Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE DIEGO 4MM

Facility

$567.45

Hospital Charge Code	270658141
Hospital Revenue Code	272
Min. Negotiated Rate	$13.68
Max. Negotiated Rate	$283.73
Rate for Payer: Aetna Commercial	$215.63
Rate for Payer: Aetna Medicare Advantage	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.70
Rate for Payer: Cigna Commercial	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.24
Rate for Payer: Oxford Commercial	$113.49
Rate for Payer: Qualcare PPO/HMO/WC	$85.12
Rate for Payer: UnitedHealthcare Commercial	$113.49
Rate for Payer: UnitedHealthcare Community & State	$13.68
Rate for Payer: Wellpoint Medicaid Managed Care	$15.04

BLADE DIEGO 4MM

Facility

$567.45

Hospital Charge Code	270658141
Hospital Revenue Code	272
Min. Negotiated Rate	$85.12
Max. Negotiated Rate	$85.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.12

BLADE DIEGO POWER DISSECT 4MM

Facility

$607.27

Hospital Charge Code	270658161
Hospital Revenue Code	270
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$303.63
Rate for Payer: Aetna Commercial	$230.76
Rate for Payer: Aetna Medicare Advantage	$182.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.85
Rate for Payer: Cigna Commercial	$303.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.18
Rate for Payer: Oxford Commercial	$121.45
Rate for Payer: Qualcare PPO/HMO/WC	$91.09
Rate for Payer: UnitedHealthcare Commercial	$121.45
Rate for Payer: UnitedHealthcare Community & State	$14.64
Rate for Payer: Wellpoint Medicaid Managed Care	$16.09

BLADE DIEGO POWER DISSECT 4MM

Facility

$607.27

Hospital Charge Code	270658161
Hospital Revenue Code	270
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$91.09
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

BLADE DIEGO POWER DISSECTOR

Facility

$567.45

Hospital Charge Code	270658228
Hospital Revenue Code	272
Min. Negotiated Rate	$85.12
Max. Negotiated Rate	$85.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.12

BLADE DIEGO POWER DISSECTOR

Facility

$567.45

Hospital Charge Code	270658228
Hospital Revenue Code	272
Min. Negotiated Rate	$13.68
Max. Negotiated Rate	$283.73
Rate for Payer: Aetna Commercial	$215.63
Rate for Payer: Aetna Medicare Advantage	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.70
Rate for Payer: Cigna Commercial	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.24
Rate for Payer: Oxford Commercial	$113.49
Rate for Payer: Qualcare PPO/HMO/WC	$85.12
Rate for Payer: UnitedHealthcare Commercial	$113.49
Rate for Payer: UnitedHealthcare Community & State	$13.68
Rate for Payer: Wellpoint Medicaid Managed Care	$15.04

BLADE DIEGO STR 4MM 70138000

Facility

$599.10

Hospital Charge Code	270627899
Hospital Revenue Code	272
Min. Negotiated Rate	$14.44
Max. Negotiated Rate	$299.55
Rate for Payer: Aetna Commercial	$227.66
Rate for Payer: Aetna Medicare Advantage	$179.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$152.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$152.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$152.77
Rate for Payer: Cigna Commercial	$299.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$179.73
Rate for Payer: Oxford Commercial	$119.82
Rate for Payer: Qualcare PPO/HMO/WC	$89.86
Rate for Payer: UnitedHealthcare Commercial	$119.82
Rate for Payer: UnitedHealthcare Community & State	$14.44
Rate for Payer: Wellpoint Medicaid Managed Care	$15.88

BLADE DIEGO STR 4MM 70138000

Facility

$599.10

Hospital Charge Code	270627899
Hospital Revenue Code	272
Min. Negotiated Rate	$89.86
Max. Negotiated Rate	$89.86
Rate for Payer: Qualcare PPO/HMO/WC	$89.86

