Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE F/MEDICLIP SURG CLIPPER

Facility

$10.96

Hospital Charge Code	270636907C
Hospital Revenue Code	272
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

BLADE F/MEDICLIP SURG CLIPPER

Facility

$10.96

Hospital Charge Code	270636907C
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.48
Rate for Payer: Aetna Commercial	$4.16
Rate for Payer: Aetna Medicare Advantage	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.79
Rate for Payer: Cigna Commercial	$5.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.29
Rate for Payer: Oxford Commercial	$2.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$2.19
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

BLADE FULL RADIUS 2.9

Facility

$124.00

Hospital Charge Code	1606680
Hospital Revenue Code	272
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$62.00
Rate for Payer: Aetna Commercial	$47.12
Rate for Payer: Aetna Medicare Advantage	$37.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.62
Rate for Payer: Cigna Commercial	$62.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.20
Rate for Payer: Oxford Commercial	$24.80
Rate for Payer: Qualcare PPO/HMO/WC	$18.60
Rate for Payer: UnitedHealthcare Commercial	$24.80
Rate for Payer: UnitedHealthcare Community & State	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

BLADE FULL RADIUS 2.9

Facility

$124.00

Hospital Charge Code	1606680
Hospital Revenue Code	272
Min. Negotiated Rate	$18.60
Max. Negotiated Rate	$18.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.60

BLADE GLIDESCOPE PEDS SZ 2.5

Facility

$104.50

Hospital Charge Code	270668363
Hospital Revenue Code	272
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$15.68

BLADE GLIDESCOPE PEDS SZ 2.5

Facility

$104.50

Hospital Charge Code	270668363
Hospital Revenue Code	272
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$52.25
Rate for Payer: Aetna Commercial	$39.71
Rate for Payer: Aetna Medicare Advantage	$31.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.65
Rate for Payer: Cigna Commercial	$52.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.35
Rate for Payer: Oxford Commercial	$20.90
Rate for Payer: Qualcare PPO/HMO/WC	$15.68
Rate for Payer: UnitedHealthcare Commercial	$20.90
Rate for Payer: UnitedHealthcare Community & State	$2.52
Rate for Payer: Wellpoint Medicaid Managed Care	$2.77

BLADE GLIDESCOPE RANGER STAT#3

Facility

$80.00

Hospital Charge Code	270673221
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.00
Rate for Payer: Oxford Commercial	$16.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Commercial	$16.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

BLADE GLIDESCOPE RANGER STAT#3

Facility

$80.00

Hospital Charge Code	270673221
Hospital Revenue Code	272
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

BLADE GLIDESCOPE RANGER STAT#4

Facility

$90.00

Hospital Charge Code	270668123
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

BLADE GLIDESCOPE RANGER STAT#4

Facility

$90.00

Hospital Charge Code	270668123
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

BLADE GLIDESCOPE STAT #1

Facility

$114.50

Hospital Charge Code	270661546
Hospital Revenue Code	272
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$17.18
Rate for Payer: Qualcare PPO/HMO/WC	$17.18

BLADE GLIDESCOPE STAT #1

Facility

$114.50

Hospital Charge Code	270661546
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$57.25
Rate for Payer: Aetna Commercial	$43.51
Rate for Payer: Aetna Medicare Advantage	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.20
Rate for Payer: Cigna Commercial	$57.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.35
Rate for Payer: Oxford Commercial	$22.90
Rate for Payer: Qualcare PPO/HMO/WC	$17.18
Rate for Payer: UnitedHealthcare Commercial	$22.90
Rate for Payer: UnitedHealthcare Community & State	$2.76
Rate for Payer: Wellpoint Medicaid Managed Care	$3.03

BLADE GLIDESCOPE STAT #2

Facility

$114.50

Hospital Charge Code	270661547
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$57.25
Rate for Payer: Aetna Commercial	$43.51
Rate for Payer: Aetna Medicare Advantage	$34.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.20
Rate for Payer: Cigna Commercial	$57.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.35
Rate for Payer: Oxford Commercial	$22.90
Rate for Payer: Qualcare PPO/HMO/WC	$17.18
Rate for Payer: UnitedHealthcare Commercial	$22.90
Rate for Payer: UnitedHealthcare Community & State	$2.76
Rate for Payer: Wellpoint Medicaid Managed Care	$3.03

