Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 90X19MM

Facility

$625.00

Hospital Charge Code	270698284
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$1,406.25
Max. Negotiated Rate	$1,406.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25

BLADE SAW 9X31X.051MM

Facility

$9,375.00

Service Code	HCPCS A4649
Hospital Charge Code	270699359
Hospital Revenue Code	272
Min. Negotiated Rate	$225.94
Max. Negotiated Rate	$4,687.50
Rate for Payer: Aetna Commercial	$3,562.50
Rate for Payer: Aetna Medicare Advantage	$2,812.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,390.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,390.62
Rate for Payer: Cigna Commercial	$4,687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,812.50
Rate for Payer: Oxford Commercial	$1,875.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,406.25
Rate for Payer: UnitedHealthcare Commercial	$1,875.00
Rate for Payer: UnitedHealthcare Community & State	$225.94
Rate for Payer: Wellpoint Medicaid Managed Care	$248.44

BLADE SAW HIPER 0.54X25mm

Facility

$491.10

Hospital Charge Code	270636755
Hospital Revenue Code	272
Min. Negotiated Rate	$73.67
Max. Negotiated Rate	$73.67
Rate for Payer: Qualcare PPO/HMO/WC	$73.67

BLADE SAW HIPER 0.54X25mm

Facility

$491.10

Hospital Charge Code	270636755
Hospital Revenue Code	272
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$245.55
Rate for Payer: Aetna Commercial	$186.62
Rate for Payer: Aetna Medicare Advantage	$147.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.23
Rate for Payer: Cigna Commercial	$245.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.33
Rate for Payer: Oxford Commercial	$98.22
Rate for Payer: Qualcare PPO/HMO/WC	$73.67
Rate for Payer: UnitedHealthcare Commercial	$98.22
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.01

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MED NARROW 18.5x7MM

Facility

$180.20

Hospital Charge Code	270650289
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 SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
Hospital Revenue Code	272
Min. Negotiated Rate	$27.03
Max. Negotiated Rate	$27.03
Rate for Payer: Qualcare PPO/HMO/WC	$27.03

BLADE SAW MICR 5.5X.051X11.5MM

Facility

$180.20

Service Code	HCPCS A4649
Hospital Charge Code	270691097
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 SAW OXFRD RSCTION 506078

Facility

$2,750.00

Hospital Charge Code	270639277
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

BLADE SAW OXFRD RSCTION 506078

Facility

$2,750.00

Hospital Charge Code	270639277
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

BLADE SAW SAGITAL 25x9MM

Facility

$131.95

Hospital Charge Code	270674136
Hospital Revenue Code	272
Min. Negotiated Rate	$19.79
Max. Negotiated Rate	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$19.79

BLADE SAW SAGITAL 25x9MM

Facility

$131.95

Hospital Charge Code	270674136
Hospital Revenue Code	272
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$65.97
Rate for Payer: Aetna Commercial	$50.14
Rate for Payer: Aetna Medicare Advantage	$39.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.65
Rate for Payer: Cigna Commercial	$65.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.59
Rate for Payer: Oxford Commercial	$26.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.79
Rate for Payer: UnitedHealthcare Commercial	$26.39
Rate for Payer: UnitedHealthcare Community & State	$3.18
Rate for Payer: Wellpoint Medicaid Managed Care	$3.50

BLADE SAW SAGITTAL 12.5x81.5

Facility

$149.45

Hospital Charge Code	270668627
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$74.72
Rate for Payer: Aetna Commercial	$56.79
Rate for Payer: Aetna Medicare Advantage	$44.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.11
Rate for Payer: Cigna Commercial	$74.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.84
Rate for Payer: Oxford Commercial	$29.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.42
Rate for Payer: UnitedHealthcare Commercial	$29.89
Rate for Payer: UnitedHealthcare Community & State	$3.60
Rate for Payer: Wellpoint Medicaid Managed Care	$3.96

