Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SAW BLADE 90x9.5-19MM 1.07MM

Facility

$234.50

Hospital Charge Code	270674753
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 1.07MM

Facility

$234.50

Hospital Charge Code	270674753
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 1.19MM

Facility

$234.50

Hospital Charge Code	270674754
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 1.19MM

Facility

$234.50

Hospital Charge Code	270674754
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 1.27MM

Facility

$234.50

Hospital Charge Code	270674755
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 1.27MM

Facility

$234.50

Hospital Charge Code	270674755
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 1.37MM

Facility

$234.50

Hospital Charge Code	270674756
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 1.37MM

Facility

$234.50

Hospital Charge Code	270674756
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 1.47MM

Facility

$234.50

Hospital Charge Code	270674757
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 1.47MM

Facility

$234.50

Hospital Charge Code	270674757
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 9.2x7.3x0.6MM LT IBO

Facility

$413.00

Hospital Charge Code	270674674
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 9.2x7.3x0.6MM LT IBO

Facility

$413.00

Hospital Charge Code	270674674
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 9.2x7.3x0.6MM RT IBO

Facility

$413.00

Hospital Charge Code	270674675
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 9.2x7.3x0.6MM RT IBO

Facility

$413.00

Hospital Charge Code	270674675
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 95MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674708
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 95MMx19MM 0.89MM CUT

Facility

$385.00

Hospital Charge Code	270674708
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 95MMx19MM 1.00MM CUT

Facility

$385.00

Hospital Charge Code	270674714
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 95MMx19MM 1.00MM CUT

Facility

$385.00

Hospital Charge Code	270674714
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 95MMx19MM 1.07MM CUT

Facility

$385.00

Hospital Charge Code	270674715
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 95MMx19MM 1.07MM CUT

Facility

$385.00

Hospital Charge Code	270674715
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 95MMx19MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674709
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 95MMx19MM 1.19MM CUT

Facility

$385.00

Hospital Charge Code	270674709
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 95MMx19MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674710
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 95MMx19MM 1.27MM CUT

Facility

$385.00

Hospital Charge Code	270674710
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 95MMx19MM 1.37MM CUT

Facility

$385.00

Hospital Charge Code	270674711
Hospital Revenue Code	272
Min. Negotiated Rate	$57.75
Max. Negotiated Rate	$57.75
Rate for Payer: Qualcare PPO/HMO/WC	$57.75

Know your out-of-pocket cost for care.

All Charges