Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

DRILL BIT 1.5MM/MINI QC/52MM

Facility

$350.00

Hospital Charge Code	270674780
Hospital Revenue Code	272
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.00
Rate for Payer: Oxford Commercial	$70.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Commercial	$70.00
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

DRILL BIT 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
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 1.5x44.5x6 J-L 31766

Facility

$875.00

Hospital Charge Code	270633381
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 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$91.45
Max. Negotiated Rate	$1,897.25
Rate for Payer: Aetna Commercial	$1,441.91
Rate for Payer: Aetna Medicare Advantage	$1,138.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.60
Rate for Payer: Cigna Commercial	$1,897.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,138.35
Rate for Payer: Oxford Commercial	$758.90
Rate for Payer: Qualcare PPO/HMO/WC	$569.17
Rate for Payer: UnitedHealthcare Commercial	$758.90
Rate for Payer: UnitedHealthcare Community & State	$91.45
Rate for Payer: Wellpoint Medicaid Managed Care	$100.55

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$124.36
Max. Negotiated Rate	$2,580.00
Rate for Payer: Aetna Commercial	$1,960.80
Rate for Payer: Aetna Medicare Advantage	$1,548.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,315.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,315.80
Rate for Payer: Cigna Commercial	$2,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,135.20
Rate for Payer: Qualcare PPO/HMO/WC	$774.00
Rate for Payer: UnitedHealthcare Community & State	$124.36
Rate for Payer: Wellpoint Medicaid Managed Care	$136.74

DRILL BIT 16.0

Facility

$3,794.50

Hospital Charge Code	270677409
Hospital Revenue Code	272
Min. Negotiated Rate	$569.17
Max. Negotiated Rate	$569.17
Rate for Payer: Qualcare PPO/HMO/WC	$569.17

DRILL BIT 16.0

Facility

$5,160.00

Hospital Charge Code	270702876
Hospital Revenue Code	278
Min. Negotiated Rate	$774.00
Max. Negotiated Rate	$1,248.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,032.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,248.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,135.20
Rate for Payer: Qualcare PPO/HMO/WC	$774.00

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.50
Rate for Payer: Aetna Commercial	$359.10
Rate for Payer: Aetna Medicare Advantage	$283.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.97
Rate for Payer: Cigna Commercial	$472.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$283.50
Rate for Payer: Oxford Commercial	$189.00
Rate for Payer: Qualcare PPO/HMO/WC	$141.75
Rate for Payer: UnitedHealthcare Commercial	$189.00
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

DRILL BIT 1.6 MM

Facility

$945.00

Hospital Charge Code	270683982
Hospital Revenue Code	272
Min. Negotiated Rate	$141.75
Max. Negotiated Rate	$141.75
Rate for Payer: Qualcare PPO/HMO/WC	$141.75

DRILL BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
Hospital Revenue Code	272
Min. Negotiated Rate	$208.45
Max. Negotiated Rate	$208.45
Rate for Payer: Qualcare PPO/HMO/WC	$208.45

DRILL BIT 16MM

Facility

$1,389.65

Hospital Charge Code	270688693
Hospital Revenue Code	272
Min. Negotiated Rate	$33.49
Max. Negotiated Rate	$694.83
Rate for Payer: Aetna Commercial	$528.07
Rate for Payer: Aetna Medicare Advantage	$416.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$354.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$354.36
Rate for Payer: Cigna Commercial	$694.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.89
Rate for Payer: Oxford Commercial	$277.93
Rate for Payer: Qualcare PPO/HMO/WC	$208.45
Rate for Payer: UnitedHealthcare Commercial	$277.93
Rate for Payer: UnitedHealthcare Community & State	$33.49
Rate for Payer: Wellpoint Medicaid Managed Care	$36.83

