Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE RETRACTOR KOLBEL 36X68

Facility

$858.80

Hospital Charge Code	270691430
Hospital Revenue Code	272
Min. Negotiated Rate	$128.82
Max. Negotiated Rate	$128.82
Rate for Payer: Qualcare PPO/HMO/WC	$128.82

BLADE ROUND FLEX MED

Facility

$3,375.00

Hospital Charge Code	270680026
Hospital Revenue Code	272
Min. Negotiated Rate	$81.34
Max. Negotiated Rate	$1,687.50
Rate for Payer: Aetna Commercial	$1,282.50
Rate for Payer: Aetna Medicare Advantage	$1,012.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.62
Rate for Payer: Cigna Commercial	$1,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,012.50
Rate for Payer: Oxford Commercial	$675.00
Rate for Payer: Qualcare PPO/HMO/WC	$506.25
Rate for Payer: UnitedHealthcare Commercial	$675.00
Rate for Payer: UnitedHealthcare Community & State	$81.34
Rate for Payer: Wellpoint Medicaid Managed Care	$89.44

BLADE ROUND FLEX MED

Facility

$3,375.00

Hospital Charge Code	270680026
Hospital Revenue Code	272
Min. Negotiated Rate	$506.25
Max. Negotiated Rate	$506.25
Rate for Payer: Qualcare PPO/HMO/WC	$506.25

BLADE ROUND SOLID BUR 1.5MM

Facility

$115.35

Hospital Charge Code	270691108
Hospital Revenue Code	272
Min. Negotiated Rate	$2.78
Max. Negotiated Rate	$57.67
Rate for Payer: Aetna Commercial	$43.83
Rate for Payer: Aetna Medicare Advantage	$34.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.41
Rate for Payer: Cigna Commercial	$57.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.60
Rate for Payer: Oxford Commercial	$23.07
Rate for Payer: Qualcare PPO/HMO/WC	$17.30
Rate for Payer: UnitedHealthcare Commercial	$23.07
Rate for Payer: UnitedHealthcare Community & State	$2.78
Rate for Payer: Wellpoint Medicaid Managed Care	$3.06

BLADE ROUND SOLID BUR 1.5MM

Facility

$115.35

Hospital Charge Code	270691108
Hospital Revenue Code	272
Min. Negotiated Rate	$17.30
Max. Negotiated Rate	$17.30
Rate for Payer: Qualcare PPO/HMO/WC	$17.30

BLADE S9 FLAT 10MMX5CM

Facility

$850.00

Hospital Charge Code	270696316
Hospital Revenue Code	272
Min. Negotiated Rate	$127.50
Max. Negotiated Rate	$127.50
Rate for Payer: Qualcare PPO/HMO/WC	$127.50

BLADE S9 FLAT 10MMX5CM

Facility

$850.00

Hospital Charge Code	270696316
Hospital Revenue Code	272
Min. Negotiated Rate	$20.48
Max. Negotiated Rate	$425.00
Rate for Payer: Aetna Commercial	$323.00
Rate for Payer: Aetna Medicare Advantage	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.75
Rate for Payer: Cigna Commercial	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.00
Rate for Payer: Oxford Commercial	$170.00
Rate for Payer: Qualcare PPO/HMO/WC	$127.50
Rate for Payer: UnitedHealthcare Commercial	$170.00
Rate for Payer: UnitedHealthcare Community & State	$20.48
Rate for Payer: Wellpoint Medicaid Managed Care	$22.52

BLADES AGITALSAW STRAIGHT

Facility

$69.85

Hospital Charge Code	270657621
Hospital Revenue Code	270
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$10.48
Rate for Payer: Qualcare PPO/HMO/WC	$10.48

BLADES AGITALSAW STRAIGHT

Facility

$69.85

Hospital Charge Code	270657621
Hospital Revenue Code	270
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 SAGITTAL 13X90X1.19MM

Facility

$316.10

Hospital Charge Code	270687598
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$158.05
Rate for Payer: Aetna Commercial	$120.12
Rate for Payer: Aetna Medicare Advantage	$94.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.61
Rate for Payer: Cigna Commercial	$158.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.83
Rate for Payer: Oxford Commercial	$63.22
Rate for Payer: Qualcare PPO/HMO/WC	$47.41
Rate for Payer: UnitedHealthcare Commercial	$63.22
Rate for Payer: UnitedHealthcare Community & State	$7.62
Rate for Payer: Wellpoint Medicaid Managed Care	$8.38

BLADE SAGITTAL 13X90X1.19MM

Facility

$316.10

Hospital Charge Code	270687598
Hospital Revenue Code	272
Min. Negotiated Rate	$47.41
Max. Negotiated Rate	$47.41
Rate for Payer: Qualcare PPO/HMO/WC	$47.41

