Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

REAMER RVS SHOULDER

Facility

$1,501.50

Service Code	HCPCS A4649
Hospital Charge Code	270696620
Hospital Revenue Code	272
Min. Negotiated Rate	$36.19
Max. Negotiated Rate	$750.75
Rate for Payer: Aetna Commercial	$570.57
Rate for Payer: Aetna Medicare Advantage	$450.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.88
Rate for Payer: Cigna Commercial	$750.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.45
Rate for Payer: Oxford Commercial	$300.30
Rate for Payer: Qualcare PPO/HMO/WC	$225.22
Rate for Payer: UnitedHealthcare Commercial	$300.30
Rate for Payer: UnitedHealthcare Community & State	$36.19
Rate for Payer: Wellpoint Medicaid Managed Care	$39.79

REAMER RVS SHOULDER

Facility

$1,501.50

Service Code	HCPCS A4649
Hospital Charge Code	270696620
Hospital Revenue Code	272
Min. Negotiated Rate	$225.22
Max. Negotiated Rate	$225.22
Rate for Payer: Qualcare PPO/HMO/WC	$225.22

REAMER SHAFT 8x450 0227-3000S

Facility

$935.00

Hospital Charge Code	270638647
Hospital Revenue Code	272
Min. Negotiated Rate	$22.53
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.50
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$24.78

REAMER SHAFT 8x450 0227-3000S

Facility

$935.00

Hospital Charge Code	270638647
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

REAMER SHAFT, MOD.TRINKLE

Facility

$3,315.00

Hospital Charge Code	270656546
Hospital Revenue Code	272
Min. Negotiated Rate	$497.25
Max. Negotiated Rate	$497.25
Rate for Payer: Qualcare PPO/HMO/WC	$497.25

REAMER SHAFT, MOD.TRINKLE

Facility

$3,315.00

Hospital Charge Code	270656546
Hospital Revenue Code	272
Min. Negotiated Rate	$79.89
Max. Negotiated Rate	$1,657.50
Rate for Payer: Aetna Commercial	$1,259.70
Rate for Payer: Aetna Medicare Advantage	$994.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$845.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$845.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$845.33
Rate for Payer: Cigna Commercial	$1,657.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$994.50
Rate for Payer: Oxford Commercial	$663.00
Rate for Payer: Qualcare PPO/HMO/WC	$497.25
Rate for Payer: UnitedHealthcare Commercial	$663.00
Rate for Payer: UnitedHealthcare Community & State	$79.89
Rate for Payer: Wellpoint Medicaid Managed Care	$87.85

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$63.92
Max. Negotiated Rate	$1,326.05
Rate for Payer: Aetna Commercial	$1,007.80
Rate for Payer: Aetna Medicare Advantage	$795.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$676.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$676.29
Rate for Payer: Cigna Commercial	$1,326.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$795.63
Rate for Payer: Oxford Commercial	$530.42
Rate for Payer: Qualcare PPO/HMO/WC	$397.81
Rate for Payer: UnitedHealthcare Commercial	$530.42
Rate for Payer: UnitedHealthcare Community & State	$63.92
Rate for Payer: Wellpoint Medicaid Managed Care	$70.28

REAMER SHAFT MOD TRINKLE 510MM

Facility

$2,652.10

Hospital Charge Code	270661838
Hospital Revenue Code	272
Min. Negotiated Rate	$397.81
Max. Negotiated Rate	$397.81
Rate for Payer: Qualcare PPO/HMO/WC	$397.81

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

REAMERS LOW PROFILE

Facility

$975.00

Hospital Charge Code	270675789
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 STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$324.00
Max. Negotiated Rate	$324.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00

REAMER STEPPED 9MM

Facility

$2,160.00

Hospital Charge Code	270694905
Hospital Revenue Code	272
Min. Negotiated Rate	$52.06
Max. Negotiated Rate	$1,080.00
Rate for Payer: Aetna Commercial	$820.80
Rate for Payer: Aetna Medicare Advantage	$648.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.80
Rate for Payer: Cigna Commercial	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$648.00
Rate for Payer: Oxford Commercial	$432.00
Rate for Payer: Qualcare PPO/HMO/WC	$324.00
Rate for Payer: UnitedHealthcare Commercial	$432.00
Rate for Payer: UnitedHealthcare Community & State	$52.06
Rate for Payer: Wellpoint Medicaid Managed Care	$57.24

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$38.32
Max. Negotiated Rate	$795.00
Rate for Payer: Aetna Commercial	$604.20
Rate for Payer: Aetna Medicare Advantage	$477.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$405.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$405.45
Rate for Payer: Cigna Commercial	$795.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$349.80
Rate for Payer: Qualcare PPO/HMO/WC	$238.50
Rate for Payer: UnitedHealthcare Community & State	$38.32
Rate for Payer: Wellpoint Medicaid Managed Care	$42.13

REAMER TALAR SZ 4-6

Facility

$1,590.00

Service Code	HCPCS C1776
Hospital Charge Code	270678157
Hospital Revenue Code	278
Min. Negotiated Rate	$238.50
Max. Negotiated Rate	$384.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$318.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$384.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$349.80
Rate for Payer: Qualcare PPO/HMO/WC	$238.50

