Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.5 3-FLTD 230/200MM

Facility

$1,031.20

Hospital Charge Code	270677981
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	270677981
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

DRILL BIT 2.5 FOR PLATE

Facility

$955.00

Hospital Charge Code	270667930
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 2.5 FOR PLATE

Facility

$955.00

Hospital Charge Code	270667930
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 2.5 FOR SCREWS

Facility

$888.30

Hospital Charge Code	270667929
Hospital Revenue Code	272
Min. Negotiated Rate	$21.41
Max. Negotiated Rate	$444.15
Rate for Payer: Aetna Commercial	$337.55
Rate for Payer: Aetna Medicare Advantage	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$226.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$226.52
Rate for Payer: Cigna Commercial	$444.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: Oxford Commercial	$177.66
Rate for Payer: Qualcare PPO/HMO/WC	$133.25
Rate for Payer: UnitedHealthcare Commercial	$177.66
Rate for Payer: UnitedHealthcare Community & State	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$23.54

DRILL BIT 2.5 FOR SCREWS

Facility

$888.30

Hospital Charge Code	270667929
Hospital Revenue Code	272
Min. Negotiated Rate	$133.25
Max. Negotiated Rate	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

DRILL BIT 2.5MM

Facility

$615.00

Hospital Charge Code	270660762
Hospital Revenue Code	272
Min. Negotiated Rate	$14.82
Max. Negotiated Rate	$307.50
Rate for Payer: Aetna Commercial	$233.70
Rate for Payer: Aetna Medicare Advantage	$184.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.82
Rate for Payer: Cigna Commercial	$307.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$184.50
Rate for Payer: Oxford Commercial	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$92.25
Rate for Payer: UnitedHealthcare Commercial	$123.00
Rate for Payer: UnitedHealthcare Community & State	$14.82
Rate for Payer: Wellpoint Medicaid Managed Care	$16.30

DRILL BIT 2.5MM

Facility

$875.00

Hospital Charge Code	270664492
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 2.5MM

Facility

$725.00

Hospital Charge Code	270661597
Hospital Revenue Code	272
Min. Negotiated Rate	$17.47
Max. Negotiated Rate	$362.50
Rate for Payer: Aetna Commercial	$275.50
Rate for Payer: Aetna Medicare Advantage	$217.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$184.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$184.88
Rate for Payer: Cigna Commercial	$362.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.50
Rate for Payer: Oxford Commercial	$145.00
Rate for Payer: Qualcare PPO/HMO/WC	$108.75
Rate for Payer: UnitedHealthcare Commercial	$145.00
Rate for Payer: UnitedHealthcare Community & State	$17.47
Rate for Payer: Wellpoint Medicaid Managed Care	$19.21

DRILL BIT 2.5MM

Facility

$461.50

Hospital Charge Code	270664485
Hospital Revenue Code	272
Min. Negotiated Rate	$11.12
Max. Negotiated Rate	$230.75
Rate for Payer: Aetna Commercial	$175.37
Rate for Payer: Aetna Medicare Advantage	$138.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.68
Rate for Payer: Cigna Commercial	$230.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.45
Rate for Payer: Oxford Commercial	$92.30
Rate for Payer: Qualcare PPO/HMO/WC	$69.22
Rate for Payer: UnitedHealthcare Commercial	$92.30
Rate for Payer: UnitedHealthcare Community & State	$11.12
Rate for Payer: Wellpoint Medicaid Managed Care	$12.23

DRILL BIT 2.5MM

Facility

$670.00

Hospital Charge Code	270638285
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 2.5MM

Facility

$875.00

Hospital Charge Code	270664492
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 2.5MM

Facility

$467.50

Hospital Charge Code	270648250
Hospital Revenue Code	272
Min. Negotiated Rate	$70.12
Max. Negotiated Rate	$70.12
Rate for Payer: Qualcare PPO/HMO/WC	$70.12

DRILL BIT 2.5MM

Facility

$1,550.40

Hospital Charge Code	270673956
Hospital Revenue Code	272
Min. Negotiated Rate	$37.36
Max. Negotiated Rate	$775.20
Rate for Payer: Aetna Commercial	$589.15
Rate for Payer: Aetna Medicare Advantage	$465.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$395.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$395.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$395.35
Rate for Payer: Cigna Commercial	$775.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$465.12
Rate for Payer: Oxford Commercial	$310.08
Rate for Payer: Qualcare PPO/HMO/WC	$232.56
Rate for Payer: UnitedHealthcare Commercial	$310.08
Rate for Payer: UnitedHealthcare Community & State	$37.36
Rate for Payer: Wellpoint Medicaid Managed Care	$41.09

