

Facility

$456.75

Service Code	HCPCS C1769
Hospital Charge Code	270636767
Hospital Revenue Code	278
Min. Negotiated Rate	$11.01
Max. Negotiated Rate	$228.38
Rate for Payer: Aetna Commercial	$173.56
Rate for Payer: Aetna Medicare Advantage	$137.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.47
Rate for Payer: Cigna Commercial	$228.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.48
Rate for Payer: Qualcare PPO/HMO/WC	$68.51
Rate for Payer: UnitedHealthcare Community & State	$11.01
Rate for Payer: Wellpoint Medicaid Managed Care	$12.10

WIRE ACCNET4-5 190 1011649-55

Facility

$7,688.00

Hospital Charge Code	270635409
Hospital Revenue Code	278
Min. Negotiated Rate	$185.28
Max. Negotiated Rate	$3,844.00
Rate for Payer: Aetna Commercial	$2,921.44
Rate for Payer: Aetna Medicare Advantage	$2,306.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,960.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,960.44
Rate for Payer: Cigna Commercial	$3,844.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,691.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20
Rate for Payer: UnitedHealthcare Community & State	$185.28
Rate for Payer: Wellpoint Medicaid Managed Care	$203.73

WIRE ACCNET4-5 190 1011649-55

Facility

$7,688.00

Hospital Charge Code	270635409
Hospital Revenue Code	278
Min. Negotiated Rate	$1,153.20
Max. Negotiated Rate	$1,860.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,537.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,860.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,691.36
Rate for Payer: Qualcare PPO/HMO/WC	$1,153.20

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$3.54
Rate for Payer: Wellpoint Medicaid Managed Care	$3.89

WIRE AMPLATZ .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700846
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$3.54
Rate for Payer: Wellpoint Medicaid Managed Care	$3.89

WIRE AMPLATZ SS .035 X 80 X 7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700844
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$73.42
Rate for Payer: Aetna Commercial	$55.80
Rate for Payer: Aetna Medicare Advantage	$44.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.45
Rate for Payer: Cigna Commercial	$73.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03
Rate for Payer: UnitedHealthcare Community & State	$3.54
Rate for Payer: Wellpoint Medicaid Managed Care	$3.89

WIRE AMPLATZ SS .035X80X7

Facility

$146.85

Service Code	HCPCS C1769
Hospital Charge Code	270700845
Hospital Revenue Code	278
Min. Negotiated Rate	$22.03
Max. Negotiated Rate	$35.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$22.03

Know your out-of-pocket cost for care.

All Charges