Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE 90X18 1.14 MAT 1.27CUT

Facility

$129.60

Hospital Charge Code	270699047
Hospital Revenue Code	279
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$64.80
Rate for Payer: Aetna Commercial	$49.25
Rate for Payer: Aetna Medicare Advantage	$38.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.05
Rate for Payer: Cigna Commercial	$64.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.88
Rate for Payer: Oxford Commercial	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$19.44
Rate for Payer: UnitedHealthcare Commercial	$25.92
Rate for Payer: UnitedHealthcare Community & State	$3.12
Rate for Payer: Wellpoint Medicaid Managed Care	$3.43

BLADE AGEE ASSEMBLY 81010

Facility

$1,495.25

Hospital Charge Code	270618636
Hospital Revenue Code	272
Min. Negotiated Rate	$36.04
Max. Negotiated Rate	$747.62
Rate for Payer: Aetna Commercial	$568.20
Rate for Payer: Aetna Medicare Advantage	$448.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$381.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$381.29
Rate for Payer: Cigna Commercial	$747.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$448.57
Rate for Payer: Oxford Commercial	$299.05
Rate for Payer: Qualcare PPO/HMO/WC	$224.29
Rate for Payer: UnitedHealthcare Commercial	$299.05
Rate for Payer: UnitedHealthcare Community & State	$36.04
Rate for Payer: Wellpoint Medicaid Managed Care	$39.62

BLADE AGEE ASSEMBLY 81010

Facility

$1,495.25

Hospital Charge Code	270618636
Hospital Revenue Code	272
Min. Negotiated Rate	$224.29
Max. Negotiated Rate	$224.29
Rate for Payer: Qualcare PPO/HMO/WC	$224.29

BLADE ASSEMBLY ICT RELSE *****

Facility

$240.00

Hospital Charge Code	1607332
Hospital Revenue Code	272
Min. Negotiated Rate	$5.78
Max. Negotiated Rate	$120.00
Rate for Payer: Aetna Commercial	$91.20
Rate for Payer: Aetna Medicare Advantage	$72.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.20
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$48.00
Rate for Payer: UnitedHealthcare Community & State	$5.78
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

BLADE ASSEMBLY ICT RELSE *****

Facility

$240.00

Hospital Charge Code	1607332
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

BLADE BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270657600
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

BLADE BARREL BUR 5.5MM

Facility

$200.00

Hospital Charge Code	270657600
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE BEAVER #57

Facility

$153.65

Hospital Charge Code	270600187
Hospital Revenue Code	272
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

BLADE BEAVER #57

Facility

$153.65

Hospital Charge Code	270600187
Hospital Revenue Code	272
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$58.39
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$30.73
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$30.73
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

BLADE BEAVER #64

Facility

$9.58

Hospital Charge Code	270600364
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.79
Rate for Payer: Aetna Commercial	$3.64
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.44
Rate for Payer: UnitedHealthcare Commercial	$1.92
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

BLADE BEAVER #64

Facility

$9.58

Hospital Charge Code	270600364
Hospital Revenue Code	272
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$1.44
Rate for Payer: Qualcare PPO/HMO/WC	$1.44

BLADE BEAVER #71 MYRING

Facility

$402.45

Hospital Charge Code	270060150
Hospital Revenue Code	272
Min. Negotiated Rate	$9.70
Max. Negotiated Rate	$201.22
Rate for Payer: Aetna Commercial	$152.93
Rate for Payer: Aetna Medicare Advantage	$120.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.62
Rate for Payer: Cigna Commercial	$201.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.73
Rate for Payer: Oxford Commercial	$80.49
Rate for Payer: Qualcare PPO/HMO/WC	$60.37
Rate for Payer: UnitedHealthcare Commercial	$80.49
Rate for Payer: UnitedHealthcare Community & State	$9.70
Rate for Payer: Wellpoint Medicaid Managed Care	$10.66

BLADE BEAVER #71 MYRING

Facility

$402.45

Hospital Charge Code	270060150
Hospital Revenue Code	272
Min. Negotiated Rate	$60.37
Max. Negotiated Rate	$60.37
Rate for Payer: Qualcare PPO/HMO/WC	$60.37

BLADE BEAVER MINI #61

Facility

$6.27

Hospital Charge Code	270600363
Hospital Revenue Code	272
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$0.94
Rate for Payer: Qualcare PPO/HMO/WC	$0.94

BLADE BEAVER MINI #61

Facility

$6.27

Hospital Charge Code	270600363
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.13
Rate for Payer: Aetna Commercial	$2.38
Rate for Payer: Aetna Medicare Advantage	$1.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.60
Rate for Payer: Cigna Commercial	$3.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.88
Rate for Payer: Oxford Commercial	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$0.94
Rate for Payer: UnitedHealthcare Commercial	$1.25
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

