Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE HEAVY RECIPROCATING 77X1

Facility

$202.55

Hospital Charge Code	270689551
Hospital Revenue Code	272
Min. Negotiated Rate	$4.88
Max. Negotiated Rate	$101.28
Rate for Payer: Aetna Commercial	$76.97
Rate for Payer: Aetna Medicare Advantage	$60.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.65
Rate for Payer: Cigna Commercial	$101.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.77
Rate for Payer: Oxford Commercial	$40.51
Rate for Payer: Qualcare PPO/HMO/WC	$30.38
Rate for Payer: UnitedHealthcare Commercial	$40.51
Rate for Payer: UnitedHealthcare Community & State	$4.88
Rate for Payer: Wellpoint Medicaid Managed Care	$5.37

BLADE HEAVY RECIPROCATING 77X1

Facility

$202.55

Hospital Charge Code	270689551
Hospital Revenue Code	272
Min. Negotiated Rate	$30.38
Max. Negotiated Rate	$30.38
Rate for Payer: Qualcare PPO/HMO/WC	$30.38

BLADE HELICAL 100M

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270682260
Hospital Revenue Code	278
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$796.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE HELICAL 100M

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270682260
Hospital Revenue Code	278
Min. Negotiated Rate	$79.31
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Community & State	$79.31
Rate for Payer: Wellpoint Medicaid Managed Care	$87.21

BLADE HELICAL 100M

Facility

$600.00

Hospital Charge Code	270682304
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

BLADE HELICAL 100M

Facility

$600.00

Hospital Charge Code	270682304
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

BLADE HELICAL11.0X100 456305S

Facility

$2,177.50

Hospital Charge Code	270933466
Hospital Revenue Code	272
Min. Negotiated Rate	$326.62
Max. Negotiated Rate	$326.62
Rate for Payer: Qualcare PPO/HMO/WC	$326.62

BLADE HELICAL11.0X100 456305S

Facility

$2,177.50

Hospital Charge Code	270933466
Hospital Revenue Code	272
Min. Negotiated Rate	$52.48
Max. Negotiated Rate	$1,088.75
Rate for Payer: Aetna Commercial	$827.45
Rate for Payer: Aetna Medicare Advantage	$653.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.26
Rate for Payer: Cigna Commercial	$1,088.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$653.25
Rate for Payer: Oxford Commercial	$435.50
Rate for Payer: Qualcare PPO/HMO/WC	$326.62
Rate for Payer: UnitedHealthcare Commercial	$435.50
Rate for Payer: UnitedHealthcare Community & State	$52.48
Rate for Payer: Wellpoint Medicaid Managed Care	$57.70

BLADE HELICAL 11X 105

Facility

$3,290.85

Hospital Charge Code	270679365
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE HELICAL 11X 105

Facility

$3,290.85

Hospital Charge Code	270679365
Hospital Revenue Code	272
Min. Negotiated Rate	$79.31
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$987.25
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$79.31
Rate for Payer: Wellpoint Medicaid Managed Care	$87.21

BLADE HELICAL 85 mm 11mm

Facility

$2,536.90

Hospital Charge Code	270679028
Hospital Revenue Code	272
Min. Negotiated Rate	$61.14
Max. Negotiated Rate	$1,268.45
Rate for Payer: Aetna Commercial	$964.02
Rate for Payer: Aetna Medicare Advantage	$761.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$646.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$646.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$646.91
Rate for Payer: Cigna Commercial	$1,268.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$761.07
Rate for Payer: Oxford Commercial	$507.38
Rate for Payer: Qualcare PPO/HMO/WC	$380.54
Rate for Payer: UnitedHealthcare Commercial	$507.38
Rate for Payer: UnitedHealthcare Community & State	$61.14
Rate for Payer: Wellpoint Medicaid Managed Care	$67.23

BLADE HELICAL 85 mm 11mm

Facility

$2,536.90

Hospital Charge Code	270679028
Hospital Revenue Code	272
Min. Negotiated Rate	$380.54
Max. Negotiated Rate	$380.54
Rate for Payer: Qualcare PPO/HMO/WC	$380.54

BLADE HELICAL COUPLING SCREW

Facility

$3,139.45

Service Code	HCPCS C1713
Hospital Charge Code	270651556
Hospital Revenue Code	278
Min. Negotiated Rate	$470.92
Max. Negotiated Rate	$759.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$690.68
Rate for Payer: Qualcare PPO/HMO/WC	$470.92

