Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CUTTER RESECTOR 5.5mm

Facility

$190.00

Hospital Charge Code	270612085
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER RESECTOR 5.5mm

Facility

$190.00

Hospital Charge Code	270612085
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 RESECTOR 5mm

Facility

$200.00

Hospital Charge Code	270601428
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

CUTTER RESECTOR 5mm

Facility

$200.00

Hospital Charge Code	270601428
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 RESECTOR BONE PLUG 4mm

Facility

$190.00

Hospital Charge Code	270641987
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER RESECTOR BONE PLUG 4mm

Facility

$190.00

Hospital Charge Code	270641987
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 SLOTTED WHISKER 4.0MM

Facility

$1,691.25

Hospital Charge Code	270658039
Hospital Revenue Code	272
Min. Negotiated Rate	$253.69
Max. Negotiated Rate	$253.69
Rate for Payer: Qualcare PPO/HMO/WC	$253.69

CUTTER SLOTTED WHISKER 4.0MM

Facility

$1,691.25

Hospital Charge Code	270658039
Hospital Revenue Code	272
Min. Negotiated Rate	$40.76
Max. Negotiated Rate	$845.62
Rate for Payer: Aetna Commercial	$642.67
Rate for Payer: Aetna Medicare Advantage	$507.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$431.27
Rate for Payer: Cigna Commercial	$845.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.38
Rate for Payer: Oxford Commercial	$338.25
Rate for Payer: Qualcare PPO/HMO/WC	$253.69
Rate for Payer: UnitedHealthcare Commercial	$338.25
Rate for Payer: UnitedHealthcare Community & State	$40.76
Rate for Payer: Wellpoint Medicaid Managed Care	$44.82

CUTTER SLOTTED WHISKER 4mm

Facility

$190.00

Hospital Charge Code	270619067
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 SLOTTED WHISKER 4mm

Facility

$190.00

Hospital Charge Code	270619067
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

CUTTER STRY AGGRES *****

Facility

$160.00

Hospital Charge Code	1606490
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

CUTTER STRY AGGRES *****

Facility

$160.00

Hospital Charge Code	1606490
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CUTTER STRY AGGRES ********

Facility

$160.00

Hospital Charge Code	1606441
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

CUTTER STRY AGGRES ********

Facility

$160.00

Hospital Charge Code	1606441
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

CUTTER STRY AGGRES 2.5MM

Facility

$264.16

Hospital Charge Code	270601425
Hospital Revenue Code	272
Min. Negotiated Rate	$39.62
Max. Negotiated Rate	$39.62
Rate for Payer: Qualcare PPO/HMO/WC	$39.62

CUTTER STRY AGGRES 2.5MM

Facility

$264.16

Hospital Charge Code	270601425
Hospital Revenue Code	272
Min. Negotiated Rate	$6.37
Max. Negotiated Rate	$132.08
Rate for Payer: Aetna Commercial	$100.38
Rate for Payer: Aetna Medicare Advantage	$79.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.36
Rate for Payer: Cigna Commercial	$132.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.25
Rate for Payer: Oxford Commercial	$52.83
Rate for Payer: Qualcare PPO/HMO/WC	$39.62
Rate for Payer: UnitedHealthcare Commercial	$52.83
Rate for Payer: UnitedHealthcare Community & State	$6.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7.00

CUTTER STRY AGGRES 3.5MM

Facility

$811.25

Hospital Charge Code	270601430
Hospital Revenue Code	272
Min. Negotiated Rate	$19.55
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$308.27
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.38
Rate for Payer: Oxford Commercial	$162.25
Rate for Payer: Qualcare PPO/HMO/WC	$121.69
Rate for Payer: UnitedHealthcare Commercial	$162.25
Rate for Payer: UnitedHealthcare Community & State	$19.55
Rate for Payer: Wellpoint Medicaid Managed Care	$21.50

