Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 2.7 MM

Facility

$885.00

Hospital Charge Code	270660989
Hospital Revenue Code	272
Min. Negotiated Rate	$132.75
Max. Negotiated Rate	$132.75
Rate for Payer: Qualcare PPO/HMO/WC	$132.75

DRILL BIT 2.7 MM

Facility

$2,743.70

Hospital Charge Code	270663862
Hospital Revenue Code	272
Min. Negotiated Rate	$411.56
Max. Negotiated Rate	$411.56
Rate for Payer: Qualcare PPO/HMO/WC	$411.56

DRILL BIT 2.7 MM

Facility

$885.00

Hospital Charge Code	270660989
Hospital Revenue Code	272
Min. Negotiated Rate	$21.33
Max. Negotiated Rate	$442.50
Rate for Payer: Aetna Commercial	$336.30
Rate for Payer: Aetna Medicare Advantage	$265.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.68
Rate for Payer: Cigna Commercial	$442.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.50
Rate for Payer: Oxford Commercial	$177.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.75
Rate for Payer: UnitedHealthcare Commercial	$177.00
Rate for Payer: UnitedHealthcare Community & State	$21.33
Rate for Payer: Wellpoint Medicaid Managed Care	$23.45

DRILL BIT 2.7 MM

Facility

$2,743.70

Hospital Charge Code	270663862
Hospital Revenue Code	272
Min. Negotiated Rate	$66.12
Max. Negotiated Rate	$1,371.85
Rate for Payer: Aetna Commercial	$1,042.61
Rate for Payer: Aetna Medicare Advantage	$823.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.64
Rate for Payer: Cigna Commercial	$1,371.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$823.11
Rate for Payer: Oxford Commercial	$548.74
Rate for Payer: Qualcare PPO/HMO/WC	$411.56
Rate for Payer: UnitedHealthcare Commercial	$548.74
Rate for Payer: UnitedHealthcare Community & State	$66.12
Rate for Payer: Wellpoint Medicaid Managed Care	$72.71

DRILL BIT 2.7MM

Facility

$1,745.00

Hospital Charge Code	270676509
Hospital Revenue Code	272
Min. Negotiated Rate	$42.05
Max. Negotiated Rate	$872.50
Rate for Payer: Aetna Commercial	$663.10
Rate for Payer: Aetna Medicare Advantage	$523.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$444.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$444.98
Rate for Payer: Cigna Commercial	$872.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$523.50
Rate for Payer: Oxford Commercial	$349.00
Rate for Payer: Qualcare PPO/HMO/WC	$261.75
Rate for Payer: UnitedHealthcare Commercial	$349.00
Rate for Payer: UnitedHealthcare Community & State	$42.05
Rate for Payer: Wellpoint Medicaid Managed Care	$46.24

DRILL BIT 2.7MM

Facility

$627.40

Hospital Charge Code	270691822
Hospital Revenue Code	272
Min. Negotiated Rate	$94.11
Max. Negotiated Rate	$94.11
Rate for Payer: Qualcare PPO/HMO/WC	$94.11

DRILL BIT 2.7MM

Facility

$1,745.00

Hospital Charge Code	270676509
Hospital Revenue Code	272
Min. Negotiated Rate	$261.75
Max. Negotiated Rate	$261.75
Rate for Payer: Qualcare PPO/HMO/WC	$261.75

DRILL BIT 2.7MM

Facility

$1,230.00

Hospital Charge Code	270668585
Hospital Revenue Code	272
Min. Negotiated Rate	$29.64
Max. Negotiated Rate	$615.00
Rate for Payer: Aetna Commercial	$467.40
Rate for Payer: Aetna Medicare Advantage	$369.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$313.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$313.65
Rate for Payer: Cigna Commercial	$615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$369.00
Rate for Payer: Oxford Commercial	$246.00
Rate for Payer: Qualcare PPO/HMO/WC	$184.50
Rate for Payer: UnitedHealthcare Commercial	$246.00
Rate for Payer: UnitedHealthcare Community & State	$29.64
Rate for Payer: Wellpoint Medicaid Managed Care	$32.59

DRILL BIT 2.7MM

Facility

$627.40

Hospital Charge Code	270691822
Hospital Revenue Code	272
Min. Negotiated Rate	$15.12
Max. Negotiated Rate	$313.70
Rate for Payer: Aetna Commercial	$238.41
Rate for Payer: Aetna Medicare Advantage	$188.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.99
Rate for Payer: Cigna Commercial	$313.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$188.22
Rate for Payer: Oxford Commercial	$125.48
Rate for Payer: Qualcare PPO/HMO/WC	$94.11
Rate for Payer: UnitedHealthcare Commercial	$125.48
Rate for Payer: UnitedHealthcare Community & State	$15.12
Rate for Payer: Wellpoint Medicaid Managed Care	$16.63

