Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIRE ZIM K STYLE 1 .7MM

Facility

$372.00

Hospital Charge Code	270610634
Hospital Revenue Code	278
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$90.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$81.84
Rate for Payer: Qualcare PPO/HMO/WC	$55.80

WIRE ZIM K THRD .062 262-08-04

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270601916
Hospital Revenue Code	278
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.57
Rate for Payer: Aetna Commercial	$23.99
Rate for Payer: Aetna Medicare Advantage	$18.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.10
Rate for Payer: Cigna Commercial	$31.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

WIRE ZIM K THRD .062 262-08-04

Facility

$63.13

Service Code	HCPCS C1769
Hospital Charge Code	270601916
Hospital Revenue Code	278
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$15.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$9.47

WIRE ZIM K THRD 1.7MM 11420117

Facility

$85.65

Hospital Charge Code	270613427
Hospital Revenue Code	272
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$12.85
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

WIRE ZIM K THRD 1.7MM 11420117

Facility

$85.65

Hospital Charge Code	270613427
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$32.55
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.70
Rate for Payer: Oxford Commercial	$17.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Commercial	$17.13
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

WIRE ZIM SPOOL .97 4.9 191-38

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270619387
Hospital Revenue Code	278
Min. Negotiated Rate	$2.65
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Community & State	$2.65
Rate for Payer: Wellpoint Medicaid Managed Care	$2.92

WIRE ZIM SPOOL .97 4.9 191-38

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270619387
Hospital Revenue Code	278
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

WLESHES STRY SLOTTED *******

Facility

$160.00

Hospital Charge Code	1606417
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

WLESHES STRY SLOTTED *******

Facility

$160.00

Hospital Charge Code	1606417
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

WL GORE DUAL MESH 18CM

Facility

$10,525.00

Hospital Charge Code	270656332
Hospital Revenue Code	278
Min. Negotiated Rate	$1,578.75
Max. Negotiated Rate	$2,547.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,315.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.75

WL GORE DUAL MESH 18CM

Facility

$10,525.00

Hospital Charge Code	270656332
Hospital Revenue Code	278
Min. Negotiated Rate	$253.65
Max. Negotiated Rate	$5,262.50
Rate for Payer: Aetna Commercial	$3,999.50
Rate for Payer: Aetna Medicare Advantage	$3,157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,683.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,683.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,683.88
Rate for Payer: Cigna Commercial	$5,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,547.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,315.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,578.75
Rate for Payer: UnitedHealthcare Community & State	$253.65
Rate for Payer: Wellpoint Medicaid Managed Care	$278.91

WND MATRX MULTILR 5X5CM/SQCMJW

Facility

$153.00

Hospital Charge Code	270666030W
Hospital Revenue Code	636
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

WND MATRX MULTILR 5X5CM/SQCMJW

Facility

$153.00

Hospital Charge Code	270666030W
Hospital Revenue Code	636
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$37.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.03
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

WND MATRX MULTILYR 5X5CM

Facility

$3,995.00

Service Code	HCPCS Q4166
Hospital Charge Code	270666030
Hospital Revenue Code	278
Min. Negotiated Rate	$96.28
Max. Negotiated Rate	$966.79
Rate for Payer: Aetna Commercial	$402.12
Rate for Payer: Aetna Medicare Advantage	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$533.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$533.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$147.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$799.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$533.66
Rate for Payer: Cigna Commercial	$296.35
Rate for Payer: Cigna Medicare Advantage	$147.84
Rate for Payer: Clover Medicare Advantage	$140.45
Rate for Payer: EmblemHealth Commercial	$443.52
Rate for Payer: Humana Medicare Advantage	$152.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$147.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$878.90
Rate for Payer: Qualcare PPO/HMO/WC	$599.25
Rate for Payer: UnitedHealthcare Community & State	$96.28
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.84
Rate for Payer: Wellcare Medicare Advantage	$147.84
Rate for Payer: Wellpoint Medicaid Managed Care	$105.87

