Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 90x19.0MM 1.19MM CUT

Facility

$390.00

Hospital Charge Code	270674747
Hospital Revenue Code	272
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

SAW BLADE 90x19.0MM 1.27MM CUT

Facility

$234.50

Hospital Charge Code	270674748
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x19.0MM 1.27MM CUT

Facility

$234.50

Hospital Charge Code	270674748
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x19.0MM 1.37MM CUT

Facility

$234.50

Hospital Charge Code	270674749
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x19.0MM 1.37MM CUT

Facility

$234.50

Hospital Charge Code	270674749
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x19.0MM 1.47MM CUT

Facility

$234.50

Hospital Charge Code	270674750
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x19.0MM 1.47MM CUT

Facility

$234.50

Hospital Charge Code	270674750
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x25.0MM 0.89MM CUT

Facility

$234.50

Hospital Charge Code	270674758
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x25.0MM 0.89MM CUT

Facility

$234.50

Hospital Charge Code	270674758
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x25.0MM 1.00MM CUT

Facility

$234.50

Hospital Charge Code	270674759
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x25.0MM 1.00MM CUT

Facility

$234.50

Hospital Charge Code	270674759
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x25.0MM 1.07MM CUT

Facility

$234.50

Hospital Charge Code	270674760
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x25.0MM 1.07MM CUT

Facility

$234.50

Hospital Charge Code	270674760
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x25.0MM 1.19MM CUT

Facility

$245.00

Hospital Charge Code	270674761
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.50
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$49.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

SAW BLADE 90x25.0MM 1.19MM CUT

Facility

$245.00

Hospital Charge Code	270674761
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

SAW BLADE 90x25.0MM 1.27MM CUT

Facility

$245.00

Hospital Charge Code	270674762
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$36.75

SAW BLADE 90x25.0MM 1.27MM CUT

Facility

$245.00

Hospital Charge Code	270674762
Hospital Revenue Code	272
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.50
Rate for Payer: Aetna Commercial	$93.10
Rate for Payer: Aetna Medicare Advantage	$73.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.48
Rate for Payer: Cigna Commercial	$122.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.50
Rate for Payer: Oxford Commercial	$49.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.75
Rate for Payer: UnitedHealthcare Commercial	$49.00
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

SAW BLADE 90x25.0MM 1.37MM CUT

Facility

$234.50

Hospital Charge Code	270674763
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x25.0MM 1.37MM CUT

Facility

$234.50

Hospital Charge Code	270674763
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x25.0MM 1.47MM CUT

Facility

$234.50

Hospital Charge Code	270674764
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x25.0MM 1.47MM CUT

Facility

$234.50

Hospital Charge Code	270674764
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x9.5-19MM 0.89MM

Facility

$234.50

Hospital Charge Code	270674751
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x9.5-19MM 0.89MM

Facility

$234.50

Hospital Charge Code	270674751
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

SAW BLADE 90x9.5-19MM 1.00MM

Facility

$234.50

Hospital Charge Code	270674752
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$117.25
Rate for Payer: Aetna Commercial	$89.11
Rate for Payer: Aetna Medicare Advantage	$70.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.80
Rate for Payer: Cigna Commercial	$117.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.35
Rate for Payer: Oxford Commercial	$46.90
Rate for Payer: Qualcare PPO/HMO/WC	$35.17
Rate for Payer: UnitedHealthcare Commercial	$46.90
Rate for Payer: UnitedHealthcare Community & State	$5.65
Rate for Payer: Wellpoint Medicaid Managed Care	$6.21

SAW BLADE 90x9.5-19MM 1.00MM

Facility

$234.50

Hospital Charge Code	270674752
Hospital Revenue Code	272
Min. Negotiated Rate	$35.17
Max. Negotiated Rate	$35.17
Rate for Payer: Qualcare PPO/HMO/WC	$35.17

Know your out-of-pocket cost for care.

All Charges