Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KNIFE OPHTH SURGN PLS ULTTHN**

Facility

$40.00

Hospital Charge Code	1600907
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$8.00
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

KNIFE OPHTH SURGN PLS ULTTHN**

Facility

$40.00

Hospital Charge Code	1600907
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

KNIFE OPTHALMIC 15 DEGREE

Facility

$62.00

Hospital Charge Code	270335131
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$31.00
Rate for Payer: Aetna Commercial	$23.56
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.81
Rate for Payer: Cigna Commercial	$31.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: Oxford Commercial	$12.40
Rate for Payer: Qualcare PPO/HMO/WC	$9.30
Rate for Payer: UnitedHealthcare Commercial	$12.40
Rate for Payer: UnitedHealthcare Community & State	$1.49
Rate for Payer: Wellpoint Medicaid Managed Care	$1.64

KNIFE OPTHALMIC 15 DEGREE

Facility

$62.00

Hospital Charge Code	270335131
Hospital Revenue Code	272
Min. Negotiated Rate	$9.30
Max. Negotiated Rate	$9.30
Rate for Payer: Qualcare PPO/HMO/WC	$9.30

KNIFE OPTHALMIC 57

Facility

$203.00

Hospital Charge Code	270335134
Hospital Revenue Code	272
Min. Negotiated Rate	$4.89
Max. Negotiated Rate	$101.50
Rate for Payer: Aetna Commercial	$77.14
Rate for Payer: Aetna Medicare Advantage	$60.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.77
Rate for Payer: Cigna Commercial	$101.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.90
Rate for Payer: Oxford Commercial	$40.60
Rate for Payer: Qualcare PPO/HMO/WC	$30.45
Rate for Payer: UnitedHealthcare Commercial	$40.60
Rate for Payer: UnitedHealthcare Community & State	$4.89
Rate for Payer: Wellpoint Medicaid Managed Care	$5.38

KNIFE OPTHALMIC 57

Facility

$203.00

Hospital Charge Code	270335134
Hospital Revenue Code	272
Min. Negotiated Rate	$30.45
Max. Negotiated Rate	$30.45
Rate for Payer: Qualcare PPO/HMO/WC	$30.45

KNIFE PHACO SLIT PAK 3.2 MM

Facility

$394.90

Hospital Charge Code	270654249
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.45
Rate for Payer: Aetna Commercial	$150.06
Rate for Payer: Aetna Medicare Advantage	$118.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.70
Rate for Payer: Cigna Commercial	$197.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.47
Rate for Payer: Oxford Commercial	$78.98
Rate for Payer: Qualcare PPO/HMO/WC	$59.23
Rate for Payer: UnitedHealthcare Commercial	$78.98
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.46

KNIFE PHACO SLIT PAK 3.2 MM

Facility

$394.90

Hospital Charge Code	270654249
Hospital Revenue Code	272
Min. Negotiated Rate	$59.23
Max. Negotiated Rate	$59.23
Rate for Payer: Qualcare PPO/HMO/WC	$59.23

KNIFE SACHSE COLD STR

Facility

$811.97

Hospital Charge Code	270644707
Hospital Revenue Code	272
Min. Negotiated Rate	$19.57
Max. Negotiated Rate	$405.99
Rate for Payer: Aetna Commercial	$308.55
Rate for Payer: Aetna Medicare Advantage	$243.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.05
Rate for Payer: Cigna Commercial	$405.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.59
Rate for Payer: Oxford Commercial	$162.39
Rate for Payer: Qualcare PPO/HMO/WC	$121.80
Rate for Payer: UnitedHealthcare Commercial	$162.39
Rate for Payer: UnitedHealthcare Community & State	$19.57
Rate for Payer: Wellpoint Medicaid Managed Care	$21.52

KNIFE SACHSE COLD STR

Facility

$811.97

Hospital Charge Code	270644707
Hospital Revenue Code	272
Min. Negotiated Rate	$121.80
Max. Negotiated Rate	$121.80
Rate for Payer: Qualcare PPO/HMO/WC	$121.80

KNIFE SATIN CRESCENT ANGL

Facility

$669.90

Hospital Charge Code	270655245
Hospital Revenue Code	272
Min. Negotiated Rate	$100.48
Max. Negotiated Rate	$100.48
Rate for Payer: Qualcare PPO/HMO/WC	$100.48

KNIFE SATIN CRESCENT ANGL

Facility

$669.90

Hospital Charge Code	270655245
Hospital Revenue Code	272
Min. Negotiated Rate	$16.14
Max. Negotiated Rate	$334.95
Rate for Payer: Aetna Commercial	$254.56
Rate for Payer: Aetna Medicare Advantage	$200.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.82
Rate for Payer: Cigna Commercial	$334.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.97
Rate for Payer: Oxford Commercial	$133.98
Rate for Payer: Qualcare PPO/HMO/WC	$100.48
Rate for Payer: UnitedHealthcare Commercial	$133.98
Rate for Payer: UnitedHealthcare Community & State	$16.14
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

KNIFE SLIT ANGD 2.7 8065992745

Facility

$126.50

Hospital Charge Code	270618533
Hospital Revenue Code	272
Min. Negotiated Rate	$3.05
Max. Negotiated Rate	$63.25
Rate for Payer: Aetna Commercial	$48.07
Rate for Payer: Aetna Medicare Advantage	$37.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.26
Rate for Payer: Cigna Commercial	$63.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.95
Rate for Payer: Oxford Commercial	$25.30
Rate for Payer: Qualcare PPO/HMO/WC	$18.98
Rate for Payer: UnitedHealthcare Commercial	$25.30
Rate for Payer: UnitedHealthcare Community & State	$3.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.35

