Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.35X33.5MM

Facility

$1,535.00

Hospital Charge Code	270693164
Hospital Revenue Code	272
Min. Negotiated Rate	$36.99
Max. Negotiated Rate	$767.50
Rate for Payer: Aetna Commercial	$583.30
Rate for Payer: Aetna Medicare Advantage	$460.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.43
Rate for Payer: Cigna Commercial	$767.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.50
Rate for Payer: Oxford Commercial	$307.00
Rate for Payer: Qualcare PPO/HMO/WC	$230.25
Rate for Payer: UnitedHealthcare Commercial	$307.00
Rate for Payer: UnitedHealthcare Community & State	$36.99
Rate for Payer: Wellpoint Medicaid Managed Care	$40.68

DRILL BIT 2.3MM

Facility

$1,180.00

Hospital Charge Code	270698463
Hospital Revenue Code	272
Min. Negotiated Rate	$177.00
Max. Negotiated Rate	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00

DRILL BIT 2.3MM

Facility

$1,180.00

Hospital Charge Code	270698463
Hospital Revenue Code	272
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$590.00
Rate for Payer: Aetna Commercial	$448.40
Rate for Payer: Aetna Medicare Advantage	$354.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$300.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$300.90
Rate for Payer: Cigna Commercial	$590.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.00
Rate for Payer: Oxford Commercial	$236.00
Rate for Payer: Qualcare PPO/HMO/WC	$177.00
Rate for Payer: UnitedHealthcare Commercial	$236.00
Rate for Payer: UnitedHealthcare Community & State	$28.44
Rate for Payer: Wellpoint Medicaid Managed Care	$31.27

DRILL BIT 2.3MM

Facility

$737.00

Hospital Charge Code	270697901
Hospital Revenue Code	272
Min. Negotiated Rate	$17.76
Max. Negotiated Rate	$368.50
Rate for Payer: Aetna Commercial	$280.06
Rate for Payer: Aetna Medicare Advantage	$221.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$187.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$187.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$187.94
Rate for Payer: Cigna Commercial	$368.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$221.10
Rate for Payer: Oxford Commercial	$147.40
Rate for Payer: Qualcare PPO/HMO/WC	$110.55
Rate for Payer: UnitedHealthcare Commercial	$147.40
Rate for Payer: UnitedHealthcare Community & State	$17.76
Rate for Payer: Wellpoint Medicaid Managed Care	$19.53

DRILL BIT 2.3MM

Facility

$737.00

Hospital Charge Code	270697901
Hospital Revenue Code	272
Min. Negotiated Rate	$110.55
Max. Negotiated Rate	$110.55
Rate for Payer: Qualcare PPO/HMO/WC	$110.55

DRILL BIT 2.4MM

Facility

$2,625.00

Hospital Charge Code	270693333
Hospital Revenue Code	272
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$393.75
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

DRILL BIT 2.4MM

Facility

$2,500.00

Service Code	HCPCS A4649
Hospital Charge Code	270699641
Hospital Revenue Code	272
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$750.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

DRILL BIT 2.4MM

Facility

$2,625.00

Hospital Charge Code	270693333
Hospital Revenue Code	272
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$787.50
Rate for Payer: Oxford Commercial	$525.00
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Commercial	$525.00
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$69.56

DRILL BIT 2.4MM

Facility

$2,500.00

Service Code	HCPCS A4649
Hospital Charge Code	270699641
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

DRILL BIT 2.4 STP DRL AR1250LT

Facility

$400.00

Hospital Charge Code	270629972
Hospital Revenue Code	272
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$80.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$80.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

DRILL BIT 2.4 STP DRL AR1250LT

Facility

$400.00

Hospital Charge Code	270629972
Hospital Revenue Code	272
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

DRILL BIT 2.4X140MM

Facility

$750.00

Hospital Charge Code	270700177
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

DRILL BIT 2.4X140MM

Facility

$750.00

Hospital Charge Code	270700177
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

