Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE PATELLA REAMER W/PILO

Facility

$876.25

Hospital Charge Code	270661319
Hospital Revenue Code	272
Min. Negotiated Rate	$21.12
Max. Negotiated Rate	$438.12
Rate for Payer: Aetna Commercial	$332.98
Rate for Payer: Aetna Medicare Advantage	$262.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.44
Rate for Payer: Cigna Commercial	$438.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.88
Rate for Payer: Oxford Commercial	$175.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.44
Rate for Payer: UnitedHealthcare Commercial	$175.25
Rate for Payer: UnitedHealthcare Community & State	$21.12
Rate for Payer: Wellpoint Medicaid Managed Care	$23.22

BLADE PATELLA REAMER W/PILO

Facility

$876.25

Hospital Charge Code	270661319
Hospital Revenue Code	272
Min. Negotiated Rate	$131.44
Max. Negotiated Rate	$131.44
Rate for Payer: Qualcare PPO/HMO/WC	$131.44

BLADE PRECISION 19.5X0.38X41MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691103
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE PRECISION 19.5X0.38X41MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691103
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$68.48
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.06
Rate for Payer: Oxford Commercial	$36.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$36.04
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.78

BLADE PRECISION 9X.51X18.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691100
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE PRECISION 9X.51X18.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691100
Hospital Revenue Code	272
Min. Negotiated Rate	$4.34
Max. Negotiated Rate	$90.10
Rate for Payer: Aetna Commercial	$68.48
Rate for Payer: Aetna Medicare Advantage	$54.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.95
Rate for Payer: Cigna Commercial	$90.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.06
Rate for Payer: Oxford Commercial	$36.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.03
Rate for Payer: UnitedHealthcare Commercial	$36.04
Rate for Payer: UnitedHealthcare Community & State	$4.34
Rate for Payer: Wellpoint Medicaid Managed Care	$4.78

BLADE QUADCUT M4 4.3MM 13CM

Facility

$1,960.00

Hospital Charge Code	270663277
Hospital Revenue Code	272
Min. Negotiated Rate	$47.24
Max. Negotiated Rate	$980.00
Rate for Payer: Aetna Commercial	$744.80
Rate for Payer: Aetna Medicare Advantage	$588.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$499.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$499.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$499.80
Rate for Payer: Cigna Commercial	$980.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$588.00
Rate for Payer: Oxford Commercial	$392.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.00
Rate for Payer: UnitedHealthcare Commercial	$392.00
Rate for Payer: UnitedHealthcare Community & State	$47.24
Rate for Payer: Wellpoint Medicaid Managed Care	$51.94

BLADE QUADCUT M4 4.3MM 13CM

Facility

$1,960.00

Hospital Charge Code	270663277
Hospital Revenue Code	272
Min. Negotiated Rate	$294.00
Max. Negotiated Rate	$294.00
Rate for Payer: Qualcare PPO/HMO/WC	$294.00

BLADE RADENOID ADULT 4.5MM

Facility

$4,310.00

Hospital Charge Code	270665449
Hospital Revenue Code	270
Min. Negotiated Rate	$103.87
Max. Negotiated Rate	$2,155.00
Rate for Payer: Aetna Commercial	$1,637.80
Rate for Payer: Aetna Medicare Advantage	$1,293.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,099.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,099.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,099.05
Rate for Payer: Cigna Commercial	$2,155.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,293.00
Rate for Payer: Oxford Commercial	$862.00
Rate for Payer: Qualcare PPO/HMO/WC	$646.50
Rate for Payer: UnitedHealthcare Commercial	$862.00
Rate for Payer: UnitedHealthcare Community & State	$103.87
Rate for Payer: Wellpoint Medicaid Managed Care	$114.22

BLADE RADENOID ADULT 4.5MM

Facility

$4,310.00

Hospital Charge Code	270665449
Hospital Revenue Code	270
Min. Negotiated Rate	$646.50
Max. Negotiated Rate	$646.50
Rate for Payer: Qualcare PPO/HMO/WC	$646.50

BLADE RADENOID PEDIATRIC 4.0M

Facility

$4,435.00

Hospital Charge Code	270665450
Hospital Revenue Code	270
Min. Negotiated Rate	$106.88
Max. Negotiated Rate	$2,217.50
Rate for Payer: Aetna Commercial	$1,685.30
Rate for Payer: Aetna Medicare Advantage	$1,330.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,130.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,130.92
Rate for Payer: Cigna Commercial	$2,217.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,330.50
Rate for Payer: Oxford Commercial	$887.00
Rate for Payer: Qualcare PPO/HMO/WC	$665.25
Rate for Payer: UnitedHealthcare Commercial	$887.00
Rate for Payer: UnitedHealthcare Community & State	$106.88
Rate for Payer: Wellpoint Medicaid Managed Care	$117.53

BLADE RADENOID PEDIATRIC 4.0M

Facility

$4,435.00

Hospital Charge Code	270665450
Hospital Revenue Code	270
Min. Negotiated Rate	$665.25
Max. Negotiated Rate	$665.25
Rate for Payer: Qualcare PPO/HMO/WC	$665.25

BLADE RASP LARGE TEAR 6.5MMV 1

Facility

$249.20

Hospital Charge Code	270655957
Hospital Revenue Code	270
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

