Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REAMER HEADED CANNULATED 8.5MM

Facility

$1,075.00

Hospital Charge Code	270655172
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 8.5MM

Facility

$1,075.00

Hospital Charge Code	270655172
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 8MM

Facility

$1,075.00

Hospital Charge Code	270636064
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 8MM

Facility

$1,075.00

Hospital Charge Code	270636064
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 9.5MM

Facility

$1,075.00

Hospital Charge Code	270673803
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 9.5MM

Facility

$1,075.00

Hospital Charge Code	270673803
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 9MM

Facility

$1,075.00

Hospital Charge Code	270652019
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 9MM

Facility

$1,075.00

Hospital Charge Code	270652019
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 HOLLOW F/3.5/4.0MM SCRW

Facility

$1,665.00

Hospital Charge Code	270676857
Hospital Revenue Code	272
Min. Negotiated Rate	$249.75
Max. Negotiated Rate	$249.75
Rate for Payer: Qualcare PPO/HMO/WC	$249.75

REAMER HOLLOW F/3.5/4.0MM SCRW

Facility

$1,665.00

Hospital Charge Code	270676857
Hospital Revenue Code	272
Min. Negotiated Rate	$40.13
Max. Negotiated Rate	$832.50
Rate for Payer: Aetna Commercial	$632.70
Rate for Payer: Aetna Medicare Advantage	$499.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$424.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$424.57
Rate for Payer: Cigna Commercial	$832.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$499.50
Rate for Payer: Oxford Commercial	$333.00
Rate for Payer: Qualcare PPO/HMO/WC	$249.75
Rate for Payer: UnitedHealthcare Commercial	$333.00
Rate for Payer: UnitedHealthcare Community & State	$40.13
Rate for Payer: Wellpoint Medicaid Managed Care	$44.12

REAMER HOLLOW F/6.5/7.0MM SCRW

Facility

$1,714.95

Hospital Charge Code	270654491
Hospital Revenue Code	272
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.48
Rate for Payer: Aetna Commercial	$651.68
Rate for Payer: Aetna Medicare Advantage	$514.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.31
Rate for Payer: Cigna Commercial	$857.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.49
Rate for Payer: Oxford Commercial	$342.99
Rate for Payer: Qualcare PPO/HMO/WC	$257.24
Rate for Payer: UnitedHealthcare Commercial	$342.99
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

REAMER HOLLOW F/6.5/7.0MM SCRW

Facility

$1,714.95

Hospital Charge Code	270654491
Hospital Revenue Code	272
Min. Negotiated Rate	$257.24
Max. Negotiated Rate	$257.24
Rate for Payer: Qualcare PPO/HMO/WC	$257.24

REAMER INBONE TALAR 10MM

Facility

$855.00

Hospital Charge Code	270676978
Hospital Revenue Code	272
Min. Negotiated Rate	$128.25
Max. Negotiated Rate	$128.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.25

REAMER INBONE TALAR 10MM

Facility

$855.00

Hospital Charge Code	270676978
Hospital Revenue Code	272
Min. Negotiated Rate	$20.61
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna Commercial	$324.90
Rate for Payer: Aetna Medicare Advantage	$256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.03
Rate for Payer: Cigna Commercial	$427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.50
Rate for Payer: Oxford Commercial	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.25
Rate for Payer: UnitedHealthcare Commercial	$171.00
Rate for Payer: UnitedHealthcare Community & State	$20.61
Rate for Payer: Wellpoint Medicaid Managed Care	$22.66

REAMER JOINT CONCAVE 20mm

Facility

$1,920.00

Hospital Charge Code	270637497
Hospital Revenue Code	272
Min. Negotiated Rate	$46.27
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$729.60
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$576.00
Rate for Payer: Oxford Commercial	$384.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00
Rate for Payer: UnitedHealthcare Commercial	$384.00
Rate for Payer: UnitedHealthcare Community & State	$46.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.88

REAMER JOINT CONCAVE 20mm

Facility

$1,920.00

Hospital Charge Code	270637497
Hospital Revenue Code	272
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

REAMER JOINT CONCAVE 24mm

Facility

$1,920.00

Hospital Charge Code	270637499
Hospital Revenue Code	272
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

REAMER JOINT CONCAVE 24mm

Facility

$1,920.00

Hospital Charge Code	270637499
Hospital Revenue Code	272
Min. Negotiated Rate	$46.27
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$729.60
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$576.00
Rate for Payer: Oxford Commercial	$384.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00
Rate for Payer: UnitedHealthcare Commercial	$384.00
Rate for Payer: UnitedHealthcare Community & State	$46.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.88

REAMER JOINT CONVEX 20mm

Facility

$1,920.00

Hospital Charge Code	270637498
Hospital Revenue Code	272
Min. Negotiated Rate	$46.27
Max. Negotiated Rate	$960.00
Rate for Payer: Aetna Commercial	$729.60
Rate for Payer: Aetna Medicare Advantage	$576.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$489.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$489.60
Rate for Payer: Cigna Commercial	$960.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$576.00
Rate for Payer: Oxford Commercial	$384.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00
Rate for Payer: UnitedHealthcare Commercial	$384.00
Rate for Payer: UnitedHealthcare Community & State	$46.27
Rate for Payer: Wellpoint Medicaid Managed Care	$50.88

REAMER JOINT CONVEX 20mm

Facility

$1,920.00

Hospital Charge Code	270637498
Hospital Revenue Code	272
Min. Negotiated Rate	$288.00
Max. Negotiated Rate	$288.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.00

REAMER LINDEMANN 2.3x45MM J-LA

Facility

$381.50

Hospital Charge Code	270674616
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

REAMER LINDEMANN 2.3x45MM J-LA

Facility

$381.50

Hospital Charge Code	270674616
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

REAMER LINDEMANN 2.3x45MM MQC

Facility

$381.50

Hospital Charge Code	270674568
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

REAMER LINDEMANN 2.3x45MM MQC

Facility

$381.50

Hospital Charge Code	270674568
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

REAMER LINDEMANN L 2.3x20.2MM

Facility

$430.50

Hospital Charge Code	270674490
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

Know your out-of-pocket cost for care.

All Charges