Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BURR BARREL S 4MM HD LGTH 9MM

Facility

$329.00

Hospital Charge Code	270674626
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR BARREL S 4MM HD LGTH 9MM

Facility

$329.00

Hospital Charge Code	270674626
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.70
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$7.93
Rate for Payer: Wellpoint Medicaid Managed Care	$8.72

BURR BARREL S 5MM HD LGTH 10MM

Facility

$329.00

Hospital Charge Code	270674458
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR BARREL S 5MM HD LGTH 10MM

Facility

$329.00

Hospital Charge Code	270674458
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.70
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$7.93
Rate for Payer: Wellpoint Medicaid Managed Care	$8.72

BURR BARREL S 6MM HD LGTH 11MM

Facility

$329.00

Hospital Charge Code	270674629
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR BARREL S 6MM HD LGTH 11MM

Facility

$329.00

Hospital Charge Code	270674629
Hospital Revenue Code	272
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$164.50
Rate for Payer: Aetna Commercial	$125.02
Rate for Payer: Aetna Medicare Advantage	$98.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.89
Rate for Payer: Cigna Commercial	$164.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.70
Rate for Payer: Oxford Commercial	$65.80
Rate for Payer: Qualcare PPO/HMO/WC	$49.35
Rate for Payer: UnitedHealthcare Commercial	$65.80
Rate for Payer: UnitedHealthcare Community & State	$7.93
Rate for Payer: Wellpoint Medicaid Managed Care	$8.72

BURR CARBIDE OVAL 4.0MM

Facility

$172.20

Hospital Charge Code	270627342
Hospital Revenue Code	272
Min. Negotiated Rate	$4.15
Max. Negotiated Rate	$86.10
Rate for Payer: Aetna Commercial	$65.44
Rate for Payer: Aetna Medicare Advantage	$51.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.91
Rate for Payer: Cigna Commercial	$86.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$51.66
Rate for Payer: Oxford Commercial	$34.44
Rate for Payer: Qualcare PPO/HMO/WC	$25.83
Rate for Payer: UnitedHealthcare Commercial	$34.44
Rate for Payer: UnitedHealthcare Community & State	$4.15
Rate for Payer: Wellpoint Medicaid Managed Care	$4.56

BURR CARBIDE OVAL 4.0MM

Facility

$172.20

Hospital Charge Code	270627342
Hospital Revenue Code	272
Min. Negotiated Rate	$25.83
Max. Negotiated Rate	$25.83
Rate for Payer: Qualcare PPO/HMO/WC	$25.83

BURR CARBIDE RND/LNG 4mm

Facility

$92.70

Hospital Charge Code	270647602
Hospital Revenue Code	272
Min. Negotiated Rate	$13.90
Max. Negotiated Rate	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$13.90

BURR CARBIDE RND/LNG 4mm

Facility

$92.70

Hospital Charge Code	270647602
Hospital Revenue Code	272
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$46.35
Rate for Payer: Aetna Commercial	$35.23
Rate for Payer: Aetna Medicare Advantage	$27.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.64
Rate for Payer: Cigna Commercial	$46.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.81
Rate for Payer: Oxford Commercial	$18.54
Rate for Payer: Qualcare PPO/HMO/WC	$13.90
Rate for Payer: UnitedHealthcare Commercial	$18.54
Rate for Payer: UnitedHealthcare Community & State	$2.23
Rate for Payer: Wellpoint Medicaid Managed Care	$2.46

BURR CARBIDE ROUND 3.0MM

Facility

$1,376.05

Hospital Charge Code	270692061
Hospital Revenue Code	272
Min. Negotiated Rate	$206.41
Max. Negotiated Rate	$206.41
Rate for Payer: Qualcare PPO/HMO/WC	$206.41

BURR CARBIDE ROUND 3.0MM

Facility

$1,376.05

Hospital Charge Code	270692061
Hospital Revenue Code	272
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$688.02
Rate for Payer: Aetna Commercial	$522.90
Rate for Payer: Aetna Medicare Advantage	$412.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.89
Rate for Payer: Cigna Commercial	$688.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.81
Rate for Payer: Oxford Commercial	$275.21
Rate for Payer: Qualcare PPO/HMO/WC	$206.41
Rate for Payer: UnitedHealthcare Commercial	$275.21
Rate for Payer: UnitedHealthcare Community & State	$33.16
Rate for Payer: Wellpoint Medicaid Managed Care	$36.47

BURR CARTILAGE PROSTEP 4X16MM

Facility

$2,275.40

Service Code	HCPCS A4649
Hospital Charge Code	270699340
Hospital Revenue Code	272
Min. Negotiated Rate	$54.84
Max. Negotiated Rate	$1,137.70
Rate for Payer: Aetna Commercial	$864.65
Rate for Payer: Aetna Medicare Advantage	$682.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$580.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$580.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$580.23
Rate for Payer: Cigna Commercial	$1,137.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$682.62
Rate for Payer: Oxford Commercial	$455.08
Rate for Payer: Qualcare PPO/HMO/WC	$341.31
Rate for Payer: UnitedHealthcare Commercial	$455.08
Rate for Payer: UnitedHealthcare Community & State	$54.84
Rate for Payer: Wellpoint Medicaid Managed Care	$60.30

BURR CARTILAGE PROSTEP 4X16MM

Facility

$2,275.40

Service Code	HCPCS A4649
Hospital Charge Code	270699340
Hospital Revenue Code	272
Min. Negotiated Rate	$341.31
Max. Negotiated Rate	$341.31
Rate for Payer: Qualcare PPO/HMO/WC	$341.31

BURR CIRCULAR 10x28MM J-LATCH

Facility

$381.00

Hospital Charge Code	270674613
Hospital Revenue Code	272
Min. Negotiated Rate	$57.15
Max. Negotiated Rate	$57.15
Rate for Payer: Qualcare PPO/HMO/WC	$57.15

BURR CIRCULAR 10x28MM J-LATCH

Facility

$381.00

Hospital Charge Code	270674613
Hospital Revenue Code	272
Min. Negotiated Rate	$9.18
Max. Negotiated Rate	$190.50
Rate for Payer: Aetna Commercial	$144.78
Rate for Payer: Aetna Medicare Advantage	$114.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.16
Rate for Payer: Cigna Commercial	$190.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.30
Rate for Payer: Oxford Commercial	$76.20
Rate for Payer: Qualcare PPO/HMO/WC	$57.15
Rate for Payer: UnitedHealthcare Commercial	$76.20
Rate for Payer: UnitedHealthcare Community & State	$9.18
Rate for Payer: Wellpoint Medicaid Managed Care	$10.10

BURR CIRCULAR 10x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674565
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 10x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674565
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

BURR CIRCULAR 12x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674614
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

BURR CIRCULAR 12x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674614
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 12x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674566
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 12x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674566
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

BURR CIRCULAR 15x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674615
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

BURR CIRCULAR 15x28MM J-LATCH

Facility

$381.50

Hospital Charge Code	270674615
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

BURR CIRCULAR 15x28MM MINI QC

Facility

$381.50

Hospital Charge Code	270674567
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

Know your out-of-pocket cost for care.

All Charges