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	$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 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 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	$133.25
Max. Negotiated Rate	$133.25
Rate for Payer: Qualcare PPO/HMO/WC	$133.25

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 MM

Facility

$756.70

Hospital Charge Code	270687283
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 MM

Facility

$340.00

Hospital Charge Code	270678458
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$170.00
Rate for Payer: Aetna Commercial	$129.20
Rate for Payer: Aetna Medicare Advantage	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.70
Rate for Payer: Cigna Commercial	$170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.00
Rate for Payer: Oxford Commercial	$68.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00
Rate for Payer: UnitedHealthcare Commercial	$68.00
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

DRILL BIT 2.5 MM

Facility

$340.00

Hospital Charge Code	270678458
Hospital Revenue Code	272
Min. Negotiated Rate	$51.00
Max. Negotiated Rate	$51.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.00

DRILL BIT 2.5 MM

Facility

$300.00

Hospital Charge Code	270684028
Hospital Revenue Code	272
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 2.5 MM

Facility

$756.70

Hospital Charge Code	270687283
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 MM

Facility

$300.00

Hospital Charge Code	270684028
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

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

$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

$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

$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

$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

$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

$408.00

Hospital Charge Code	270682615
Hospital Revenue Code	272
Min. Negotiated Rate	$61.20
Max. Negotiated Rate	$61.20
Rate for Payer: Qualcare PPO/HMO/WC	$61.20

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

$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

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

$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

$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	$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

Know your out-of-pocket cost for care.

All Charges