Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE SHAVER FULL RAD 2MMX7CM

Facility

$1,500.00

Hospital Charge Code	270695939
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

BLADE SHEATHED SNGL STR 2.5MM

Facility

$275.00

Hospital Charge Code	270655983
Hospital Revenue Code	271
Min. Negotiated Rate	$41.25
Max. Negotiated Rate	$41.25
Rate for Payer: Qualcare PPO/HMO/WC	$41.25

BLADE SHEATHED SNGL STR 2.5MM

Facility

$275.00

Hospital Charge Code	270655983
Hospital Revenue Code	271
Min. Negotiated Rate	$6.63
Max. Negotiated Rate	$137.50
Rate for Payer: Aetna Commercial	$104.50
Rate for Payer: Aetna Medicare Advantage	$82.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.12
Rate for Payer: Cigna Commercial	$137.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.50
Rate for Payer: Oxford Commercial	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$41.25
Rate for Payer: UnitedHealthcare Commercial	$55.00
Rate for Payer: UnitedHealthcare Community & State	$6.63
Rate for Payer: Wellpoint Medicaid Managed Care	$7.29

BLADE SHVR 4MM 11CML M4 ROTATE

Facility

$1,520.00

Hospital Charge Code	270663279
Hospital Revenue Code	272
Min. Negotiated Rate	$36.63
Max. Negotiated Rate	$760.00
Rate for Payer: Aetna Commercial	$577.60
Rate for Payer: Aetna Medicare Advantage	$456.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.60
Rate for Payer: Cigna Commercial	$760.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$456.00
Rate for Payer: Oxford Commercial	$304.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.00
Rate for Payer: UnitedHealthcare Commercial	$304.00
Rate for Payer: UnitedHealthcare Community & State	$36.63
Rate for Payer: Wellpoint Medicaid Managed Care	$40.28

BLADE SHVR 4MM 11CML M4 ROTATE

Facility

$1,520.00

Hospital Charge Code	270663279
Hospital Revenue Code	272
Min. Negotiated Rate	$228.00
Max. Negotiated Rate	$228.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.00

BLADE SIDEWINER ICW

Facility

$4,462.00

Hospital Charge Code	270688039
Hospital Revenue Code	272
Min. Negotiated Rate	$107.53
Max. Negotiated Rate	$2,231.00
Rate for Payer: Aetna Commercial	$1,695.56
Rate for Payer: Aetna Medicare Advantage	$1,338.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.81
Rate for Payer: Cigna Commercial	$2,231.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,338.60
Rate for Payer: Oxford Commercial	$892.40
Rate for Payer: Qualcare PPO/HMO/WC	$669.30
Rate for Payer: UnitedHealthcare Commercial	$892.40
Rate for Payer: UnitedHealthcare Community & State	$107.53
Rate for Payer: Wellpoint Medicaid Managed Care	$118.24

BLADE SIDEWINER ICW

Facility

$4,462.00

Hospital Charge Code	270688039
Hospital Revenue Code	272
Min. Negotiated Rate	$669.30
Max. Negotiated Rate	$669.30
Rate for Payer: Qualcare PPO/HMO/WC	$669.30

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$36.15
Max. Negotiated Rate	$750.00
Rate for Payer: Aetna Commercial	$570.00
Rate for Payer: Aetna Medicare Advantage	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$382.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$382.50
Rate for Payer: Cigna Commercial	$750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$450.00
Rate for Payer: Oxford Commercial	$300.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00
Rate for Payer: UnitedHealthcare Commercial	$300.00
Rate for Payer: UnitedHealthcare Community & State	$36.15
Rate for Payer: Wellpoint Medicaid Managed Care	$39.75

BLADES INC PL ELITE MINI 3.5MM

Facility

$1,500.00

Hospital Charge Code	270693725
Hospital Revenue Code	272
Min. Negotiated Rate	$225.00
Max. Negotiated Rate	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$225.00

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$68.75
Rate for Payer: Aetna Commercial	$52.25
Rate for Payer: Aetna Medicare Advantage	$41.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.06
Rate for Payer: Cigna Commercial	$68.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.25
Rate for Payer: Oxford Commercial	$27.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.62
Rate for Payer: UnitedHealthcare Commercial	$27.50
Rate for Payer: UnitedHealthcare Community & State	$3.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

BLADE SLIT ALCON 2.75 CLEAR

Facility

$137.50

Hospital Charge Code	270651605
Hospital Revenue Code	272
Min. Negotiated Rate	$20.62
Max. Negotiated Rate	$20.62
Rate for Payer: Qualcare PPO/HMO/WC	$20.62

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.74
Rate for Payer: Aetna Commercial	$15.00
Rate for Payer: Aetna Medicare Advantage	$11.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.07
Rate for Payer: Cigna Commercial	$19.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.84
Rate for Payer: Oxford Commercial	$7.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.92
Rate for Payer: UnitedHealthcare Commercial	$7.90
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

