Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 12/25/2.5MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674838
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/2.5MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674838
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/2MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674842
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/2MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674842
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/2MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674837
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/2MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674837
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/3MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674844
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/3MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674844
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/3MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674839
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/3MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674839
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/4MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674845
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/4MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674845
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/4MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674840
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/4MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674840
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/5MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674846
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12/25/5MM SHORT 45

Facility

$1,172.50

Hospital Charge Code	270674846
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/5MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674841
Hospital Revenue Code	272
Min. Negotiated Rate	$175.88
Max. Negotiated Rate	$175.88
Rate for Payer: Qualcare PPO/HMO/WC	$175.88

SAW BLADE 12/25/5MM SHORT 90

Facility

$1,172.50

Hospital Charge Code	270674841
Hospital Revenue Code	272
Min. Negotiated Rate	$28.26
Max. Negotiated Rate	$586.25
Rate for Payer: Aetna Commercial	$445.55
Rate for Payer: Aetna Medicare Advantage	$351.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$298.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$298.99
Rate for Payer: Cigna Commercial	$586.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$351.75
Rate for Payer: Oxford Commercial	$234.50
Rate for Payer: Qualcare PPO/HMO/WC	$175.88
Rate for Payer: UnitedHealthcare Commercial	$234.50
Rate for Payer: UnitedHealthcare Community & State	$28.26
Rate for Payer: Wellpoint Medicaid Managed Care	$31.07

SAW BLADE 12.5x90x0.9MM CUT

Facility

$385.00

Hospital Charge Code	270674800
Hospital Revenue Code	272
Min. Negotiated Rate	$9.28
Max. Negotiated Rate	$192.50
Rate for Payer: Aetna Commercial	$146.30
Rate for Payer: Aetna Medicare Advantage	$115.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.17
Rate for Payer: Cigna Commercial	$192.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$115.50
Rate for Payer: Oxford Commercial	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$57.75
Rate for Payer: UnitedHealthcare Commercial	$77.00
Rate for Payer: UnitedHealthcare Community & State	$9.28
Rate for Payer: Wellpoint Medicaid Managed Care	$10.20

SAW BLADE 12.5x90x0.9MM CUT

Facility

$385.00

Hospital Charge Code	270674800
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

SAW BLADE 12x20x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674818
Hospital Revenue Code	272
Min. Negotiated Rate	$8.01
Max. Negotiated Rate	$166.25
Rate for Payer: Aetna Commercial	$126.35
Rate for Payer: Aetna Medicare Advantage	$99.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.79
Rate for Payer: Cigna Commercial	$166.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.75
Rate for Payer: Oxford Commercial	$66.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.88
Rate for Payer: UnitedHealthcare Commercial	$66.50
Rate for Payer: UnitedHealthcare Community & State	$8.01
Rate for Payer: Wellpoint Medicaid Managed Care	$8.81

SAW BLADE 12x20x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674818
Hospital Revenue Code	272
Min. Negotiated Rate	$49.88
Max. Negotiated Rate	$49.88
Rate for Payer: Qualcare PPO/HMO/WC	$49.88

SAW BLADE 13x3x0.4MM THIN

Facility

$413.00

Hospital Charge Code	270674672
Hospital Revenue Code	272
Min. Negotiated Rate	$61.95
Max. Negotiated Rate	$61.95
Rate for Payer: Qualcare PPO/HMO/WC	$61.95

SAW BLADE 13x3x0.4MM THIN

Facility

$413.00

Hospital Charge Code	270674672
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$206.50
Rate for Payer: Aetna Commercial	$156.94
Rate for Payer: Aetna Medicare Advantage	$123.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.31
Rate for Payer: Cigna Commercial	$206.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.90
Rate for Payer: Oxford Commercial	$82.60
Rate for Payer: Qualcare PPO/HMO/WC	$61.95
Rate for Payer: UnitedHealthcare Commercial	$82.60
Rate for Payer: UnitedHealthcare Community & State	$9.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.94

SAW BLADE 13x6.4/2.9x0.6MM REC

Facility

$381.50

Hospital Charge Code	270674657
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

Know your out-of-pocket cost for care.

All Charges