Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$1,998.00
Max. Negotiated Rate	$3,223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,930.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00

REAMER FLEXIBLE 85 MM

Facility

$13,320.00

Service Code	HCPCS C1713
Hospital Charge Code	270700709
Hospital Revenue Code	278
Min. Negotiated Rate	$321.01
Max. Negotiated Rate	$6,660.00
Rate for Payer: Aetna Commercial	$5,061.60
Rate for Payer: Aetna Medicare Advantage	$3,996.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,396.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,664.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,396.60
Rate for Payer: Cigna Commercial	$6,660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,223.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,930.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,998.00
Rate for Payer: UnitedHealthcare Community & State	$321.01
Rate for Payer: Wellpoint Medicaid Managed Care	$352.98

REAMER FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
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 FLEXIBLE 9.5

Facility

$1,750.00

Hospital Charge Code	270681325
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 DD -MONOBLOC 6

Facility

$5,508.20

Hospital Charge Code	270694987
Hospital Revenue Code	279
Min. Negotiated Rate	$826.23
Max. Negotiated Rate	$826.23
Rate for Payer: Qualcare PPO/HMO/WC	$826.23

REAMER FLEXIBLE DD -MONOBLOC 6

Facility

$5,508.20

Hospital Charge Code	270694987
Hospital Revenue Code	279
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$2,754.10
Rate for Payer: Aetna Commercial	$2,093.12
Rate for Payer: Aetna Medicare Advantage	$1,652.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,404.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,404.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,404.59
Rate for Payer: Cigna Commercial	$2,754.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,652.46
Rate for Payer: Oxford Commercial	$1,101.64
Rate for Payer: Qualcare PPO/HMO/WC	$826.23
Rate for Payer: UnitedHealthcare Commercial	$1,101.64
Rate for Payer: UnitedHealthcare Community & State	$132.75
Rate for Payer: Wellpoint Medicaid Managed Care	$145.97

REAMER FLEX W/GUIDE PIN 10mm

Facility

$1,750.00

Hospital Charge Code	270681249
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 FLEX W/GUIDE PIN 10mm

Facility

$1,750.00

Hospital Charge Code	270681249
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FLEX W/GUIDE PIN 9mm

Facility

$1,750.00

Hospital Charge Code	270681248
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 FLEX W/GUIDE PIN 9mm

Facility

$1,750.00

Hospital Charge Code	270681248
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

REAMER FULLY FLUTED 8mm 232417

Facility

$788.70

Hospital Charge Code	270635837
Hospital Revenue Code	272
Min. Negotiated Rate	$118.31
Max. Negotiated Rate	$118.31
Rate for Payer: Qualcare PPO/HMO/WC	$118.31

REAMER FULLY FLUTED 8mm 232417

Facility

$788.70

Hospital Charge Code	270635837
Hospital Revenue Code	272
Min. Negotiated Rate	$19.01
Max. Negotiated Rate	$394.35
Rate for Payer: Aetna Commercial	$299.71
Rate for Payer: Aetna Medicare Advantage	$236.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.12
Rate for Payer: Cigna Commercial	$394.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.61
Rate for Payer: Oxford Commercial	$157.74
Rate for Payer: Qualcare PPO/HMO/WC	$118.31
Rate for Payer: UnitedHealthcare Commercial	$157.74
Rate for Payer: UnitedHealthcare Community & State	$19.01
Rate for Payer: Wellpoint Medicaid Managed Care	$20.90

REAMER FULLY FLUTED 9mm 232419

Facility

$825.00

Hospital Charge Code	270636915
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

REAMER FULLY FLUTED 9mm 232419

Facility

$825.00

Hospital Charge Code	270636915
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 HEAD 11.5MM

Facility

$1,324.00

Hospital Charge Code	270683130
Hospital Revenue Code	272
Min. Negotiated Rate	$198.60
Max. Negotiated Rate	$198.60
Rate for Payer: Qualcare PPO/HMO/WC	$198.60

REAMER HEAD 11.5MM

Facility

$1,324.00

Hospital Charge Code	270683130
Hospital Revenue Code	272
Min. Negotiated Rate	$31.91
Max. Negotiated Rate	$662.00
Rate for Payer: Aetna Commercial	$503.12
Rate for Payer: Aetna Medicare Advantage	$397.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.62
Rate for Payer: Cigna Commercial	$662.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.20
Rate for Payer: Oxford Commercial	$264.80
Rate for Payer: Qualcare PPO/HMO/WC	$198.60
Rate for Payer: UnitedHealthcare Commercial	$264.80
Rate for Payer: UnitedHealthcare Community & State	$31.91
Rate for Payer: Wellpoint Medicaid Managed Care	$35.09

