Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER GATOR SHAVER 4.2MM

Facility

$236.90

Hospital Charge Code	270677535
Hospital Revenue Code	272
Min. Negotiated Rate	$35.53
Max. Negotiated Rate	$35.53
Rate for Payer: Qualcare PPO/HMO/WC	$35.53

CUTTER II FLIPPERCUTTER

Facility

$2,075.00

Hospital Charge Code	270688307
Hospital Revenue Code	272
Min. Negotiated Rate	$50.01
Max. Negotiated Rate	$1,037.50
Rate for Payer: Aetna Commercial	$788.50
Rate for Payer: Aetna Medicare Advantage	$622.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.12
Rate for Payer: Cigna Commercial	$1,037.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$622.50
Rate for Payer: Oxford Commercial	$415.00
Rate for Payer: Qualcare PPO/HMO/WC	$311.25
Rate for Payer: UnitedHealthcare Commercial	$415.00
Rate for Payer: UnitedHealthcare Community & State	$50.01
Rate for Payer: Wellpoint Medicaid Managed Care	$54.99

CUTTER II FLIPPERCUTTER

Facility

$2,075.00

Hospital Charge Code	270688307
Hospital Revenue Code	272
Min. Negotiated Rate	$311.25
Max. Negotiated Rate	$311.25
Rate for Payer: Qualcare PPO/HMO/WC	$311.25

CUTTER KLS WIRE 4.75 11-865-12

Facility

$376.85

Hospital Charge Code	270612057
Hospital Revenue Code	272
Min. Negotiated Rate	$56.53
Max. Negotiated Rate	$56.53
Rate for Payer: Qualcare PPO/HMO/WC	$56.53

CUTTER KLS WIRE 4.75 11-865-12

Facility

$376.85

Hospital Charge Code	270612057
Hospital Revenue Code	272
Min. Negotiated Rate	$9.08
Max. Negotiated Rate	$188.43
Rate for Payer: Aetna Commercial	$143.20
Rate for Payer: Aetna Medicare Advantage	$113.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.10
Rate for Payer: Cigna Commercial	$188.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.06
Rate for Payer: Oxford Commercial	$75.37
Rate for Payer: Qualcare PPO/HMO/WC	$56.53
Rate for Payer: UnitedHealthcare Commercial	$75.37
Rate for Payer: UnitedHealthcare Community & State	$9.08
Rate for Payer: Wellpoint Medicaid Managed Care	$9.99

CUTTER KNOT FAST FIX ULTRA

Facility

$690.00

Hospital Charge Code	270656310
Hospital Revenue Code	272
Min. Negotiated Rate	$16.63
Max. Negotiated Rate	$345.00
Rate for Payer: Aetna Commercial	$262.20
Rate for Payer: Aetna Medicare Advantage	$207.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.95
Rate for Payer: Cigna Commercial	$345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.00
Rate for Payer: Oxford Commercial	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$103.50
Rate for Payer: UnitedHealthcare Commercial	$138.00
Rate for Payer: UnitedHealthcare Community & State	$16.63
Rate for Payer: Wellpoint Medicaid Managed Care	$18.29

CUTTER KNOT FAST FIX ULTRA

Facility

$690.00

Hospital Charge Code	270656310
Hospital Revenue Code	272
Min. Negotiated Rate	$103.50
Max. Negotiated Rate	$103.50
Rate for Payer: Qualcare PPO/HMO/WC	$103.50

CUTTER LINEAR 280MM 45 MM COMP

Facility

$1,664.17

Hospital Charge Code	270690128
Hospital Revenue Code	272
Min. Negotiated Rate	$40.11
Max. Negotiated Rate	$832.09
Rate for Payer: Aetna Commercial	$632.38
Rate for Payer: Aetna Medicare Advantage	$499.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.36
Rate for Payer: Cigna Commercial	$832.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.25
Rate for Payer: Oxford Commercial	$332.83
Rate for Payer: Qualcare PPO/HMO/WC	$249.63
Rate for Payer: UnitedHealthcare Commercial	$332.83
Rate for Payer: UnitedHealthcare Community & State	$40.11
Rate for Payer: Wellpoint Medicaid Managed Care	$44.10

