Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE BMT DIAMOND V 516050

Facility

$655.25

Hospital Charge Code	270613047
Hospital Revenue Code	272
Min. Negotiated Rate	$98.29
Max. Negotiated Rate	$98.29
Rate for Payer: Qualcare PPO/HMO/WC	$98.29

BLADE BMT DIAMOND V 516050

Facility

$655.25

Hospital Charge Code	270613047
Hospital Revenue Code	272
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.62
Rate for Payer: Aetna Commercial	$249.00
Rate for Payer: Aetna Medicare Advantage	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.09
Rate for Payer: Cigna Commercial	$327.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.57
Rate for Payer: Oxford Commercial	$131.05
Rate for Payer: Qualcare PPO/HMO/WC	$98.29
Rate for Payer: UnitedHealthcare Commercial	$131.05
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

BLADE BMT DIAMOND V 516053

Facility

$869.65

Hospital Charge Code	270609690
Hospital Revenue Code	272
Min. Negotiated Rate	$130.45
Max. Negotiated Rate	$130.45
Rate for Payer: Qualcare PPO/HMO/WC	$130.45

BLADE BMT DIAMOND V 516053

Facility

$869.65

Hospital Charge Code	270609690
Hospital Revenue Code	272
Min. Negotiated Rate	$20.96
Max. Negotiated Rate	$434.82
Rate for Payer: Aetna Commercial	$330.47
Rate for Payer: Aetna Medicare Advantage	$260.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.76
Rate for Payer: Cigna Commercial	$434.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.89
Rate for Payer: Oxford Commercial	$173.93
Rate for Payer: Qualcare PPO/HMO/WC	$130.45
Rate for Payer: UnitedHealthcare Commercial	$173.93
Rate for Payer: UnitedHealthcare Community & State	$20.96
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

BLADE BMT OSCILL SAW 506053

Facility

$425.00

Hospital Charge Code	270606318
Hospital Revenue Code	272
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

BLADE BMT OSCILL SAW 506053

Facility

$425.00

Hospital Charge Code	270606318
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

BLADE BMT SAW 516055

Facility

$652.00

Hospital Charge Code	270617366
Hospital Revenue Code	272
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.60
Rate for Payer: Oxford Commercial	$130.40
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Commercial	$130.40
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

BLADE BMT SAW 516055

Facility

$652.00

Hospital Charge Code	270617366
Hospital Revenue Code	272
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$97.80
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

BLADE BONE SERRATED 20MM

Facility

$2,025.00

Hospital Charge Code	270663193
Hospital Revenue Code	272
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

BLADE BONE SERRATED 20MM

Facility

$2,025.00

Hospital Charge Code	270663193
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

BLADE CAPSULE 4MM

Facility

$975.00

Hospital Charge Code	270679828
Hospital Revenue Code	272
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

BLADE CAPSULE 4MM

Facility

$975.00

Hospital Charge Code	270679828
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

BLADE CARBIDE PUNCH

Facility

$3,375.00

Hospital Charge Code	270680027
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

BLADE CARBIDE PUNCH

Facility

$3,375.00

Hospital Charge Code	270680027
Hospital Revenue Code	272
Min. Negotiated Rate	$81.34
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,012.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$675.00
Rate for Payer: UnitedHealthcare Community & State	$81.34
Rate for Payer: Wellpoint Medicaid Managed Care	$89.44

BLADE CARRIGUE WEIGHTED VAG 31

Facility

$718.20

Hospital Charge Code	270666999
Hospital Revenue Code	270
Min. Negotiated Rate	$107.73
Max. Negotiated Rate	$107.73
Rate for Payer: Qualcare PPO/HMO/WC	$107.73

BLADE CARRIGUE WEIGHTED VAG 31

Facility

$718.20

Hospital Charge Code	270666999
Hospital Revenue Code	270
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$359.10
Rate for Payer: Aetna Commercial	$272.92
Rate for Payer: Aetna Medicare Advantage	$215.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.14
Rate for Payer: Cigna Commercial	$359.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.46
Rate for Payer: Oxford Commercial	$143.64
Rate for Payer: Qualcare PPO/HMO/WC	$107.73
Rate for Payer: UnitedHealthcare Commercial	$143.64
Rate for Payer: UnitedHealthcare Community & State	$17.31
Rate for Payer: Wellpoint Medicaid Managed Care	$19.03

BLADE CAST CUTTER

Facility

$170.00

Hospital Charge Code	270665525
Hospital Revenue Code	272
Min. Negotiated Rate	$4.10
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.00
Rate for Payer: Oxford Commercial	$34.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Commercial	$34.00
Rate for Payer: UnitedHealthcare Community & State	$4.10
Rate for Payer: Wellpoint Medicaid Managed Care	$4.50

BLADE CAST CUTTER

Facility

$170.00

Hospital Charge Code	270665525
Hospital Revenue Code	272
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$25.50
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

BLADE CHANNELED KING VISION

Facility

$127.85

Hospital Charge Code	270676846
Hospital Revenue Code	272
Min. Negotiated Rate	$19.18
Max. Negotiated Rate	$19.18
Rate for Payer: Qualcare PPO/HMO/WC	$19.18

BLADE CHANNELED KING VISION

Facility

$127.85

Hospital Charge Code	270676846
Hospital Revenue Code	272
Min. Negotiated Rate	$3.08
Max. Negotiated Rate	$63.92
Rate for Payer: Aetna Commercial	$48.58
Rate for Payer: Aetna Medicare Advantage	$38.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.60
Rate for Payer: Cigna Commercial	$63.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.35
Rate for Payer: Oxford Commercial	$25.57
Rate for Payer: Qualcare PPO/HMO/WC	$19.18
Rate for Payer: UnitedHealthcare Commercial	$25.57
Rate for Payer: UnitedHealthcare Community & State	$3.08
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

BLADE CHISEL

Facility

$3,500.00

Hospital Charge Code	270686880
Hospital Revenue Code	272
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$84.35
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

BLADE CHISEL

Facility

$3,500.00

Hospital Charge Code	270679897
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

BLADE CHISEL

Facility

$3,500.00

Hospital Charge Code	270686880
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

BLADE CHISEL

Facility

$3,500.00

Hospital Charge Code	270686878
Hospital Revenue Code	272
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$84.35
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

BLADE CHISEL

Facility

$3,500.00

Hospital Charge Code	270679897
Hospital Revenue Code	272
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$84.35
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

Know your out-of-pocket cost for care.

All Charges