Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BURR EGG S 5.5MM HD LGTH 10MM

Facility

$329.00

Hospital Charge Code	270674449
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 EGG S 5.5MM HD LGTH 10MM

Facility

$329.00

Hospital Charge Code	270674449
Hospital Revenue Code	272
Min. Negotiated Rate	$49.35
Max. Negotiated Rate	$49.35
Rate for Payer: Qualcare PPO/HMO/WC	$49.35

BURR FAST CUT 5.5MM 168141

Facility

$411.75

Hospital Charge Code	270630488
Hospital Revenue Code	272
Min. Negotiated Rate	$61.76
Max. Negotiated Rate	$61.76
Rate for Payer: Qualcare PPO/HMO/WC	$61.76

BURR FAST CUT 5.5MM 168141

Facility

$411.75

Hospital Charge Code	270630488
Hospital Revenue Code	272
Min. Negotiated Rate	$9.92
Max. Negotiated Rate	$205.88
Rate for Payer: Aetna Commercial	$156.47
Rate for Payer: Aetna Medicare Advantage	$123.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.00
Rate for Payer: Cigna Commercial	$205.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.53
Rate for Payer: Oxford Commercial	$82.35
Rate for Payer: Qualcare PPO/HMO/WC	$61.76
Rate for Payer: UnitedHealthcare Commercial	$82.35
Rate for Payer: UnitedHealthcare Community & State	$9.92
Rate for Payer: Wellpoint Medicaid Managed Care	$10.91

BURR FISSURE 3.0mm R ST 505867

Facility

$253.00

Hospital Charge Code	270630490
Hospital Revenue Code	272
Min. Negotiated Rate	$6.10
Max. Negotiated Rate	$126.50
Rate for Payer: Aetna Commercial	$96.14
Rate for Payer: Aetna Medicare Advantage	$75.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.52
Rate for Payer: Cigna Commercial	$126.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.90
Rate for Payer: Oxford Commercial	$50.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.95
Rate for Payer: UnitedHealthcare Commercial	$50.60
Rate for Payer: UnitedHealthcare Community & State	$6.10
Rate for Payer: Wellpoint Medicaid Managed Care	$6.70

BURR FISSURE 3.0mm R ST 505867

Facility

$253.00

Hospital Charge Code	270630490
Hospital Revenue Code	272
Min. Negotiated Rate	$37.95
Max. Negotiated Rate	$37.95
Rate for Payer: Qualcare PPO/HMO/WC	$37.95

BURR HOODED ABRASION 2.0mm

Facility

$1,000.00

Hospital Charge Code	270601426
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

BURR HOODED ABRASION 2.0mm

Facility

$1,000.00

Hospital Charge Code	270601426
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

BURR HOODED ABRASION 3.0mm

Facility

$190.00

Hospital Charge Code	270601433
Hospital Revenue Code	272
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

BURR HOODED ABRASION 3.0mm

Facility

$190.00

Hospital Charge Code	270601433
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

BURR HYDROBRADER

Facility

$965.00

Hospital Charge Code	270640186
Hospital Revenue Code	272
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

BURR HYDROBRADER

Facility

$965.00

Hospital Charge Code	270640186
Hospital Revenue Code	272
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.50
Rate for Payer: Oxford Commercial	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$193.00
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

BURR INVERTED CONE L 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674478
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR INVERTED CONE L 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674478
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR INVERTED CONE M 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674477
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR INVERTED CONE M 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674477
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
Hospital Revenue Code	272
Min. Negotiated Rate	$10.38
Max. Negotiated Rate	$215.25
Rate for Payer: Aetna Commercial	$163.59
Rate for Payer: Aetna Medicare Advantage	$129.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.78
Rate for Payer: Cigna Commercial	$215.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.15
Rate for Payer: Oxford Commercial	$86.10
Rate for Payer: Qualcare PPO/HMO/WC	$64.58
Rate for Payer: UnitedHealthcare Commercial	$86.10
Rate for Payer: UnitedHealthcare Community & State	$10.38
Rate for Payer: Wellpoint Medicaid Managed Care	$11.41

BURR INVERTED CONE S 6.5x6.1MM

Facility

$430.50

Hospital Charge Code	270674476
Hospital Revenue Code	272
Min. Negotiated Rate	$64.58
Max. Negotiated Rate	$64.58
Rate for Payer: Qualcare PPO/HMO/WC	$64.58

BURR LINDERMAN LG 80mm 010077

Facility

$506.00

Hospital Charge Code	270633330
Hospital Revenue Code	272
Min. Negotiated Rate	$75.90
Max. Negotiated Rate	$75.90
Rate for Payer: Qualcare PPO/HMO/WC	$75.90

BURR LINDERMAN LG 80mm 010077

Facility

$506.00

Hospital Charge Code	270633330
Hospital Revenue Code	272
Min. Negotiated Rate	$12.19
Max. Negotiated Rate	$253.00
Rate for Payer: Aetna Commercial	$192.28
Rate for Payer: Aetna Medicare Advantage	$151.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.03
Rate for Payer: Cigna Commercial	$253.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.80
Rate for Payer: Oxford Commercial	$101.20
Rate for Payer: Qualcare PPO/HMO/WC	$75.90
Rate for Payer: UnitedHealthcare Commercial	$101.20
Rate for Payer: UnitedHealthcare Community & State	$12.19
Rate for Payer: Wellpoint Medicaid Managed Care	$13.41

BURR LINDERMAN MED 66MM 010078

Facility

$327.45

Hospital Charge Code	270633329
Hospital Revenue Code	272
Min. Negotiated Rate	$7.89
Max. Negotiated Rate	$163.72
Rate for Payer: Aetna Commercial	$124.43
Rate for Payer: Aetna Medicare Advantage	$98.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.50
Rate for Payer: Cigna Commercial	$163.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$98.23
Rate for Payer: Oxford Commercial	$65.49
Rate for Payer: Qualcare PPO/HMO/WC	$49.12
Rate for Payer: UnitedHealthcare Commercial	$65.49
Rate for Payer: UnitedHealthcare Community & State	$7.89
Rate for Payer: Wellpoint Medicaid Managed Care	$8.68

BURR LINDERMAN MED 66MM 010078

Facility

$327.45

Hospital Charge Code	270633329
Hospital Revenue Code	272
Min. Negotiated Rate	$49.12
Max. Negotiated Rate	$49.12
Rate for Payer: Qualcare PPO/HMO/WC	$49.12

BURR LINDERMAN SM 44mm 010079

Facility

$248.00

Hospital Charge Code	270633328
Hospital Revenue Code	272
Min. Negotiated Rate	$5.98
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$94.24
Rate for Payer: Aetna Medicare Advantage	$74.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.24
Rate for Payer: Cigna Commercial	$124.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.40
Rate for Payer: Oxford Commercial	$49.60
Rate for Payer: Qualcare PPO/HMO/WC	$37.20
Rate for Payer: UnitedHealthcare Commercial	$49.60
Rate for Payer: UnitedHealthcare Community & State	$5.98
Rate for Payer: Wellpoint Medicaid Managed Care	$6.57

BURR LINDERMAN SM 44mm 010079

Facility

$248.00

Hospital Charge Code	270633328
Hospital Revenue Code	272
Min. Negotiated Rate	$37.20
Max. Negotiated Rate	$37.20
Rate for Payer: Qualcare PPO/HMO/WC	$37.20

BURR MATCH ROUND

Facility

$1,125.00

Hospital Charge Code	270692511
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

Know your out-of-pocket cost for care.

All Charges