Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 2.2X100

Facility

$1,545.00

Hospital Charge Code	270688021
Hospital Revenue Code	272
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

DRILL 2.3 X 10 MM PYRENEES

Facility

$825.00

Hospital Charge Code	270689817
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

DRILL 2.3 X 10 MM PYRENEES

Facility

$825.00

Hospital Charge Code	270689817
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

DRILL 2.5 110MM B/Q

Facility

$320.00

Hospital Charge Code	270690200
Hospital Revenue Code	272
Min. Negotiated Rate	$48.00
Max. Negotiated Rate	$48.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00

DRILL 2.5 110MM B/Q

Facility

$320.00

Hospital Charge Code	270690200
Hospital Revenue Code	272
Min. Negotiated Rate	$7.71
Max. Negotiated Rate	$160.00
Rate for Payer: Aetna Commercial	$121.60
Rate for Payer: Aetna Medicare Advantage	$96.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.60
Rate for Payer: Cigna Commercial	$160.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.00
Rate for Payer: Oxford Commercial	$64.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.00
Rate for Payer: UnitedHealthcare Commercial	$64.00
Rate for Payer: UnitedHealthcare Community & State	$7.71
Rate for Payer: Wellpoint Medicaid Managed Care	$8.48

DRILL 2.5 MM

Facility

$2,497.95

Hospital Charge Code	270690436
Hospital Revenue Code	272
Min. Negotiated Rate	$374.69
Max. Negotiated Rate	$374.69
Rate for Payer: Qualcare PPO/HMO/WC	$374.69

DRILL 2.5 MM

Facility

$2,497.95

Hospital Charge Code	270690436
Hospital Revenue Code	272
Min. Negotiated Rate	$60.20
Max. Negotiated Rate	$1,248.97
Rate for Payer: Aetna Commercial	$949.22
Rate for Payer: Aetna Medicare Advantage	$749.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.98
Rate for Payer: Cigna Commercial	$1,248.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$749.38
Rate for Payer: Oxford Commercial	$499.59
Rate for Payer: Qualcare PPO/HMO/WC	$374.69
Rate for Payer: UnitedHealthcare Commercial	$499.59
Rate for Payer: UnitedHealthcare Community & State	$60.20
Rate for Payer: Wellpoint Medicaid Managed Care	$66.20

DRILL 2.5MM

Facility

$615.00

Hospital Charge Code	270656780
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 2.5MM

Facility

$615.00

Hospital Charge Code	270656779
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.50
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

DRILL 2.5MM

Facility

$615.00

Hospital Charge Code	270656779
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 2.5MM

Facility

$615.00

Hospital Charge Code	270656780
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.50
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

DRILL 2.6 X130MM CANNUALTED

Facility

$1,550.00

Hospital Charge Code	270690336
Hospital Revenue Code	272
Min. Negotiated Rate	$232.50
Max. Negotiated Rate	$232.50
Rate for Payer: Qualcare PPO/HMO/WC	$232.50

DRILL 2.6 X130MM CANNUALTED

Facility

$1,550.00

Hospital Charge Code	270690336
Hospital Revenue Code	272
Min. Negotiated Rate	$37.35
Max. Negotiated Rate	$775.00
Rate for Payer: Aetna Commercial	$589.00
Rate for Payer: Aetna Medicare Advantage	$465.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.25
Rate for Payer: Cigna Commercial	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.00
Rate for Payer: Oxford Commercial	$310.00
Rate for Payer: Qualcare PPO/HMO/WC	$232.50
Rate for Payer: UnitedHealthcare Commercial	$310.00
Rate for Payer: UnitedHealthcare Community & State	$37.35
Rate for Payer: Wellpoint Medicaid Managed Care	$41.08

DRILL 2.8

Facility

$679.15

Hospital Charge Code	270690805
Hospital Revenue Code	272
Min. Negotiated Rate	$101.87
Max. Negotiated Rate	$101.87
Rate for Payer: Qualcare PPO/HMO/WC	$101.87

DRILL 2.8

Facility

$679.15

Hospital Charge Code	270690805
Hospital Revenue Code	272
Min. Negotiated Rate	$16.37
Max. Negotiated Rate	$339.57
Rate for Payer: Aetna Commercial	$258.08
Rate for Payer: Aetna Medicare Advantage	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$173.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$173.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$173.18
Rate for Payer: Cigna Commercial	$339.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$203.75
Rate for Payer: Oxford Commercial	$135.83
Rate for Payer: Qualcare PPO/HMO/WC	$101.87
Rate for Payer: UnitedHealthcare Commercial	$135.83
Rate for Payer: UnitedHealthcare Community & State	$16.37
Rate for Payer: Wellpoint Medicaid Managed Care	$18.00

DRILL 2.8MM

Facility

$330.00

Hospital Charge Code	270671064
Hospital Revenue Code	272
Min. Negotiated Rate	$7.95
Max. Negotiated Rate	$165.00
Rate for Payer: Aetna Commercial	$125.40
Rate for Payer: Aetna Medicare Advantage	$99.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.15
Rate for Payer: Cigna Commercial	$165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.00
Rate for Payer: Oxford Commercial	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$49.50
Rate for Payer: UnitedHealthcare Commercial	$66.00
Rate for Payer: UnitedHealthcare Community & State	$7.95
Rate for Payer: Wellpoint Medicaid Managed Care	$8.74

DRILL 2.8MM

Facility

$330.00

Hospital Charge Code	270671064
Hospital Revenue Code	272
Min. Negotiated Rate	$49.50
Max. Negotiated Rate	$49.50
Rate for Payer: Qualcare PPO/HMO/WC	$49.50

DRILL 2.8MM

Facility

$615.00

Hospital Charge Code	270665924
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 2.8MM

Facility

$615.00

Hospital Charge Code	270665924
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.50
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

DRILL 2.9/5.0mm 145mmREAMER QC

Facility

$1,878.00

Hospital Charge Code	270662832
Hospital Revenue Code	272
Min. Negotiated Rate	$45.26
Max. Negotiated Rate	$939.00
Rate for Payer: Aetna Commercial	$713.64
Rate for Payer: Aetna Medicare Advantage	$563.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.89
Rate for Payer: Cigna Commercial	$939.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$563.40
Rate for Payer: Oxford Commercial	$375.60
Rate for Payer: Qualcare PPO/HMO/WC	$281.70
Rate for Payer: UnitedHealthcare Commercial	$375.60
Rate for Payer: UnitedHealthcare Community & State	$45.26
Rate for Payer: Wellpoint Medicaid Managed Care	$49.77

DRILL 2.9/5.0mm 145mmREAMER QC

Facility

$1,878.00

Hospital Charge Code	270662832
Hospital Revenue Code	272
Min. Negotiated Rate	$281.70
Max. Negotiated Rate	$281.70
Rate for Payer: Qualcare PPO/HMO/WC	$281.70

DRILL 3.0MM

Facility

$615.00

Hospital Charge Code	270683639
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.50
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

DRILL 3.0MM

Facility

$615.00

Hospital Charge Code	270683639
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 3.2

Facility

$840.00

Hospital Charge Code	270684553
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.00
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$20.24
Rate for Payer: Wellpoint Medicaid Managed Care	$22.26

DRILL 3.2

Facility

$840.00

Hospital Charge Code	270684553
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

Know your out-of-pocket cost for care.

All Charges