Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679797
Hospital Revenue Code	272
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$221.09
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679819
Hospital Revenue Code	272
Min. Negotiated Rate	$35.52
Max. Negotiated Rate	$736.98
Rate for Payer: Aetna Commercial	$560.10
Rate for Payer: Aetna Medicare Advantage	$442.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.86
Rate for Payer: Cigna Commercial	$736.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.19
Rate for Payer: Oxford Commercial	$294.79
Rate for Payer: Qualcare PPO/HMO/WC	$221.09
Rate for Payer: UnitedHealthcare Commercial	$294.79
Rate for Payer: UnitedHealthcare Community & State	$35.52
Rate for Payer: Wellpoint Medicaid Managed Care	$39.06

REAMER CANN DISTAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677394
Hospital Revenue Code	272
Min. Negotiated Rate	$34.49
Max. Negotiated Rate	$715.50
Rate for Payer: Aetna Commercial	$543.78
Rate for Payer: Aetna Medicare Advantage	$429.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.90
Rate for Payer: Cigna Commercial	$715.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.30
Rate for Payer: Oxford Commercial	$286.20
Rate for Payer: Qualcare PPO/HMO/WC	$214.65
Rate for Payer: UnitedHealthcare Commercial	$286.20
Rate for Payer: UnitedHealthcare Community & State	$34.49
Rate for Payer: Wellpoint Medicaid Managed Care	$37.92

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679819
Hospital Revenue Code	272
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$221.09
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

REAMER CANN DISTAL 20MM

Facility

$1,473.95

Hospital Charge Code	270679797
Hospital Revenue Code	272
Min. Negotiated Rate	$35.52
Max. Negotiated Rate	$736.98
Rate for Payer: Aetna Commercial	$560.10
Rate for Payer: Aetna Medicare Advantage	$442.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.86
Rate for Payer: Cigna Commercial	$736.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.19
Rate for Payer: Oxford Commercial	$294.79
Rate for Payer: Qualcare PPO/HMO/WC	$221.09
Rate for Payer: UnitedHealthcare Commercial	$294.79
Rate for Payer: UnitedHealthcare Community & State	$35.52
Rate for Payer: Wellpoint Medicaid Managed Care	$39.06

REAMER CANN PROXIMAL 18MM

Facility

$1,473.95

Hospital Charge Code	270679796
Hospital Revenue Code	272
Min. Negotiated Rate	$221.09
Max. Negotiated Rate	$221.09
Rate for Payer: Qualcare PPO/HMO/WC	$221.09

REAMER CANN PROXIMAL 18MM

Facility

$1,473.95

Hospital Charge Code	270679796
Hospital Revenue Code	272
Min. Negotiated Rate	$35.52
Max. Negotiated Rate	$736.98
Rate for Payer: Aetna Commercial	$560.10
Rate for Payer: Aetna Medicare Advantage	$442.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$375.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$375.86
Rate for Payer: Cigna Commercial	$736.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.19
Rate for Payer: Oxford Commercial	$294.79
Rate for Payer: Qualcare PPO/HMO/WC	$221.09
Rate for Payer: UnitedHealthcare Commercial	$294.79
Rate for Payer: UnitedHealthcare Community & State	$35.52
Rate for Payer: Wellpoint Medicaid Managed Care	$39.06

REAMER CANN PROXIMAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677393
Hospital Revenue Code	272
Min. Negotiated Rate	$214.65
Max. Negotiated Rate	$214.65
Rate for Payer: Qualcare PPO/HMO/WC	$214.65

REAMER CANN PROXIMAL 20MM

Facility

$1,431.00

Hospital Charge Code	270677393
Hospital Revenue Code	272
Min. Negotiated Rate	$34.49
Max. Negotiated Rate	$715.50
Rate for Payer: Aetna Commercial	$543.78
Rate for Payer: Aetna Medicare Advantage	$429.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.90
Rate for Payer: Cigna Commercial	$715.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$429.30
Rate for Payer: Oxford Commercial	$286.20
Rate for Payer: Qualcare PPO/HMO/WC	$214.65
Rate for Payer: UnitedHealthcare Commercial	$286.20
Rate for Payer: UnitedHealthcare Community & State	$34.49
Rate for Payer: Wellpoint Medicaid Managed Care	$37.92

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

REAMER CONCAVE 10MM

Facility

$750.00

Hospital Charge Code	270679467
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

REAMER CONVEX 10MM

Facility

$750.00

Hospital Charge Code	270679468
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

REAMER CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
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 CORING 7MM

Facility

$1,025.00

Hospital Charge Code	270691578
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
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 CORING CANN 11MM STR

Facility

$1,025.00

Hospital Charge Code	270672232
Hospital Revenue Code	272
Min. Negotiated Rate	$153.75
Max. Negotiated Rate	$153.75
Rate for Payer: Qualcare PPO/HMO/WC	$153.75

REAMER CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
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 CROSS PLATE ANCHORAGE

Facility

$1,000.00

Hospital Charge Code	270676883
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

REAMER CUP SUBTAL FUSION 17MM

Facility

$1,750.00

Service Code	HCPCS A4649
Hospital Charge Code	270698262
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$301.47
Max. Negotiated Rate	$301.47
Rate for Payer: Qualcare PPO/HMO/WC	$301.47

REAMER DISTAL

Facility

$2,009.80

Hospital Charge Code	270689911
Hospital Revenue Code	272
Min. Negotiated Rate	$48.44
Max. Negotiated Rate	$1,004.90
Rate for Payer: Aetna Commercial	$763.72
Rate for Payer: Aetna Medicare Advantage	$602.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$512.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$512.50
Rate for Payer: Cigna Commercial	$1,004.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$602.94
Rate for Payer: Oxford Commercial	$401.96
Rate for Payer: Qualcare PPO/HMO/WC	$301.47
Rate for Payer: UnitedHealthcare Commercial	$401.96
Rate for Payer: UnitedHealthcare Community & State	$48.44
Rate for Payer: Wellpoint Medicaid Managed Care	$53.26

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEXIBLE 10.5

Facility

$1,750.00

Hospital Charge Code	270681324
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

Know your out-of-pocket cost for care.

All Charges