Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REALI C BAND W/DIS GAST BAND

Facility

$12,840.00

Hospital Charge Code	270644592
Hospital Revenue Code	272
Min. Negotiated Rate	$1,926.00
Max. Negotiated Rate	$1,926.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,926.00

REALI C BAND W/DIS GAST BAND

Facility

$12,840.00

Hospital Charge Code	270644592
Hospital Revenue Code	272
Min. Negotiated Rate	$309.44
Max. Negotiated Rate	$6,420.00
Rate for Payer: Aetna Commercial	$4,879.20
Rate for Payer: Aetna Medicare Advantage	$3,852.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,274.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,274.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,274.20
Rate for Payer: Cigna Commercial	$6,420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,852.00
Rate for Payer: Oxford Commercial	$2,568.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,926.00
Rate for Payer: UnitedHealthcare Commercial	$2,568.00
Rate for Payer: UnitedHealthcare Community & State	$309.44
Rate for Payer: Wellpoint Medicaid Managed Care	$340.26

REAMER

Facility

$1,107.55

Hospital Charge Code	270688888
Hospital Revenue Code	272
Min. Negotiated Rate	$166.13
Max. Negotiated Rate	$166.13
Rate for Payer: Qualcare PPO/HMO/WC	$166.13

REAMER

Facility

$1,107.55

Hospital Charge Code	270688888
Hospital Revenue Code	272
Min. Negotiated Rate	$26.69
Max. Negotiated Rate	$553.77
Rate for Payer: Aetna Commercial	$420.87
Rate for Payer: Aetna Medicare Advantage	$332.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$282.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$282.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$282.43
Rate for Payer: Cigna Commercial	$553.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.26
Rate for Payer: Oxford Commercial	$221.51
Rate for Payer: Qualcare PPO/HMO/WC	$166.13
Rate for Payer: UnitedHealthcare Commercial	$221.51
Rate for Payer: UnitedHealthcare Community & State	$26.69
Rate for Payer: Wellpoint Medicaid Managed Care	$29.35

REAMER 12.2 ONE STEP 14442002

Facility

$2,800.00

Hospital Charge Code	270641742
Hospital Revenue Code	272
Min. Negotiated Rate	$67.48
Max. Negotiated Rate	$1,400.00
Rate for Payer: Aetna Commercial	$1,064.00
Rate for Payer: Aetna Medicare Advantage	$840.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$714.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$714.00
Rate for Payer: Cigna Commercial	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.00
Rate for Payer: Oxford Commercial	$560.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00
Rate for Payer: UnitedHealthcare Commercial	$560.00
Rate for Payer: UnitedHealthcare Community & State	$67.48
Rate for Payer: Wellpoint Medicaid Managed Care	$74.20

REAMER 12.2 ONE STEP 14442002

Facility

$2,800.00

Hospital Charge Code	270641742
Hospital Revenue Code	272
Min. Negotiated Rate	$420.00
Max. Negotiated Rate	$420.00
Rate for Payer: Qualcare PPO/HMO/WC	$420.00

REAMER 14 MM CORING COLLARED

Facility

$1,025.00

Hospital Charge Code	270688460
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER 14 MM CORING COLLARED

Facility

$1,025.00

Hospital Charge Code	270688460
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

REAMER 15MM

Facility

$975.00

Hospital Charge Code	270680646
Hospital Revenue Code	272
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

REAMER 15MM

Facility

$975.00

Hospital Charge Code	270680646
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

REAMER ACORN 8mm 232404

Facility

$825.00

Hospital Charge Code	270638806
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

REAMER ACORN 8mm 232404

Facility

$825.00

Hospital Charge Code	270638806
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

REAMER ACORN 9mm 232406

Facility

$825.00

Hospital Charge Code	270636916
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

REAMER ACORN 9mm 232406

Facility

$825.00

Hospital Charge Code	270636916
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

REAMER BLADE

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270702528
Hospital Revenue Code	275
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

REAMER BLADE

Facility

$700.00

Service Code	HCPCS C1713
Hospital Charge Code	270702528
Hospital Revenue Code	275
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

REAMER BMT VHS COMBO 35-463108

Facility

$3,628.85

Hospital Charge Code	270614163
Hospital Revenue Code	272
Min. Negotiated Rate	$87.46
Max. Negotiated Rate	$1,814.42
Rate for Payer: Aetna Commercial	$1,378.96
Rate for Payer: Aetna Medicare Advantage	$1,088.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.36
Rate for Payer: Cigna Commercial	$1,814.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,088.65
Rate for Payer: Oxford Commercial	$725.77
Rate for Payer: Qualcare PPO/HMO/WC	$544.33
Rate for Payer: UnitedHealthcare Commercial	$725.77
Rate for Payer: UnitedHealthcare Community & State	$87.46
Rate for Payer: Wellpoint Medicaid Managed Care	$96.16

REAMER BMT VHS COMBO 35-463108

Facility

$3,628.85

Hospital Charge Code	270614163
Hospital Revenue Code	272
Min. Negotiated Rate	$544.33
Max. Negotiated Rate	$544.33
Rate for Payer: Qualcare PPO/HMO/WC	$544.33

REAMER CALIBRATED 2.7mm

Facility

$1,000.00

Hospital Charge Code	270663814
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

REAMER CALIBRATED 2.7mm

Facility

$1,000.00

Hospital Charge Code	270663814
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

REAMER CANN CORING 10MM

Facility

$1,025.00

Hospital Charge Code	270666956
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CANN CORING 10MM

Facility

$1,025.00

Hospital Charge Code	270666956
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

REAMER CANN CORING 9MM

Facility

$1,025.00

Service Code	HCPCS A4649
Hospital Charge Code	270675522
Hospital Revenue Code	272
Min. Negotiated Rate	$24.70
Max. Negotiated Rate	$512.50
Rate for Payer: Aetna Commercial	$389.50
Rate for Payer: Aetna Medicare Advantage	$307.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$261.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$261.38
Rate for Payer: Cigna Commercial	$512.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$307.50
Rate for Payer: Oxford Commercial	$205.00
Rate for Payer: Qualcare PPO/HMO/WC	$153.75
Rate for Payer: UnitedHealthcare Commercial	$205.00
Rate for Payer: UnitedHealthcare Community & State	$24.70
Rate for Payer: Wellpoint Medicaid Managed Care	$27.16

REAMER CANN CORING 9MM

Facility

$1,025.00

Service Code	HCPCS A4649
Hospital Charge Code	270675522
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CANN DISTAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677394
Hospital Revenue Code	272
Min. Negotiated Rate	$214.65
Max. Negotiated Rate	$214.65
Rate for Payer: Qualcare PPO/HMO/WC	$214.65

Know your out-of-pocket cost for care.

All Charges