DRILL BIT 2.5MM

Facility

$181.95

Hospital Charge Code	270664049
Hospital Revenue Code	270
Min. Negotiated Rate	$27.29
Max. Negotiated Rate	$27.29
Rate for Payer: Qualcare PPO/HMO/WC	$27.29

DRILL BIT 2.5MM

Facility

$408.00

Hospital Charge Code	270682615
Hospital Revenue Code	272
Min. Negotiated Rate	$9.83
Max. Negotiated Rate	$204.00
Rate for Payer: Aetna Commercial	$155.04
Rate for Payer: Aetna Medicare Advantage	$122.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.04
Rate for Payer: Cigna Commercial	$204.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.40
Rate for Payer: Oxford Commercial	$81.60
Rate for Payer: Qualcare PPO/HMO/WC	$61.20
Rate for Payer: UnitedHealthcare Commercial	$81.60
Rate for Payer: UnitedHealthcare Community & State	$9.83
Rate for Payer: Wellpoint Medicaid Managed Care	$10.81

DRILL BIT 2.5MM

Facility

$181.95

Hospital Charge Code	270664049
Hospital Revenue Code	270
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$90.97
Rate for Payer: Aetna Commercial	$69.14
Rate for Payer: Aetna Medicare Advantage	$54.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.40
Rate for Payer: Cigna Commercial	$90.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.59
Rate for Payer: Oxford Commercial	$36.39
Rate for Payer: Qualcare PPO/HMO/WC	$27.29
Rate for Payer: UnitedHealthcare Commercial	$36.39
Rate for Payer: UnitedHealthcare Community & State	$4.38
Rate for Payer: Wellpoint Medicaid Managed Care	$4.82

DRILL BIT 2.5MM

Facility

$725.00

Hospital Charge Code	270661597
Hospital Revenue Code	272
Min. Negotiated Rate	$108.75
Max. Negotiated Rate	$108.75
Rate for Payer: Qualcare PPO/HMO/WC	$108.75

DRILL BIT 2.5MM

Facility

$2,540.65

Hospital Charge Code	270704456
Hospital Revenue Code	279
Min. Negotiated Rate	$381.10
Max. Negotiated Rate	$381.10
Rate for Payer: Qualcare PPO/HMO/WC	$381.10

DRILL BIT 2.5MM

Facility

$467.50

Hospital Charge Code	270648250
Hospital Revenue Code	272
Min. Negotiated Rate	$11.27
Max. Negotiated Rate	$233.75
Rate for Payer: Aetna Commercial	$177.65
Rate for Payer: Aetna Medicare Advantage	$140.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$119.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$119.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$119.21
Rate for Payer: Cigna Commercial	$233.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.25
Rate for Payer: Oxford Commercial	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.12
Rate for Payer: UnitedHealthcare Commercial	$93.50
Rate for Payer: UnitedHealthcare Community & State	$11.27
Rate for Payer: Wellpoint Medicaid Managed Care	$12.39

DRILL BIT 2.5MM

Facility

$1,550.40

Hospital Charge Code	270673956
Hospital Revenue Code	272
Min. Negotiated Rate	$232.56
Max. Negotiated Rate	$232.56
Rate for Payer: Qualcare PPO/HMO/WC	$232.56

DRILL BIT 2.5MM

Facility

$2,540.65

Hospital Charge Code	270704456
Hospital Revenue Code	279
Min. Negotiated Rate	$61.23
Max. Negotiated Rate	$1,270.33
Rate for Payer: Aetna Commercial	$965.45
Rate for Payer: Aetna Medicare Advantage	$762.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$647.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$647.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$647.87
Rate for Payer: Cigna Commercial	$1,270.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$762.20
Rate for Payer: Oxford Commercial	$508.13
Rate for Payer: Qualcare PPO/HMO/WC	$381.10
Rate for Payer: UnitedHealthcare Commercial	$508.13
Rate for Payer: UnitedHealthcare Community & State	$61.23
Rate for Payer: Wellpoint Medicaid Managed Care	$67.33

DRILL BIT 2.5MM

Facility

$670.00

Hospital Charge Code	270638285
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 2.5MM

Facility

$615.00

Hospital Charge Code	270660762
Hospital Revenue Code	272
Min. Negotiated Rate	$92.25
Max. Negotiated Rate	$92.25
Rate for Payer: Qualcare PPO/HMO/WC	$92.25

DRILL BIT 2.5MM

Facility

$461.50

Hospital Charge Code	270664485
Hospital Revenue Code	272
Min. Negotiated Rate	$69.22
Max. Negotiated Rate	$69.22
Rate for Payer: Qualcare PPO/HMO/WC	$69.22

Know your out-of-pocket cost for care.

All Charges