Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KNIFE W/XSTAR BLADE

Facility

$97.40

Hospital Charge Code	270652263
Hospital Revenue Code	272
Min. Negotiated Rate	$14.61
Max. Negotiated Rate	$14.61
Rate for Payer: Qualcare PPO/HMO/WC	$14.61

KNIVES

Facility

$1,011.00

Hospital Charge Code	270668391
Hospital Revenue Code	270
Min. Negotiated Rate	$24.37
Max. Negotiated Rate	$505.50
Rate for Payer: Aetna Commercial	$384.18
Rate for Payer: Aetna Medicare Advantage	$303.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.81
Rate for Payer: Cigna Commercial	$505.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.30
Rate for Payer: Oxford Commercial	$202.20
Rate for Payer: Qualcare PPO/HMO/WC	$151.65
Rate for Payer: UnitedHealthcare Commercial	$202.20
Rate for Payer: UnitedHealthcare Community & State	$24.37
Rate for Payer: Wellpoint Medicaid Managed Care	$26.79

KNIVES

Facility

$1,011.00

Hospital Charge Code	270668391
Hospital Revenue Code	270
Min. Negotiated Rate	$151.65
Max. Negotiated Rate	$151.65
Rate for Payer: Qualcare PPO/HMO/WC	$151.65

KNOB BMT PULLER 31472005

Facility

$1,073.65

Hospital Charge Code	270612164
Hospital Revenue Code	272
Min. Negotiated Rate	$161.05
Max. Negotiated Rate	$161.05
Rate for Payer: Qualcare PPO/HMO/WC	$161.05

KNOB BMT PULLER 31472005

Facility

$1,073.65

Hospital Charge Code	270612164
Hospital Revenue Code	272
Min. Negotiated Rate	$25.87
Max. Negotiated Rate	$536.83
Rate for Payer: Aetna Commercial	$407.99
Rate for Payer: Aetna Medicare Advantage	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.78
Rate for Payer: Cigna Commercial	$536.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.10
Rate for Payer: Oxford Commercial	$214.73
Rate for Payer: Qualcare PPO/HMO/WC	$161.05
Rate for Payer: UnitedHealthcare Commercial	$214.73
Rate for Payer: UnitedHealthcare Community & State	$25.87
Rate for Payer: Wellpoint Medicaid Managed Care	$28.45

KNOTLESS ANCHOR 4.5 PEEK AND B

Facility

$4,936.25

Service Code	HCPCS C1713
Hospital Charge Code	270701670
Hospital Revenue Code	278
Min. Negotiated Rate	$118.96
Max. Negotiated Rate	$2,468.12
Rate for Payer: Aetna Commercial	$1,875.78
Rate for Payer: Aetna Medicare Advantage	$1,480.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,258.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,258.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,258.74
Rate for Payer: Cigna Commercial	$2,468.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.97
Rate for Payer: Qualcare PPO/HMO/WC	$740.44
Rate for Payer: UnitedHealthcare Community & State	$118.96
Rate for Payer: Wellpoint Medicaid Managed Care	$130.81

KNOTLESS ANCHOR 4.5 PEEK AND B

Facility

$4,936.25

Service Code	HCPCS C1713
Hospital Charge Code	270701670
Hospital Revenue Code	278
Min. Negotiated Rate	$740.44
Max. Negotiated Rate	$1,194.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$987.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,194.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,085.97
Rate for Payer: Qualcare PPO/HMO/WC	$740.44

KNOTLESS FIBERTAK 2.6MM

Facility

$2,549.25

Service Code	HCPCS C1765
Hospital Charge Code	270705065
Hospital Revenue Code	278
Min. Negotiated Rate	$382.39
Max. Negotiated Rate	$616.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$509.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$616.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$560.84
Rate for Payer: Qualcare PPO/HMO/WC	$382.39

KNOTLESS FIBERTAK 2.6MM

Facility

$2,549.25

Service Code	HCPCS C1765
Hospital Charge Code	270705065
Hospital Revenue Code	278
Min. Negotiated Rate	$61.44
Max. Negotiated Rate	$1,274.62
Rate for Payer: Aetna Commercial	$968.72
Rate for Payer: Aetna Medicare Advantage	$764.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$650.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$650.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$509.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$650.06
Rate for Payer: Cigna Commercial	$1,274.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$616.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$560.84
Rate for Payer: Qualcare PPO/HMO/WC	$382.39
Rate for Payer: UnitedHealthcare Community & State	$61.44
Rate for Payer: Wellpoint Medicaid Managed Care	$67.56

KNOTLESS FIBERTAK BICEPS IMPL

Facility

$5,098.50

Service Code	HCPCS C1765
Hospital Charge Code	270705651
Hospital Revenue Code	278
Min. Negotiated Rate	$122.87
Max. Negotiated Rate	$2,549.25
Rate for Payer: Aetna Commercial	$1,937.43
Rate for Payer: Aetna Medicare Advantage	$1,529.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,300.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,300.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,019.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,300.12
Rate for Payer: Cigna Commercial	$2,549.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,233.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,121.67
Rate for Payer: Qualcare PPO/HMO/WC	$764.77
Rate for Payer: UnitedHealthcare Community & State	$122.87
Rate for Payer: Wellpoint Medicaid Managed Care	$135.11