REAMER HEAD 12.5MM RIA

Facility

$1,452.00

Hospital Charge Code	270671814
Hospital Revenue Code	272
Min. Negotiated Rate	$217.80
Max. Negotiated Rate	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$217.80

REAMER HEAD 12.5MM RIA

Facility

$1,452.00

Hospital Charge Code	270671814
Hospital Revenue Code	272
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$726.00
Rate for Payer: Aetna Commercial	$551.76
Rate for Payer: Aetna Medicare Advantage	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.26
Rate for Payer: Cigna Commercial	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Oxford Commercial	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$217.80
Rate for Payer: UnitedHealthcare Commercial	$290.40
Rate for Payer: UnitedHealthcare Community & State	$34.99
Rate for Payer: Wellpoint Medicaid Managed Care	$38.48

REAMER HEAD 12MM STERILE

Facility

$1,452.00

Hospital Charge Code	270675628
Hospital Revenue Code	272
Min. Negotiated Rate	$34.99
Max. Negotiated Rate	$726.00
Rate for Payer: Aetna Commercial	$551.76
Rate for Payer: Aetna Medicare Advantage	$435.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$370.26
Rate for Payer: Cigna Commercial	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.60
Rate for Payer: Oxford Commercial	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$217.80
Rate for Payer: UnitedHealthcare Commercial	$290.40
Rate for Payer: UnitedHealthcare Community & State	$34.99
Rate for Payer: Wellpoint Medicaid Managed Care	$38.48

REAMER HEAD 12MM STERILE

Facility

$1,452.00

Hospital Charge Code	270675628
Hospital Revenue Code	272
Min. Negotiated Rate	$217.80
Max. Negotiated Rate	$217.80
Rate for Payer: Qualcare PPO/HMO/WC	$217.80

REAMER HEAD 15.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691490
Hospital Revenue Code	272
Min. Negotiated Rate	$39.38
Max. Negotiated Rate	$816.92
Rate for Payer: Aetna Commercial	$620.86
Rate for Payer: Aetna Medicare Advantage	$490.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$416.63
Rate for Payer: Cigna Commercial	$816.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.15
Rate for Payer: Oxford Commercial	$326.77
Rate for Payer: Qualcare PPO/HMO/WC	$245.08
Rate for Payer: UnitedHealthcare Commercial	$326.77
Rate for Payer: UnitedHealthcare Community & State	$39.38
Rate for Payer: Wellpoint Medicaid Managed Care	$43.30

REAMER HEAD 15.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691490
Hospital Revenue Code	272
Min. Negotiated Rate	$245.08
Max. Negotiated Rate	$245.08
Rate for Payer: Qualcare PPO/HMO/WC	$245.08

REAMER HEAD 16.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691491
Hospital Revenue Code	272
Min. Negotiated Rate	$245.08
Max. Negotiated Rate	$245.08
Rate for Payer: Qualcare PPO/HMO/WC	$245.08

REAMER HEAD 16.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691491
Hospital Revenue Code	272
Min. Negotiated Rate	$39.38
Max. Negotiated Rate	$816.92
Rate for Payer: Aetna Commercial	$620.86
Rate for Payer: Aetna Medicare Advantage	$490.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$416.63
Rate for Payer: Cigna Commercial	$816.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.15
Rate for Payer: Oxford Commercial	$326.77
Rate for Payer: Qualcare PPO/HMO/WC	$245.08
Rate for Payer: UnitedHealthcare Commercial	$326.77
Rate for Payer: UnitedHealthcare Community & State	$39.38
Rate for Payer: Wellpoint Medicaid Managed Care	$43.30

REAMER HEAD 17.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691492
Hospital Revenue Code	272
Min. Negotiated Rate	$39.38
Max. Negotiated Rate	$816.92
Rate for Payer: Aetna Commercial	$620.86
Rate for Payer: Aetna Medicare Advantage	$490.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$416.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$416.63
Rate for Payer: Cigna Commercial	$816.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$490.15
Rate for Payer: Oxford Commercial	$326.77
Rate for Payer: Qualcare PPO/HMO/WC	$245.08
Rate for Payer: UnitedHealthcare Commercial	$326.77
Rate for Payer: UnitedHealthcare Community & State	$39.38
Rate for Payer: Wellpoint Medicaid Managed Care	$43.30

Know your out-of-pocket cost for care.

All Charges