CUTTER LINEAR 280MM 45 MM COMP

Facility

$1,664.17

Hospital Charge Code	270690128
Hospital Revenue Code	272
Min. Negotiated Rate	$249.63
Max. Negotiated Rate	$249.63
Rate for Payer: Qualcare PPO/HMO/WC	$249.63

CUTTER LINEAR 55 2.5 WH TVC55

Facility

$239.45

Hospital Charge Code	270608733
Hospital Revenue Code	272
Min. Negotiated Rate	$35.92
Max. Negotiated Rate	$35.92
Rate for Payer: Qualcare PPO/HMO/WC	$35.92

CUTTER LINEAR 55 2.5 WH TVC55

Facility

$239.45

Hospital Charge Code	270608733
Hospital Revenue Code	272
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$119.72
Rate for Payer: Aetna Commercial	$90.99
Rate for Payer: Aetna Medicare Advantage	$71.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.06
Rate for Payer: Cigna Commercial	$119.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.83
Rate for Payer: Oxford Commercial	$47.89
Rate for Payer: Qualcare PPO/HMO/WC	$35.92
Rate for Payer: UnitedHealthcare Commercial	$47.89
Rate for Payer: UnitedHealthcare Community & State	$5.77
Rate for Payer: Wellpoint Medicaid Managed Care	$6.35

CUTTER LINEAR 55MM

Facility

$629.97

Hospital Charge Code	270652020
Hospital Revenue Code	272
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

CUTTER LINEAR 55MM

Facility

$629.97

Hospital Charge Code	270652020
Hospital Revenue Code	272
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$314.99
Rate for Payer: Aetna Commercial	$239.39
Rate for Payer: Aetna Medicare Advantage	$188.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.64
Rate for Payer: Cigna Commercial	$314.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.99
Rate for Payer: Oxford Commercial	$125.99
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Commercial	$125.99
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: Wellpoint Medicaid Managed Care	$16.69

CUTTER LINEAR LOAD UNIT 75MM

Facility

$340.99

Hospital Charge Code	270652018
Hospital Revenue Code	272
Min. Negotiated Rate	$51.15
Max. Negotiated Rate	$51.15
Rate for Payer: Qualcare PPO/HMO/WC	$51.15

CUTTER LINEAR LOAD UNIT 75MM

Facility

$340.99

Hospital Charge Code	270652018
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$170.50
Rate for Payer: Aetna Commercial	$129.58
Rate for Payer: Aetna Medicare Advantage	$102.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.95
Rate for Payer: Cigna Commercial	$170.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.30
Rate for Payer: Oxford Commercial	$68.20
Rate for Payer: Qualcare PPO/HMO/WC	$51.15
Rate for Payer: UnitedHealthcare Commercial	$68.20
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: Wellpoint Medicaid Managed Care	$9.04

CUTTER LINEAR RELOAD 45mm STD

Facility

$806.04

Hospital Charge Code	270651941
Hospital Revenue Code	272
Min. Negotiated Rate	$120.91
Max. Negotiated Rate	$120.91
Rate for Payer: Qualcare PPO/HMO/WC	$120.91

CUTTER LINEAR RELOAD 45mm STD

Facility

$806.04

Hospital Charge Code	270651941
Hospital Revenue Code	272
Min. Negotiated Rate	$19.43
Max. Negotiated Rate	$403.02
Rate for Payer: Aetna Commercial	$306.30
Rate for Payer: Aetna Medicare Advantage	$241.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.54
Rate for Payer: Cigna Commercial	$403.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.81
Rate for Payer: Oxford Commercial	$161.21
Rate for Payer: Qualcare PPO/HMO/WC	$120.91
Rate for Payer: UnitedHealthcare Commercial	$161.21
Rate for Payer: UnitedHealthcare Community & State	$19.43
Rate for Payer: Wellpoint Medicaid Managed Care	$21.36

