Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCALPEL BLADE #10 STER DISP

Facility

$5.86

Hospital Charge Code	270650075
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SCALPEL BLADE #11 STER DISP

Facility

$5.29

Hospital Charge Code	270650095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

SCALPEL BLADE #11 STER DISP

Facility

$5.29

Hospital Charge Code	270650095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.65
Rate for Payer: Aetna Commercial	$2.01
Rate for Payer: Aetna Medicare Advantage	$1.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.35
Rate for Payer: Cigna Commercial	$2.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.59
Rate for Payer: Oxford Commercial	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$1.06
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

SCALPEL BLADE #15 STER DISP

Facility

$5.86

Hospital Charge Code	270650074
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SCALPEL BLADE #15 STER DISP

Facility

$5.86

Hospital Charge Code	270650074
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.93
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SCALPEL DISP

Facility

$5.00

Hospital Charge Code	8001653
Hospital Revenue Code	279
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

SCALPEL DISP

Facility

$5.00

Hospital Charge Code	8001653
Hospital Revenue Code	279
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SCALPEL ETH HARMONIC HP052

Facility

$9,220.70

Hospital Charge Code	270619777
Hospital Revenue Code	272
Min. Negotiated Rate	$222.22
Max. Negotiated Rate	$4,610.35
Rate for Payer: Aetna Commercial	$3,503.87
Rate for Payer: Aetna Medicare Advantage	$2,766.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,351.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,351.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,351.28
Rate for Payer: Cigna Commercial	$4,610.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,766.21
Rate for Payer: Oxford Commercial	$1,844.14
Rate for Payer: Qualcare PPO/HMO/WC	$1,383.11
Rate for Payer: UnitedHealthcare Commercial	$1,844.14
Rate for Payer: UnitedHealthcare Community & State	$222.22
Rate for Payer: Wellpoint Medicaid Managed Care	$244.35

SCALPEL ETH HARMONIC HP052

Facility

$9,220.70

Hospital Charge Code	270619777
Hospital Revenue Code	272
Min. Negotiated Rate	$1,383.11
Max. Negotiated Rate	$1,383.11
Rate for Payer: Qualcare PPO/HMO/WC	$1,383.11

SCALPEL HARMONIC WAVW 18cm

Facility

$1,792.69

Hospital Charge Code	270638223
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$896.35
Rate for Payer: Aetna Commercial	$681.22
Rate for Payer: Aetna Medicare Advantage	$537.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$457.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$457.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$457.14
Rate for Payer: Cigna Commercial	$896.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$537.81
Rate for Payer: Oxford Commercial	$358.54
Rate for Payer: Qualcare PPO/HMO/WC	$268.90
Rate for Payer: UnitedHealthcare Commercial	$358.54
Rate for Payer: UnitedHealthcare Community & State	$43.20
Rate for Payer: Wellpoint Medicaid Managed Care	$47.51

SCALPEL HARMONIC WAVW 18cm

Facility

$1,792.69

Hospital Charge Code	270638223
Hospital Revenue Code	272
Min. Negotiated Rate	$268.90
Max. Negotiated Rate	$268.90
Rate for Payer: Qualcare PPO/HMO/WC	$268.90

SCALPEL HOOK SP 5M HARMONIC

Facility

$858.95

Hospital Charge Code	270609765
Hospital Revenue Code	272
Min. Negotiated Rate	$128.84
Max. Negotiated Rate	$128.84
Rate for Payer: Qualcare PPO/HMO/WC	$128.84

SCALPEL HOOK SP 5M HARMONIC

Facility

$858.95

Hospital Charge Code	270609765
Hospital Revenue Code	272
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$429.48
Rate for Payer: Aetna Commercial	$326.40
Rate for Payer: Aetna Medicare Advantage	$257.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$219.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$219.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$219.03
Rate for Payer: Cigna Commercial	$429.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.69
Rate for Payer: Oxford Commercial	$171.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.84
Rate for Payer: UnitedHealthcare Commercial	$171.79
Rate for Payer: UnitedHealthcare Community & State	$20.70
Rate for Payer: Wellpoint Medicaid Managed Care	$22.76

SCALPEL JJ HARMONIC 5 50 CS14C

Facility

$1,706.25

Hospital Charge Code	270624569
Hospital Revenue Code	272
Min. Negotiated Rate	$41.12
Max. Negotiated Rate	$853.12
Rate for Payer: Aetna Commercial	$648.38
Rate for Payer: Aetna Medicare Advantage	$511.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.09
Rate for Payer: Cigna Commercial	$853.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.88
Rate for Payer: Oxford Commercial	$341.25
Rate for Payer: Qualcare PPO/HMO/WC	$255.94
Rate for Payer: UnitedHealthcare Commercial	$341.25
Rate for Payer: UnitedHealthcare Community & State	$41.12
Rate for Payer: Wellpoint Medicaid Managed Care	$45.22

SCALPEL JJ HARMONIC 5 50 CS14C

Facility

$1,706.25

Hospital Charge Code	270624569
Hospital Revenue Code	272
Min. Negotiated Rate	$255.94
Max. Negotiated Rate	$255.94
Rate for Payer: Qualcare PPO/HMO/WC	$255.94

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.59
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905W
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.59
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #10

Facility

$7.93

Hospital Charge Code	270301905
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.59
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910W
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SCALPEL STER DISP #11

Facility

$7.93

Hospital Charge Code	270301910W
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.38
Rate for Payer: Oxford Commercial	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.59
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SCALPEL STER DISP #12

Facility

$10.45

Hospital Charge Code	270301915
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.22
Rate for Payer: Aetna Commercial	$3.97
Rate for Payer: Aetna Medicare Advantage	$3.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.66
Rate for Payer: Cigna Commercial	$5.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.13
Rate for Payer: Oxford Commercial	$2.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.09
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SCALPEL STER DISP #12

Facility

$10.45

Hospital Charge Code	270301915
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

Know your out-of-pocket cost for care.

All Charges