BLADE HELICAL COUPLING SCREW

Facility

$3,139.45

Service Code	HCPCS C1713
Hospital Charge Code	270651556
Hospital Revenue Code	278
Min. Negotiated Rate	$75.66
Max. Negotiated Rate	$1,569.72
Rate for Payer: Aetna Commercial	$1,192.99
Rate for Payer: Aetna Medicare Advantage	$941.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$800.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$800.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$627.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$800.56
Rate for Payer: Cigna Commercial	$1,569.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$759.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$690.68
Rate for Payer: Qualcare PPO/HMO/WC	$470.92
Rate for Payer: UnitedHealthcare Community & State	$75.66
Rate for Payer: Wellpoint Medicaid Managed Care	$83.20

BLADE HELICAL FENS x 85MM STER

Facility

$3,600.00

Hospital Charge Code	270681821
Hospital Revenue Code	272
Min. Negotiated Rate	$540.00
Max. Negotiated Rate	$540.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00

BLADE HELICAL FENS x 85MM STER

Facility

$3,600.00

Hospital Charge Code	270681821
Hospital Revenue Code	272
Min. Negotiated Rate	$86.76
Max. Negotiated Rate	$1,800.00
Rate for Payer: Aetna Commercial	$1,368.00
Rate for Payer: Aetna Medicare Advantage	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$918.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$918.00
Rate for Payer: Cigna Commercial	$1,800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,080.00
Rate for Payer: Oxford Commercial	$720.00
Rate for Payer: Qualcare PPO/HMO/WC	$540.00
Rate for Payer: UnitedHealthcare Commercial	$720.00
Rate for Payer: UnitedHealthcare Community & State	$86.76
Rate for Payer: Wellpoint Medicaid Managed Care	$95.40

BLADE HELICAL TI 11.0x100mm

Facility

$2,743.90

Hospital Charge Code	270633466
Hospital Revenue Code	272
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$1,042.68
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$823.17
Rate for Payer: Oxford Commercial	$548.78
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$548.78
Rate for Payer: UnitedHealthcare Community & State	$66.13
Rate for Payer: Wellpoint Medicaid Managed Care	$72.71

BLADE HELICAL TI 11.0x100mm

Facility

$2,743.90

Hospital Charge Code	270633466
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x105mm

Facility

$2,664.00

Hospital Charge Code	270656595
Hospital Revenue Code	272
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

BLADE HELICAL TI 11.0x105mm

Facility

$2,664.00

Hospital Charge Code	270656595
Hospital Revenue Code	272
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$1,332.00
Rate for Payer: Aetna Commercial	$1,012.32
Rate for Payer: Aetna Medicare Advantage	$799.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.32
Rate for Payer: Cigna Commercial	$1,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.20
Rate for Payer: Oxford Commercial	$532.80
Rate for Payer: Qualcare PPO/HMO/WC	$399.60
Rate for Payer: UnitedHealthcare Commercial	$532.80
Rate for Payer: UnitedHealthcare Community & State	$64.20
Rate for Payer: Wellpoint Medicaid Managed Care	$70.60

BLADE HELICAL TI 11.0x110mm

Facility

$2,743.90

Hospital Charge Code	270646464
Hospital Revenue Code	272
Min. Negotiated Rate	$66.13
Max. Negotiated Rate	$1,371.95
Rate for Payer: Aetna Commercial	$1,042.68
Rate for Payer: Aetna Medicare Advantage	$823.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.69
Rate for Payer: Cigna Commercial	$1,371.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$823.17
Rate for Payer: Oxford Commercial	$548.78
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Commercial	$548.78
Rate for Payer: UnitedHealthcare Community & State	$66.13
Rate for Payer: Wellpoint Medicaid Managed Care	$72.71

BLADE HELICAL TI 11.0x110mm

Facility

$2,743.90

Hospital Charge Code	270646464
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x115mm

Facility

$2,664.00

Hospital Charge Code	270664459
Hospital Revenue Code	272
Min. Negotiated Rate	$64.20
Max. Negotiated Rate	$1,332.00
Rate for Payer: Aetna Commercial	$1,012.32
Rate for Payer: Aetna Medicare Advantage	$799.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$679.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$679.32
Rate for Payer: Cigna Commercial	$1,332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$799.20
Rate for Payer: Oxford Commercial	$532.80
Rate for Payer: Qualcare PPO/HMO/WC	$399.60
Rate for Payer: UnitedHealthcare Commercial	$532.80
Rate for Payer: UnitedHealthcare Community & State	$64.20
Rate for Payer: Wellpoint Medicaid Managed Care	$70.60

BLADE HELICAL TI 11.0x115mm

Facility

$2,664.00

Hospital Charge Code	270664459
Hospital Revenue Code	272
Min. Negotiated Rate	$399.60
Max. Negotiated Rate	$399.60
Rate for Payer: Qualcare PPO/HMO/WC	$399.60

Know your out-of-pocket cost for care.

All Charges