BLADE GLIDESCOPE STAT #2

Facility

$114.50

Hospital Charge Code	270661547
Hospital Revenue Code	272
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$17.18
Rate for Payer: Qualcare PPO/HMO/WC	$17.18

BLADE GLIDESCOPE STAT #3

Facility

$90.00

Hospital Charge Code	270657740
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

BLADE GLIDESCOPE STAT #3

Facility

$90.00

Hospital Charge Code	270657740
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

BLADE GLIDESCOPE STAT #4

Facility

$90.00

Hospital Charge Code	270654995
Hospital Revenue Code	272
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$34.20
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.00
Rate for Payer: Oxford Commercial	$18.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$18.00
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

BLADE GLIDESCOPE STAT #4

Facility

$90.00

Hospital Charge Code	270654995
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

BLADE GREAT WHITE SHAVER 1.2MM

Facility

$272.95

Hospital Charge Code	270677534
Hospital Revenue Code	272
Min. Negotiated Rate	$6.58
Max. Negotiated Rate	$136.47
Rate for Payer: Aetna Commercial	$103.72
Rate for Payer: Aetna Medicare Advantage	$81.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.60
Rate for Payer: Cigna Commercial	$136.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.89
Rate for Payer: Oxford Commercial	$54.59
Rate for Payer: Qualcare PPO/HMO/WC	$40.94
Rate for Payer: UnitedHealthcare Commercial	$54.59
Rate for Payer: UnitedHealthcare Community & State	$6.58
Rate for Payer: Wellpoint Medicaid Managed Care	$7.23

BLADE GREAT WHITE SHAVER 1.2MM

Facility

$272.95

Hospital Charge Code	270677534
Hospital Revenue Code	272
Min. Negotiated Rate	$40.94
Max. Negotiated Rate	$40.94
Rate for Payer: Qualcare PPO/HMO/WC	$40.94

BLADE HD SAG 32x0.6x62 MM

Facility

$515.00

Hospital Charge Code	270684745
Hospital Revenue Code	272
Min. Negotiated Rate	$12.41
Max. Negotiated Rate	$257.50
Rate for Payer: Aetna Commercial	$195.70
Rate for Payer: Aetna Medicare Advantage	$154.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.32
Rate for Payer: Cigna Commercial	$257.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.50
Rate for Payer: Oxford Commercial	$103.00
Rate for Payer: Qualcare PPO/HMO/WC	$77.25
Rate for Payer: UnitedHealthcare Commercial	$103.00
Rate for Payer: UnitedHealthcare Community & State	$12.41
Rate for Payer: Wellpoint Medicaid Managed Care	$13.65

BLADE HD SAG 32x0.6x62 MM

Facility

$515.00

Hospital Charge Code	270684745
Hospital Revenue Code	272
Min. Negotiated Rate	$77.25
Max. Negotiated Rate	$77.25
Rate for Payer: Qualcare PPO/HMO/WC	$77.25

BLADE HEAVY RECIPROCATING 74x.

Facility

$545.00

Hospital Charge Code	270689584
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.50
Rate for Payer: Aetna Commercial	$207.10
Rate for Payer: Aetna Medicare Advantage	$163.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.97
Rate for Payer: Cigna Commercial	$272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.50
Rate for Payer: Oxford Commercial	$109.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.75
Rate for Payer: UnitedHealthcare Commercial	$109.00
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

BLADE HEAVY RECIPROCATING 74x.

Facility

$545.00

Hospital Charge Code	270689584
Hospital Revenue Code	272
Min. Negotiated Rate	$81.75
Max. Negotiated Rate	$81.75
Rate for Payer: Qualcare PPO/HMO/WC	$81.75

BLADE HEAVY RECIPROCATING 77MM

Facility

$223.40

Hospital Charge Code	270689585
Hospital Revenue Code	272
Min. Negotiated Rate	$33.51
Max. Negotiated Rate	$33.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.51

Know your out-of-pocket cost for care.

All Charges