WND MATRX MULTILYR 5X5CM

Facility

$3,995.00

Service Code	HCPCS Q4166
Hospital Charge Code	270666030
Hospital Revenue Code	278
Min. Negotiated Rate	$599.25
Max. Negotiated Rate	$966.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$799.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$966.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$878.90
Rate for Payer: Qualcare PPO/HMO/WC	$599.25

WND PRP TRK/ARM/LEG 100SQCM/1B

Facility

$4,862.70

Service Code	HCPCS 15002
Hospital Charge Code	1600000380
Hospital Revenue Code	360
Min. Negotiated Rate	$117.19
Max. Negotiated Rate	$5,311.00
Rate for Payer: Aetna Commercial	$2,388.27
Rate for Payer: Aetna Medicare Advantage	$2,844.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,169.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$878.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,169.46
Rate for Payer: Cigna Commercial	$1,760.02
Rate for Payer: Cigna Medicare Advantage	$878.04
Rate for Payer: Clover Medicare Advantage	$834.14
Rate for Payer: EmblemHealth Commercial	$2,634.12
Rate for Payer: Humana Medicare Advantage	$904.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$878.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,458.81
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$729.40
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$117.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$878.04
Rate for Payer: Wellcare Medicare Advantage	$878.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,165.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5,064.59

WND PRP TRK/ARM/LEG 100SQCM/1B

Facility

$4,862.70

Service Code	HCPCS 15002
Hospital Charge Code	1600000380
Hospital Revenue Code	360
Min. Negotiated Rate	$729.40
Max. Negotiated Rate	$729.40
Rate for Payer: Qualcare PPO/HMO/WC	$729.40

WOODEN BEE, BUTTERFLY + LADYBU

Facility

$74.95

Hospital Charge Code	270663164
Hospital Revenue Code	270
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$11.24
Rate for Payer: Qualcare PPO/HMO/WC	$11.24

WOODEN BEE, BUTTERFLY + LADYBU

Facility

$74.95

Hospital Charge Code	270663164
Hospital Revenue Code	270
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.48
Rate for Payer: Aetna Commercial	$28.48
Rate for Payer: Aetna Medicare Advantage	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.11
Rate for Payer: Cigna Commercial	$37.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.48
Rate for Payer: Oxford Commercial	$14.99
Rate for Payer: Qualcare PPO/HMO/WC	$11.24
Rate for Payer: UnitedHealthcare Commercial	$14.99
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$119.97
Rate for Payer: Aetna Commercial	$91.18
Rate for Payer: Aetna Medicare Advantage	$71.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.19
Rate for Payer: Cigna Commercial	$119.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.98
Rate for Payer: Oxford Commercial	$47.99
Rate for Payer: Qualcare PPO/HMO/WC	$35.99
Rate for Payer: UnitedHealthcare Commercial	$47.99
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

WOODEN BIRDHOUSES

Facility

$239.95

Hospital Charge Code	270663155
Hospital Revenue Code	270
Min. Negotiated Rate	$35.99
Max. Negotiated Rate	$35.99
Rate for Payer: Qualcare PPO/HMO/WC	$35.99

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
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

WOODEN CANE

Facility

$81.00

Hospital Charge Code	84202100
Hospital Revenue Code	270
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$48.38
Max. Negotiated Rate	$48.38
Rate for Payer: Qualcare PPO/HMO/WC	$48.38

WOODSON ELEVATOR W/SPATULAR

Facility

$322.50

Hospital Charge Code	270667512
Hospital Revenue Code	272
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$161.25
Rate for Payer: Aetna Commercial	$122.55
Rate for Payer: Aetna Medicare Advantage	$96.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.24
Rate for Payer: Cigna Commercial	$161.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.75
Rate for Payer: Oxford Commercial	$64.50
Rate for Payer: Qualcare PPO/HMO/WC	$48.38
Rate for Payer: UnitedHealthcare Commercial	$64.50
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: Wellpoint Medicaid Managed Care	$8.55

Know your out-of-pocket cost for care.

All Charges