Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER AGGRESSIVE PLUS 5.5mm

Facility

$190.00

Hospital Charge Code	270601434
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

CUTTER AGGRESSIVE PLUS 5mm DIS

Facility

$190.00

Hospital Charge Code	270601435
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER AGGRESSIVE PLUS 5mm DIS

Facility

$190.00

Hospital Charge Code	270601435
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

CUTTER AGGRESSIVE SERRATED 4.0

Facility

$2,116.00

Hospital Charge Code	270658105
Hospital Revenue Code	272
Min. Negotiated Rate	$317.40
Max. Negotiated Rate	$317.40
Rate for Payer: Qualcare PPO/HMO/WC	$317.40

CUTTER AGGRESSIVE SERRATED 4.0

Facility

$2,116.00

Hospital Charge Code	270658105
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$1,058.00
Rate for Payer: Aetna Commercial	$804.08
Rate for Payer: Aetna Medicare Advantage	$634.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.58
Rate for Payer: Cigna Commercial	$1,058.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$634.80
Rate for Payer: Oxford Commercial	$423.20
Rate for Payer: Qualcare PPO/HMO/WC	$317.40
Rate for Payer: UnitedHealthcare Commercial	$423.20
Rate for Payer: UnitedHealthcare Community & State	$51.00
Rate for Payer: Wellpoint Medicaid Managed Care	$56.07

CUTTER AGGRESS SM JOINT 2.5MM

Facility

$200.00

Hospital Charge Code	270658012
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER AGGRESS SM JOINT 2.5MM

Facility

$200.00

Hospital Charge Code	270658012
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

CUTTER AGGRESSV PLUS 2.5mm

Facility

$1,000.00

Hospital Charge Code	270640297
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CUTTER AGGRESSV PLUS 2.5mm

Facility

$1,000.00

Hospital Charge Code	270640297
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

CUTTER AGGR MENISCUS DISP 4MM

Facility

$338.25

Hospital Charge Code	270657558
Hospital Revenue Code	272
Min. Negotiated Rate	$50.74
Max. Negotiated Rate	$50.74
Rate for Payer: Qualcare PPO/HMO/WC	$50.74

CUTTER AGGR MENISCUS DISP 4MM

Facility

$338.25

Hospital Charge Code	270657558
Hospital Revenue Code	272
Min. Negotiated Rate	$8.15
Max. Negotiated Rate	$169.12
Rate for Payer: Aetna Commercial	$128.53
Rate for Payer: Aetna Medicare Advantage	$101.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.25
Rate for Payer: Cigna Commercial	$169.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.47
Rate for Payer: Oxford Commercial	$67.65
Rate for Payer: Qualcare PPO/HMO/WC	$50.74
Rate for Payer: UnitedHealthcare Commercial	$67.65
Rate for Payer: UnitedHealthcare Community & State	$8.15
Rate for Payer: Wellpoint Medicaid Managed Care	$8.96

CUTTER AGGRSSV SM JOINT 3.5MM

Facility

$1,939.30

Hospital Charge Code	270658023
Hospital Revenue Code	272
Min. Negotiated Rate	$46.74
Max. Negotiated Rate	$969.65
Rate for Payer: Aetna Commercial	$736.93
Rate for Payer: Aetna Medicare Advantage	$581.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.52
Rate for Payer: Cigna Commercial	$969.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.79
Rate for Payer: Oxford Commercial	$387.86
Rate for Payer: Qualcare PPO/HMO/WC	$290.89
Rate for Payer: UnitedHealthcare Commercial	$387.86
Rate for Payer: UnitedHealthcare Community & State	$46.74
Rate for Payer: Wellpoint Medicaid Managed Care	$51.39

CUTTER AGGRSSV SM JOINT 3.5MM

Facility

$1,939.30

Hospital Charge Code	270658023
Hospital Revenue Code	272
Min. Negotiated Rate	$290.89
Max. Negotiated Rate	$290.89
Rate for Payer: Qualcare PPO/HMO/WC	$290.89

CUTTER AGRESSIVE +SM JOI 3.5mm

Facility

$190.00

Hospital Charge Code	270624901
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

CUTTER AGRESSIVE +SM JOI 3.5mm

Facility

$190.00

Hospital Charge Code	270624901
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER ANGLD DOUBLE BITE 4.5mm

Facility

$190.00

Hospital Charge Code	270644922
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

CUTTER ANGLD DOUBLE BITE 4.5mm

Facility

$190.00

Hospital Charge Code	270644922
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER ANGLED 4.5 MM

Facility

$200.00

Hospital Charge Code	270659129
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

CUTTER ANGLED 4.5 MM

Facility

$200.00

Hospital Charge Code	270659129
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER BLD AGRESSIVE +SHVE 4mm

Facility

$190.00

Hospital Charge Code	270644547
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

CUTTER BLD AGRESSIVE +SHVE 4mm

Facility

$190.00

Hospital Charge Code	270644547
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER BUR 2.0mm MICRODEBRIDER

Facility

$73.15

Hospital Charge Code	270639248
Hospital Revenue Code	272
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.58
Rate for Payer: Aetna Commercial	$27.80
Rate for Payer: Aetna Medicare Advantage	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.65
Rate for Payer: Cigna Commercial	$36.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.95
Rate for Payer: Oxford Commercial	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.97
Rate for Payer: UnitedHealthcare Commercial	$14.63
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.94

CUTTER BUR 2.0mm MICRODEBRIDER

Facility

$73.15

Hospital Charge Code	270639248
Hospital Revenue Code	272
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$10.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.97

CUTTER DIAMOND PIN 7

Facility

$1,030.00

Hospital Charge Code	270667586
Hospital Revenue Code	272
Min. Negotiated Rate	$24.82
Max. Negotiated Rate	$515.00
Rate for Payer: Aetna Commercial	$391.40
Rate for Payer: Aetna Medicare Advantage	$309.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.65
Rate for Payer: Cigna Commercial	$515.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$309.00
Rate for Payer: Oxford Commercial	$206.00
Rate for Payer: Qualcare PPO/HMO/WC	$154.50
Rate for Payer: UnitedHealthcare Commercial	$206.00
Rate for Payer: UnitedHealthcare Community & State	$24.82
Rate for Payer: Wellpoint Medicaid Managed Care	$27.30

CUTTER DIAMOND PIN 7

Facility

$1,030.00

Hospital Charge Code	270667586
Hospital Revenue Code	272
Min. Negotiated Rate	$154.50
Max. Negotiated Rate	$154.50
Rate for Payer: Qualcare PPO/HMO/WC	$154.50

Know your out-of-pocket cost for care.

All Charges