BLADE SAW SAGITTAL 12.5x81.5

Facility

$149.45

Hospital Charge Code	270668627
Hospital Revenue Code	272
Min. Negotiated Rate	$22.42
Max. Negotiated Rate	$22.42
Rate for Payer: Qualcare PPO/HMO/WC	$22.42

BLADE SAW SAGITTAL 18.5x90

Facility

$326.25

Hospital Charge Code	270656386
Hospital Revenue Code	272
Min. Negotiated Rate	$48.94
Max. Negotiated Rate	$48.94
Rate for Payer: Qualcare PPO/HMO/WC	$48.94

BLADE SAW SAGITTAL 18.5x90

Facility

$326.25

Hospital Charge Code	270656386
Hospital Revenue Code	272
Min. Negotiated Rate	$7.86
Max. Negotiated Rate	$163.12
Rate for Payer: Aetna Commercial	$123.97
Rate for Payer: Aetna Medicare Advantage	$97.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.19
Rate for Payer: Cigna Commercial	$163.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.88
Rate for Payer: Oxford Commercial	$65.25
Rate for Payer: Qualcare PPO/HMO/WC	$48.94
Rate for Payer: UnitedHealthcare Commercial	$65.25
Rate for Payer: UnitedHealthcare Community & State	$7.86
Rate for Payer: Wellpoint Medicaid Managed Care	$8.65

BLADE SAW SAGITTAL 19.5MM CUT

Facility

$30.80

Hospital Charge Code	270657037
Hospital Revenue Code	272
Min. Negotiated Rate	$4.62
Max. Negotiated Rate	$4.62
Rate for Payer: Qualcare PPO/HMO/WC	$4.62

BLADE SAW SAGITTAL 19.5MM CUT

Facility

$30.80

Hospital Charge Code	270657037
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$15.40
Rate for Payer: Aetna Commercial	$11.70
Rate for Payer: Aetna Medicare Advantage	$9.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.85
Rate for Payer: Cigna Commercial	$15.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.24
Rate for Payer: Oxford Commercial	$6.16
Rate for Payer: Qualcare PPO/HMO/WC	$4.62
Rate for Payer: UnitedHealthcare Commercial	$6.16
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

BLADE SAW SAGITTAL 25x5.5MM

Facility

$97.20

Hospital Charge Code	270674224
Hospital Revenue Code	272
Min. Negotiated Rate	$14.58
Max. Negotiated Rate	$14.58
Rate for Payer: Qualcare PPO/HMO/WC	$14.58

BLADE SAW SAGITTAL 25x5.5MM

Facility

$97.20

Hospital Charge Code	270674224
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.60
Rate for Payer: Aetna Commercial	$36.94
Rate for Payer: Aetna Medicare Advantage	$29.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.79
Rate for Payer: Cigna Commercial	$48.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.16
Rate for Payer: Oxford Commercial	$19.44
Rate for Payer: Qualcare PPO/HMO/WC	$14.58
Rate for Payer: UnitedHealthcare Commercial	$19.44
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

BLADE SAW SAGITTAL 25x5.5x.38

Facility

$101.05

Hospital Charge Code	270675010
Hospital Revenue Code	272
Min. Negotiated Rate	$2.44
Max. Negotiated Rate	$50.52
Rate for Payer: Aetna Commercial	$38.40
Rate for Payer: Aetna Medicare Advantage	$30.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.77
Rate for Payer: Cigna Commercial	$50.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.32
Rate for Payer: Oxford Commercial	$20.21
Rate for Payer: Qualcare PPO/HMO/WC	$15.16
Rate for Payer: UnitedHealthcare Commercial	$20.21
Rate for Payer: UnitedHealthcare Community & State	$2.44
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

BLADE SAW SAGITTAL 25x5.5x.38

Facility

$101.05

Hospital Charge Code	270675010
Hospital Revenue Code	272
Min. Negotiated Rate	$15.16
Max. Negotiated Rate	$15.16
Rate for Payer: Qualcare PPO/HMO/WC	$15.16

Know your out-of-pocket cost for care.

All Charges