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$163.57
Max. Negotiated Rate	$3,393.55
Rate for Payer: Aetna Commercial	$2,579.10
Rate for Payer: Aetna Medicare Advantage	$2,036.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,730.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,730.71
Rate for Payer: Cigna Commercial	$3,393.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,036.13
Rate for Payer: Oxford Commercial	$1,357.42
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07
Rate for Payer: UnitedHealthcare Commercial	$1,357.42
Rate for Payer: UnitedHealthcare Community & State	$163.57
Rate for Payer: Wellpoint Medicaid Managed Care	$179.86

REAMER TRIPLE COMPLETE DHS

Facility

$6,787.10

Hospital Charge Code	270693464
Hospital Revenue Code	272
Min. Negotiated Rate	$1,018.07
Max. Negotiated Rate	$1,018.07
Rate for Payer: Qualcare PPO/HMO/WC	$1,018.07

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$156.60
Max. Negotiated Rate	$156.60
Rate for Payer: Qualcare PPO/HMO/WC	$156.60

REAMER TUBE SPARE 4.5MM

Facility

$1,044.00

Hospital Charge Code	270653622
Hospital Revenue Code	272
Min. Negotiated Rate	$25.16
Max. Negotiated Rate	$522.00
Rate for Payer: Aetna Commercial	$396.72
Rate for Payer: Aetna Medicare Advantage	$313.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$266.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$266.22
Rate for Payer: Cigna Commercial	$522.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$313.20
Rate for Payer: Oxford Commercial	$208.80
Rate for Payer: Qualcare PPO/HMO/WC	$156.60
Rate for Payer: UnitedHealthcare Commercial	$208.80
Rate for Payer: UnitedHealthcare Community & State	$25.16
Rate for Payer: Wellpoint Medicaid Managed Care	$27.67

REAMER ZIM MAGNA 2.7 1142-1127

Facility

$1,060.85

Hospital Charge Code	270613428
Hospital Revenue Code	272
Min. Negotiated Rate	$159.13
Max. Negotiated Rate	$159.13
Rate for Payer: Qualcare PPO/HMO/WC	$159.13

REAMER ZIM MAGNA 2.7 1142-1127

Facility

$1,060.85

Hospital Charge Code	270613428
Hospital Revenue Code	272
Min. Negotiated Rate	$25.57
Max. Negotiated Rate	$530.42
Rate for Payer: Aetna Commercial	$403.12
Rate for Payer: Aetna Medicare Advantage	$318.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.52
Rate for Payer: Cigna Commercial	$530.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.25
Rate for Payer: Oxford Commercial	$212.17
Rate for Payer: Qualcare PPO/HMO/WC	$159.13
Rate for Payer: UnitedHealthcare Commercial	$212.17
Rate for Payer: UnitedHealthcare Community & State	$25.57
Rate for Payer: Wellpoint Medicaid Managed Care	$28.11

REAMER ZIM MAGNA 5.0 1146-20

Facility

$2,278.45

Hospital Charge Code	270605979
Hospital Revenue Code	272
Min. Negotiated Rate	$341.77
Max. Negotiated Rate	$341.77
Rate for Payer: Qualcare PPO/HMO/WC	$341.77

REAMER ZIM MAGNA 5.0 1146-20

Facility

$2,278.45

Hospital Charge Code	270605979
Hospital Revenue Code	272
Min. Negotiated Rate	$54.91
Max. Negotiated Rate	$1,139.22
Rate for Payer: Aetna Commercial	$865.81
Rate for Payer: Aetna Medicare Advantage	$683.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$581.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$581.00
Rate for Payer: Cigna Commercial	$1,139.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$683.53
Rate for Payer: Oxford Commercial	$455.69
Rate for Payer: Qualcare PPO/HMO/WC	$341.77
Rate for Payer: UnitedHealthcare Commercial	$455.69
Rate for Payer: UnitedHealthcare Community & State	$54.91
Rate for Payer: Wellpoint Medicaid Managed Care	$60.38

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

REAR TIP EXTENDER .5CM

Facility

$21.40

Service Code	HCPCS C1813
Hospital Charge Code	270663882
Hospital Revenue Code	278
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.71
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

REBUILD OUTER EAR CANAL

Facility

$34,883.20

Service Code	HCPCS 69310
Hospital Charge Code	1600000306
Hospital Revenue Code	360
Min. Negotiated Rate	$840.69
Max. Negotiated Rate	$25,386.70
Rate for Payer: Aetna Commercial	$19,129.52
Rate for Payer: Aetna Medicare Advantage	$22,786.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,386.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,386.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,032.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,386.70
Rate for Payer: Cigna Commercial	$14,097.46
Rate for Payer: Cigna Medicare Advantage	$7,032.91
Rate for Payer: Clover Medicare Advantage	$6,681.26
Rate for Payer: EmblemHealth Commercial	$21,098.73
Rate for Payer: Humana Medicare Advantage	$7,243.90
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,032.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10,464.96
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,232.48
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$840.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare Medicare Advantage	$7,032.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,864.72
Rate for Payer: Wellpoint Medicaid Managed Care	$7,710.51

Know your out-of-pocket cost for care.

All Charges