Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER DISPOSIBLE

Facility

$427.60

Hospital Charge Code	270659979
Hospital Revenue Code	272
Min. Negotiated Rate	$64.14
Max. Negotiated Rate	$64.14
Rate for Payer: Qualcare PPO/HMO/WC	$64.14

CUTTER DISPOSIBLE

Facility

$427.60

Hospital Charge Code	270659979
Hospital Revenue Code	272
Min. Negotiated Rate	$10.31
Max. Negotiated Rate	$213.80
Rate for Payer: Aetna Commercial	$162.49
Rate for Payer: Aetna Medicare Advantage	$128.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.04
Rate for Payer: Cigna Commercial	$213.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.28
Rate for Payer: Oxford Commercial	$85.52
Rate for Payer: Qualcare PPO/HMO/WC	$64.14
Rate for Payer: UnitedHealthcare Commercial	$85.52
Rate for Payer: UnitedHealthcare Community & State	$10.31
Rate for Payer: Wellpoint Medicaid Managed Care	$11.33

CUTTER DRIVER DIRECT GEN5

Facility

$0.01

Hospital Charge Code	270649461S
Hospital Revenue Code	272
Max. Negotiated Rate	$0.01
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$0.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$0.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

CUTTER DRIVER DIRECT GEN5

Facility

$0.01

Hospital Charge Code	270649461S
Hospital Revenue Code	272
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

CUTTER ECHELON 60 LINEAR

Facility

$229.64

Hospital Charge Code	270608732
Hospital Revenue Code	272
Min. Negotiated Rate	$34.45
Max. Negotiated Rate	$34.45
Rate for Payer: Qualcare PPO/HMO/WC	$34.45

CUTTER ECHELON 60 LINEAR

Facility

$229.64

Hospital Charge Code	270608732
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$114.82
Rate for Payer: Aetna Commercial	$87.26
Rate for Payer: Aetna Medicare Advantage	$68.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.56
Rate for Payer: Cigna Commercial	$114.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.89
Rate for Payer: Oxford Commercial	$45.93
Rate for Payer: Qualcare PPO/HMO/WC	$34.45
Rate for Payer: UnitedHealthcare Commercial	$45.93
Rate for Payer: UnitedHealthcare Community & State	$5.53
Rate for Payer: Wellpoint Medicaid Managed Care	$6.09

CUTTER ECHELON LINEAR 45MM

Facility

$2,026.95

Hospital Charge Code	270670865
Hospital Revenue Code	272
Min. Negotiated Rate	$48.85
Max. Negotiated Rate	$1,013.48
Rate for Payer: Aetna Commercial	$770.24
Rate for Payer: Aetna Medicare Advantage	$608.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.87
Rate for Payer: Cigna Commercial	$1,013.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$608.09
Rate for Payer: Oxford Commercial	$405.39
Rate for Payer: Qualcare PPO/HMO/WC	$304.04
Rate for Payer: UnitedHealthcare Commercial	$405.39
Rate for Payer: UnitedHealthcare Community & State	$48.85
Rate for Payer: Wellpoint Medicaid Managed Care	$53.71

CUTTER ECHELON LINEAR 45MM

Facility

$2,026.95

Hospital Charge Code	270670865
Hospital Revenue Code	272
Min. Negotiated Rate	$304.04
Max. Negotiated Rate	$304.04
Rate for Payer: Qualcare PPO/HMO/WC	$304.04

CUTTER ENDO 35MM

Facility

$1,419.98

Hospital Charge Code	270658493
Hospital Revenue Code	272
Min. Negotiated Rate	$213.00
Max. Negotiated Rate	$213.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.00

CUTTER ENDO 35MM

Facility

$1,419.98

Hospital Charge Code	270658493
Hospital Revenue Code	272
Min. Negotiated Rate	$34.22
Max. Negotiated Rate	$709.99
Rate for Payer: Aetna Commercial	$539.59
Rate for Payer: Aetna Medicare Advantage	$425.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$362.09
Rate for Payer: Cigna Commercial	$709.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$425.99
Rate for Payer: Oxford Commercial	$284.00
Rate for Payer: Qualcare PPO/HMO/WC	$213.00
Rate for Payer: UnitedHealthcare Commercial	$284.00
Rate for Payer: UnitedHealthcare Community & State	$34.22
Rate for Payer: Wellpoint Medicaid Managed Care	$37.63

CUTTER ENDO PRELOADED WHT 35MM

Facility

$115.00

Hospital Charge Code	270656581
Hospital Revenue Code	272
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$17.25
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

CUTTER ENDO PRELOADED WHT 35MM

Facility

$115.00

Hospital Charge Code	270656581
Hospital Revenue Code	272
Min. Negotiated Rate	$2.77
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.50
Rate for Payer: Oxford Commercial	$23.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Commercial	$23.00
Rate for Payer: UnitedHealthcare Community & State	$2.77
Rate for Payer: Wellpoint Medicaid Managed Care	$3.05

CUTTER ENDOSCOPIC ECHELON

Facility

$1,925.08

Hospital Charge Code	270662483
Hospital Revenue Code	272
Min. Negotiated Rate	$288.76
Max. Negotiated Rate	$288.76
Rate for Payer: Qualcare PPO/HMO/WC	$288.76

CUTTER ENDOSCOPIC ECHELON

Facility

$1,925.08

Hospital Charge Code	270662483
Hospital Revenue Code	272
Min. Negotiated Rate	$46.39
Max. Negotiated Rate	$962.54
Rate for Payer: Aetna Commercial	$731.53
Rate for Payer: Aetna Medicare Advantage	$577.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.90
Rate for Payer: Cigna Commercial	$962.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$577.52
Rate for Payer: Oxford Commercial	$385.02
Rate for Payer: Qualcare PPO/HMO/WC	$288.76
Rate for Payer: UnitedHealthcare Commercial	$385.02
Rate for Payer: UnitedHealthcare Community & State	$46.39
Rate for Payer: Wellpoint Medicaid Managed Care	$51.01

