Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE ELEC 6.5 25.5 5053-232**

Facility

$53.00

Hospital Charge Code	1605013
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$26.50
Rate for Payer: Aetna Commercial	$20.14
Rate for Payer: Aetna Medicare Advantage	$15.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.52
Rate for Payer: Cigna Commercial	$26.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.90
Rate for Payer: Oxford Commercial	$10.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.95
Rate for Payer: UnitedHealthcare Commercial	$10.60
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

BLADE ELEC 6.5 25.5 5053-232**

Facility

$53.00

Hospital Charge Code	1605013
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$7.95

BLADE ELEC 9.5X25.5 5053-238**

Facility

$51.00

Hospital Charge Code	1604974
Hospital Revenue Code	272
Min. Negotiated Rate	$7.65
Max. Negotiated Rate	$7.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.65

BLADE ELEC 9.5X25.5 5053-238**

Facility

$51.00

Hospital Charge Code	1604974
Hospital Revenue Code	272
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$25.50
Rate for Payer: Aetna Commercial	$19.38
Rate for Payer: Aetna Medicare Advantage	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.01
Rate for Payer: Cigna Commercial	$25.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.30
Rate for Payer: Oxford Commercial	$10.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.65
Rate for Payer: UnitedHealthcare Commercial	$10.20
Rate for Payer: UnitedHealthcare Community & State	$1.23
Rate for Payer: Wellpoint Medicaid Managed Care	$1.35

BLADE ELECTRODE EXTENDED 6

Facility

$47.00

Hospital Charge Code	270331054
Hospital Revenue Code	272
Min. Negotiated Rate	$7.05
Max. Negotiated Rate	$7.05
Rate for Payer: Qualcare PPO/HMO/WC	$7.05

BLADE ELECTRODE EXTENDED 6

Facility

$47.00

Hospital Charge Code	270331054
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$23.50
Rate for Payer: Aetna Commercial	$17.86
Rate for Payer: Aetna Medicare Advantage	$14.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.98
Rate for Payer: Cigna Commercial	$23.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.10
Rate for Payer: Oxford Commercial	$9.40
Rate for Payer: Qualcare PPO/HMO/WC	$7.05
Rate for Payer: UnitedHealthcare Commercial	$9.40
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

BLADE ELECTRODE EXTNDED E15516

Facility

$16.72

Hospital Charge Code	270600399
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$2.51
Rate for Payer: Qualcare PPO/HMO/WC	$2.51

BLADE ELECTRODE EXTNDED E15516

Facility

$16.72

Hospital Charge Code	270600399
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.36
Rate for Payer: Aetna Commercial	$6.35
Rate for Payer: Aetna Medicare Advantage	$5.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.26
Rate for Payer: Cigna Commercial	$8.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.02
Rate for Payer: Oxford Commercial	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.51
Rate for Payer: UnitedHealthcare Commercial	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

BLADE ENDOTRAC SYSTEM 3056

Facility

$3,020.00

Hospital Charge Code	270600365
Hospital Revenue Code	272
Min. Negotiated Rate	$453.00
Max. Negotiated Rate	$453.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.00

BLADE ENDOTRAC SYSTEM 3056

Facility

$3,020.00

Hospital Charge Code	270600365
Hospital Revenue Code	272
Min. Negotiated Rate	$72.78
Max. Negotiated Rate	$1,510.00
Rate for Payer: Aetna Commercial	$1,147.60
Rate for Payer: Aetna Medicare Advantage	$906.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$770.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$770.10
Rate for Payer: Cigna Commercial	$1,510.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$453.00
Rate for Payer: UnitedHealthcare Commercial	$604.00
Rate for Payer: UnitedHealthcare Community & State	$72.78
Rate for Payer: Wellpoint Medicaid Managed Care	$80.03

BLADE ENDOTRAC SYSTEMS

Facility

$444.00

Hospital Charge Code	1603224
Hospital Revenue Code	272
Min. Negotiated Rate	$66.60
Max. Negotiated Rate	$66.60
Rate for Payer: Qualcare PPO/HMO/WC	$66.60