CUTTER STRY AGGRES 3.5MM

Facility

$811.25

Hospital Charge Code	270601430
Hospital Revenue Code	272
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$121.69
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

CUTTER STRY AGGRES 4.0MM

Facility

$332.70

Hospital Charge Code	270601416
Hospital Revenue Code	272
Min. Negotiated Rate	$8.02
Max. Negotiated Rate	$166.35
Rate for Payer: Aetna Commercial	$126.43
Rate for Payer: Aetna Medicare Advantage	$99.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.84
Rate for Payer: Cigna Commercial	$166.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.81
Rate for Payer: Oxford Commercial	$66.54
Rate for Payer: Qualcare PPO/HMO/WC	$49.91
Rate for Payer: UnitedHealthcare Commercial	$66.54
Rate for Payer: UnitedHealthcare Community & State	$8.02
Rate for Payer: Wellpoint Medicaid Managed Care	$8.82

CUTTER STRY AGGRES 4.0MM

Facility

$332.70

Hospital Charge Code	270601416
Hospital Revenue Code	272
Min. Negotiated Rate	$49.91
Max. Negotiated Rate	$49.91
Rate for Payer: Qualcare PPO/HMO/WC	$49.91

CUTTER STRY AGGRES ANG *****

Facility

$177.00

Hospital Charge Code	1606482
Hospital Revenue Code	272
Min. Negotiated Rate	$4.27
Max. Negotiated Rate	$88.50
Rate for Payer: Aetna Commercial	$67.26
Rate for Payer: Aetna Medicare Advantage	$53.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.13
Rate for Payer: Cigna Commercial	$88.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.10
Rate for Payer: Oxford Commercial	$35.40
Rate for Payer: Qualcare PPO/HMO/WC	$26.55
Rate for Payer: UnitedHealthcare Commercial	$35.40
Rate for Payer: UnitedHealthcare Community & State	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$4.69

CUTTER STRY AGGRES ANG *****

Facility

$177.00

Hospital Charge Code	1606482
Hospital Revenue Code	272
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$26.55
Rate for Payer: Qualcare PPO/HMO/WC	$26.55

CUTTER STRY AGGRES ANG 4.0MM

Facility

$872.00

Hospital Charge Code	270601418
Hospital Revenue Code	272
Min. Negotiated Rate	$21.02
Max. Negotiated Rate	$436.00
Rate for Payer: Aetna Commercial	$331.36
Rate for Payer: Aetna Medicare Advantage	$261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.36
Rate for Payer: Cigna Commercial	$436.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.60
Rate for Payer: Oxford Commercial	$174.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.80
Rate for Payer: UnitedHealthcare Commercial	$174.40
Rate for Payer: UnitedHealthcare Community & State	$21.02
Rate for Payer: Wellpoint Medicaid Managed Care	$23.11

CUTTER STRY AGGRES ANG 4.0MM

Facility

$872.00

Hospital Charge Code	270601418
Hospital Revenue Code	272
Min. Negotiated Rate	$130.80
Max. Negotiated Rate	$130.80
Rate for Payer: Qualcare PPO/HMO/WC	$130.80

CUTTER STRY AGGRES MENIS ****

Facility

$284.00

Hospital Charge Code	1606532
Hospital Revenue Code	272
Min. Negotiated Rate	$6.84
Max. Negotiated Rate	$142.00
Rate for Payer: Aetna Commercial	$107.92
Rate for Payer: Aetna Medicare Advantage	$85.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.42
Rate for Payer: Cigna Commercial	$142.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.20
Rate for Payer: Oxford Commercial	$56.80
Rate for Payer: Qualcare PPO/HMO/WC	$42.60
Rate for Payer: UnitedHealthcare Commercial	$56.80
Rate for Payer: UnitedHealthcare Community & State	$6.84
Rate for Payer: Wellpoint Medicaid Managed Care	$7.53

Know your out-of-pocket cost for care.

All Charges