Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE HELICAL TI 11.0x85mm

Facility

$2,664.00

Hospital Charge Code	270656670
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 11.0x85mm

Facility

$2,664.00

Hospital Charge Code	270656670
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 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$664.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$548.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$664.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$603.66
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HELICAL TI 11.0x90mm

Facility

$2,743.90

Service Code	HCPCS C1713
Hospital Charge Code	270646024
Hospital Revenue Code	278
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) NJ Health	$548.78
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	$664.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$603.66
Rate for Payer: Qualcare PPO/HMO/WC	$411.58
Rate for Payer: UnitedHealthcare Community & State	$66.13
Rate for Payer: Wellpoint Medicaid Managed Care	$72.71

BLADE HELICAL TI 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
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 11.0x95mm

Facility

$2,743.90

Hospital Charge Code	270645390
Hospital Revenue Code	272
Min. Negotiated Rate	$411.58
Max. Negotiated Rate	$411.58
Rate for Payer: Qualcare PPO/HMO/WC	$411.58

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$436.50
Max. Negotiated Rate	$436.50
Rate for Payer: Qualcare PPO/HMO/WC	$436.50

BLADE HIP ACCESS KIT CURVED

Facility

$2,910.00

Hospital Charge Code	270670482
Hospital Revenue Code	272
Min. Negotiated Rate	$70.13
Max. Negotiated Rate	$1,455.00
Rate for Payer: Aetna Commercial	$1,105.80
Rate for Payer: Aetna Medicare Advantage	$873.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$742.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$742.05
Rate for Payer: Cigna Commercial	$1,455.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$873.00
Rate for Payer: Oxford Commercial	$582.00
Rate for Payer: Qualcare PPO/HMO/WC	$436.50
Rate for Payer: UnitedHealthcare Commercial	$582.00
Rate for Payer: UnitedHealthcare Community & State	$70.13
Rate for Payer: Wellpoint Medicaid Managed Care	$77.11

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$417.00
Max. Negotiated Rate	$417.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00

BLADE HIP ACCESS KIT STR

Facility

$2,780.00

Hospital Charge Code	270670481
Hospital Revenue Code	272
Min. Negotiated Rate	$67.00
Max. Negotiated Rate	$1,390.00
Rate for Payer: Aetna Commercial	$1,056.40
Rate for Payer: Aetna Medicare Advantage	$834.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$708.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$708.90
Rate for Payer: Cigna Commercial	$1,390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$834.00
Rate for Payer: Oxford Commercial	$556.00
Rate for Payer: Qualcare PPO/HMO/WC	$417.00
Rate for Payer: UnitedHealthcare Commercial	$556.00
Rate for Payer: UnitedHealthcare Community & State	$67.00
Rate for Payer: Wellpoint Medicaid Managed Care	$73.67

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$8.01
Max. Negotiated Rate	$166.14
Rate for Payer: Aetna Commercial	$126.27
Rate for Payer: Aetna Medicare Advantage	$99.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.73
Rate for Payer: Cigna Commercial	$166.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.68
Rate for Payer: Oxford Commercial	$66.46
Rate for Payer: Qualcare PPO/HMO/WC	$49.84
Rate for Payer: UnitedHealthcare Commercial	$66.46
Rate for Payer: UnitedHealthcare Community & State	$8.01
Rate for Payer: Wellpoint Medicaid Managed Care	$8.81

BLADE HIP CURVED XL LONG 4MM

Facility

$332.28

Hospital Charge Code	270679826
Hospital Revenue Code	272
Min. Negotiated Rate	$49.84
Max. Negotiated Rate	$49.84
Rate for Payer: Qualcare PPO/HMO/WC	$49.84

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$256.69
Max. Negotiated Rate	$256.69
Rate for Payer: Qualcare PPO/HMO/WC	$256.69

