Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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 #62

Facility

$8.75

Hospital Charge Code	270640380
Hospital Revenue Code	272
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

BLADE CHISEL #62

Facility

$8.75

Hospital Charge Code	270640380
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.38
Rate for Payer: Aetna Commercial	$3.33
Rate for Payer: Aetna Medicare Advantage	$2.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.23
Rate for Payer: Cigna Commercial	$4.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.62
Rate for Payer: Oxford Commercial	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$1.75
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

BLADE COATED EDGE

Facility

$1,678.90

Hospital Charge Code	270657388
Hospital Revenue Code	272
Min. Negotiated Rate	$40.46
Max. Negotiated Rate	$839.45
Rate for Payer: Aetna Commercial	$637.98
Rate for Payer: Aetna Medicare Advantage	$503.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.12
Rate for Payer: Cigna Commercial	$839.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$503.67
Rate for Payer: Oxford Commercial	$335.78
Rate for Payer: Qualcare PPO/HMO/WC	$251.84
Rate for Payer: UnitedHealthcare Commercial	$335.78
Rate for Payer: UnitedHealthcare Community & State	$40.46
Rate for Payer: Wellpoint Medicaid Managed Care	$44.49

BLADE COATED EDGE

Facility

$1,678.90

Hospital Charge Code	270657388
Hospital Revenue Code	272
Min. Negotiated Rate	$251.84
Max. Negotiated Rate	$251.84
Rate for Payer: Qualcare PPO/HMO/WC	$251.84

BLADE COBB ELEV 13MM 11 IN

Facility

$515.45

Hospital Charge Code	270678159
Hospital Revenue Code	272
Min. Negotiated Rate	$12.42
Max. Negotiated Rate	$257.73
Rate for Payer: Aetna Commercial	$195.87
Rate for Payer: Aetna Medicare Advantage	$154.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.44
Rate for Payer: Cigna Commercial	$257.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.63
Rate for Payer: Oxford Commercial	$103.09
Rate for Payer: Qualcare PPO/HMO/WC	$77.32
Rate for Payer: UnitedHealthcare Commercial	$103.09
Rate for Payer: UnitedHealthcare Community & State	$12.42
Rate for Payer: Wellpoint Medicaid Managed Care	$13.66

BLADE COBB ELEV 13MM 11 IN

Facility

$515.45

Hospital Charge Code	270678159
Hospital Revenue Code	272
Min. Negotiated Rate	$77.32
Max. Negotiated Rate	$77.32
Rate for Payer: Qualcare PPO/HMO/WC	$77.32

BLADE COBB ELEV 25MM 11 IN

Facility

$542.55

Hospital Charge Code	270678160
Hospital Revenue Code	272
Min. Negotiated Rate	$13.08
Max. Negotiated Rate	$271.27
Rate for Payer: Aetna Commercial	$206.17
Rate for Payer: Aetna Medicare Advantage	$162.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.35
Rate for Payer: Cigna Commercial	$271.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.76
Rate for Payer: Oxford Commercial	$108.51
Rate for Payer: Qualcare PPO/HMO/WC	$81.38
Rate for Payer: UnitedHealthcare Commercial	$108.51
Rate for Payer: UnitedHealthcare Community & State	$13.08
Rate for Payer: Wellpoint Medicaid Managed Care	$14.38

BLADE COBB ELEV 25MM 11 IN

Facility

$542.55

Hospital Charge Code	270678160
Hospital Revenue Code	272
Min. Negotiated Rate	$81.38
Max. Negotiated Rate	$81.38
Rate for Payer: Qualcare PPO/HMO/WC	$81.38

BLADE COBB ELEV 9MM 11 IN

Facility

$516.15

Hospital Charge Code	270678158
Hospital Revenue Code	272
Min. Negotiated Rate	$77.42
Max. Negotiated Rate	$77.42
Rate for Payer: Qualcare PPO/HMO/WC	$77.42

BLADE COBB ELEV 9MM 11 IN

Facility

$516.15

Hospital Charge Code	270678158
Hospital Revenue Code	272
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$258.07
Rate for Payer: Aetna Commercial	$196.14
Rate for Payer: Aetna Medicare Advantage	$154.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.62
Rate for Payer: Cigna Commercial	$258.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.84
Rate for Payer: Oxford Commercial	$103.23
Rate for Payer: Qualcare PPO/HMO/WC	$77.42
Rate for Payer: UnitedHealthcare Commercial	$103.23
Rate for Payer: UnitedHealthcare Community & State	$12.44
Rate for Payer: Wellpoint Medicaid Managed Care	$13.68

