Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WOUNDVAC TRAC PAD

Facility

$82.62

Hospital Charge Code	270100030
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$41.31
Rate for Payer: Aetna Commercial	$31.40
Rate for Payer: Aetna Medicare Advantage	$24.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.07
Rate for Payer: Cigna Commercial	$41.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.79
Rate for Payer: Oxford Commercial	$16.52
Rate for Payer: Qualcare PPO/HMO/WC	$12.39
Rate for Payer: UnitedHealthcare Commercial	$16.52
Rate for Payer: UnitedHealthcare Community & State	$1.99
Rate for Payer: Wellpoint Medicaid Managed Care	$2.19

WOUNDVAC Y CONNECTOR

Facility

$8.27

Hospital Charge Code	270100020
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.13
Rate for Payer: Aetna Commercial	$3.14
Rate for Payer: Aetna Medicare Advantage	$2.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.11
Rate for Payer: Cigna Commercial	$4.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.24
Rate for Payer: UnitedHealthcare Commercial	$1.65
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

WOUNDVAC Y CONNECTOR

Facility

$8.27

Hospital Charge Code	270100020
Hospital Revenue Code	270
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$1.24
Rate for Payer: Qualcare PPO/HMO/WC	$1.24

WRAP LEG MOIST HEAT THERAPY

Facility

$133.65

Hospital Charge Code	270649708
Hospital Revenue Code	270
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$66.83
Rate for Payer: Aetna Commercial	$50.79
Rate for Payer: Aetna Medicare Advantage	$40.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$66.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.09
Rate for Payer: Oxford Commercial	$26.73
Rate for Payer: Qualcare PPO/HMO/WC	$20.05
Rate for Payer: UnitedHealthcare Commercial	$26.73
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$3.54

WRAP LEG MOIST HEAT THERAPY

Facility

$133.65

Hospital Charge Code	270649708
Hospital Revenue Code	270
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$20.05
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

WRAP LEG STERILE

Facility

$190.00

Hospital Charge Code	270668485
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

WRAP LEG STERILE

Facility

$190.00

Hospital Charge Code	270668485
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

WRAP ONE STEP 24 X 24

Facility

$298.30

Hospital Charge Code	270639874
Hospital Revenue Code	272
Min. Negotiated Rate	$44.74
Max. Negotiated Rate	$44.74
Rate for Payer: Qualcare PPO/HMO/WC	$44.74

WRAP ONE STEP 24 X 24

Facility

$298.30

Hospital Charge Code	270639874
Hospital Revenue Code	272
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$149.15
Rate for Payer: Aetna Commercial	$113.35
Rate for Payer: Aetna Medicare Advantage	$89.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.07
Rate for Payer: Cigna Commercial	$149.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$89.49
Rate for Payer: Oxford Commercial	$59.66
Rate for Payer: Qualcare PPO/HMO/WC	$44.74
Rate for Payer: UnitedHealthcare Commercial	$59.66
Rate for Payer: UnitedHealthcare Community & State	$7.19
Rate for Payer: Wellpoint Medicaid Managed Care	$7.90

WRAP ORTHO 6

Facility

$37.90

Hospital Charge Code	270600246
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

WRAP ORTHO 6

Facility

$37.90

Hospital Charge Code	270600246
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.95
Rate for Payer: Aetna Commercial	$14.40
Rate for Payer: Aetna Medicare Advantage	$11.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.37
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

WRAP ORTHO 6 #5555-026 *****

Facility

$33.00

Hospital Charge Code	1606151
Hospital Revenue Code	272
Min. Negotiated Rate	$4.95
Max. Negotiated Rate	$4.95
Rate for Payer: Qualcare PPO/HMO/WC	$4.95

WRAP ORTHO 6 #5555-026 *****

Facility

$33.00

Hospital Charge Code	1606151
Hospital Revenue Code	272
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$16.50
Rate for Payer: Aetna Commercial	$12.54
Rate for Payer: Aetna Medicare Advantage	$9.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.41
Rate for Payer: Cigna Commercial	$16.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.90
Rate for Payer: Oxford Commercial	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.95
Rate for Payer: UnitedHealthcare Commercial	$6.60
Rate for Payer: UnitedHealthcare Community & State	$0.80
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

WRAPPER STR 45X45

Facility

$402.80

Hospital Charge Code	270649211
Hospital Revenue Code	272
Min. Negotiated Rate	$60.42
Max. Negotiated Rate	$60.42
Rate for Payer: Qualcare PPO/HMO/WC	$60.42

WRAPPER STR 45X45

Facility

$402.80

Hospital Charge Code	270649211
Hospital Revenue Code	272
Min. Negotiated Rate	$9.71
Max. Negotiated Rate	$201.40
Rate for Payer: Aetna Commercial	$153.06
Rate for Payer: Aetna Medicare Advantage	$120.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.71
Rate for Payer: Cigna Commercial	$201.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.84
Rate for Payer: Oxford Commercial	$80.56
Rate for Payer: Qualcare PPO/HMO/WC	$60.42
Rate for Payer: UnitedHealthcare Commercial	$80.56
Rate for Payer: UnitedHealthcare Community & State	$9.71
Rate for Payer: Wellpoint Medicaid Managed Care	$10.67

WRAPPER STR 54X54

Facility

$234.50

Hospital Charge Code	270649212
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

WRAPPER STR 54X54

Facility

$234.50

Hospital Charge Code	270649212
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

WRAPPR STER 36X36

Facility

$566.45

Hospital Charge Code	270649210
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$283.23
Rate for Payer: Aetna Commercial	$215.25
Rate for Payer: Aetna Medicare Advantage	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.94
Rate for Payer: Oxford Commercial	$113.29
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Commercial	$113.29
Rate for Payer: UnitedHealthcare Community & State	$13.65
Rate for Payer: Wellpoint Medicaid Managed Care	$15.01

WRAPPR STER 36X36

Facility

$566.45

Hospital Charge Code	270649210
Hospital Revenue Code	272
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$84.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

WRAP, STERILIZATION 54X54

Facility

$7.30

Hospital Charge Code	270654432
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.46
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

WRAP, STERILIZATION 54X54

Facility

$7.30

Hospital Charge Code	270654432
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

WRAP, STERILIZATION, CSR GEMI

Facility

$7.69

Hospital Charge Code	270658993
Hospital Revenue Code	270
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

WRAP, STERILIZATION, CSR GEMI

Facility

$7.69

Hospital Charge Code	270658993
Hospital Revenue Code	270
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.92
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

WRENCH

Facility

$175.00

Hospital Charge Code	270694157
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

WRENCH

Facility

$175.00

Hospital Charge Code	270694157
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

Know your out-of-pocket cost for care.

All Charges