Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR 6mm CUTTING 31316058UE

Facility

$325.00

Hospital Charge Code	270639698
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

BUR 6mm CUTTING 31316058UE

Facility

$325.00

Hospital Charge Code	270639698
Hospital Revenue Code	272
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

BUR ACORN 6.0MM

Facility

$621.00

Hospital Charge Code	270675182
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR ACORN 6.0MM

Facility

$621.00

Hospital Charge Code	270675182
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR ACORN 6.0MM LONG

Facility

$440.00

Hospital Charge Code	270676377
Hospital Revenue Code	272
Min. Negotiated Rate	$66.00
Max. Negotiated Rate	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00

BUR ACORN 6.0MM LONG

Facility

$440.00

Hospital Charge Code	270676377
Hospital Revenue Code	272
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$220.00
Rate for Payer: Aetna Commercial	$167.20
Rate for Payer: Aetna Medicare Advantage	$132.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.20
Rate for Payer: Cigna Commercial	$220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.00
Rate for Payer: Oxford Commercial	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$66.00
Rate for Payer: UnitedHealthcare Commercial	$88.00
Rate for Payer: UnitedHealthcare Community & State	$10.60
Rate for Payer: Wellpoint Medicaid Managed Care	$11.66

BUR ACORN EXTRA LONG

Facility

$580.75

Hospital Charge Code	270675302
Hospital Revenue Code	272
Min. Negotiated Rate	$14.00
Max. Negotiated Rate	$290.38
Rate for Payer: Aetna Commercial	$220.69
Rate for Payer: Aetna Medicare Advantage	$174.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.09
Rate for Payer: Cigna Commercial	$290.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.22
Rate for Payer: Oxford Commercial	$116.15
Rate for Payer: Qualcare PPO/HMO/WC	$87.11
Rate for Payer: UnitedHealthcare Commercial	$116.15
Rate for Payer: UnitedHealthcare Community & State	$14.00
Rate for Payer: Wellpoint Medicaid Managed Care	$15.39

BUR ACORN EXTRA LONG

Facility

$580.75

Hospital Charge Code	270675302
Hospital Revenue Code	272
Min. Negotiated Rate	$87.11
Max. Negotiated Rate	$87.11
Rate for Payer: Qualcare PPO/HMO/WC	$87.11

BUR ACORN PRECISION 6MM

Facility

$560.50

Hospital Charge Code	270672682
Hospital Revenue Code	272
Min. Negotiated Rate	$84.08
Max. Negotiated Rate	$84.08
Rate for Payer: Qualcare PPO/HMO/WC	$84.08

BUR ACORN PRECISION 6MM

Facility

$560.50

Hospital Charge Code	270672682
Hospital Revenue Code	272
Min. Negotiated Rate	$13.51
Max. Negotiated Rate	$280.25
Rate for Payer: Aetna Commercial	$212.99
Rate for Payer: Aetna Medicare Advantage	$168.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.93
Rate for Payer: Cigna Commercial	$280.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$168.15
Rate for Payer: Oxford Commercial	$112.10
Rate for Payer: Qualcare PPO/HMO/WC	$84.08
Rate for Payer: UnitedHealthcare Commercial	$112.10
Rate for Payer: UnitedHealthcare Community & State	$13.51
Rate for Payer: Wellpoint Medicaid Managed Care	$14.85

BUR ACORN SHORT

Facility

$379.50

Hospital Charge Code	270675300
Hospital Revenue Code	272
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$189.75
Rate for Payer: Aetna Commercial	$144.21
Rate for Payer: Aetna Medicare Advantage	$113.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.77
Rate for Payer: Cigna Commercial	$189.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.85
Rate for Payer: Oxford Commercial	$75.90
Rate for Payer: Qualcare PPO/HMO/WC	$56.92
Rate for Payer: UnitedHealthcare Commercial	$75.90
Rate for Payer: UnitedHealthcare Community & State	$9.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10.06

BUR ACORN SHORT

Facility

$379.50

Hospital Charge Code	270675300
Hospital Revenue Code	272
Min. Negotiated Rate	$56.92
Max. Negotiated Rate	$56.92
Rate for Payer: Qualcare PPO/HMO/WC	$56.92