BLADE COOPER VISION SURGPLUS**

Facility

$40.00

Hospital Charge Code	1600741
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$20.00
Rate for Payer: Aetna Commercial	$15.20
Rate for Payer: Aetna Medicare Advantage	$12.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.20
Rate for Payer: Cigna Commercial	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.00
Rate for Payer: Oxford Commercial	$8.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00
Rate for Payer: UnitedHealthcare Commercial	$8.00
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.06

BLADE COOPER VISION SURGPLUS**

Facility

$40.00

Hospital Charge Code	1600741
Hospital Revenue Code	272
Min. Negotiated Rate	$6.00
Max. Negotiated Rate	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.00

BLADE CRANIO CODMAN 26-1246

Facility

$220.00

Hospital Charge Code	270600320
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.00
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

BLADE CRANIO CODMAN 26-1246

Facility

$220.00

Hospital Charge Code	270600320
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

BLADE CURVED 3MM ROUND EDGE

Facility

$804.00

Hospital Charge Code	270675734
Hospital Revenue Code	272
Min. Negotiated Rate	$19.38
Max. Negotiated Rate	$402.00
Rate for Payer: Aetna Commercial	$305.52
Rate for Payer: Aetna Medicare Advantage	$241.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.02
Rate for Payer: Cigna Commercial	$402.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.20
Rate for Payer: Oxford Commercial	$160.80
Rate for Payer: Qualcare PPO/HMO/WC	$120.60
Rate for Payer: UnitedHealthcare Commercial	$160.80
Rate for Payer: UnitedHealthcare Community & State	$19.38
Rate for Payer: Wellpoint Medicaid Managed Care	$21.31

BLADE CURVED 3MM ROUND EDGE

Facility

$804.00

Hospital Charge Code	270675734
Hospital Revenue Code	272
Min. Negotiated Rate	$120.60
Max. Negotiated Rate	$120.60
Rate for Payer: Qualcare PPO/HMO/WC	$120.60

BLADE CYLINDER 1.2 X 3.7 MM

Facility

$24.05

Hospital Charge Code	270664988
Hospital Revenue Code	270
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$12.03
Rate for Payer: Aetna Commercial	$9.14
Rate for Payer: Aetna Medicare Advantage	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.13
Rate for Payer: Cigna Commercial	$12.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.21
Rate for Payer: Oxford Commercial	$4.81
Rate for Payer: Qualcare PPO/HMO/WC	$3.61
Rate for Payer: UnitedHealthcare Commercial	$4.81
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

BLADE CYLINDER 1.2 X 3.7 MM

Facility

$24.05

Hospital Charge Code	270664988
Hospital Revenue Code	270
Min. Negotiated Rate	$3.61
Max. Negotiated Rate	$3.61
Rate for Payer: Qualcare PPO/HMO/WC	$3.61

BLADE DERMATOME ********

Facility

$58.00

Hospital Charge Code	1601244
Hospital Revenue Code	272
Min. Negotiated Rate	$1.40
Max. Negotiated Rate	$29.00
Rate for Payer: Aetna Commercial	$22.04
Rate for Payer: Aetna Medicare Advantage	$17.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.79
Rate for Payer: Cigna Commercial	$29.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.40
Rate for Payer: Oxford Commercial	$11.60
Rate for Payer: Qualcare PPO/HMO/WC	$8.70
Rate for Payer: UnitedHealthcare Commercial	$11.60
Rate for Payer: UnitedHealthcare Community & State	$1.40
Rate for Payer: Wellpoint Medicaid Managed Care	$1.54

BLADE DERMATOME ********

Facility

$58.00

Hospital Charge Code	1601244
Hospital Revenue Code	272
Min. Negotiated Rate	$8.70
Max. Negotiated Rate	$8.70
Rate for Payer: Qualcare PPO/HMO/WC	$8.70

BLADE DERMATOME 8800-00-10

Facility

$247.93

Hospital Charge Code	270605722
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$123.97
Rate for Payer: Aetna Commercial	$94.21
Rate for Payer: Aetna Medicare Advantage	$74.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.22
Rate for Payer: Cigna Commercial	$123.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.38
Rate for Payer: Oxford Commercial	$49.59
Rate for Payer: Qualcare PPO/HMO/WC	$37.19
Rate for Payer: UnitedHealthcare Commercial	$49.59
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

BLADE DERMATOME 8800-00-10

Facility

$247.93

Hospital Charge Code	270605722
Hospital Revenue Code	272
Min. Negotiated Rate	$37.19
Max. Negotiated Rate	$37.19
Rate for Payer: Qualcare PPO/HMO/WC	$37.19

BLADE DERMATONE 8800-000-10

Facility

$240.00

Hospital Charge Code	270060165
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 DERMATONE 8800-000-10

Facility

$240.00

Hospital Charge Code	270060165
Hospital Revenue Code	272
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

Know your out-of-pocket cost for care.

All Charges