Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.0MM CANN QC 215MM

Facility

$2,103.40

Hospital Charge Code	270693425
Hospital Revenue Code	272
Min. Negotiated Rate	$50.69
Max. Negotiated Rate	$1,051.70
Rate for Payer: Aetna Commercial	$799.29
Rate for Payer: Aetna Medicare Advantage	$631.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$536.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$536.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$536.37
Rate for Payer: Cigna Commercial	$1,051.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$631.02
Rate for Payer: Oxford Commercial	$420.68
Rate for Payer: Qualcare PPO/HMO/WC	$315.51
Rate for Payer: UnitedHealthcare Commercial	$420.68
Rate for Payer: UnitedHealthcare Community & State	$50.69
Rate for Payer: Wellpoint Medicaid Managed Care	$55.74

DRILL BIT 3.0MM CANN QC 215MM

Facility

$2,103.40

Hospital Charge Code	270693425
Hospital Revenue Code	272
Min. Negotiated Rate	$315.51
Max. Negotiated Rate	$315.51
Rate for Payer: Qualcare PPO/HMO/WC	$315.51

DRILL BIT 3.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270682619
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 3.0 MM CANNULATED

Facility

$875.00

Hospital Charge Code	270682619
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 3.1MM

Facility

$961.40

Hospital Charge Code	270673955
Hospital Revenue Code	272
Min. Negotiated Rate	$23.17
Max. Negotiated Rate	$480.70
Rate for Payer: Aetna Commercial	$365.33
Rate for Payer: Aetna Medicare Advantage	$288.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$245.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$245.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$245.16
Rate for Payer: Cigna Commercial	$480.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.42
Rate for Payer: Oxford Commercial	$192.28
Rate for Payer: Qualcare PPO/HMO/WC	$144.21
Rate for Payer: UnitedHealthcare Commercial	$192.28
Rate for Payer: UnitedHealthcare Community & State	$23.17
Rate for Payer: Wellpoint Medicaid Managed Care	$25.48

DRILL BIT 3.1MM

Facility

$961.40

Hospital Charge Code	270673955
Hospital Revenue Code	272
Min. Negotiated Rate	$144.21
Max. Negotiated Rate	$144.21
Rate for Payer: Qualcare PPO/HMO/WC	$144.21

DRILL BIT 3.1MM

Facility

$351.00

Hospital Charge Code	270676247
Hospital Revenue Code	272
Min. Negotiated Rate	$52.65
Max. Negotiated Rate	$52.65
Rate for Payer: Qualcare PPO/HMO/WC	$52.65

DRILL BIT 3.1MM

Facility

$750.00

Hospital Charge Code	270671575
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 3.1MM

Facility

$750.00

Hospital Charge Code	270671575
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 3.1MM

Facility

$351.00

Hospital Charge Code	270676247
Hospital Revenue Code	272
Min. Negotiated Rate	$8.46
Max. Negotiated Rate	$175.50
Rate for Payer: Aetna Commercial	$133.38
Rate for Payer: Aetna Medicare Advantage	$105.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.50
Rate for Payer: Cigna Commercial	$175.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.30
Rate for Payer: Oxford Commercial	$70.20
Rate for Payer: Qualcare PPO/HMO/WC	$52.65
Rate for Payer: UnitedHealthcare Commercial	$70.20
Rate for Payer: UnitedHealthcare Community & State	$8.46
Rate for Payer: Wellpoint Medicaid Managed Care	$9.30

DRILL BIT 3.2

Facility

$1,659.00

Hospital Charge Code	270663861
Hospital Revenue Code	272
Min. Negotiated Rate	$248.85
Max. Negotiated Rate	$248.85
Rate for Payer: Qualcare PPO/HMO/WC	$248.85

DRILL BIT 3.2

Facility

$1,659.00

Hospital Charge Code	270663861
Hospital Revenue Code	272
Min. Negotiated Rate	$39.98
Max. Negotiated Rate	$829.50
Rate for Payer: Aetna Commercial	$630.42
Rate for Payer: Aetna Medicare Advantage	$497.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$423.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$423.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$423.05
Rate for Payer: Cigna Commercial	$829.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$497.70
Rate for Payer: Oxford Commercial	$331.80
Rate for Payer: Qualcare PPO/HMO/WC	$248.85
Rate for Payer: UnitedHealthcare Commercial	$331.80
Rate for Payer: UnitedHealthcare Community & State	$39.98
Rate for Payer: Wellpoint Medicaid Managed Care	$43.96

DRILL BIT 3.2 3FLTD 230/200MM

Facility

$1,225.35

Hospital Charge Code	270684302
Hospital Revenue Code	272
Min. Negotiated Rate	$183.80
Max. Negotiated Rate	$183.80
Rate for Payer: Qualcare PPO/HMO/WC	$183.80

DRILL BIT 3.2 3FLTD 230/200MM

Facility

$1,225.35

Hospital Charge Code	270684302
Hospital Revenue Code	272
Min. Negotiated Rate	$29.53
Max. Negotiated Rate	$612.67
Rate for Payer: Aetna Commercial	$465.63
Rate for Payer: Aetna Medicare Advantage	$367.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$312.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$312.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$312.46
Rate for Payer: Cigna Commercial	$612.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.61
Rate for Payer: Oxford Commercial	$245.07
Rate for Payer: Qualcare PPO/HMO/WC	$183.80
Rate for Payer: UnitedHealthcare Commercial	$245.07
Rate for Payer: UnitedHealthcare Community & State	$29.53
Rate for Payer: Wellpoint Medicaid Managed Care	$32.47

DRILL BIT 3.2mm

Facility

$1,450.00

Hospital Charge Code	270663306
Hospital Revenue Code	272
Min. Negotiated Rate	$34.95
Max. Negotiated Rate	$725.00
Rate for Payer: Aetna Commercial	$551.00
Rate for Payer: Aetna Medicare Advantage	$435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$369.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$369.75
Rate for Payer: Cigna Commercial	$725.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$435.00
Rate for Payer: Oxford Commercial	$290.00
Rate for Payer: Qualcare PPO/HMO/WC	$217.50
Rate for Payer: UnitedHealthcare Commercial	$290.00
Rate for Payer: UnitedHealthcare Community & State	$34.95
Rate for Payer: Wellpoint Medicaid Managed Care	$38.42

DRILL BIT 3.2mm

Facility

$1,450.00

Hospital Charge Code	270663306
Hospital Revenue Code	272
Min. Negotiated Rate	$217.50
Max. Negotiated Rate	$217.50
Rate for Payer: Qualcare PPO/HMO/WC	$217.50

DRILL BIT 3.2MM

Facility

$1,370.00

Hospital Charge Code	270671568
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 3.2MM

Facility

$1,370.00

Hospital Charge Code	270668341
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 3.2MM

Facility

$965.00

Hospital Charge Code	270668586
Hospital Revenue Code	272
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

DRILL BIT 3.2MM

Facility

$1,370.00

Hospital Charge Code	270671568
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 3.2MM

Facility

$1,370.00

Hospital Charge Code	270668341
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 3.2MM

Facility

$965.00

Hospital Charge Code	270668586
Hospital Revenue Code	272
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.50
Rate for Payer: Oxford Commercial	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$193.00
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

DRILL BIT 3.2 MM CANN

Facility

$875.00

Hospital Charge Code	270690985
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 3.2 MM CANN

Facility

$875.00

Hospital Charge Code	270690985
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 3.2 MM CANN LONG

Facility

$875.00

Hospital Charge Code	270691765
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