Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BLADE STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
Hospital Revenue Code	272
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$35.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

BLADE STRYKER DUAL 18MMX9X1.19

Facility

$233.70

Hospital Charge Code	270688550
Hospital Revenue Code	272
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$116.85
Rate for Payer: Aetna Commercial	$88.81
Rate for Payer: Aetna Medicare Advantage	$70.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.59
Rate for Payer: Cigna Commercial	$116.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.11
Rate for Payer: Oxford Commercial	$46.74
Rate for Payer: Qualcare PPO/HMO/WC	$35.05
Rate for Payer: UnitedHealthcare Commercial	$46.74
Rate for Payer: UnitedHealthcare Community & State	$5.63
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

BLADE SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
Hospital Revenue Code	272
Min. Negotiated Rate	$26.31
Max. Negotiated Rate	$26.31
Rate for Payer: Qualcare PPO/HMO/WC	$26.31

BLADE SUG PRECISION 9X.38X25MM

Facility

$175.40

Hospital Charge Code	270691104
Hospital Revenue Code	272
Min. Negotiated Rate	$4.23
Max. Negotiated Rate	$87.70
Rate for Payer: Aetna Commercial	$66.65
Rate for Payer: Aetna Medicare Advantage	$52.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.73
Rate for Payer: Cigna Commercial	$87.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.62
Rate for Payer: Oxford Commercial	$35.08
Rate for Payer: Qualcare PPO/HMO/WC	$26.31
Rate for Payer: UnitedHealthcare Commercial	$35.08
Rate for Payer: UnitedHealthcare Community & State	$4.23
Rate for Payer: Wellpoint Medicaid Managed Care	$4.65

BLADE SURGICAL #10

Facility

$5.00

Hospital Charge Code	270300345
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

BLADE SURGICAL #10

Facility

$5.00

Hospital Charge Code	270300345
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SURGICAL #11

Facility

$7.25

Hospital Charge Code	270300350
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

BLADE SURGICAL #11

Facility

$7.25

Hospital Charge Code	270300350
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

BLADE SURGICAL #12

Facility

$9.65

Hospital Charge Code	270300355
Hospital Revenue Code	272
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

BLADE SURGICAL #12

Facility

$9.65

Hospital Charge Code	270300355
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

BLADE SURGICAL #15

Facility

$5.00

Hospital Charge Code	270300360
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SURGICAL #15

Facility

$5.00

Hospital Charge Code	270300360
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

BLADE SURGICAL #20

Facility

$5.00

Hospital Charge Code	270300365
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

BLADE SURGICAL #20

Facility

$5.00

Hospital Charge Code	270300365
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

BLADE SYN SPIRAL 95MM 456.955

Facility

$2,547.25

Hospital Charge Code	270611967
Hospital Revenue Code	272
Min. Negotiated Rate	$382.09
Max. Negotiated Rate	$382.09
Rate for Payer: Qualcare PPO/HMO/WC	$382.09

BLADE SYN SPIRAL 95MM 456.955

Facility

$2,547.25

Hospital Charge Code	270611967
Hospital Revenue Code	272
Min. Negotiated Rate	$61.39
Max. Negotiated Rate	$1,273.62
Rate for Payer: Aetna Commercial	$967.96
Rate for Payer: Aetna Medicare Advantage	$764.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$649.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$649.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$649.55
Rate for Payer: Cigna Commercial	$1,273.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$764.17
Rate for Payer: Oxford Commercial	$509.45
Rate for Payer: Qualcare PPO/HMO/WC	$382.09
Rate for Payer: UnitedHealthcare Commercial	$509.45
Rate for Payer: UnitedHealthcare Community & State	$61.39
Rate for Payer: Wellpoint Medicaid Managed Care	$67.50

BLADE TAPER 1.5 X 10MM

Facility

$36.75

Hospital Charge Code	270664987
Hospital Revenue Code	270
Min. Negotiated Rate	$5.51
Max. Negotiated Rate	$5.51
Rate for Payer: Qualcare PPO/HMO/WC	$5.51

