Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL BIT 2.0

Facility

$855.00

Hospital Charge Code	270660358
Hospital Revenue Code	270
Min. Negotiated Rate	$128.25
Max. Negotiated Rate	$128.25
Rate for Payer: Qualcare PPO/HMO/WC	$128.25

DRILL BIT 2.0

Facility

$855.00

Hospital Charge Code	270660358
Hospital Revenue Code	270
Min. Negotiated Rate	$20.61
Max. Negotiated Rate	$427.50
Rate for Payer: Aetna Commercial	$324.90
Rate for Payer: Aetna Medicare Advantage	$256.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.03
Rate for Payer: Cigna Commercial	$427.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.50
Rate for Payer: Oxford Commercial	$171.00
Rate for Payer: Qualcare PPO/HMO/WC	$128.25
Rate for Payer: UnitedHealthcare Commercial	$171.00
Rate for Payer: UnitedHealthcare Community & State	$20.61
Rate for Payer: Wellpoint Medicaid Managed Care	$22.66

DRILL BIT 2.0

Facility

$300.00

Hospital Charge Code	270667011
Hospital Revenue Code	270
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

DRILL BIT 2.0

Facility

$2,580.00

Hospital Charge Code	270701421
Hospital Revenue Code	272
Min. Negotiated Rate	$62.18
Max. Negotiated Rate	$1,290.00
Rate for Payer: Aetna Commercial	$980.40
Rate for Payer: Aetna Medicare Advantage	$774.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$657.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$657.90
Rate for Payer: Cigna Commercial	$1,290.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$774.00
Rate for Payer: Oxford Commercial	$516.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00
Rate for Payer: UnitedHealthcare Commercial	$516.00
Rate for Payer: UnitedHealthcare Community & State	$62.18
Rate for Payer: Wellpoint Medicaid Managed Care	$68.37

DRILL BIT 2.0

Facility

$300.00

Hospital Charge Code	270667011
Hospital Revenue Code	270
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

DRILL BIT 2.0

Facility

$395.00

Hospital Charge Code	270687189
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 2.0

Facility

$2,580.00

Hospital Charge Code	270701421
Hospital Revenue Code	272
Min. Negotiated Rate	$387.00
Max. Negotiated Rate	$387.00
Rate for Payer: Qualcare PPO/HMO/WC	$387.00

DRILL BIT 2.0

Facility

$395.00

Hospital Charge Code	270687189
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 2.05

Facility

$300.00

Hospital Charge Code	270667012
Hospital Revenue Code	270
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

DRILL BIT 2.05

Facility

$300.00

Hospital Charge Code	270667012
Hospital Revenue Code	270
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

DRILL BIT 2.0 MM

Facility

$395.00

Hospital Charge Code	270689811
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 2.0 MM

Facility

$395.00

Hospital Charge Code	270689811
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 2.0MM

Facility

$1,585.00

Hospital Charge Code	270676508
Hospital Revenue Code	272
Min. Negotiated Rate	$237.75
Max. Negotiated Rate	$237.75
Rate for Payer: Qualcare PPO/HMO/WC	$237.75

DRILL BIT 2.0MM

Facility

$1,680.00

Hospital Charge Code	270687285
Hospital Revenue Code	272
Min. Negotiated Rate	$40.49
Max. Negotiated Rate	$840.00
Rate for Payer: Aetna Commercial	$638.40
Rate for Payer: Aetna Medicare Advantage	$504.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.40
Rate for Payer: Cigna Commercial	$840.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$504.00
Rate for Payer: Oxford Commercial	$336.00
Rate for Payer: Qualcare PPO/HMO/WC	$252.00
Rate for Payer: UnitedHealthcare Commercial	$336.00
Rate for Payer: UnitedHealthcare Community & State	$40.49
Rate for Payer: Wellpoint Medicaid Managed Care	$44.52

DRILL BIT 2.0MM

Facility

$1,585.00

Hospital Charge Code	270676508
Hospital Revenue Code	272
Min. Negotiated Rate	$38.20
Max. Negotiated Rate	$792.50
Rate for Payer: Aetna Commercial	$602.30
Rate for Payer: Aetna Medicare Advantage	$475.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.18
Rate for Payer: Cigna Commercial	$792.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.50
Rate for Payer: Oxford Commercial	$317.00
Rate for Payer: Qualcare PPO/HMO/WC	$237.75
Rate for Payer: UnitedHealthcare Commercial	$317.00
Rate for Payer: UnitedHealthcare Community & State	$38.20
Rate for Payer: Wellpoint Medicaid Managed Care	$42.00

DRILL BIT 2.0MM

Facility

$1,680.00

Hospital Charge Code	270687285
Hospital Revenue Code	272
Min. Negotiated Rate	$252.00
Max. Negotiated Rate	$252.00
Rate for Payer: Qualcare PPO/HMO/WC	$252.00

DRILL BIT 2.0MM 66 MM

Facility

$366.00

Hospital Charge Code	270686052
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 2.0MM 66 MM

Facility

$366.00

Hospital Charge Code	270686052
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 2.0MM CALIBRTD

Facility

$975.00

Hospital Charge Code	270657724
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 2.0MM CALIBRTD

Facility

$975.00

Hospital Charge Code	270657724
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL BIT 2.0MM CANNU DART SCR

Facility

$756.00

Hospital Charge Code	270700828
Hospital Revenue Code	272
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.80
Rate for Payer: Oxford Commercial	$151.20
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Commercial	$151.20
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

DRILL BIT 2.0MM CANNU DART SCR

Facility

$756.00

Hospital Charge Code	270700828
Hospital Revenue Code	272
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$113.40
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

DRILL BIT 2.0MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674781
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 2.0MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674781
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

Know your out-of-pocket cost for care.

All Charges