Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT

Facility

$975.00

Hospital Charge Code	270677990
Hospital Revenue Code	272
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 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

DRILL BIT

Facility

$825.00

Hospital Charge Code	270625803
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

DRILL BIT

Facility

$955.00

Hospital Charge Code	270661750
Hospital Revenue Code	272
Min. Negotiated Rate	$143.25
Max. Negotiated Rate	$143.25
Rate for Payer: Qualcare PPO/HMO/WC	$143.25

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

$3,780.00

Hospital Charge Code	270703902
Hospital Revenue Code	272
Min. Negotiated Rate	$91.10
Max. Negotiated Rate	$1,890.00
Rate for Payer: Aetna Commercial	$1,436.40
Rate for Payer: Aetna Medicare Advantage	$1,134.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$963.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$963.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$963.90
Rate for Payer: Cigna Commercial	$1,890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,134.00
Rate for Payer: Oxford Commercial	$756.00
Rate for Payer: Qualcare PPO/HMO/WC	$567.00
Rate for Payer: UnitedHealthcare Commercial	$756.00
Rate for Payer: UnitedHealthcare Community & State	$91.10
Rate for Payer: Wellpoint Medicaid Managed Care	$100.17

DRILL BIT

Facility

$1,070.00

Hospital Charge Code	270677455
Hospital Revenue Code	272
Min. Negotiated Rate	$25.79
Max. Negotiated Rate	$535.00
Rate for Payer: Aetna Commercial	$406.60
Rate for Payer: Aetna Medicare Advantage	$321.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.85
Rate for Payer: Cigna Commercial	$535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$321.00
Rate for Payer: Oxford Commercial	$214.00
Rate for Payer: Qualcare PPO/HMO/WC	$160.50
Rate for Payer: UnitedHealthcare Commercial	$214.00
Rate for Payer: UnitedHealthcare Community & State	$25.79
Rate for Payer: Wellpoint Medicaid Managed Care	$28.36

DRILL BIT

Facility

$955.00

Hospital Charge Code	270661750
Hospital Revenue Code	272
Min. Negotiated Rate	$23.02
Max. Negotiated Rate	$477.50
Rate for Payer: Aetna Commercial	$362.90
Rate for Payer: Aetna Medicare Advantage	$286.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.53
Rate for Payer: Cigna Commercial	$477.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.50
Rate for Payer: Oxford Commercial	$191.00
Rate for Payer: Qualcare PPO/HMO/WC	$143.25
Rate for Payer: UnitedHealthcare Commercial	$191.00
Rate for Payer: UnitedHealthcare Community & State	$23.02
Rate for Payer: Wellpoint Medicaid Managed Care	$25.31

DRILL BIT

Facility

$1,070.00

Hospital Charge Code	270677455
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

DRILL BIT

Facility

$260.00

Hospital Charge Code	270689641
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

DRILL BIT

Facility

$825.00

Hospital Charge Code	270625803
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 BIT .059 IN

Facility

$800.00

Hospital Charge Code	270689944
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

DRILL BIT .059 IN

Facility

$800.00

Hospital Charge Code	270689944
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT 1.0 MM

Facility

$366.00

Hospital Charge Code	270681689
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 1.0 MM

Facility

$366.00

Hospital Charge Code	270681689
Hospital Revenue Code	272
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$183.00
Rate for Payer: Aetna Commercial	$139.08
Rate for Payer: Aetna Medicare Advantage	$109.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.33
Rate for Payer: Cigna Commercial	$183.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.80
Rate for Payer: Oxford Commercial	$73.20
Rate for Payer: Qualcare PPO/HMO/WC	$54.90
Rate for Payer: UnitedHealthcare Commercial	$73.20
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$9.70

DRILL BIT 1.1

Facility

$875.00

Hospital Charge Code	270666010
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

DRILL BIT 1.1

Facility

$875.00

Hospital Charge Code	270666010
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

DRILL BIT 1.1 MM

Facility

$366.00

Hospital Charge Code	270681688
Hospital Revenue Code	272
Min. Negotiated Rate	$8.82
Max. Negotiated Rate	$183.00
Rate for Payer: Aetna Commercial	$139.08
Rate for Payer: Aetna Medicare Advantage	$109.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.33
Rate for Payer: Cigna Commercial	$183.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.80
Rate for Payer: Oxford Commercial	$73.20
Rate for Payer: Qualcare PPO/HMO/WC	$54.90
Rate for Payer: UnitedHealthcare Commercial	$73.20
Rate for Payer: UnitedHealthcare Community & State	$8.82
Rate for Payer: Wellpoint Medicaid Managed Care	$9.70

DRILL BIT 1.1 MM

Facility

$366.00

Hospital Charge Code	270681688
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 11MM

Facility

$1,670.00

Hospital Charge Code	270691791
Hospital Revenue Code	272
Min. Negotiated Rate	$40.25
Max. Negotiated Rate	$835.00
Rate for Payer: Aetna Commercial	$634.60
Rate for Payer: Aetna Medicare Advantage	$501.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.85
Rate for Payer: Cigna Commercial	$835.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.00
Rate for Payer: Oxford Commercial	$334.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.50
Rate for Payer: UnitedHealthcare Commercial	$334.00
Rate for Payer: UnitedHealthcare Community & State	$40.25
Rate for Payer: Wellpoint Medicaid Managed Care	$44.26

DRILL BIT 11MM

Facility

$1,670.00

Hospital Charge Code	270691791
Hospital Revenue Code	272
Min. Negotiated Rate	$250.50
Max. Negotiated Rate	$250.50
Rate for Payer: Qualcare PPO/HMO/WC	$250.50

DRILL BIT, 11MM

Facility

$21.40

Hospital Charge Code	270665049
Hospital Revenue Code	270
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

DRILL BIT, 11MM

Facility

$21.40

Hospital Charge Code	270665049
Hospital Revenue Code	270
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.46
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

DRILL BIT 1.1MM

Facility

$107.80

Hospital Charge Code	270664050
Hospital Revenue Code	270
Min. Negotiated Rate	$16.17
Max. Negotiated Rate	$16.17
Rate for Payer: Qualcare PPO/HMO/WC	$16.17

Know your out-of-pocket cost for care.

All Charges