BLADE SPHERICAL STERILING 4.5m

Facility

$39.48

Hospital Charge Code	270674987
Hospital Revenue Code	272
Min. Negotiated Rate	$5.92
Max. Negotiated Rate	$5.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.92

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$396.11
Max. Negotiated Rate	$639.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$580.97
Rate for Payer: Qualcare PPO/HMO/WC	$396.11

BLADE SPIRAL TI 75MM

Facility

$2,640.75

Service Code	HCPCS C1713
Hospital Charge Code	270693260
Hospital Revenue Code	278
Min. Negotiated Rate	$63.64
Max. Negotiated Rate	$1,320.38
Rate for Payer: Aetna Commercial	$1,003.49
Rate for Payer: Aetna Medicare Advantage	$792.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$673.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$528.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$673.39
Rate for Payer: Cigna Commercial	$1,320.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$580.97
Rate for Payer: Qualcare PPO/HMO/WC	$396.11
Rate for Payer: UnitedHealthcare Community & State	$63.64
Rate for Payer: Wellpoint Medicaid Managed Care	$69.98

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$11.80
Max. Negotiated Rate	$244.80
Rate for Payer: Aetna Commercial	$186.05
Rate for Payer: Aetna Medicare Advantage	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.85
Rate for Payer: Cigna Commercial	$244.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.88
Rate for Payer: Oxford Commercial	$97.92
Rate for Payer: Qualcare PPO/HMO/WC	$73.44
Rate for Payer: UnitedHealthcare Commercial	$97.92
Rate for Payer: UnitedHealthcare Community & State	$11.80
Rate for Payer: Wellpoint Medicaid Managed Care	$12.97

BLADE STABLECUT MICRO 9X31MM

Facility

$489.60

Hospital Charge Code	270694258
Hospital Revenue Code	272
Min. Negotiated Rate	$73.44
Max. Negotiated Rate	$73.44
Rate for Payer: Qualcare PPO/HMO/WC	$73.44

BLADE STERILE 9.5x25.5 5023138

Facility

$49.65

Hospital Charge Code	270634977
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.82
Rate for Payer: Aetna Commercial	$18.87
Rate for Payer: Aetna Medicare Advantage	$14.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.66
Rate for Payer: Cigna Commercial	$24.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.89
Rate for Payer: Oxford Commercial	$9.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.45
Rate for Payer: UnitedHealthcare Commercial	$9.93
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

BLADE STERILE 9.5x25.5 5023138

Facility

$49.65

Hospital Charge Code	270634977
Hospital Revenue Code	272
Min. Negotiated Rate	$7.45
Max. Negotiated Rate	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$7.45

BLADE STERNUM SAW 5059532

Facility

$108.70

Hospital Charge Code	270634802
Hospital Revenue Code	272
Min. Negotiated Rate	$16.30
Max. Negotiated Rate	$16.30
Rate for Payer: Qualcare PPO/HMO/WC	$16.30

BLADE STERNUM SAW 5059532

Facility

$108.70

Hospital Charge Code	270634802
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$54.35
Rate for Payer: Aetna Commercial	$41.31
Rate for Payer: Aetna Medicare Advantage	$32.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.72
Rate for Payer: Cigna Commercial	$54.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.61
Rate for Payer: Oxford Commercial	$21.74
Rate for Payer: Qualcare PPO/HMO/WC	$16.30
Rate for Payer: UnitedHealthcare Commercial	$21.74
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$84.35
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,330.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,050.00
Rate for Payer: Oxford Commercial	$700.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00
Rate for Payer: UnitedHealthcare Commercial	$700.00
Rate for Payer: UnitedHealthcare Community & State	$84.35
Rate for Payer: Wellpoint Medicaid Managed Care	$92.75

BLADE STRAIGHT

Facility

$3,500.00

Hospital Charge Code	270687188
Hospital Revenue Code	272
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

BLADE STRY FL RAD 3.5 27563700

Facility

$422.45

Hospital Charge Code	270616918
Hospital Revenue Code	272
Min. Negotiated Rate	$63.37
Max. Negotiated Rate	$63.37
Rate for Payer: Qualcare PPO/HMO/WC	$63.37

BLADE STRY FL RAD 3.5 27563700

Facility

$422.45

Hospital Charge Code	270616918
Hospital Revenue Code	272
Min. Negotiated Rate	$10.18
Max. Negotiated Rate	$211.22
Rate for Payer: Aetna Commercial	$160.53
Rate for Payer: Aetna Medicare Advantage	$126.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.72
Rate for Payer: Cigna Commercial	$211.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.73
Rate for Payer: Oxford Commercial	$84.49
Rate for Payer: Qualcare PPO/HMO/WC	$63.37
Rate for Payer: UnitedHealthcare Commercial	$84.49
Rate for Payer: UnitedHealthcare Community & State	$10.18
Rate for Payer: Wellpoint Medicaid Managed Care	$11.19

Know your out-of-pocket cost for care.

All Charges