Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KNIFE BZ STAINLESS STEEL DOM

Facility

$3.13

Hospital Charge Code	270602949
Hospital Revenue Code	272
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.56
Rate for Payer: Aetna Commercial	$1.19
Rate for Payer: Aetna Medicare Advantage	$0.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.80
Rate for Payer: Cigna Commercial	$1.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.94
Rate for Payer: Oxford Commercial	$0.63
Rate for Payer: Qualcare PPO/HMO/WC	$0.47
Rate for Payer: UnitedHealthcare Commercial	$0.63
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

KNIFE CARPAL TUNNEL 1 PIECE

Facility

$1,018.50

Hospital Charge Code	270669884
Hospital Revenue Code	272
Min. Negotiated Rate	$24.55
Max. Negotiated Rate	$509.25
Rate for Payer: Aetna Commercial	$387.03
Rate for Payer: Aetna Medicare Advantage	$305.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$259.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$259.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$259.72
Rate for Payer: Cigna Commercial	$509.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$305.55
Rate for Payer: Oxford Commercial	$203.70
Rate for Payer: Qualcare PPO/HMO/WC	$152.78
Rate for Payer: UnitedHealthcare Commercial	$203.70
Rate for Payer: UnitedHealthcare Community & State	$24.55
Rate for Payer: Wellpoint Medicaid Managed Care	$26.99

KNIFE CARPAL TUNNEL 1 PIECE

Facility

$1,018.50

Hospital Charge Code	270669884
Hospital Revenue Code	272
Min. Negotiated Rate	$152.78
Max. Negotiated Rate	$152.78
Rate for Payer: Qualcare PPO/HMO/WC	$152.78

KNIFE CK HUIBREGT 5.0FR HPC-2

Facility

$872.00

Hospital Charge Code	270600976
Hospital Revenue Code	270
Min. Negotiated Rate	$130.80
Max. Negotiated Rate	$130.80
Rate for Payer: Qualcare PPO/HMO/WC	$130.80

KNIFE CK HUIBREGT 5.0FR HPC-2

Facility

$872.00

Hospital Charge Code	270600976
Hospital Revenue Code	270
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

KNIFE COLD ADULT

Facility

$546.67

Hospital Charge Code	270658543
Hospital Revenue Code	270
Min. Negotiated Rate	$13.17
Max. Negotiated Rate	$273.33
Rate for Payer: Aetna Commercial	$207.73
Rate for Payer: Aetna Medicare Advantage	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.40
Rate for Payer: Cigna Commercial	$273.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.00
Rate for Payer: Oxford Commercial	$109.33
Rate for Payer: Qualcare PPO/HMO/WC	$82.00
Rate for Payer: UnitedHealthcare Commercial	$109.33
Rate for Payer: UnitedHealthcare Community & State	$13.17
Rate for Payer: Wellpoint Medicaid Managed Care	$14.49

KNIFE COLD ADULT

Facility

$546.67

Hospital Charge Code	270658543
Hospital Revenue Code	270
Min. Negotiated Rate	$82.00
Max. Negotiated Rate	$82.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.00

KNIFE HANDLES BEAVER

Facility

$24.70

Hospital Charge Code	270665158
Hospital Revenue Code	270
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.35
Rate for Payer: Aetna Commercial	$9.39
Rate for Payer: Aetna Medicare Advantage	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.30
Rate for Payer: Cigna Commercial	$12.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.41
Rate for Payer: Oxford Commercial	$4.94
Rate for Payer: Qualcare PPO/HMO/WC	$3.71
Rate for Payer: UnitedHealthcare Commercial	$4.94
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.65

KNIFE HANDLES BEAVER

Facility

$24.70

Hospital Charge Code	270665158
Hospital Revenue Code	270
Min. Negotiated Rate	$3.71
Max. Negotiated Rate	$3.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.71

KNIFE J-PLASMA

Facility

$939.00

Hospital Charge Code	270658234
Hospital Revenue Code	270
Min. Negotiated Rate	$140.85
Max. Negotiated Rate	$140.85
Rate for Payer: Qualcare PPO/HMO/WC	$140.85

KNIFE J-PLASMA

Facility

$939.00

Hospital Charge Code	270658234
Hospital Revenue Code	270
Min. Negotiated Rate	$22.63
Max. Negotiated Rate	$469.50
Rate for Payer: Aetna Commercial	$356.82
Rate for Payer: Aetna Medicare Advantage	$281.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.44
Rate for Payer: Cigna Commercial	$469.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$281.70
Rate for Payer: Oxford Commercial	$187.80
Rate for Payer: Qualcare PPO/HMO/WC	$140.85
Rate for Payer: UnitedHealthcare Commercial	$187.80
Rate for Payer: UnitedHealthcare Community & State	$22.63
Rate for Payer: Wellpoint Medicaid Managed Care	$24.88