BLADE TAPER 1.5 X 10MM

Facility

$36.75

Hospital Charge Code	270664987
Hospital Revenue Code	270
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$18.38
Rate for Payer: Aetna Commercial	$13.96
Rate for Payer: Aetna Medicare Advantage	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.37
Rate for Payer: Cigna Commercial	$18.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.03
Rate for Payer: Oxford Commercial	$7.35
Rate for Payer: Qualcare PPO/HMO/WC	$5.51
Rate for Payer: UnitedHealthcare Commercial	$7.35
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

BLADE TFNA FENES HELICAL 115MM

Facility

$3,746.05

Service Code	HCPCS C1713
Hospital Charge Code	270698585
Hospital Revenue Code	278
Min. Negotiated Rate	$90.28
Max. Negotiated Rate	$1,873.03
Rate for Payer: Aetna Commercial	$1,423.50
Rate for Payer: Aetna Medicare Advantage	$1,123.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$955.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$955.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$955.24
Rate for Payer: Cigna Commercial	$1,873.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$824.13
Rate for Payer: Qualcare PPO/HMO/WC	$561.91
Rate for Payer: UnitedHealthcare Community & State	$90.28
Rate for Payer: Wellpoint Medicaid Managed Care	$99.27

BLADE TFNA FENES HELICAL 115MM

Facility

$3,746.05

Service Code	HCPCS C1713
Hospital Charge Code	270698585
Hospital Revenue Code	278
Min. Negotiated Rate	$561.91
Max. Negotiated Rate	$906.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$749.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$906.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$824.13
Rate for Payer: Qualcare PPO/HMO/WC	$561.91

BLADE TFNA HELICAL 100MM STR

Facility

$3,290.85

Hospital Charge Code	270674944
Hospital Revenue Code	272
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$493.63
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 100MM STR

Facility

$3,290.85

Hospital Charge Code	270674944
Hospital Revenue Code	272
Min. Negotiated Rate	$79.31
Max. Negotiated Rate	$1,645.42
Rate for Payer: Aetna Commercial	$1,250.52
Rate for Payer: Aetna Medicare Advantage	$987.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$839.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$839.17
Rate for Payer: Cigna Commercial	$1,645.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$987.25
Rate for Payer: Oxford Commercial	$658.17
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Commercial	$658.17
Rate for Payer: UnitedHealthcare Community & State	$79.31
Rate for Payer: Wellpoint Medicaid Managed Care	$87.21

BLADE TFNA HELICAL 105MM STER

Facility

$3,389.60

Hospital Charge Code	270676584
Hospital Revenue Code	272
Min. Negotiated Rate	$508.44
Max. Negotiated Rate	$508.44
Rate for Payer: Qualcare PPO/HMO/WC	$508.44

BLADE TFNA HELICAL 105MM STER

Facility

$3,389.60

Hospital Charge Code	270676584
Hospital Revenue Code	272
Min. Negotiated Rate	$81.69
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,016.88
Rate for Payer: Oxford Commercial	$677.92
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Commercial	$677.92
Rate for Payer: UnitedHealthcare Community & State	$81.69
Rate for Payer: Wellpoint Medicaid Managed Care	$89.82

BLADE TFNA HELICAL 105M STER

Facility

$3,389.60

Hospital Charge Code	270683631
Hospital Revenue Code	272
Min. Negotiated Rate	$81.69
Max. Negotiated Rate	$1,694.80
Rate for Payer: Aetna Commercial	$1,288.05
Rate for Payer: Aetna Medicare Advantage	$1,016.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$864.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$864.35
Rate for Payer: Cigna Commercial	$1,694.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,016.88
Rate for Payer: Oxford Commercial	$677.92
Rate for Payer: Qualcare PPO/HMO/WC	$508.44
Rate for Payer: UnitedHealthcare Commercial	$677.92
Rate for Payer: UnitedHealthcare Community & State	$81.69
Rate for Payer: Wellpoint Medicaid Managed Care	$89.82

Know your out-of-pocket cost for care.

All Charges