Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BLADE TFNA HELICAL 110MM

Facility

$16,050.00

Hospital Charge Code	270693448
Hospital Revenue Code	272
Min. Negotiated Rate	$2,407.50
Max. Negotiated Rate	$2,407.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50

BLADE TFNA HELICAL 110MM

Facility

$16,050.00

Hospital Charge Code	270693448
Hospital Revenue Code	272
Min. Negotiated Rate	$386.81
Max. Negotiated Rate	$8,025.00
Rate for Payer: Aetna Commercial	$6,099.00
Rate for Payer: Aetna Medicare Advantage	$4,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,092.75
Rate for Payer: Cigna Commercial	$8,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,815.00
Rate for Payer: Oxford Commercial	$3,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50
Rate for Payer: UnitedHealthcare Commercial	$3,210.00
Rate for Payer: UnitedHealthcare Community & State	$386.81
Rate for Payer: Wellpoint Medicaid Managed Care	$425.32

BLADE TFNA HELICAL 110MM STER

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270675961
Hospital Revenue Code	278
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$796.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 110MM STER

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270675961
Hospital Revenue Code	278
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) NJ Health	$658.17
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	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Community & State	$79.31
Rate for Payer: Wellpoint Medicaid Managed Care	$87.21

BLADE TFNA HELICAL 115MM STR

Facility

$3,290.85

Hospital Charge Code	270675686
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 115MM STR

Facility

$3,290.85

Hospital Charge Code	270675686
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 75MM STER

Facility

$3,290.85

Hospital Charge Code	270677488
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 75MM STER

Facility

$3,290.85

Hospital Charge Code	270677488
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 80MM STER

Facility

$3,290.85

Hospital Charge Code	270675801
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 80MM STER

Facility

$3,290.85

Hospital Charge Code	270675801
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 85MM STERIL

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270677571
Hospital Revenue Code	278
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) NJ Health	$658.17
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	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63
Rate for Payer: UnitedHealthcare Community & State	$79.31
Rate for Payer: Wellpoint Medicaid Managed Care	$87.21

BLADE TFNA HELICAL 85MM STERIL

Facility

$3,290.85

Service Code	HCPCS C1713
Hospital Charge Code	270677571
Hospital Revenue Code	278
Min. Negotiated Rate	$493.63
Max. Negotiated Rate	$796.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$658.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$796.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$723.99
Rate for Payer: Qualcare PPO/HMO/WC	$493.63

BLADE TFNA HELICAL 90MM STER

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270677009
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 90MM STER

Facility

$3,389.60

Service Code	HCPCS C1713
Hospital Charge Code	270677009
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 95MM STER

Facility

$3,389.60

Hospital Charge Code	270675943
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 95MM STER

Facility

$3,389.60

Hospital Charge Code	270675943
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 THIN OSTEOTOME 10MM

Facility

$825.00

Hospital Charge Code	270664298
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

BLADE THIN OSTEOTOME 10MM

Facility

$825.00

Hospital Charge Code	270664298
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

BLADE Ti SPIRAL 44 HUM 462644S

Facility

$2,545.00

Hospital Charge Code	270637805
Hospital Revenue Code	278
Min. Negotiated Rate	$61.33
Max. Negotiated Rate	$1,272.50
Rate for Payer: Aetna Commercial	$967.10
Rate for Payer: Aetna Medicare Advantage	$763.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$648.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$648.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$648.98
Rate for Payer: Cigna Commercial	$1,272.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$559.90
Rate for Payer: Qualcare PPO/HMO/WC	$381.75
Rate for Payer: UnitedHealthcare Community & State	$61.33
Rate for Payer: Wellpoint Medicaid Managed Care	$67.44

BLADE Ti SPIRAL 44 HUM 462644S

Facility

$2,545.00

Hospital Charge Code	270637805
Hospital Revenue Code	278
Min. Negotiated Rate	$381.75
Max. Negotiated Rate	$615.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$509.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$615.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$559.90
Rate for Payer: Qualcare PPO/HMO/WC	$381.75

BLADE TITANIUM 11.0 HEL 456303

Facility

$2,177.50

Hospital Charge Code	270633854
Hospital Revenue Code	278
Min. Negotiated Rate	$326.62
Max. Negotiated Rate	$526.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.05
Rate for Payer: Qualcare PPO/HMO/WC	$326.62

BLADE TITANIUM 11.0 HEL 456303

Facility

$2,177.50

Hospital Charge Code	270633854
Hospital Revenue Code	278
Min. Negotiated Rate	$52.48
Max. Negotiated Rate	$1,088.75
Rate for Payer: Aetna Commercial	$827.45
Rate for Payer: Aetna Medicare Advantage	$653.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$555.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$435.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$555.26
Rate for Payer: Cigna Commercial	$1,088.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$479.05
Rate for Payer: Qualcare PPO/HMO/WC	$326.62
Rate for Payer: UnitedHealthcare Community & State	$52.48
Rate for Payer: Wellpoint Medicaid Managed Care	$57.70

BLADE TOMCAT SHAVER SM J 3.5mm

Facility

$200.00

Hospital Charge Code	270640299
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BLADE TOMCAT SHAVER SM J 3.5mm

Facility

$200.00

Hospital Charge Code	270640299
Hospital Revenue Code	272
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.00
Rate for Payer: Oxford Commercial	$40.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Commercial	$40.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

Know your out-of-pocket cost for care.

All Charges