Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE INFER TURB 2mm 1882040HR

Facility

$787.00

Hospital Charge Code	270639581
Hospital Revenue Code	272
Min. Negotiated Rate	$118.05
Max. Negotiated Rate	$118.05
Rate for Payer: Qualcare PPO/HMO/WC	$118.05

BLADE INFER TURB 2mm 1882040HR

Facility

$787.00

Hospital Charge Code	270639581
Hospital Revenue Code	272
Min. Negotiated Rate	$18.97
Max. Negotiated Rate	$393.50
Rate for Payer: Aetna Commercial	$299.06
Rate for Payer: Aetna Medicare Advantage	$236.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.69
Rate for Payer: Cigna Commercial	$393.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.10
Rate for Payer: Oxford Commercial	$157.40
Rate for Payer: Qualcare PPO/HMO/WC	$118.05
Rate for Payer: UnitedHealthcare Commercial	$157.40
Rate for Payer: UnitedHealthcare Community & State	$18.97
Rate for Payer: Wellpoint Medicaid Managed Care	$20.86

BLADE INFR TURB 2mm 1882040HRE

Facility

$780.00

Hospital Charge Code	270639303
Hospital Revenue Code	272
Min. Negotiated Rate	$18.80
Max. Negotiated Rate	$390.00
Rate for Payer: Aetna Commercial	$296.40
Rate for Payer: Aetna Medicare Advantage	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$198.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$198.90
Rate for Payer: Cigna Commercial	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.00
Rate for Payer: Oxford Commercial	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00
Rate for Payer: UnitedHealthcare Commercial	$156.00
Rate for Payer: UnitedHealthcare Community & State	$18.80
Rate for Payer: Wellpoint Medicaid Managed Care	$20.67

BLADE INFR TURB 2mm 1882040HRE

Facility

$780.00

Hospital Charge Code	270639303
Hospital Revenue Code	272
Min. Negotiated Rate	$117.00
Max. Negotiated Rate	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$117.00

BLADE INTREX 25x90MM 1.19MM

Facility

$335.00

Hospital Charge Code	270647596
Hospital Revenue Code	272
Min. Negotiated Rate	$50.25
Max. Negotiated Rate	$50.25
Rate for Payer: Qualcare PPO/HMO/WC	$50.25

BLADE INTREX 25x90MM 1.19MM

Facility

$335.00

Hospital Charge Code	270647596
Hospital Revenue Code	272
Min. Negotiated Rate	$8.07
Max. Negotiated Rate	$167.50
Rate for Payer: Aetna Commercial	$127.30
Rate for Payer: Aetna Medicare Advantage	$100.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.42
Rate for Payer: Cigna Commercial	$167.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.50
Rate for Payer: Oxford Commercial	$67.00
Rate for Payer: Qualcare PPO/HMO/WC	$50.25
Rate for Payer: UnitedHealthcare Commercial	$67.00
Rate for Payer: UnitedHealthcare Community & State	$8.07
Rate for Payer: Wellpoint Medicaid Managed Care	$8.88

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

BLADE KOBYGARD

Facility

$1,625.00

Hospital Charge Code	270668932
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

BLADE KOMET 9.5 X 25.5 KM-218

Facility

$50.45

Hospital Charge Code	270614421
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$7.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

BLADE KOMET 9.5 X 25.5 KM-218

Facility

$50.45

Hospital Charge Code	270614421
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$19.17
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.13
Rate for Payer: Oxford Commercial	$10.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Commercial	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

BLADE KOMET KM 102 5053-239

Facility

$124.85

Hospital Charge Code	270601060
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

BLADE KOMET KM 102 5053-239

Facility

$124.85

Hospital Charge Code	270601060
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

BLADE LAPSC MORCELL 26712010

Facility

$1,382.45

Hospital Charge Code	270600250
Hospital Revenue Code	272
Min. Negotiated Rate	$33.32
Max. Negotiated Rate	$691.23
Rate for Payer: Aetna Commercial	$525.33
Rate for Payer: Aetna Medicare Advantage	$414.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$352.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$352.52
Rate for Payer: Cigna Commercial	$691.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.74
Rate for Payer: Oxford Commercial	$276.49
Rate for Payer: Qualcare PPO/HMO/WC	$207.37
Rate for Payer: UnitedHealthcare Commercial	$276.49
Rate for Payer: UnitedHealthcare Community & State	$33.32
Rate for Payer: Wellpoint Medicaid Managed Care	$36.63

BLADE LAPSC MORCELL 26712010

Facility

$1,382.45

Hospital Charge Code	270600250
Hospital Revenue Code	272
Min. Negotiated Rate	$207.37
Max. Negotiated Rate	$207.37
Rate for Payer: Qualcare PPO/HMO/WC	$207.37

BLADE LARGE SERRATED SONICONE

Facility

$2,025.00

Hospital Charge Code	270678537
Hospital Revenue Code	272
Min. Negotiated Rate	$48.80
Max. Negotiated Rate	$1,012.50
Rate for Payer: Aetna Commercial	$769.50
Rate for Payer: Aetna Medicare Advantage	$607.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$516.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$516.38
Rate for Payer: Cigna Commercial	$1,012.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$607.50
Rate for Payer: Oxford Commercial	$405.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.75
Rate for Payer: UnitedHealthcare Commercial	$405.00
Rate for Payer: UnitedHealthcare Community & State	$48.80
Rate for Payer: Wellpoint Medicaid Managed Care	$53.66

BLADE LARGE SERRATED SONICONE

Facility

$2,025.00

Hospital Charge Code	270678537
Hospital Revenue Code	272
Min. Negotiated Rate	$303.75
Max. Negotiated Rate	$303.75
Rate for Payer: Qualcare PPO/HMO/WC	$303.75

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 0

Facility

$72.14

Hospital Charge Code	270684541
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.64
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 00

Facility

$72.14

Hospital Charge Code	270684540
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.64
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.64
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

BLADE LARGO MAC MILLER SZ 1

Facility

$72.14

Hospital Charge Code	270684542
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.07
Rate for Payer: Aetna Commercial	$27.41
Rate for Payer: Aetna Medicare Advantage	$21.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.40
Rate for Payer: Cigna Commercial	$36.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.64
Rate for Payer: Oxford Commercial	$14.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.82
Rate for Payer: UnitedHealthcare Commercial	$14.43
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

BLADE LARGO MAC MILLER SZ 2

Facility

$72.14

Hospital Charge Code	270684543
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$10.82
Rate for Payer: Qualcare PPO/HMO/WC	$10.82

Know your out-of-pocket cost for care.

All Charges