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$107.65
Max. Negotiated Rate	$2,233.40
Rate for Payer: Aetna Commercial	$1,697.38
Rate for Payer: Aetna Medicare Advantage	$1,340.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,139.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,139.03
Rate for Payer: Cigna Commercial	$2,233.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,340.04
Rate for Payer: Oxford Commercial	$893.36
Rate for Payer: Qualcare PPO/HMO/WC	$670.02
Rate for Payer: UnitedHealthcare Commercial	$893.36
Rate for Payer: UnitedHealthcare Community & State	$107.65
Rate for Payer: Wellpoint Medicaid Managed Care	$118.37

DRILL BIT 16MM CANNULATED HOL

Facility

$4,466.80

Hospital Charge Code	270688101
Hospital Revenue Code	272
Min. Negotiated Rate	$670.02
Max. Negotiated Rate	$670.02
Rate for Payer: Qualcare PPO/HMO/WC	$670.02

DRILL BIT 1.7

Facility

$625.00

Hospital Charge Code	270652053
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

DRILL BIT 1.7

Facility

$625.00

Hospital Charge Code	270652053
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$730.17
Rate for Payer: Aetna Commercial	$554.93
Rate for Payer: Aetna Medicare Advantage	$438.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.39
Rate for Payer: Cigna Commercial	$730.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.11
Rate for Payer: Oxford Commercial	$292.07
Rate for Payer: Qualcare PPO/HMO/WC	$219.05
Rate for Payer: UnitedHealthcare Commercial	$292.07
Rate for Payer: UnitedHealthcare Community & State	$35.19
Rate for Payer: Wellpoint Medicaid Managed Care	$38.70

DRILL BIT 1.7 12 MM

Facility

$1,460.35

Hospital Charge Code	270689580
Hospital Revenue Code	272
Min. Negotiated Rate	$219.05
Max. Negotiated Rate	$219.05
Rate for Payer: Qualcare PPO/HMO/WC	$219.05

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.50
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

DRILL BIT 1.7MM

Facility

$395.00

Hospital Charge Code	270668414
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL BIT 1.8 50MM STRYKER

Facility

$550.00

Hospital Charge Code	270637597
Hospital Revenue Code	272
Min. Negotiated Rate	$82.50
Max. Negotiated Rate	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$82.50

DRILL BIT 1.8 50MM STRYKER

Facility

$550.00

Hospital Charge Code	270637597
Hospital Revenue Code	272
Min. Negotiated Rate	$13.26
Max. Negotiated Rate	$275.00
Rate for Payer: Aetna Commercial	$209.00
Rate for Payer: Aetna Medicare Advantage	$165.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.25
Rate for Payer: Cigna Commercial	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.00
Rate for Payer: Oxford Commercial	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$82.50
Rate for Payer: UnitedHealthcare Commercial	$110.00
Rate for Payer: UnitedHealthcare Community & State	$13.26
Rate for Payer: Wellpoint Medicaid Managed Care	$14.57

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$87.48
Max. Negotiated Rate	$1,815.00
Rate for Payer: Aetna Commercial	$1,379.40
Rate for Payer: Aetna Medicare Advantage	$1,089.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$925.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$925.65
Rate for Payer: Cigna Commercial	$1,815.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$544.50
Rate for Payer: UnitedHealthcare Community & State	$87.48
Rate for Payer: Wellpoint Medicaid Managed Care	$96.19

DRILL BIT 1.8MM

Facility

$3,630.00

Hospital Charge Code	270701422
Hospital Revenue Code	278
Min. Negotiated Rate	$544.50
Max. Negotiated Rate	$878.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$726.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$878.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$798.60
Rate for Payer: Qualcare PPO/HMO/WC	$544.50

DRILL BIT 1.9MM AO SHAFT END

Facility

$656.40

Hospital Charge Code	270657998
Hospital Revenue Code	272
Min. Negotiated Rate	$98.46
Max. Negotiated Rate	$98.46
Rate for Payer: Qualcare PPO/HMO/WC	$98.46

Know your out-of-pocket cost for care.

All Charges