KNOTLESS FIBERTAK BICEPS IMPL

Facility

$5,098.50

Service Code	HCPCS C1765
Hospital Charge Code	270705651
Hospital Revenue Code	278
Min. Negotiated Rate	$764.77
Max. Negotiated Rate	$1,233.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,019.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,233.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,121.67
Rate for Payer: Qualcare PPO/HMO/WC	$764.77

KNOTLESS FIBERTAK DISP KIT

Facility

$1,375.00

Hospital Charge Code	270695227
Hospital Revenue Code	272
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.50
Rate for Payer: Oxford Commercial	$275.00
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Commercial	$275.00
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

KNOTLESS FIBERTAK DISP KIT

Facility

$1,375.00

Hospital Charge Code	270695227
Hospital Revenue Code	272
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$206.25
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

KNOTLESS SUTURETAK 3.0MM

Facility

$2,703.00

Hospital Charge Code	270702503
Hospital Revenue Code	278
Min. Negotiated Rate	$405.45
Max. Negotiated Rate	$654.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$594.66
Rate for Payer: Qualcare PPO/HMO/WC	$405.45

KNOTLESS SUTURETAK 3.0MM

Facility

$2,703.00

Hospital Charge Code	270702503
Hospital Revenue Code	278
Min. Negotiated Rate	$65.14
Max. Negotiated Rate	$1,351.50
Rate for Payer: Aetna Commercial	$1,027.14
Rate for Payer: Aetna Medicare Advantage	$810.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$689.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$689.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$689.26
Rate for Payer: Cigna Commercial	$1,351.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$654.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$594.66
Rate for Payer: Qualcare PPO/HMO/WC	$405.45
Rate for Payer: UnitedHealthcare Community & State	$65.14
Rate for Payer: Wellpoint Medicaid Managed Care	$71.63

KNOT OUSHER/CUTTER

Facility

$281.00

Hospital Charge Code	270335941
Hospital Revenue Code	272
Min. Negotiated Rate	$6.77
Max. Negotiated Rate	$140.50
Rate for Payer: Aetna Commercial	$106.78
Rate for Payer: Aetna Medicare Advantage	$84.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.66
Rate for Payer: Cigna Commercial	$140.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.30
Rate for Payer: Oxford Commercial	$56.20
Rate for Payer: Qualcare PPO/HMO/WC	$42.15
Rate for Payer: UnitedHealthcare Commercial	$56.20
Rate for Payer: UnitedHealthcare Community & State	$6.77
Rate for Payer: Wellpoint Medicaid Managed Care	$7.45

KNOT OUSHER/CUTTER

Facility

$281.00

Hospital Charge Code	270335941
Hospital Revenue Code	272
Min. Negotiated Rate	$42.15
Max. Negotiated Rate	$42.15
Rate for Payer: Qualcare PPO/HMO/WC	$42.15

KNOT PUSHER CUTTER

Facility

$1,100.00

Service Code	HCPCS A4649
Hospital Charge Code	270694780
Hospital Revenue Code	272
Min. Negotiated Rate	$165.00
Max. Negotiated Rate	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00

KNOT PUSHER CUTTER

Facility

$1,100.00

Service Code	HCPCS A4649
Hospital Charge Code	270694780
Hospital Revenue Code	272
Min. Negotiated Rate	$26.51
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.00
Rate for Payer: Oxford Commercial	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$220.00
Rate for Payer: UnitedHealthcare Community & State	$26.51
Rate for Payer: Wellpoint Medicaid Managed Care	$29.15

KNOT PUSHER ENDO SLIDE 38CM

Facility

$54.57

Hospital Charge Code	270665013
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$27.29
Rate for Payer: Aetna Commercial	$20.74
Rate for Payer: Aetna Medicare Advantage	$16.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.92
Rate for Payer: Cigna Commercial	$27.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.37
Rate for Payer: Oxford Commercial	$10.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.19
Rate for Payer: UnitedHealthcare Commercial	$10.91
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

KNOT PUSHER ENDO SLIDE 38CM

Facility

$54.57

Hospital Charge Code	270665013
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$8.19
Rate for Payer: Qualcare PPO/HMO/WC	$8.19

KNOT PUSHER REDSAY LG 5.0 29CM

Facility

$2,650.80

Hospital Charge Code	270698341
Hospital Revenue Code	272
Min. Negotiated Rate	$63.88
Max. Negotiated Rate	$1,325.40
Rate for Payer: Aetna Commercial	$1,007.30
Rate for Payer: Aetna Medicare Advantage	$795.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$675.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$675.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$675.95
Rate for Payer: Cigna Commercial	$1,325.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.24
Rate for Payer: Oxford Commercial	$530.16
Rate for Payer: Qualcare PPO/HMO/WC	$397.62
Rate for Payer: UnitedHealthcare Commercial	$530.16
Rate for Payer: UnitedHealthcare Community & State	$63.88
Rate for Payer: Wellpoint Medicaid Managed Care	$70.25

KNOT PUSHER REDSAY LG 5.0 29CM

Facility

$2,650.80

Hospital Charge Code	270698341
Hospital Revenue Code	272
Min. Negotiated Rate	$397.62
Max. Negotiated Rate	$397.62
Rate for Payer: Qualcare PPO/HMO/WC	$397.62

KNOT PUSHER/SUTURE CUTTER

Facility

$625.00

Hospital Charge Code	270675822
Hospital Revenue Code	270
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

KNOT PUSHER/SUTURE CUTTER

Facility

$625.00

Hospital Charge Code	270675822
Hospital Revenue Code	270
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

Know your out-of-pocket cost for care.

All Charges