Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE OSCILL

Facility

$288.00

Hospital Charge Code	270657686
Hospital Revenue Code	272
Min. Negotiated Rate	$43.20
Max. Negotiated Rate	$43.20
Rate for Payer: Qualcare PPO/HMO/WC	$43.20

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$12.30
Max. Negotiated Rate	$12.30
Rate for Payer: Qualcare PPO/HMO/WC	$12.30

BLADE OSCILLATING SAW

Facility

$82.00

Hospital Charge Code	270658462
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$41.00
Rate for Payer: Aetna Commercial	$31.16
Rate for Payer: Aetna Medicare Advantage	$24.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.91
Rate for Payer: Cigna Commercial	$41.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.60
Rate for Payer: Oxford Commercial	$16.40
Rate for Payer: Qualcare PPO/HMO/WC	$12.30
Rate for Payer: UnitedHealthcare Commercial	$16.40
Rate for Payer: UnitedHealthcare Community & State	$1.98
Rate for Payer: Wellpoint Medicaid Managed Care	$2.17

BLADE OSCIL LG 5052-553

Facility

$60.00

Hospital Charge Code	1605021
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE OSCIL LG 5052-553

Facility

$60.00

Hospital Charge Code	1605021
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BLADE OSCIL LG BONE 5052551***

Facility

$57.00

Hospital Charge Code	1604982
Hospital Revenue Code	272
Min. Negotiated Rate	$8.55
Max. Negotiated Rate	$8.55
Rate for Payer: Qualcare PPO/HMO/WC	$8.55

BLADE OSCIL LG BONE 5052551***

Facility

$57.00

Hospital Charge Code	1604982
Hospital Revenue Code	272
Min. Negotiated Rate	$1.37
Max. Negotiated Rate	$28.50
Rate for Payer: Aetna Commercial	$21.66
Rate for Payer: Aetna Medicare Advantage	$17.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.54
Rate for Payer: Cigna Commercial	$28.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.10
Rate for Payer: Oxford Commercial	$11.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.55
Rate for Payer: UnitedHealthcare Commercial	$11.40
Rate for Payer: UnitedHealthcare Community & State	$1.37
Rate for Payer: Wellpoint Medicaid Managed Care	$1.51

BLADE OSCILL MICRO 5.5x12mm

Facility

$72.50

Hospital Charge Code	270638944
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.25
Rate for Payer: Aetna Commercial	$27.55
Rate for Payer: Aetna Medicare Advantage	$21.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.49
Rate for Payer: Cigna Commercial	$36.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.75
Rate for Payer: Oxford Commercial	$14.50
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.50
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

BLADE OSCILL MICRO 5.5x12mm

Facility

$72.50

Hospital Charge Code	270638944
Hospital Revenue Code	272
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

BLADE OSCILL MICRO 5.5X12mm

Facility

$69.85

Hospital Charge Code	270638994
Hospital Revenue Code	272
Min. Negotiated Rate	$1.68
Max. Negotiated Rate	$34.92
Rate for Payer: Aetna Commercial	$26.54
Rate for Payer: Aetna Medicare Advantage	$20.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.81
Rate for Payer: Cigna Commercial	$34.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.95
Rate for Payer: Oxford Commercial	$13.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.48
Rate for Payer: UnitedHealthcare Commercial	$13.97
Rate for Payer: UnitedHealthcare Community & State	$1.68
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

BLADE OSCILL MICRO 5.5X12mm

Facility

$69.85

Hospital Charge Code	270638994
Hospital Revenue Code	272
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$10.48
Rate for Payer: Qualcare PPO/HMO/WC	$10.48

BLADE OSCILL SAW 19.5X0.9X86MM

Facility

$60.00

Hospital Charge Code	270638997
Hospital Revenue Code	270
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

BLADE OSCILL SAW 19.5X0.9X86MM

Facility

$60.00

Hospital Charge Code	270638997
Hospital Revenue Code	270
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

BLADE OSCILL SAW LG BONE

Facility

$205.00

Hospital Charge Code	270658497
Hospital Revenue Code	272
Min. Negotiated Rate	$4.94
Max. Negotiated Rate	$102.50
Rate for Payer: Aetna Commercial	$77.90
Rate for Payer: Aetna Medicare Advantage	$61.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.27
Rate for Payer: Cigna Commercial	$102.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.50
Rate for Payer: Oxford Commercial	$41.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.75
Rate for Payer: UnitedHealthcare Commercial	$41.00
Rate for Payer: UnitedHealthcare Community & State	$4.94
Rate for Payer: Wellpoint Medicaid Managed Care	$5.43