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

BLADE DISP. LARYNGOSCOPE

Facility

$35.00

Hospital Charge Code	270332573
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.50
Rate for Payer: Aetna Commercial	$13.30
Rate for Payer: Aetna Medicare Advantage	$10.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.93
Rate for Payer: Cigna Commercial	$17.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.50
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

BLADE DISSECTING HOOK C0CM

Facility

$4,600.00

Hospital Charge Code	270610061
Hospital Revenue Code	272
Min. Negotiated Rate	$690.00
Max. Negotiated Rate	$690.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.00

BLADE DISSECTING HOOK C0CM

Facility

$4,600.00

Hospital Charge Code	270610061
Hospital Revenue Code	272
Min. Negotiated Rate	$110.86
Max. Negotiated Rate	$2,300.00
Rate for Payer: Aetna Commercial	$1,748.00
Rate for Payer: Aetna Medicare Advantage	$1,380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,173.00
Rate for Payer: Cigna Commercial	$2,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,380.00
Rate for Payer: Oxford Commercial	$920.00
Rate for Payer: Qualcare PPO/HMO/WC	$690.00
Rate for Payer: UnitedHealthcare Commercial	$920.00
Rate for Payer: UnitedHealthcare Community & State	$110.86
Rate for Payer: Wellpoint Medicaid Managed Care	$121.90

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL EDGE SHAVER - 3.5

Facility

$390.00

Hospital Charge Code	270680721
Hospital Revenue Code	272
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

BLADE DUAL EDGE SHAVER - 4.0

Facility

$390.00

Hospital Charge Code	270680722
Hospital Revenue Code	272
Min. Negotiated Rate	$9.40
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$148.20
Rate for Payer: Aetna Medicare Advantage	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.45
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$78.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$78.00
Rate for Payer: UnitedHealthcare Community & State	$9.40
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$51.09
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$805.60
Rate for Payer: Aetna Medicare Advantage	$636.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.60
Rate for Payer: Cigna Commercial	$1,060.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.00
Rate for Payer: Oxford Commercial	$424.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00
Rate for Payer: UnitedHealthcare Commercial	$424.00
Rate for Payer: UnitedHealthcare Community & State	$51.09
Rate for Payer: Wellpoint Medicaid Managed Care	$56.18

BLADE DUAL KAHOOK

Facility

$2,120.00

Hospital Charge Code	270688339
Hospital Revenue Code	272
Min. Negotiated Rate	$318.00
Max. Negotiated Rate	$318.00
Rate for Payer: Qualcare PPO/HMO/WC	$318.00

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE DUAL SAGIT 25x90x1.19mm

Facility

$200.00

Hospital Charge Code	270678714
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 DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

BLADE DYONICS PLAT FULL 5.5MM

Facility

$400.00

Hospital Charge Code	270696202
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

BLADE EDS NUCLEO 4.5 ES052401

Facility

$1,021.65

Hospital Charge Code	270628756
Hospital Revenue Code	272
Min. Negotiated Rate	$24.62
Max. Negotiated Rate	$510.82
Rate for Payer: Aetna Commercial	$388.23
Rate for Payer: Aetna Medicare Advantage	$306.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.52
Rate for Payer: Cigna Commercial	$510.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$306.50
Rate for Payer: Oxford Commercial	$204.33
Rate for Payer: Qualcare PPO/HMO/WC	$153.25
Rate for Payer: UnitedHealthcare Commercial	$204.33
Rate for Payer: UnitedHealthcare Community & State	$24.62
Rate for Payer: Wellpoint Medicaid Managed Care	$27.07

BLADE EDS NUCLEO 4.5 ES052401

Facility

$1,021.65

Hospital Charge Code	270628756
Hospital Revenue Code	272
Min. Negotiated Rate	$153.25
Max. Negotiated Rate	$153.25
Rate for Payer: Qualcare PPO/HMO/WC	$153.25

BLADE ELEC 4.5X25.5 ******

Facility

$51.00

Hospital Charge Code	1605096
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

Know your out-of-pocket cost for care.

All Charges