Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL ACORN 10MM

Facility

$1,360.00

Hospital Charge Code	270637722
Hospital Revenue Code	272
Min. Negotiated Rate	$32.78
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$408.00
Rate for Payer: Oxford Commercial	$272.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Commercial	$272.00
Rate for Payer: UnitedHealthcare Community & State	$32.78
Rate for Payer: Wellpoint Medicaid Managed Care	$36.04

DRILL ACORN 10MM

Facility

$1,360.00

Hospital Charge Code	270637722
Hospital Revenue Code	272
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$204.00
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

DRILL ACP 11MM

Facility

$2,750.00

Hospital Charge Code	270693940
Hospital Revenue Code	272
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL ACP 11MM

Facility

$2,750.00

Hospital Charge Code	270693940
Hospital Revenue Code	272
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$825.00
Rate for Payer: Oxford Commercial	$550.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Commercial	$550.00
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

DRILL AO 2.4X160MM SOLID LG

Facility

$852.50

Hospital Charge Code	270701408
Hospital Revenue Code	278
Min. Negotiated Rate	$127.88
Max. Negotiated Rate	$206.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$127.88

DRILL AO 2.4X160MM SOLID LG

Facility

$852.50

Hospital Charge Code	270701408
Hospital Revenue Code	278
Min. Negotiated Rate	$20.55
Max. Negotiated Rate	$426.25
Rate for Payer: Aetna Commercial	$323.95
Rate for Payer: Aetna Medicare Advantage	$255.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.39
Rate for Payer: Cigna Commercial	$426.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.55
Rate for Payer: Qualcare PPO/HMO/WC	$127.88
Rate for Payer: UnitedHealthcare Community & State	$20.55
Rate for Payer: Wellpoint Medicaid Managed Care	$22.59

DRILL AO LONG 2.6x220MM

Facility

$1,370.00

Hospital Charge Code	270673667
Hospital Revenue Code	272
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

DRILL AO LONG 2.6x220MM

Facility

$1,370.00

Hospital Charge Code	270673667
Hospital Revenue Code	272
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.00
Rate for Payer: Oxford Commercial	$274.00
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Commercial	$274.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36.30

DRILL AO SCALED 1.6 X 96MM

Facility

$1,232.20

Service Code	HCPCS C1713
Hospital Charge Code	270700512
Hospital Revenue Code	278
Min. Negotiated Rate	$184.83
Max. Negotiated Rate	$298.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$271.08
Rate for Payer: Qualcare PPO/HMO/WC	$184.83

DRILL AO SCALED 1.6 X 96MM

Facility

$1,232.20

Service Code	HCPCS C1713
Hospital Charge Code	270700512
Hospital Revenue Code	278
Min. Negotiated Rate	$29.70
Max. Negotiated Rate	$616.10
Rate for Payer: Aetna Commercial	$468.24
Rate for Payer: Aetna Medicare Advantage	$369.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$246.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.21
Rate for Payer: Cigna Commercial	$616.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$298.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$271.08
Rate for Payer: Qualcare PPO/HMO/WC	$184.83
Rate for Payer: UnitedHealthcare Community & State	$29.70
Rate for Payer: Wellpoint Medicaid Managed Care	$32.65

DRILL AO STERILE

Facility

$1,340.00

Hospital Charge Code	270648815
Hospital Revenue Code	272
Min. Negotiated Rate	$32.29
Max. Negotiated Rate	$670.00
Rate for Payer: Aetna Commercial	$509.20
Rate for Payer: Aetna Medicare Advantage	$402.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$341.70
Rate for Payer: Cigna Commercial	$670.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$402.00
Rate for Payer: Oxford Commercial	$268.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00
Rate for Payer: UnitedHealthcare Commercial	$268.00
Rate for Payer: UnitedHealthcare Community & State	$32.29
Rate for Payer: Wellpoint Medicaid Managed Care	$35.51

DRILL AO STERILE

Facility

$1,340.00

Hospital Charge Code	270648815
Hospital Revenue Code	272
Min. Negotiated Rate	$201.00
Max. Negotiated Rate	$201.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.00

