Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$44.44
Max. Negotiated Rate	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$44.44

DRILL 3.2mmX130mm

Facility

$296.25

Hospital Charge Code	270678795
Hospital Revenue Code	272
Min. Negotiated Rate	$7.14
Max. Negotiated Rate	$148.12
Rate for Payer: Aetna Commercial	$112.58
Rate for Payer: Aetna Medicare Advantage	$88.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.54
Rate for Payer: Cigna Commercial	$148.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.88
Rate for Payer: Oxford Commercial	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$44.44
Rate for Payer: UnitedHealthcare Commercial	$59.25
Rate for Payer: UnitedHealthcare Community & State	$7.14
Rate for Payer: Wellpoint Medicaid Managed Care	$7.85

DRILL 3.5 PUSH LOCS

Facility

$2,430.00

Hospital Charge Code	270656506
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL 3.5 PUSH LOCS

Facility

$475.00

Hospital Charge Code	270652047
Hospital Revenue Code	271
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

DRILL 3.5 PUSH LOCS

Facility

$2,430.00

Hospital Charge Code	270656506
Hospital Revenue Code	272
Min. Negotiated Rate	$58.56
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$923.40
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.00
Rate for Payer: Oxford Commercial	$486.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$486.00
Rate for Payer: UnitedHealthcare Community & State	$58.56
Rate for Payer: Wellpoint Medicaid Managed Care	$64.39

DRILL 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
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 3.8MM

Facility

$615.00

Hospital Charge Code	270672742
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$392.85
Max. Negotiated Rate	$392.85
Rate for Payer: Qualcare PPO/HMO/WC	$392.85

DRILL 4.3 MM

Facility

$2,619.00

Hospital Charge Code	270690437
Hospital Revenue Code	272
Min. Negotiated Rate	$63.12
Max. Negotiated Rate	$1,309.50
Rate for Payer: Aetna Commercial	$995.22
Rate for Payer: Aetna Medicare Advantage	$785.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$667.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$667.85
Rate for Payer: Cigna Commercial	$1,309.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$785.70
Rate for Payer: Oxford Commercial	$523.80
Rate for Payer: Qualcare PPO/HMO/WC	$392.85
Rate for Payer: UnitedHealthcare Commercial	$523.80
Rate for Payer: UnitedHealthcare Community & State	$63.12
Rate for Payer: Wellpoint Medicaid Managed Care	$69.40

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4.3MM FOR CALC. SCREWS

Facility

$924.00

Hospital Charge Code	270666233
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$22.27
Max. Negotiated Rate	$462.00
Rate for Payer: Aetna Commercial	$351.12
Rate for Payer: Aetna Medicare Advantage	$277.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$235.62
Rate for Payer: Cigna Commercial	$462.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$277.20
Rate for Payer: Oxford Commercial	$184.80
Rate for Payer: Qualcare PPO/HMO/WC	$138.60
Rate for Payer: UnitedHealthcare Commercial	$184.80
Rate for Payer: UnitedHealthcare Community & State	$22.27
Rate for Payer: Wellpoint Medicaid Managed Care	$24.49

DRILL 4.3MM FOR TIBIAL SCREWS

Facility

$924.00

Hospital Charge Code	270666234
Hospital Revenue Code	272
Min. Negotiated Rate	$138.60
Max. Negotiated Rate	$138.60
Rate for Payer: Qualcare PPO/HMO/WC	$138.60

DRILL 4/5 CANN STANDAED AM5010

Facility

$940.00

Hospital Charge Code	270638178
Hospital Revenue Code	272
Min. Negotiated Rate	$22.65
Max. Negotiated Rate	$470.00
Rate for Payer: Aetna Commercial	$357.20
Rate for Payer: Aetna Medicare Advantage	$282.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$239.70
Rate for Payer: Cigna Commercial	$470.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.00
Rate for Payer: Oxford Commercial	$188.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00
Rate for Payer: UnitedHealthcare Commercial	$188.00
Rate for Payer: UnitedHealthcare Community & State	$22.65
Rate for Payer: Wellpoint Medicaid Managed Care	$24.91