BLADE OSCILL SAW LG BONE

Facility

$205.00

Hospital Charge Code	270658497
Hospital Revenue Code	272
Min. Negotiated Rate	$30.75
Max. Negotiated Rate	$30.75
Rate for Payer: Qualcare PPO/HMO/WC	$30.75

BLADE OSCIL MICRO 10X28.5MM

Facility

$50.00

Hospital Charge Code	270638996
Hospital Revenue Code	270
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$25.00
Rate for Payer: Aetna Commercial	$19.00
Rate for Payer: Aetna Medicare Advantage	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.75
Rate for Payer: Cigna Commercial	$25.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.00
Rate for Payer: Oxford Commercial	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.50
Rate for Payer: UnitedHealthcare Commercial	$10.00
Rate for Payer: UnitedHealthcare Community & State	$1.21
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

BLADE OSCIL MICRO 10X28.5MM

Facility

$50.00

Hospital Charge Code	270638996
Hospital Revenue Code	270
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

BLADE OSTEOTOME THIN 12MMX3IN

Facility

$560.00

Service Code	HCPCS A4649
Hospital Charge Code	270698026
Hospital Revenue Code	272
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$280.00
Rate for Payer: Aetna Commercial	$212.80
Rate for Payer: Aetna Medicare Advantage	$168.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.80
Rate for Payer: Cigna Commercial	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.00
Rate for Payer: Oxford Commercial	$112.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00
Rate for Payer: UnitedHealthcare Commercial	$112.00
Rate for Payer: UnitedHealthcare Community & State	$13.50
Rate for Payer: Wellpoint Medicaid Managed Care	$14.84

BLADE OSTEOTOME THIN 12MMX3IN

Facility

$560.00

Service Code	HCPCS A4649
Hospital Charge Code	270698026
Hospital Revenue Code	272
Min. Negotiated Rate	$84.00
Max. Negotiated Rate	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$84.00

BLADE OVAL 4.0 55MM 16-50903

Facility

$254.45

Hospital Charge Code	270601072
Hospital Revenue Code	272
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$127.22
Rate for Payer: Aetna Commercial	$96.69
Rate for Payer: Aetna Medicare Advantage	$76.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.88
Rate for Payer: Cigna Commercial	$127.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.33
Rate for Payer: Oxford Commercial	$50.89
Rate for Payer: Qualcare PPO/HMO/WC	$38.17
Rate for Payer: UnitedHealthcare Commercial	$50.89
Rate for Payer: UnitedHealthcare Community & State	$6.13
Rate for Payer: Wellpoint Medicaid Managed Care	$6.74

BLADE OVAL 4.0 55MM 16-50903

Facility

$254.45

Hospital Charge Code	270601072
Hospital Revenue Code	272
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$38.17
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

BLADE OVAL 4.0 X 8.0 MM

Facility

$58.80

Hospital Charge Code	270664986
Hospital Revenue Code	270
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$8.82
Rate for Payer: Qualcare PPO/HMO/WC	$8.82

BLADE OVAL 4.0 X 8.0 MM

Facility

$58.80

Hospital Charge Code	270664986
Hospital Revenue Code	270
Min. Negotiated Rate	$1.42
Max. Negotiated Rate	$29.40
Rate for Payer: Aetna Commercial	$22.34
Rate for Payer: Aetna Medicare Advantage	$17.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.99
Rate for Payer: Cigna Commercial	$29.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.64
Rate for Payer: Oxford Commercial	$11.76
Rate for Payer: Qualcare PPO/HMO/WC	$8.82
Rate for Payer: UnitedHealthcare Commercial	$11.76
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.56

BLADE OVAL 4.0 X 8 MM

Facility

$63.70

Hospital Charge Code	270664984
Hospital Revenue Code	270
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$31.85
Rate for Payer: Aetna Commercial	$24.21
Rate for Payer: Aetna Medicare Advantage	$19.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.24
Rate for Payer: Cigna Commercial	$31.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.11
Rate for Payer: Oxford Commercial	$12.74
Rate for Payer: Qualcare PPO/HMO/WC	$9.55
Rate for Payer: UnitedHealthcare Commercial	$12.74
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.69

BLADE OVAL 4.0 X 8 MM

Facility

$63.70

Hospital Charge Code	270664984
Hospital Revenue Code	270
Min. Negotiated Rate	$9.55
Max. Negotiated Rate	$9.55
Rate for Payer: Qualcare PPO/HMO/WC	$9.55

Know your out-of-pocket cost for care.

All Charges