BLADE BEAVER MYRING 377120

Facility

$39.25

Hospital Charge Code	270618117
Hospital Revenue Code	272
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$5.89
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

BLADE BEAVER MYRING 377120

Facility

$39.25

Hospital Charge Code	270618117
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.78
Rate for Payer: Oxford Commercial	$7.85
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Commercial	$7.85
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

BLADE BLUN SHEATH &TUBE 20MM

Facility

$3,775.50

Hospital Charge Code	270692974
Hospital Revenue Code	272
Min. Negotiated Rate	$566.33
Max. Negotiated Rate	$566.33
Rate for Payer: Qualcare PPO/HMO/WC	$566.33

BLADE BLUN SHEATH &TUBE 20MM

Facility

$3,775.50

Hospital Charge Code	270692974
Hospital Revenue Code	272
Min. Negotiated Rate	$90.99
Max. Negotiated Rate	$1,887.75
Rate for Payer: Aetna Commercial	$1,434.69
Rate for Payer: Aetna Medicare Advantage	$1,132.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.75
Rate for Payer: Cigna Commercial	$1,887.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,132.65
Rate for Payer: Oxford Commercial	$755.10
Rate for Payer: Qualcare PPO/HMO/WC	$566.33
Rate for Payer: UnitedHealthcare Commercial	$755.10
Rate for Payer: UnitedHealthcare Community & State	$90.99
Rate for Payer: Wellpoint Medicaid Managed Care	$100.05

BLADE BLUNT 20MM AND TUBING

Facility

$2,775.00

Hospital Charge Code	270693211
Hospital Revenue Code	272
Min. Negotiated Rate	$416.25
Max. Negotiated Rate	$416.25
Rate for Payer: Qualcare PPO/HMO/WC	$416.25

BLADE BLUNT 20MM AND TUBING

Facility

$2,775.00

Hospital Charge Code	270693211
Hospital Revenue Code	272
Min. Negotiated Rate	$66.88
Max. Negotiated Rate	$1,387.50
Rate for Payer: Aetna Commercial	$1,054.50
Rate for Payer: Aetna Medicare Advantage	$832.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$707.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$707.62
Rate for Payer: Cigna Commercial	$1,387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$832.50
Rate for Payer: Oxford Commercial	$555.00
Rate for Payer: Qualcare PPO/HMO/WC	$416.25
Rate for Payer: UnitedHealthcare Commercial	$555.00
Rate for Payer: UnitedHealthcare Community & State	$66.88
Rate for Payer: Wellpoint Medicaid Managed Care	$73.54

BLADE BLUNT MIS 10MM

Facility

$3,775.90

Hospital Charge Code	270694731
Hospital Revenue Code	272
Min. Negotiated Rate	$91.00
Max. Negotiated Rate	$1,887.95
Rate for Payer: Aetna Commercial	$1,434.84
Rate for Payer: Aetna Medicare Advantage	$1,132.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$962.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$962.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$962.85
Rate for Payer: Cigna Commercial	$1,887.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,132.77
Rate for Payer: Oxford Commercial	$755.18
Rate for Payer: Qualcare PPO/HMO/WC	$566.38
Rate for Payer: UnitedHealthcare Commercial	$755.18
Rate for Payer: UnitedHealthcare Community & State	$91.00
Rate for Payer: Wellpoint Medicaid Managed Care	$100.06

BLADE BLUNT MIS 10MM

Facility

$3,775.90

Hospital Charge Code	270694731
Hospital Revenue Code	272
Min. Negotiated Rate	$566.38
Max. Negotiated Rate	$566.38
Rate for Payer: Qualcare PPO/HMO/WC	$566.38

BLADE BLUNT-S 50MM

Facility

$2,525.00

Hospital Charge Code	270697369
Hospital Revenue Code	272
Min. Negotiated Rate	$60.85
Max. Negotiated Rate	$1,262.50
Rate for Payer: Aetna Commercial	$959.50
Rate for Payer: Aetna Medicare Advantage	$757.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$643.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$643.88
Rate for Payer: Cigna Commercial	$1,262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$757.50
Rate for Payer: Oxford Commercial	$505.00
Rate for Payer: Qualcare PPO/HMO/WC	$378.75
Rate for Payer: UnitedHealthcare Commercial	$505.00
Rate for Payer: UnitedHealthcare Community & State	$60.85
Rate for Payer: Wellpoint Medicaid Managed Care	$66.91

BLADE BLUNT-S 50MM

Facility

$2,525.00

Hospital Charge Code	270697369
Hospital Revenue Code	272
Min. Negotiated Rate	$378.75
Max. Negotiated Rate	$378.75
Rate for Payer: Qualcare PPO/HMO/WC	$378.75

Know your out-of-pocket cost for care.

All Charges