DRILL BIT 2.7MM

Facility

$1,230.00

Hospital Charge Code	270668585
Hospital Revenue Code	272
Min. Negotiated Rate	$184.50
Max. Negotiated Rate	$184.50
Rate for Payer: Qualcare PPO/HMO/WC	$184.50

DRILL BIT 2.7MM 125MM

Facility

$569.70

Hospital Charge Code	270685592
Hospital Revenue Code	272
Min. Negotiated Rate	$13.73
Max. Negotiated Rate	$284.85
Rate for Payer: Aetna Commercial	$216.49
Rate for Payer: Aetna Medicare Advantage	$170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.27
Rate for Payer: Cigna Commercial	$284.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.91
Rate for Payer: Oxford Commercial	$113.94
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$113.94
Rate for Payer: UnitedHealthcare Community & State	$13.73
Rate for Payer: Wellpoint Medicaid Managed Care	$15.10

DRILL BIT 2.7MM 125MM

Facility

$569.70

Hospital Charge Code	270685592
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

DRILL BIT 2.7MM CANN QC 145MM

Facility

$2,494.25

Hospital Charge Code	270697756
Hospital Revenue Code	272
Min. Negotiated Rate	$374.14
Max. Negotiated Rate	$374.14
Rate for Payer: Qualcare PPO/HMO/WC	$374.14

DRILL BIT 2.7MM CANN QC 145MM

Facility

$2,494.25

Hospital Charge Code	270697756
Hospital Revenue Code	272
Min. Negotiated Rate	$60.11
Max. Negotiated Rate	$1,247.12
Rate for Payer: Aetna Commercial	$947.82
Rate for Payer: Aetna Medicare Advantage	$748.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.03
Rate for Payer: Cigna Commercial	$1,247.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.27
Rate for Payer: Oxford Commercial	$498.85
Rate for Payer: Qualcare PPO/HMO/WC	$374.14
Rate for Payer: UnitedHealthcare Commercial	$498.85
Rate for Payer: UnitedHealthcare Community & State	$60.11
Rate for Payer: Wellpoint Medicaid Managed Care	$66.10

DRILL BIT 2.7MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674784
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

DRILL BIT 2.7MM/MINI QC/28MM

Facility

$350.00

Hospital Charge Code	270674784
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 2.7MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674785
Hospital Revenue Code	272
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$52.50
Rate for Payer: Qualcare PPO/HMO/WC	$52.50

DRILL BIT 2.7MM/MINI QC/67MM

Facility

$350.00

Hospital Charge Code	270674785
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 2.7MM SHORT

Facility

$672.05

Hospital Charge Code	270703719
Hospital Revenue Code	272
Min. Negotiated Rate	$100.81
Max. Negotiated Rate	$100.81
Rate for Payer: Qualcare PPO/HMO/WC	$100.81

DRILL BIT 2.7MM SHORT

Facility

$672.05

Hospital Charge Code	270703719
Hospital Revenue Code	272
Min. Negotiated Rate	$16.20
Max. Negotiated Rate	$336.02
Rate for Payer: Aetna Commercial	$255.38
Rate for Payer: Aetna Medicare Advantage	$201.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$171.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$171.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$171.37
Rate for Payer: Cigna Commercial	$336.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$201.62
Rate for Payer: Oxford Commercial	$134.41
Rate for Payer: Qualcare PPO/HMO/WC	$100.81
Rate for Payer: UnitedHealthcare Commercial	$134.41
Rate for Payer: UnitedHealthcare Community & State	$16.20
Rate for Payer: Wellpoint Medicaid Managed Care	$17.81

DRILL BIT 2.7X80MM

Facility

$670.00

Hospital Charge Code	270684119
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 2.7X80MM

Facility

$670.00

Hospital Charge Code	270684119
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 2.8

Facility

$757.45

Hospital Charge Code	270681069
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$378.73
Rate for Payer: Aetna Commercial	$287.83
Rate for Payer: Aetna Medicare Advantage	$227.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.15
Rate for Payer: Cigna Commercial	$378.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.24
Rate for Payer: Oxford Commercial	$151.49
Rate for Payer: Qualcare PPO/HMO/WC	$113.62
Rate for Payer: UnitedHealthcare Commercial	$151.49
Rate for Payer: UnitedHealthcare Community & State	$18.25
Rate for Payer: Wellpoint Medicaid Managed Care	$20.07

DRILL BIT 2.8

Facility

$757.45

Hospital Charge Code	270681069
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.62

DRILL BIT 2.8MM

Facility

$531.55

Hospital Charge Code	270664458
Hospital Revenue Code	272
Min. Negotiated Rate	$12.81
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.47
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$12.81
Rate for Payer: Wellpoint Medicaid Managed Care	$14.09

Know your out-of-pocket cost for care.

All Charges