KNIFE SLIT ANGD 2.7 8065992745

Facility

$126.50

Hospital Charge Code	270618533
Hospital Revenue Code	272
Min. Negotiated Rate	$18.98
Max. Negotiated Rate	$18.98
Rate for Payer: Qualcare PPO/HMO/WC	$18.98

KNIFE SLIT OPTH 3.2MM 993261

Facility

$604.20

Hospital Charge Code	270626715
Hospital Revenue Code	272
Min. Negotiated Rate	$14.56
Max. Negotiated Rate	$302.10
Rate for Payer: Aetna Commercial	$229.60
Rate for Payer: Aetna Medicare Advantage	$181.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.07
Rate for Payer: Cigna Commercial	$302.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.26
Rate for Payer: Oxford Commercial	$120.84
Rate for Payer: Qualcare PPO/HMO/WC	$90.63
Rate for Payer: UnitedHealthcare Commercial	$120.84
Rate for Payer: UnitedHealthcare Community & State	$14.56
Rate for Payer: Wellpoint Medicaid Managed Care	$16.01

KNIFE SLIT OPTH 3.2MM 993261

Facility

$604.20

Hospital Charge Code	270626715
Hospital Revenue Code	272
Min. Negotiated Rate	$90.63
Max. Negotiated Rate	$90.63
Rate for Payer: Qualcare PPO/HMO/WC	$90.63

KNIFE STKR MENISCUS ANGLED****

Facility

$177.00

Hospital Charge Code	1606466
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

KNIFE STKR MENISCUS ANGLED****

Facility

$177.00

Hospital Charge Code	1606466
Hospital Revenue Code	272
Min. Negotiated Rate	$26.55
Max. Negotiated Rate	$26.55
Rate for Payer: Qualcare PPO/HMO/WC	$26.55

KNIFE STORZ COLD

Facility

$556.00

Hospital Charge Code	270335143
Hospital Revenue Code	272
Min. Negotiated Rate	$13.40
Max. Negotiated Rate	$278.00
Rate for Payer: Aetna Commercial	$211.28
Rate for Payer: Aetna Medicare Advantage	$166.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.78
Rate for Payer: Cigna Commercial	$278.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.80
Rate for Payer: Oxford Commercial	$111.20
Rate for Payer: Qualcare PPO/HMO/WC	$83.40
Rate for Payer: UnitedHealthcare Commercial	$111.20
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: Wellpoint Medicaid Managed Care	$14.73

KNIFE STORZ COLD

Facility

$556.00

Hospital Charge Code	270335143
Hospital Revenue Code	272
Min. Negotiated Rate	$83.40
Max. Negotiated Rate	$83.40
Rate for Payer: Qualcare PPO/HMO/WC	$83.40

KNIFE STRAIGHT COLD

Facility

$921.00

Hospital Charge Code	270335281
Hospital Revenue Code	272
Min. Negotiated Rate	$138.15
Max. Negotiated Rate	$138.15
Rate for Payer: Qualcare PPO/HMO/WC	$138.15

KNIFE STRAIGHT COLD

Facility

$921.00

Hospital Charge Code	270335281
Hospital Revenue Code	272
Min. Negotiated Rate	$22.20
Max. Negotiated Rate	$460.50
Rate for Payer: Aetna Commercial	$349.98
Rate for Payer: Aetna Medicare Advantage	$276.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.85
Rate for Payer: Cigna Commercial	$460.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.30
Rate for Payer: Oxford Commercial	$184.20
Rate for Payer: Qualcare PPO/HMO/WC	$138.15
Rate for Payer: UnitedHealthcare Commercial	$184.20
Rate for Payer: UnitedHealthcare Community & State	$22.20
Rate for Payer: Wellpoint Medicaid Managed Care	$24.41

KNIFE W/BD XSTAR BLADE

Facility

$71.96

Hospital Charge Code	270652260
Hospital Revenue Code	272
Min. Negotiated Rate	$10.79
Max. Negotiated Rate	$10.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.79

KNIFE W/BD XSTAR BLADE

Facility

$71.96

Hospital Charge Code	270652260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$35.98
Rate for Payer: Aetna Commercial	$27.34
Rate for Payer: Aetna Medicare Advantage	$21.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.35
Rate for Payer: Cigna Commercial	$35.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.59
Rate for Payer: Oxford Commercial	$14.39
Rate for Payer: Qualcare PPO/HMO/WC	$10.79
Rate for Payer: UnitedHealthcare Commercial	$14.39
Rate for Payer: UnitedHealthcare Community & State	$1.73
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

KNIFE W/XSTAR BLADE

Facility

$97.40

Hospital Charge Code	270652263
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$48.70
Rate for Payer: Aetna Commercial	$37.01
Rate for Payer: Aetna Medicare Advantage	$29.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.84
Rate for Payer: Cigna Commercial	$48.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.22
Rate for Payer: Oxford Commercial	$19.48
Rate for Payer: Qualcare PPO/HMO/WC	$14.61
Rate for Payer: UnitedHealthcare Commercial	$19.48
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

Know your out-of-pocket cost for care.

All Charges