DRILL BIT 2.4X40MM

Facility

$670.00

Hospital Charge Code	270684120
Hospital Revenue Code	272
Min. Negotiated Rate	$16.15
Max. Negotiated Rate	$335.00
Rate for Payer: Aetna Commercial	$254.60
Rate for Payer: Aetna Medicare Advantage	$201.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.85
Rate for Payer: Cigna Commercial	$335.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.00
Rate for Payer: Oxford Commercial	$134.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.50
Rate for Payer: UnitedHealthcare Commercial	$134.00
Rate for Payer: UnitedHealthcare Community & State	$16.15
Rate for Payer: Wellpoint Medicaid Managed Care	$17.75

DRILL BIT 2.4X40MM

Facility

$670.00

Hospital Charge Code	270684120
Hospital Revenue Code	272
Min. Negotiated Rate	$100.50
Max. Negotiated Rate	$100.50
Rate for Payer: Qualcare PPO/HMO/WC	$100.50

DRILL BIT 2.5

Facility

$395.00

Hospital Charge Code	270677407
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 2.5

Facility

$840.00

Hospital Charge Code	270686775
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.00
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$20.24
Rate for Payer: Wellpoint Medicaid Managed Care	$22.26

DRILL BIT 2.5

Facility

$840.00

Hospital Charge Code	270686775
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT 2.5

Facility

$756.70

Hospital Charge Code	270688271
Hospital Revenue Code	272
Min. Negotiated Rate	$18.24
Max. Negotiated Rate	$378.35
Rate for Payer: Aetna Commercial	$287.55
Rate for Payer: Aetna Medicare Advantage	$227.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.96
Rate for Payer: Cigna Commercial	$378.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.01
Rate for Payer: Oxford Commercial	$151.34
Rate for Payer: Qualcare PPO/HMO/WC	$113.50
Rate for Payer: UnitedHealthcare Commercial	$151.34
Rate for Payer: UnitedHealthcare Community & State	$18.24
Rate for Payer: Wellpoint Medicaid Managed Care	$20.05

DRILL BIT 2.5

Facility

$756.70

Hospital Charge Code	270688271
Hospital Revenue Code	272
Min. Negotiated Rate	$113.50
Max. Negotiated Rate	$113.50
Rate for Payer: Qualcare PPO/HMO/WC	$113.50

DRILL BIT 2.5

Facility

$395.00

Hospital Charge Code	270677407
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 2.5-3.0MMX80X170MM

Facility

$874.50

Hospital Charge Code	270687284
Hospital Revenue Code	272
Min. Negotiated Rate	$131.18
Max. Negotiated Rate	$131.18
Rate for Payer: Qualcare PPO/HMO/WC	$131.18

DRILL BIT 2.5-3.0MMX80X170MM

Facility

$874.50

Hospital Charge Code	270687284
Hospital Revenue Code	272
Min. Negotiated Rate	$21.08
Max. Negotiated Rate	$437.25
Rate for Payer: Aetna Commercial	$332.31
Rate for Payer: Aetna Medicare Advantage	$262.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.00
Rate for Payer: Cigna Commercial	$437.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.35
Rate for Payer: Oxford Commercial	$174.90
Rate for Payer: Qualcare PPO/HMO/WC	$131.18
Rate for Payer: UnitedHealthcare Commercial	$174.90
Rate for Payer: UnitedHealthcare Community & State	$21.08
Rate for Payer: Wellpoint Medicaid Managed Care	$23.17

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270681292
Hospital Revenue Code	272
Min. Negotiated Rate	$154.68
Max. Negotiated Rate	$154.68
Rate for Payer: Qualcare PPO/HMO/WC	$154.68

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270681292
Hospital Revenue Code	272
Min. Negotiated Rate	$24.85
Max. Negotiated Rate	$515.60
Rate for Payer: Aetna Commercial	$391.86
Rate for Payer: Aetna Medicare Advantage	$309.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.96
Rate for Payer: Cigna Commercial	$515.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$309.36
Rate for Payer: Oxford Commercial	$206.24
Rate for Payer: Qualcare PPO/HMO/WC	$154.68
Rate for Payer: UnitedHealthcare Commercial	$206.24
Rate for Payer: UnitedHealthcare Community & State	$24.85
Rate for Payer: Wellpoint Medicaid Managed Care	$27.33

Know your out-of-pocket cost for care.

All Charges