KNIFE LIF

Facility

$1,500.00

Hospital Charge Code	270702572
Hospital Revenue Code	278
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$363.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

KNIFE LIF

Facility

$1,500.00

Hospital Charge Code	270702572
Hospital Revenue Code	278
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$363.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

KNIFE LVTC ARTHRO BANANA SERR

Facility

$580.85

Hospital Charge Code	270600343
Hospital Revenue Code	272
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$290.43
Rate for Payer: Aetna Commercial	$220.72
Rate for Payer: Aetna Medicare Advantage	$174.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.12
Rate for Payer: Cigna Commercial	$290.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.25
Rate for Payer: Oxford Commercial	$116.17
Rate for Payer: Qualcare PPO/HMO/WC	$87.13
Rate for Payer: UnitedHealthcare Commercial	$116.17
Rate for Payer: UnitedHealthcare Community & State	$14.00
Rate for Payer: Wellpoint Medicaid Managed Care	$15.39

KNIFE LVTC ARTHRO BANANA SERR

Facility

$580.85

Hospital Charge Code	270600343
Hospital Revenue Code	272
Min. Negotiated Rate	$87.13
Max. Negotiated Rate	$87.13
Rate for Payer: Qualcare PPO/HMO/WC	$87.13

KNIFE MICROSURGERY

Facility

$204.15

Hospital Charge Code	270675324
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.08
Rate for Payer: Aetna Commercial	$77.58
Rate for Payer: Aetna Medicare Advantage	$61.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.06
Rate for Payer: Cigna Commercial	$102.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.24
Rate for Payer: Oxford Commercial	$40.83
Rate for Payer: Qualcare PPO/HMO/WC	$30.62
Rate for Payer: UnitedHealthcare Commercial	$40.83
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

KNIFE MICROSURGERY

Facility

$204.15

Hospital Charge Code	270675324
Hospital Revenue Code	272
Min. Negotiated Rate	$30.62
Max. Negotiated Rate	$30.62
Rate for Payer: Qualcare PPO/HMO/WC	$30.62

KNIFE MICRO-UNITOME 22.5

Facility

$71.00

Hospital Charge Code	270335133
Hospital Revenue Code	272
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

KNIFE MICRO-UNITOME 22.5

Facility

$71.00

Hospital Charge Code	270335133
Hospital Revenue Code	272
Min. Negotiated Rate	$10.65
Max. Negotiated Rate	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$10.65

KNIFE MTK ACL GRAFT 10 200701

Facility

$950.00

Hospital Charge Code	270625067
Hospital Revenue Code	272
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

KNIFE MTK ACL GRAFT 10 200701

Facility

$950.00

Hospital Charge Code	270625067
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

KNIFE OPHTHALMIC CURVED 6/BX

Facility

$111.65

Hospital Charge Code	270650725
Hospital Revenue Code	271
Min. Negotiated Rate	$2.69
Max. Negotiated Rate	$55.83
Rate for Payer: Aetna Commercial	$42.43
Rate for Payer: Aetna Medicare Advantage	$33.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.47
Rate for Payer: Cigna Commercial	$55.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.49
Rate for Payer: Oxford Commercial	$22.33
Rate for Payer: Qualcare PPO/HMO/WC	$16.75
Rate for Payer: UnitedHealthcare Commercial	$22.33
Rate for Payer: UnitedHealthcare Community & State	$2.69
Rate for Payer: Wellpoint Medicaid Managed Care	$2.96

KNIFE OPHTHALMIC CURVED 6/BX

Facility

$111.65

Hospital Charge Code	270650725
Hospital Revenue Code	271
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$16.75
Rate for Payer: Qualcare PPO/HMO/WC	$16.75

KNIFE OPHTHALMIC SLIT 2.4MM AN

Facility

$232.75

Hospital Charge Code	270655842
Hospital Revenue Code	272
Min. Negotiated Rate	$34.91
Max. Negotiated Rate	$34.91
Rate for Payer: Qualcare PPO/HMO/WC	$34.91

KNIFE OPHTHALMIC SLIT 2.4MM AN

Facility

$232.75

Hospital Charge Code	270655842
Hospital Revenue Code	272
Min. Negotiated Rate	$5.61
Max. Negotiated Rate	$116.38
Rate for Payer: Aetna Commercial	$88.44
Rate for Payer: Aetna Medicare Advantage	$69.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.35
Rate for Payer: Cigna Commercial	$116.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.83
Rate for Payer: Oxford Commercial	$46.55
Rate for Payer: Qualcare PPO/HMO/WC	$34.91
Rate for Payer: UnitedHealthcare Commercial	$46.55
Rate for Payer: UnitedHealthcare Community & State	$5.61
Rate for Payer: Wellpoint Medicaid Managed Care	$6.17

Know your out-of-pocket cost for care.

All Charges