Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

$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

$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

$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

$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

$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

$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 135MM 45MM

Facility

$580.45

Service Code	HCPCS A4649
Hospital Charge Code	270691083
Hospital Revenue Code	272
Min. Negotiated Rate	$87.07
Max. Negotiated Rate	$87.07
Rate for Payer: Qualcare PPO/HMO/WC	$87.07

DRILL BIT 2.5MM 135MM 45MM

Facility

$580.45

Service Code	HCPCS A4649
Hospital Charge Code	270691083
Hospital Revenue Code	272
Min. Negotiated Rate	$13.99
Max. Negotiated Rate	$290.23
Rate for Payer: Aetna Commercial	$220.57
Rate for Payer: Aetna Medicare Advantage	$174.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.01
Rate for Payer: Cigna Commercial	$290.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.13
Rate for Payer: Oxford Commercial	$116.09
Rate for Payer: Qualcare PPO/HMO/WC	$87.07
Rate for Payer: UnitedHealthcare Commercial	$116.09
Rate for Payer: UnitedHealthcare Community & State	$13.99
Rate for Payer: Wellpoint Medicaid Managed Care	$15.38

DRILL BIT 2.5MM FLUTED

Facility

$516.75

Hospital Charge Code	270698393
Hospital Revenue Code	272
Min. Negotiated Rate	$77.51
Max. Negotiated Rate	$77.51
Rate for Payer: Qualcare PPO/HMO/WC	$77.51

DRILL BIT 2.5MM FLUTED

Facility

$516.75

Hospital Charge Code	270698393
Hospital Revenue Code	272
Min. Negotiated Rate	$12.45
Max. Negotiated Rate	$258.38
Rate for Payer: Aetna Commercial	$196.37
Rate for Payer: Aetna Medicare Advantage	$155.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.77
Rate for Payer: Cigna Commercial	$258.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: Oxford Commercial	$103.35
Rate for Payer: Qualcare PPO/HMO/WC	$77.51
Rate for Payer: UnitedHealthcare Commercial	$103.35
Rate for Payer: UnitedHealthcare Community & State	$12.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.69

DRILL BIT 2.5MM/L110MM

Facility

$1,370.00

Hospital Charge Code	270667535
Hospital Revenue Code	272
Min. Negotiated Rate	$205.50
Max. Negotiated Rate	$205.50
Rate for Payer: Qualcare PPO/HMO/WC	$205.50

DRILL BIT 2.5MM/L110MM

Facility

$1,370.00

Hospital Charge Code	270667535
Hospital Revenue Code	272
Min. Negotiated Rate	$33.02
Max. Negotiated Rate	$685.00
Rate for Payer: Aetna Commercial	$520.60
Rate for Payer: Aetna Medicare Advantage	$411.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$349.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$349.35
Rate for Payer: Cigna Commercial	$685.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$411.00
Rate for Payer: Oxford Commercial	$274.00
Rate for Payer: Qualcare PPO/HMO/WC	$205.50
Rate for Payer: UnitedHealthcare Commercial	$274.00
Rate for Payer: UnitedHealthcare Community & State	$33.02
Rate for Payer: Wellpoint Medicaid Managed Care	$36.30

DRILL BIT 2.5MM QC 135MM 45CAL

Facility

$639.20

Hospital Charge Code	270691203
Hospital Revenue Code	272
Min. Negotiated Rate	$15.40
Max. Negotiated Rate	$319.60
Rate for Payer: Aetna Commercial	$242.90
Rate for Payer: Aetna Medicare Advantage	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.00
Rate for Payer: Cigna Commercial	$319.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.76
Rate for Payer: Oxford Commercial	$127.84
Rate for Payer: Qualcare PPO/HMO/WC	$95.88
Rate for Payer: UnitedHealthcare Commercial	$127.84
Rate for Payer: UnitedHealthcare Community & State	$15.40
Rate for Payer: Wellpoint Medicaid Managed Care	$16.94

DRILL BIT 2.5MM QC 135MM 45CAL

Facility

$639.20

Hospital Charge Code	270691203
Hospital Revenue Code	272
Min. Negotiated Rate	$95.88
Max. Negotiated Rate	$95.88
Rate for Payer: Qualcare PPO/HMO/WC	$95.88

DRILL BIT 2.5X

Facility

$1,900.00

Hospital Charge Code	270704202
Hospital Revenue Code	279
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

DRILL BIT 2.5X

Facility

$1,900.00

Hospital Charge Code	270704202
Hospital Revenue Code	279
Min. Negotiated Rate	$45.79
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.00
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Commercial	$380.00
Rate for Payer: UnitedHealthcare Community & State	$45.79
Rate for Payer: Wellpoint Medicaid Managed Care	$50.35

DRILL BIT 2.5x60MM

Facility

$615.00

Hospital Charge Code	270667124
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 2.5x60MM

Facility

$615.00

Hospital Charge Code	270667124
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 2.6

Facility

$650.65

Hospital Charge Code	270660361
Hospital Revenue Code	270
Min. Negotiated Rate	$15.68
Max. Negotiated Rate	$325.32
Rate for Payer: Aetna Commercial	$247.25
Rate for Payer: Aetna Medicare Advantage	$195.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.92
Rate for Payer: Cigna Commercial	$325.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.19
Rate for Payer: Oxford Commercial	$130.13
Rate for Payer: Qualcare PPO/HMO/WC	$97.60
Rate for Payer: UnitedHealthcare Commercial	$130.13
Rate for Payer: UnitedHealthcare Community & State	$15.68
Rate for Payer: Wellpoint Medicaid Managed Care	$17.24

DRILL BIT 2.6

Facility

$650.65

Hospital Charge Code	270660361
Hospital Revenue Code	270
Min. Negotiated Rate	$97.60
Max. Negotiated Rate	$97.60
Rate for Payer: Qualcare PPO/HMO/WC	$97.60

DRILL BIT 2.6 MM

Facility

$1,300.00

Hospital Charge Code	270667385
Hospital Revenue Code	272
Min. Negotiated Rate	$31.33
Max. Negotiated Rate	$650.00
Rate for Payer: Aetna Commercial	$494.00
Rate for Payer: Aetna Medicare Advantage	$390.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.50
Rate for Payer: Cigna Commercial	$650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$390.00
Rate for Payer: Oxford Commercial	$260.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00
Rate for Payer: UnitedHealthcare Commercial	$260.00
Rate for Payer: UnitedHealthcare Community & State	$31.33
Rate for Payer: Wellpoint Medicaid Managed Care	$34.45

DRILL BIT 2.6 MM

Facility

$1,300.00

Hospital Charge Code	270667385
Hospital Revenue Code	272
Min. Negotiated Rate	$195.00
Max. Negotiated Rate	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$195.00

DRILL BIT 2.7

Facility

$1,455.00

Hospital Charge Code	270686220
Hospital Revenue Code	272
Min. Negotiated Rate	$35.07
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$552.90
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.50
Rate for Payer: Oxford Commercial	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: UnitedHealthcare Community & State	$35.07
Rate for Payer: Wellpoint Medicaid Managed Care	$38.56

DRILL BIT 2.7

Facility

$1,455.00

Hospital Charge Code	270686220
Hospital Revenue Code	272
Min. Negotiated Rate	$218.25
Max. Negotiated Rate	$218.25
Rate for Payer: Qualcare PPO/HMO/WC	$218.25

Know your out-of-pocket cost for care.

All Charges