CUTTER ETH ARTIC ENDO 45 ATB45

Facility

$1,566.65

Hospital Charge Code	270625728
Hospital Revenue Code	272
Min. Negotiated Rate	$235.00
Max. Negotiated Rate	$235.00
Rate for Payer: Qualcare PPO/HMO/WC	$235.00

CUTTER ETH ARTIC ENDO 45 ATB45

Facility

$1,566.65

Hospital Charge Code	270625728
Hospital Revenue Code	272
Min. Negotiated Rate	$37.76
Max. Negotiated Rate	$783.33
Rate for Payer: Aetna Commercial	$595.33
Rate for Payer: Aetna Medicare Advantage	$470.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.50
Rate for Payer: Cigna Commercial	$783.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$470.00
Rate for Payer: Oxford Commercial	$313.33
Rate for Payer: Qualcare PPO/HMO/WC	$235.00
Rate for Payer: UnitedHealthcare Commercial	$313.33
Rate for Payer: UnitedHealthcare Community & State	$37.76
Rate for Payer: Wellpoint Medicaid Managed Care	$41.52

CUTTER ETH ARTIC ENDO 45 TR45W

Facility

$1,172.58

Hospital Charge Code	270625420
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.29
Rate for Payer: Aetna Commercial	$445.58
Rate for Payer: Aetna Medicare Advantage	$351.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$299.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$299.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$299.01
Rate for Payer: Cigna Commercial	$586.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.77
Rate for Payer: Oxford Commercial	$234.52
Rate for Payer: Qualcare PPO/HMO/WC	$175.89
Rate for Payer: UnitedHealthcare Commercial	$234.52
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

CUTTER ETH ARTIC ENDO 45 TR45W

Facility

$1,172.58

Hospital Charge Code	270625420
Hospital Revenue Code	272
Min. Negotiated Rate	$175.89
Max. Negotiated Rate	$175.89
Rate for Payer: Qualcare PPO/HMO/WC	$175.89

CUTTER FULL RADIUS 3.5MM

Facility

$1,283.75

Service Code	HCPCS C1776
Hospital Charge Code	270658028
Hospital Revenue Code	278
Min. Negotiated Rate	$192.56
Max. Negotiated Rate	$310.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.43
Rate for Payer: Qualcare PPO/HMO/WC	$192.56

CUTTER FULL RADIUS 3.5MM

Facility

$1,283.75

Service Code	HCPCS C1776
Hospital Charge Code	270658028
Hospital Revenue Code	278
Min. Negotiated Rate	$30.94
Max. Negotiated Rate	$641.88
Rate for Payer: Aetna Commercial	$487.82
Rate for Payer: Aetna Medicare Advantage	$385.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$327.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$327.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$256.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$327.36
Rate for Payer: Cigna Commercial	$641.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$282.43
Rate for Payer: Qualcare PPO/HMO/WC	$192.56
Rate for Payer: UnitedHealthcare Community & State	$30.94
Rate for Payer: Wellpoint Medicaid Managed Care	$34.02

CUTTER FULL RADIUS 3.5 SMJOINT

Facility

$166.67

Hospital Charge Code	270657597
Hospital Revenue Code	272
Min. Negotiated Rate	$25.00
Max. Negotiated Rate	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.00

CUTTER FULL RADIUS 3.5 SMJOINT

Facility

$166.67

Hospital Charge Code	270657597
Hospital Revenue Code	272
Min. Negotiated Rate	$4.02
Max. Negotiated Rate	$83.33
Rate for Payer: Aetna Commercial	$63.33
Rate for Payer: Aetna Medicare Advantage	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.50
Rate for Payer: Cigna Commercial	$83.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.00
Rate for Payer: Oxford Commercial	$33.33
Rate for Payer: Qualcare PPO/HMO/WC	$25.00
Rate for Payer: UnitedHealthcare Commercial	$33.33
Rate for Payer: UnitedHealthcare Community & State	$4.02
Rate for Payer: Wellpoint Medicaid Managed Care	$4.42

CUTTER FULL RAD SM JOINT 2.5MM

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270658007
Hospital Revenue Code	278
Min. Negotiated Rate	$35.81
Max. Negotiated Rate	$57.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.81

CUTTER FULL RAD SM JOINT 2.5MM

Facility

$238.76

Service Code	HCPCS C1776
Hospital Charge Code	270658007
Hospital Revenue Code	278
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.38
Rate for Payer: Aetna Commercial	$90.73
Rate for Payer: Aetna Medicare Advantage	$71.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$47.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.88
Rate for Payer: Cigna Commercial	$119.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$52.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.81
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.33

CUTTER GATOR SHAVER 4.2MM

Facility

$236.90

Hospital Charge Code	270677535
Hospital Revenue Code	272
Min. Negotiated Rate	$5.71
Max. Negotiated Rate	$118.45
Rate for Payer: Aetna Commercial	$90.02
Rate for Payer: Aetna Medicare Advantage	$71.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.41
Rate for Payer: Cigna Commercial	$118.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.07
Rate for Payer: Oxford Commercial	$47.38
Rate for Payer: Qualcare PPO/HMO/WC	$35.53
Rate for Payer: UnitedHealthcare Commercial	$47.38
Rate for Payer: UnitedHealthcare Community & State	$5.71
Rate for Payer: Wellpoint Medicaid Managed Care	$6.28

Know your out-of-pocket cost for care.

All Charges