DRILL AO STERILE 4.2X230MM

Facility

$1,465.00

Hospital Charge Code	270668728
Hospital Revenue Code	272
Min. Negotiated Rate	$35.31
Max. Negotiated Rate	$732.50
Rate for Payer: Aetna Commercial	$556.70
Rate for Payer: Aetna Medicare Advantage	$439.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.57
Rate for Payer: Cigna Commercial	$732.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.50
Rate for Payer: Oxford Commercial	$293.00
Rate for Payer: Qualcare PPO/HMO/WC	$219.75
Rate for Payer: UnitedHealthcare Commercial	$293.00
Rate for Payer: UnitedHealthcare Community & State	$35.31
Rate for Payer: Wellpoint Medicaid Managed Care	$38.82

DRILL AO STERILE 4.2X230MM

Facility

$1,465.00

Hospital Charge Code	270668728
Hospital Revenue Code	272
Min. Negotiated Rate	$219.75
Max. Negotiated Rate	$219.75
Rate for Payer: Qualcare PPO/HMO/WC	$219.75

DRILL AO STERILE 4.2x260

Facility

$935.00

Hospital Charge Code	270639020
Hospital Revenue Code	272
Min. Negotiated Rate	$22.53
Max. Negotiated Rate	$467.50
Rate for Payer: Aetna Commercial	$355.30
Rate for Payer: Aetna Medicare Advantage	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.43
Rate for Payer: Cigna Commercial	$467.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$280.50
Rate for Payer: Oxford Commercial	$187.00
Rate for Payer: Qualcare PPO/HMO/WC	$140.25
Rate for Payer: UnitedHealthcare Commercial	$187.00
Rate for Payer: UnitedHealthcare Community & State	$22.53
Rate for Payer: Wellpoint Medicaid Managed Care	$24.78

DRILL AO STERILE 4.2x260

Facility

$935.00

Hospital Charge Code	270639020
Hospital Revenue Code	272
Min. Negotiated Rate	$140.25
Max. Negotiated Rate	$140.25
Rate for Payer: Qualcare PPO/HMO/WC	$140.25

DRILL ATX CANN AR-1935CD

Facility

$470.45

Hospital Charge Code	270622383
Hospital Revenue Code	272
Min. Negotiated Rate	$70.57
Max. Negotiated Rate	$70.57
Rate for Payer: Qualcare PPO/HMO/WC	$70.57

DRILL ATX CANN AR-1935CD

Facility

$470.45

Hospital Charge Code	270622383
Hospital Revenue Code	272
Min. Negotiated Rate	$11.34
Max. Negotiated Rate	$235.22
Rate for Payer: Aetna Commercial	$178.77
Rate for Payer: Aetna Medicare Advantage	$141.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.96
Rate for Payer: Cigna Commercial	$235.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.13
Rate for Payer: Oxford Commercial	$94.09
Rate for Payer: Qualcare PPO/HMO/WC	$70.57
Rate for Payer: UnitedHealthcare Commercial	$94.09
Rate for Payer: UnitedHealthcare Community & State	$11.34
Rate for Payer: Wellpoint Medicaid Managed Care	$12.47

DRILL AWL 2.0X10MM

Facility

$1,250.00

Hospital Charge Code	270693364
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

DRILL AWL 2.0X10MM

Facility

$1,250.00

Hospital Charge Code	270693364
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT

Facility

$682.50

Hospital Charge Code	270683743
Hospital Revenue Code	272
Min. Negotiated Rate	$102.38
Max. Negotiated Rate	$102.38
Rate for Payer: Qualcare PPO/HMO/WC	$102.38

DRILL BIT

Facility

$682.50

Hospital Charge Code	270683743
Hospital Revenue Code	272
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$341.25
Rate for Payer: Aetna Commercial	$259.35
Rate for Payer: Aetna Medicare Advantage	$204.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.04
Rate for Payer: Cigna Commercial	$341.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.75
Rate for Payer: Oxford Commercial	$136.50
Rate for Payer: Qualcare PPO/HMO/WC	$102.38
Rate for Payer: UnitedHealthcare Commercial	$136.50
Rate for Payer: UnitedHealthcare Community & State	$16.45
Rate for Payer: Wellpoint Medicaid Managed Care	$18.09

DRILL BIT

Facility

$366.00

Hospital Charge Code	270685257
Hospital Revenue Code	272
Min. Negotiated Rate	$54.90
Max. Negotiated Rate	$54.90
Rate for Payer: Qualcare PPO/HMO/WC	$54.90

DRILL BIT

Facility

$3,780.00

Hospital Charge Code	270703902
Hospital Revenue Code	272
Min. Negotiated Rate	$567.00
Max. Negotiated Rate	$567.00
Rate for Payer: Qualcare PPO/HMO/WC	$567.00

Know your out-of-pocket cost for care.

All Charges