DRILL 4/5 CANN STANDAED AM5010

Facility

$940.00

Hospital Charge Code	270638178
Hospital Revenue Code	272
Min. Negotiated Rate	$141.00
Max. Negotiated Rate	$141.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.00

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$122.85
Max. Negotiated Rate	$122.85
Rate for Payer: Qualcare PPO/HMO/WC	$122.85

DRILL 4MM FOR 4.5 MM ANCHOR S

Facility

$819.00

Hospital Charge Code	270688721
Hospital Revenue Code	272
Min. Negotiated Rate	$19.74
Max. Negotiated Rate	$409.50
Rate for Payer: Aetna Commercial	$311.22
Rate for Payer: Aetna Medicare Advantage	$245.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.84
Rate for Payer: Cigna Commercial	$409.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.70
Rate for Payer: Oxford Commercial	$163.80
Rate for Payer: Qualcare PPO/HMO/WC	$122.85
Rate for Payer: UnitedHealthcare Commercial	$163.80
Rate for Payer: UnitedHealthcare Community & State	$19.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21.70

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

DRILL 5.5MM CANNULATED

Facility

$975.00

Hospital Charge Code	270684326
Hospital Revenue Code	279
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$30.83
Max. Negotiated Rate	$639.62
Rate for Payer: Aetna Commercial	$486.12
Rate for Payer: Aetna Medicare Advantage	$383.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$326.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$326.21
Rate for Payer: Cigna Commercial	$639.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$383.77
Rate for Payer: Oxford Commercial	$255.85
Rate for Payer: Qualcare PPO/HMO/WC	$191.89
Rate for Payer: UnitedHealthcare Commercial	$255.85
Rate for Payer: UnitedHealthcare Community & State	$30.83
Rate for Payer: Wellpoint Medicaid Managed Care	$33.90

DRILL 5MM CALIBRATED

Facility

$1,279.25

Hospital Charge Code	270627050
Hospital Revenue Code	272
Min. Negotiated Rate	$191.89
Max. Negotiated Rate	$191.89
Rate for Payer: Qualcare PPO/HMO/WC	$191.89

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$50.10
Max. Negotiated Rate	$1,039.50
Rate for Payer: Aetna Commercial	$790.02
Rate for Payer: Aetna Medicare Advantage	$623.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$530.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$530.14
Rate for Payer: Cigna Commercial	$1,039.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.70
Rate for Payer: Oxford Commercial	$415.80
Rate for Payer: Qualcare PPO/HMO/WC	$311.85
Rate for Payer: UnitedHealthcare Commercial	$415.80
Rate for Payer: UnitedHealthcare Community & State	$50.10
Rate for Payer: Wellpoint Medicaid Managed Care	$55.09

DRILL 6.5mm

Facility

$2,079.00

Hospital Charge Code	270656662
Hospital Revenue Code	272
Min. Negotiated Rate	$311.85
Max. Negotiated Rate	$311.85
Rate for Payer: Qualcare PPO/HMO/WC	$311.85

DRILL 8 MM ANCHOR

Facility

$979.95

Hospital Charge Code	270690397
Hospital Revenue Code	272
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$489.98
Rate for Payer: Aetna Commercial	$372.38
Rate for Payer: Aetna Medicare Advantage	$293.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.89
Rate for Payer: Cigna Commercial	$489.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.99
Rate for Payer: Oxford Commercial	$195.99
Rate for Payer: Qualcare PPO/HMO/WC	$146.99
Rate for Payer: UnitedHealthcare Commercial	$195.99
Rate for Payer: UnitedHealthcare Community & State	$23.62
Rate for Payer: Wellpoint Medicaid Managed Care	$25.97

Know your out-of-pocket cost for care.

All Charges