BLADE ENDOTRAC SYSTEMS

Facility

$444.00

Hospital Charge Code	1603224
Hospital Revenue Code	272
Min. Negotiated Rate	$10.70
Max. Negotiated Rate	$222.00
Rate for Payer: Aetna Commercial	$168.72
Rate for Payer: Aetna Medicare Advantage	$133.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.22
Rate for Payer: Cigna Commercial	$222.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$133.20
Rate for Payer: Oxford Commercial	$88.80
Rate for Payer: Qualcare PPO/HMO/WC	$66.60
Rate for Payer: UnitedHealthcare Commercial	$88.80
Rate for Payer: UnitedHealthcare Community & State	$10.70
Rate for Payer: Wellpoint Medicaid Managed Care	$11.77

BLADE EXPANDABLE SHAVER

Facility

$1,250.00

Hospital Charge Code	270692117
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

BLADE EXPANDABLE SHAVER

Facility

$1,250.00

Hospital Charge Code	270692117
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

BLADE EXTD STERNUM SAW 5059531

Facility

$163.75

Hospital Charge Code	270635105
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.12
Rate for Payer: Oxford Commercial	$32.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Commercial	$32.75
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

BLADE EXTD STERNUM SAW 5059531

Facility

$163.75

Hospital Charge Code	270635105
Hospital Revenue Code	272
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$24.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

BLADE E-Z CLEAN LAPAROSCOPIC

Facility

$283.25

Hospital Charge Code	270655012
Hospital Revenue Code	270
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$141.62
Rate for Payer: Aetna Commercial	$107.64
Rate for Payer: Aetna Medicare Advantage	$84.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.23
Rate for Payer: Cigna Commercial	$141.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.97
Rate for Payer: Oxford Commercial	$56.65
Rate for Payer: Qualcare PPO/HMO/WC	$42.49
Rate for Payer: UnitedHealthcare Commercial	$56.65
Rate for Payer: UnitedHealthcare Community & State	$6.83
Rate for Payer: Wellpoint Medicaid Managed Care	$7.51

BLADE E-Z CLEAN LAPAROSCOPIC

Facility

$283.25

Hospital Charge Code	270655012
Hospital Revenue Code	270
Min. Negotiated Rate	$42.49
Max. Negotiated Rate	$42.49
Rate for Payer: Qualcare PPO/HMO/WC	$42.49

BLADE FAN CORE OFFSET COARSE

Facility

$241.50

Hospital Charge Code	270676552
Hospital Revenue Code	272
Min. Negotiated Rate	$36.23
Max. Negotiated Rate	$36.23
Rate for Payer: Qualcare PPO/HMO/WC	$36.23

BLADE FAN CORE OFFSET COARSE

Facility

$241.50

Hospital Charge Code	270676552
Hospital Revenue Code	272
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$120.75
Rate for Payer: Aetna Commercial	$91.77
Rate for Payer: Aetna Medicare Advantage	$72.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.58
Rate for Payer: Cigna Commercial	$120.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.45
Rate for Payer: Oxford Commercial	$48.30
Rate for Payer: Qualcare PPO/HMO/WC	$36.23
Rate for Payer: UnitedHealthcare Commercial	$48.30
Rate for Payer: UnitedHealthcare Community & State	$5.82
Rate for Payer: Wellpoint Medicaid Managed Care	$6.40

BLADE FASCIOTOMY PLANTAR

Facility

$291.00

Hospital Charge Code	270335212
Hospital Revenue Code	272
Min. Negotiated Rate	$7.01
Max. Negotiated Rate	$145.50
Rate for Payer: Aetna Commercial	$110.58
Rate for Payer: Aetna Medicare Advantage	$87.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.20
Rate for Payer: Cigna Commercial	$145.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.30
Rate for Payer: Oxford Commercial	$58.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.65
Rate for Payer: UnitedHealthcare Commercial	$58.20
Rate for Payer: UnitedHealthcare Community & State	$7.01
Rate for Payer: Wellpoint Medicaid Managed Care	$7.71

BLADE FASCIOTOMY PLANTAR

Facility

$291.00

Hospital Charge Code	270335212
Hospital Revenue Code	272
Min. Negotiated Rate	$43.65
Max. Negotiated Rate	$43.65
Rate for Payer: Qualcare PPO/HMO/WC	$43.65

BLADE FLAT

Facility

$3,500.00

Hospital Charge Code	270680186
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 FLAT

Facility

$3,500.00

Hospital Charge Code	270680186
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

Know your out-of-pocket cost for care.

All Charges