Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 6x25x0.6MM CUT

Facility

$290.50

Hospital Charge Code	270674807
Hospital Revenue Code	272
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$145.25
Rate for Payer: Aetna Commercial	$110.39
Rate for Payer: Aetna Medicare Advantage	$87.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.08
Rate for Payer: Cigna Commercial	$145.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.15
Rate for Payer: Oxford Commercial	$58.10
Rate for Payer: Qualcare PPO/HMO/WC	$43.58
Rate for Payer: UnitedHealthcare Commercial	$58.10
Rate for Payer: UnitedHealthcare Community & State	$7.00
Rate for Payer: Wellpoint Medicaid Managed Care	$7.70

SAW BLADE 6x25x0.6MM CUT

Facility

$318.50

Hospital Charge Code	270674823
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$159.25
Rate for Payer: Aetna Commercial	$121.03
Rate for Payer: Aetna Medicare Advantage	$95.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.22
Rate for Payer: Cigna Commercial	$159.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$63.70
Rate for Payer: Qualcare PPO/HMO/WC	$47.77
Rate for Payer: UnitedHealthcare Commercial	$63.70
Rate for Payer: UnitedHealthcare Community & State	$7.68
Rate for Payer: Wellpoint Medicaid Managed Care	$8.44

SAW BLADE 6x25x0.6MM CUT STR

Facility

$332.50

Hospital Charge Code	270674824
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 6x25x0.6MM CUT STR

Facility

$332.50

Hospital Charge Code	270674824
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 6x30x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674819
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$47.77
Rate for Payer: Qualcare PPO/HMO/WC	$47.77

SAW BLADE 6x30x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674819
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$159.25
Rate for Payer: Aetna Commercial	$121.03
Rate for Payer: Aetna Medicare Advantage	$95.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.22
Rate for Payer: Cigna Commercial	$159.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$63.70
Rate for Payer: Qualcare PPO/HMO/WC	$47.77
Rate for Payer: UnitedHealthcare Commercial	$63.70
Rate for Payer: UnitedHealthcare Community & State	$7.68
Rate for Payer: Wellpoint Medicaid Managed Care	$8.44

SAW BLADE 6x30x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674820
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 6x30x0.4MM CUT STR

Facility

$332.50

Hospital Charge Code	270674820
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 70MM NARROW

Facility

$750.00

Hospital Charge Code	270669434
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SAW BLADE 70MM NARROW

Facility

$750.00

Hospital Charge Code	270669434
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SAW BLADE 70MM NRW STRYKER 6

Facility

$750.00

Hospital Charge Code	270669436
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

SAW BLADE 70MM NRW STRYKER 6

Facility

$750.00

Hospital Charge Code	270669436
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

SAW BLADE 7x4x0.6MM RECIP SAW

Facility

$381.50

Hospital Charge Code	270674659
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

SAW BLADE 7x4x0.6MM RECIP SAW

Facility

$381.50

Hospital Charge Code	270674659
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

SAW BLADE 80MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674713
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 80MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674713
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 85MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674734
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 85MMx25MM 1.47MM CUT

Facility

$385.00

Hospital Charge Code	270674734
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 8MM W 13MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674775
Hospital Revenue Code	272
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

SAW BLADE 8MM W 13MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674775
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.80
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$8.10
Rate for Payer: Wellpoint Medicaid Managed Care	$8.90

SAW BLADE 8MM W 18MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674776
Hospital Revenue Code	272
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

SAW BLADE 8MM W 18MM L/0.25MM

Facility

$336.00

Hospital Charge Code	270674776
Hospital Revenue Code	272
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.80
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$8.10
Rate for Payer: Wellpoint Medicaid Managed Care	$8.90

SAW BLADE 8x20x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674816
Hospital Revenue Code	272
Min. Negotiated Rate	$7.68
Max. Negotiated Rate	$159.25
Rate for Payer: Aetna Commercial	$121.03
Rate for Payer: Aetna Medicare Advantage	$95.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.22
Rate for Payer: Cigna Commercial	$159.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.55
Rate for Payer: Oxford Commercial	$63.70
Rate for Payer: Qualcare PPO/HMO/WC	$47.77
Rate for Payer: UnitedHealthcare Commercial	$63.70
Rate for Payer: UnitedHealthcare Community & State	$7.68
Rate for Payer: Wellpoint Medicaid Managed Care	$8.44

SAW BLADE 8x20x0.4MM CUT

Facility

$318.50

Hospital Charge Code	270674816
Hospital Revenue Code	272
Min. Negotiated Rate	$47.77
Max. Negotiated Rate	$47.77
Rate for Payer: Qualcare PPO/HMO/WC	$47.77

SAW BLADE 8x20x0.4MM CUT STR

Facility

$346.50

Hospital Charge Code	270674817
Hospital Revenue Code	272
Min. Negotiated Rate	$51.98
Max. Negotiated Rate	$51.98
Rate for Payer: Qualcare PPO/HMO/WC	$51.98

Know your out-of-pocket cost for care.

All Charges