Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REAMER HEAD 17.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691492
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 17.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691493
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 17.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691493
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 18.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691494
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 18.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691494
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 18.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691495
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 18.5 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691495
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 19.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691496
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 19.0 MM MEDULLARY

Facility

$1,633.85

Hospital Charge Code	270691496
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 ANGLE S

Facility

$1,475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699161
Hospital Revenue Code	272
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

REAMER HEAD ANGLE S

Facility

$1,475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699161
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

REAMER HEADED CANNULATED 10MM

Facility

$1,130.00

Hospital Charge Code	270601370
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.00
Rate for Payer: Aetna Commercial	$429.40
Rate for Payer: Aetna Medicare Advantage	$339.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.15
Rate for Payer: Cigna Commercial	$565.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.00
Rate for Payer: Oxford Commercial	$226.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.50
Rate for Payer: UnitedHealthcare Commercial	$226.00
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

REAMER HEADED CANNULATED 10MM

Facility

$1,130.00

Hospital Charge Code	270601370
Hospital Revenue Code	272
Min. Negotiated Rate	$169.50
Max. Negotiated Rate	$169.50
Rate for Payer: Qualcare PPO/HMO/WC	$169.50

REAMER HEADED CANNULATED 5.5MM

Facility

$1,075.00

Hospital Charge Code	270655167
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REAMER HEADED CANNULATED 5.5MM

Facility

$1,075.00

Hospital Charge Code	270655167
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 5MM

Facility

$1,075.00

Hospital Charge Code	270655166
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REAMER HEADED CANNULATED 5MM

Facility

$1,075.00

Hospital Charge Code	270655166
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 6.5MM

Facility

$1,075.00

Hospital Charge Code	270655170
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REAMER HEADED CANNULATED 6.5MM

Facility

$1,075.00

Hospital Charge Code	270655170
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 6MM

Facility

$1,075.00

Hospital Charge Code	270655169
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REAMER HEADED CANNULATED 6MM

Facility

$1,075.00

Hospital Charge Code	270655169
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 7.5MM

Facility

$1,075.00

Hospital Charge Code	270655171
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 7.5MM

Facility

$1,075.00

Hospital Charge Code	270655171
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

REAMER HEADED CANNULATED 7MM

Facility

$1,075.00

Hospital Charge Code	270636833
Hospital Revenue Code	272
Min. Negotiated Rate	$161.25
Max. Negotiated Rate	$161.25
Rate for Payer: Qualcare PPO/HMO/WC	$161.25

REAMER HEADED CANNULATED 7MM

Facility

$1,075.00

Hospital Charge Code	270636833
Hospital Revenue Code	272
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$537.50
Rate for Payer: Aetna Commercial	$408.50
Rate for Payer: Aetna Medicare Advantage	$322.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$274.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$274.12
Rate for Payer: Cigna Commercial	$537.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.50
Rate for Payer: Oxford Commercial	$215.00
Rate for Payer: Qualcare PPO/HMO/WC	$161.25
Rate for Payer: UnitedHealthcare Commercial	$215.00
Rate for Payer: UnitedHealthcare Community & State	$25.91
Rate for Payer: Wellpoint Medicaid Managed Care	$28.49

Know your out-of-pocket cost for care.

All Charges