CUTTER LINEAR RELOAD 75MM GRN

Facility

$415.13

Hospital Charge Code	270608647
Hospital Revenue Code	272
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$207.56
Rate for Payer: Aetna Commercial	$157.75
Rate for Payer: Aetna Medicare Advantage	$124.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.86
Rate for Payer: Cigna Commercial	$207.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$124.54
Rate for Payer: Oxford Commercial	$83.03
Rate for Payer: Qualcare PPO/HMO/WC	$62.27
Rate for Payer: UnitedHealthcare Commercial	$83.03
Rate for Payer: UnitedHealthcare Community & State	$10.00
Rate for Payer: Wellpoint Medicaid Managed Care	$11.00

CUTTER LINEAR RELOAD 75MM GRN

Facility

$415.13

Hospital Charge Code	270608647
Hospital Revenue Code	272
Min. Negotiated Rate	$62.27
Max. Negotiated Rate	$62.27
Rate for Payer: Qualcare PPO/HMO/WC	$62.27

CUTTER LINEAR THCK TISSUE 75MM

Facility

$519.95

Hospital Charge Code	270658426
Hospital Revenue Code	272
Min. Negotiated Rate	$77.99
Max. Negotiated Rate	$77.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99

CUTTER LINEAR THCK TISSUE 75MM

Facility

$519.95

Hospital Charge Code	270658426
Hospital Revenue Code	272
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$259.98
Rate for Payer: Aetna Commercial	$197.58
Rate for Payer: Aetna Medicare Advantage	$155.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132.59
Rate for Payer: Cigna Commercial	$259.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.99
Rate for Payer: Oxford Commercial	$103.99
Rate for Payer: Qualcare PPO/HMO/WC	$77.99
Rate for Payer: UnitedHealthcare Commercial	$103.99
Rate for Payer: UnitedHealthcare Community & State	$12.53
Rate for Payer: Wellpoint Medicaid Managed Care	$13.78

CUTTER PIN CRANOFIX 2

Facility

$2,147.15

Hospital Charge Code	270684903
Hospital Revenue Code	272
Min. Negotiated Rate	$322.07
Max. Negotiated Rate	$322.07
Rate for Payer: Qualcare PPO/HMO/WC	$322.07

CUTTER PIN CRANOFIX 2

Facility

$2,147.15

Hospital Charge Code	270684903
Hospital Revenue Code	272
Min. Negotiated Rate	$51.75
Max. Negotiated Rate	$1,073.58
Rate for Payer: Aetna Commercial	$815.92
Rate for Payer: Aetna Medicare Advantage	$644.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$547.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$547.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$547.52
Rate for Payer: Cigna Commercial	$1,073.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$644.14
Rate for Payer: Oxford Commercial	$429.43
Rate for Payer: Qualcare PPO/HMO/WC	$322.07
Rate for Payer: UnitedHealthcare Commercial	$429.43
Rate for Payer: UnitedHealthcare Community & State	$51.75
Rate for Payer: Wellpoint Medicaid Managed Care	$56.90

CUTTER POWERD ECH FLEX 60 MM

Facility

$11,118.90

Hospital Charge Code	270662790
Hospital Revenue Code	272
Min. Negotiated Rate	$1,667.84
Max. Negotiated Rate	$1,667.84
Rate for Payer: Qualcare PPO/HMO/WC	$1,667.84

CUTTER POWERD ECH FLEX 60 MM

Facility

$11,118.90

Hospital Charge Code	270662790
Hospital Revenue Code	272
Min. Negotiated Rate	$267.97
Max. Negotiated Rate	$5,559.45
Rate for Payer: Aetna Commercial	$4,225.18
Rate for Payer: Aetna Medicare Advantage	$3,335.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,835.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,835.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,835.32
Rate for Payer: Cigna Commercial	$5,559.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,335.67
Rate for Payer: Oxford Commercial	$2,223.78
Rate for Payer: Qualcare PPO/HMO/WC	$1,667.84
Rate for Payer: UnitedHealthcare Commercial	$2,223.78
Rate for Payer: UnitedHealthcare Community & State	$267.97
Rate for Payer: Wellpoint Medicaid Managed Care	$294.65

Know your out-of-pocket cost for care.

All Charges