BLADE RASP LARGE TEAR 6.5MMV 1

Facility

$249.20

Hospital Charge Code	270655957
Hospital Revenue Code	270
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$94.70
Rate for Payer: Aetna Medicare Advantage	$74.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.55
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$49.84
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$49.84
Rate for Payer: UnitedHealthcare Community & State	$6.01
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

BLADE RASP SMALL TEAR STR CUT

Facility

$249.20

Hospital Charge Code	270655953
Hospital Revenue Code	271
Min. Negotiated Rate	$6.01
Max. Negotiated Rate	$124.60
Rate for Payer: Aetna Commercial	$94.70
Rate for Payer: Aetna Medicare Advantage	$74.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.55
Rate for Payer: Cigna Commercial	$124.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.76
Rate for Payer: Oxford Commercial	$49.84
Rate for Payer: Qualcare PPO/HMO/WC	$37.38
Rate for Payer: UnitedHealthcare Commercial	$49.84
Rate for Payer: UnitedHealthcare Community & State	$6.01
Rate for Payer: Wellpoint Medicaid Managed Care	$6.60

BLADE RASP SMALL TEAR STR CUT

Facility

$249.20

Hospital Charge Code	270655953
Hospital Revenue Code	271
Min. Negotiated Rate	$37.38
Max. Negotiated Rate	$37.38
Rate for Payer: Qualcare PPO/HMO/WC	$37.38

BLADE RECIP DBL SIDE 70X0.64MM

Facility

$209.40

Hospital Charge Code	270693704
Hospital Revenue Code	272
Min. Negotiated Rate	$31.41
Max. Negotiated Rate	$31.41
Rate for Payer: Qualcare PPO/HMO/WC	$31.41

BLADE RECIP DBL SIDE 70X0.64MM

Facility

$209.40

Hospital Charge Code	270693704
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$104.70
Rate for Payer: Aetna Commercial	$79.57
Rate for Payer: Aetna Medicare Advantage	$62.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.40
Rate for Payer: Cigna Commercial	$104.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$62.82
Rate for Payer: Oxford Commercial	$41.88
Rate for Payer: Qualcare PPO/HMO/WC	$31.41
Rate for Payer: UnitedHealthcare Commercial	$41.88
Rate for Payer: UnitedHealthcare Community & State	$5.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5.55

BLADE RECIPROC 25MMx0.4MMKM-54

Facility

$163.75

Hospital Charge Code	270614424
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$81.88
Rate for Payer: Aetna Commercial	$62.23
Rate for Payer: Aetna Medicare Advantage	$49.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.76
Rate for Payer: Cigna Commercial	$81.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.12
Rate for Payer: Oxford Commercial	$32.75
Rate for Payer: Qualcare PPO/HMO/WC	$24.56
Rate for Payer: UnitedHealthcare Commercial	$32.75
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$4.34

BLADE RECIPROC 25MMx0.4MMKM-54

Facility

$163.75

Hospital Charge Code	270614424
Hospital Revenue Code	272
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$24.56
Rate for Payer: Qualcare PPO/HMO/WC	$24.56

BLADE REESE DERMATOME

Facility

$412.85

Hospital Charge Code	270600396
Hospital Revenue Code	272
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

BLADE REESE DERMATOME

Facility

$412.85

Hospital Charge Code	270600396
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$206.43
Rate for Payer: Aetna Commercial	$156.88
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$206.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.86
Rate for Payer: Oxford Commercial	$82.57
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$82.57
Rate for Payer: UnitedHealthcare Community & State	$9.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.94

BLADE REMOVAL 58MM

Facility

$3,750.00

Hospital Charge Code	270671834
Hospital Revenue Code	272
Min. Negotiated Rate	$90.38
Max. Negotiated Rate	$1,875.00
Rate for Payer: Aetna Commercial	$1,425.00
Rate for Payer: Aetna Medicare Advantage	$1,125.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$956.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$956.25
Rate for Payer: Cigna Commercial	$1,875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,125.00
Rate for Payer: Oxford Commercial	$750.00
Rate for Payer: Qualcare PPO/HMO/WC	$562.50
Rate for Payer: UnitedHealthcare Commercial	$750.00
Rate for Payer: UnitedHealthcare Community & State	$90.38
Rate for Payer: Wellpoint Medicaid Managed Care	$99.38

BLADE REMOVAL 58MM

Facility

$3,750.00

Hospital Charge Code	270671834
Hospital Revenue Code	272
Min. Negotiated Rate	$562.50
Max. Negotiated Rate	$562.50
Rate for Payer: Qualcare PPO/HMO/WC	$562.50

BLADE RETRACTOR KOLBEL 36X68

Facility

$858.80

Hospital Charge Code	270691430
Hospital Revenue Code	272
Min. Negotiated Rate	$20.70
Max. Negotiated Rate	$429.40
Rate for Payer: Aetna Commercial	$326.34
Rate for Payer: Aetna Medicare Advantage	$257.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.99
Rate for Payer: Cigna Commercial	$429.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$257.64
Rate for Payer: Oxford Commercial	$171.76
Rate for Payer: Qualcare PPO/HMO/WC	$128.82
Rate for Payer: UnitedHealthcare Commercial	$171.76
Rate for Payer: UnitedHealthcare Community & State	$20.70
Rate for Payer: Wellpoint Medicaid Managed Care	$22.76

Know your out-of-pocket cost for care.

All Charges