BLADE SAGITTAL 13X90X1.27MM

Facility

$300.25

Hospital Charge Code	270687191
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE SAGITTAL 13X90X1.27MM

Facility

$300.25

Hospital Charge Code	270687191
Hospital Revenue Code	272
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$114.09
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.08
Rate for Payer: Oxford Commercial	$60.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$60.05
Rate for Payer: UnitedHealthcare Community & State	$7.24
Rate for Payer: Wellpoint Medicaid Managed Care	$7.96

BLADE SAGITTAL 18X90X1.19

Facility

$316.10

Hospital Charge Code	270695106
Hospital Revenue Code	272
Min. Negotiated Rate	$47.41
Max. Negotiated Rate	$47.41
Rate for Payer: Qualcare PPO/HMO/WC	$47.41

BLADE SAGITTAL 18X90X1.19

Facility

$316.10

Hospital Charge Code	270695106
Hospital Revenue Code	272
Min. Negotiated Rate	$7.62
Max. Negotiated Rate	$158.05
Rate for Payer: Aetna Commercial	$120.12
Rate for Payer: Aetna Medicare Advantage	$94.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.61
Rate for Payer: Cigna Commercial	$158.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.83
Rate for Payer: Oxford Commercial	$63.22
Rate for Payer: Qualcare PPO/HMO/WC	$47.41
Rate for Payer: UnitedHealthcare Commercial	$63.22
Rate for Payer: UnitedHealthcare Community & State	$7.62
Rate for Payer: Wellpoint Medicaid Managed Care	$8.38

BLADE SAGITTAL 25X90X0.97MM

Facility

$135.00

Hospital Charge Code	270698401
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

BLADE SAGITTAL 25X90X0.97MM

Facility

$135.00

Hospital Charge Code	270698401
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

BLADE SAGITTAL CRSE 19.5x41mm

Facility

$69.85

Hospital Charge Code	270638992
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 SAGITTAL CRSE 19.5x41mm

Facility

$69.85

Hospital Charge Code	270638992
Hospital Revenue Code	272
Min. Negotiated Rate	$10.48
Max. Negotiated Rate	$10.48
Rate for Payer: Qualcare PPO/HMO/WC	$10.48

BLADE SAGITTAL FINE 4X34MM

Facility

$50.00

Hospital Charge Code	270638993
Hospital Revenue Code	270
Min. Negotiated Rate	$7.50
Max. Negotiated Rate	$7.50
Rate for Payer: Qualcare PPO/HMO/WC	$7.50

BLADE SAGITTAL FINE 4X34MM

Facility

$50.00

Hospital Charge Code	270638993
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 SAGITTAL SAW 25x90x1.27

Facility

$126.75

Hospital Charge Code	270677909
Hospital Revenue Code	272
Min. Negotiated Rate	$3.05
Max. Negotiated Rate	$63.38
Rate for Payer: Aetna Commercial	$48.16
Rate for Payer: Aetna Medicare Advantage	$38.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.32
Rate for Payer: Cigna Commercial	$63.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.02
Rate for Payer: Oxford Commercial	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$19.01
Rate for Payer: UnitedHealthcare Commercial	$25.35
Rate for Payer: UnitedHealthcare Community & State	$3.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.36

BLADE SAGITTAL SAW 25x90x1.27

Facility

$126.75

Hospital Charge Code	270677909
Hospital Revenue Code	272
Min. Negotiated Rate	$19.01
Max. Negotiated Rate	$19.01
Rate for Payer: Qualcare PPO/HMO/WC	$19.01

BLADE SAGITTAL SAW 90X12.5

Facility

$300.25

Hospital Charge Code	270687038
Hospital Revenue Code	272
Min. Negotiated Rate	$45.04
Max. Negotiated Rate	$45.04
Rate for Payer: Qualcare PPO/HMO/WC	$45.04

BLADE SAGITTAL SAW 90X12.5

Facility

$300.25

Hospital Charge Code	270687038
Hospital Revenue Code	272
Min. Negotiated Rate	$7.24
Max. Negotiated Rate	$150.12
Rate for Payer: Aetna Commercial	$114.09
Rate for Payer: Aetna Medicare Advantage	$90.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.56
Rate for Payer: Cigna Commercial	$150.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.08
Rate for Payer: Oxford Commercial	$60.05
Rate for Payer: Qualcare PPO/HMO/WC	$45.04
Rate for Payer: UnitedHealthcare Commercial	$60.05
Rate for Payer: UnitedHealthcare Community & State	$7.24
Rate for Payer: Wellpoint Medicaid Managed Care	$7.96

Know your out-of-pocket cost for care.

All Charges