BUR ANKLE

Facility

$1,443.00

Hospital Charge Code	270677301
Hospital Revenue Code	272
Min. Negotiated Rate	$34.78
Max. Negotiated Rate	$721.50
Rate for Payer: Aetna Commercial	$548.34
Rate for Payer: Aetna Medicare Advantage	$432.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$367.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$367.96
Rate for Payer: Cigna Commercial	$721.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$432.90
Rate for Payer: Oxford Commercial	$288.60
Rate for Payer: Qualcare PPO/HMO/WC	$216.45
Rate for Payer: UnitedHealthcare Commercial	$288.60
Rate for Payer: UnitedHealthcare Community & State	$34.78
Rate for Payer: Wellpoint Medicaid Managed Care	$38.24

BUR ANKLE

Facility

$1,443.00

Hospital Charge Code	270677301
Hospital Revenue Code	272
Min. Negotiated Rate	$216.45
Max. Negotiated Rate	$216.45
Rate for Payer: Qualcare PPO/HMO/WC	$216.45

BUR ARTHOSCOPY 5.0cm OVAL

Facility

$314.15

Hospital Charge Code	270674986
Hospital Revenue Code	272
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$157.07
Rate for Payer: Aetna Commercial	$119.38
Rate for Payer: Aetna Medicare Advantage	$94.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.11
Rate for Payer: Cigna Commercial	$157.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.25
Rate for Payer: Oxford Commercial	$62.83
Rate for Payer: Qualcare PPO/HMO/WC	$47.12
Rate for Payer: UnitedHealthcare Commercial	$62.83
Rate for Payer: UnitedHealthcare Community & State	$7.57
Rate for Payer: Wellpoint Medicaid Managed Care	$8.32

BUR ARTHOSCOPY 5.0cm OVAL

Facility

$314.15

Hospital Charge Code	270674986
Hospital Revenue Code	272
Min. Negotiated Rate	$47.12
Max. Negotiated Rate	$47.12
Rate for Payer: Qualcare PPO/HMO/WC	$47.12

BUR ARTHROSCOPY BARREL AGGRESS

Facility

$190.00

Hospital Charge Code	270656367
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BUR ARTHROSCOPY BARREL AGGRESS

Facility

$190.00

Hospital Charge Code	270656367
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

BUR BARREL 12 FLUTE 4.0 HOLLOW

Facility

$190.00

Hospital Charge Code	270657598
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

BUR BARREL 12 FLUTE 4.0 HOLLOW

Facility

$190.00

Hospital Charge Code	270657598
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BUR BARREL 4x10MM

Facility

$98.70

Hospital Charge Code	270677700
Hospital Revenue Code	272
Min. Negotiated Rate	$14.80
Max. Negotiated Rate	$14.80
Rate for Payer: Qualcare PPO/HMO/WC	$14.80

BUR BARREL 4x10MM

Facility

$98.70

Hospital Charge Code	270677700
Hospital Revenue Code	272
Min. Negotiated Rate	$2.38
Max. Negotiated Rate	$49.35
Rate for Payer: Aetna Commercial	$37.51
Rate for Payer: Aetna Medicare Advantage	$29.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.17
Rate for Payer: Cigna Commercial	$49.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.61
Rate for Payer: Oxford Commercial	$19.74
Rate for Payer: Qualcare PPO/HMO/WC	$14.80
Rate for Payer: UnitedHealthcare Commercial	$19.74
Rate for Payer: UnitedHealthcare Community & State	$2.38
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

BUR BARREL UNHOODED 4.0MM 6 FL

Facility

$200.00

Hospital Charge Code	270657599
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

BUR BARREL UNHOODED 4.0MM 6 FL

Facility

$200.00

Hospital Charge Code	270657599
Hospital Revenue Code	272
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$30.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

BUR CARBIDE MATCH HEAD 3.0MM

Facility

$1,376.05

Hospital Charge Code	270683791
Hospital Revenue Code	270
Min. Negotiated Rate	$206.41
Max. Negotiated Rate	$206.41
Rate for Payer: Qualcare PPO/HMO/WC	$206.41

Know your out-of-pocket cost for care.

All Charges