BLADE HIP STRAIGHT LONG 4 MM

Facility

$1,711.25

Hospital Charge Code	270693111
Hospital Revenue Code	272
Min. Negotiated Rate	$41.24
Max. Negotiated Rate	$855.62
Rate for Payer: Aetna Commercial	$650.27
Rate for Payer: Aetna Medicare Advantage	$513.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.37
Rate for Payer: Cigna Commercial	$855.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.38
Rate for Payer: Oxford Commercial	$342.25
Rate for Payer: Qualcare PPO/HMO/WC	$256.69
Rate for Payer: UnitedHealthcare Commercial	$342.25
Rate for Payer: UnitedHealthcare Community & State	$41.24
Rate for Payer: Wellpoint Medicaid Managed Care	$45.35

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$40.04
Max. Negotiated Rate	$830.70
Rate for Payer: Aetna Commercial	$631.33
Rate for Payer: Aetna Medicare Advantage	$498.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.66
Rate for Payer: Cigna Commercial	$830.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$498.42
Rate for Payer: Oxford Commercial	$332.28
Rate for Payer: Qualcare PPO/HMO/WC	$249.21
Rate for Payer: UnitedHealthcare Commercial	$332.28
Rate for Payer: UnitedHealthcare Community & State	$40.04
Rate for Payer: Wellpoint Medicaid Managed Care	$44.03

BLADE HIP STRAIGHT LONG 4MM

Facility

$1,661.40

Hospital Charge Code	270679825
Hospital Revenue Code	272
Min. Negotiated Rate	$249.21
Max. Negotiated Rate	$249.21
Rate for Payer: Qualcare PPO/HMO/WC	$249.21

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$214.39
Max. Negotiated Rate	$214.39
Rate for Payer: Qualcare PPO/HMO/WC	$214.39

BLADE HOOK HARMONIC

Facility

$1,429.25

Hospital Charge Code	270670759
Hospital Revenue Code	272
Min. Negotiated Rate	$34.44
Max. Negotiated Rate	$714.62
Rate for Payer: Aetna Commercial	$543.12
Rate for Payer: Aetna Medicare Advantage	$428.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.46
Rate for Payer: Cigna Commercial	$714.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$428.77
Rate for Payer: Oxford Commercial	$285.85
Rate for Payer: Qualcare PPO/HMO/WC	$214.39
Rate for Payer: UnitedHealthcare Commercial	$285.85
Rate for Payer: UnitedHealthcare Community & State	$34.44
Rate for Payer: Wellpoint Medicaid Managed Care	$37.88

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BLADE HOOK MINI AGL 50DG 4058A

Facility

$375.00

Hospital Charge Code	270632346
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

BLADE ICM ELECTRODE ICM-0200

Facility

$212.85

Hospital Charge Code	270600236
Hospital Revenue Code	272
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$31.93

BLADE ICM ELECTRODE ICM-0200

Facility

$212.85

Hospital Charge Code	270600236
Hospital Revenue Code	272
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$106.42
Rate for Payer: Aetna Commercial	$80.88
Rate for Payer: Aetna Medicare Advantage	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.28
Rate for Payer: Cigna Commercial	$106.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.85
Rate for Payer: Oxford Commercial	$42.57
Rate for Payer: Qualcare PPO/HMO/WC	$31.93
Rate for Payer: UnitedHealthcare Commercial	$42.57
Rate for Payer: UnitedHealthcare Community & State	$5.13
Rate for Payer: Wellpoint Medicaid Managed Care	$5.64

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

BLADE ICT RELEASE TOME 200060

Facility

$725.00

Hospital Charge Code	270600353
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$17.47
Rate for Payer: Wellpoint Medicaid Managed Care	$19.21

BLADE ILLUMINATION SYSTEM

Facility

$12,400.00

Hospital Charge Code	270695150
Hospital Revenue Code	272
Min. Negotiated Rate	$298.84
Max. Negotiated Rate	$6,200.00
Rate for Payer: Aetna Commercial	$4,712.00
Rate for Payer: Aetna Medicare Advantage	$3,720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,162.00
Rate for Payer: Cigna Commercial	$6,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,720.00
Rate for Payer: Oxford Commercial	$2,480.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,860.00
Rate for Payer: UnitedHealthcare Commercial	$2,480.00
Rate for Payer: UnitedHealthcare Community & State	$298.84
Rate for Payer: Wellpoint Medicaid Managed Care	$328.60

Know your out-of-pocket cost for care.

All Charges