Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL BIT 3.2mm X 200mm 03030

Facility

$694.45

Hospital Charge Code	270634729
Hospital Revenue Code	272
Min. Negotiated Rate	$16.74
Max. Negotiated Rate	$347.23
Rate for Payer: Aetna Commercial	$263.89
Rate for Payer: Aetna Medicare Advantage	$208.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.08
Rate for Payer: Cigna Commercial	$347.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.34
Rate for Payer: Oxford Commercial	$138.89
Rate for Payer: Qualcare PPO/HMO/WC	$104.17
Rate for Payer: UnitedHealthcare Commercial	$138.89
Rate for Payer: UnitedHealthcare Community & State	$16.74
Rate for Payer: Wellpoint Medicaid Managed Care	$18.40

DRILL BIT 3.2mm X 200mm 03030

Facility

$694.45

Hospital Charge Code	270634729
Hospital Revenue Code	272
Min. Negotiated Rate	$104.17
Max. Negotiated Rate	$104.17
Rate for Payer: Qualcare PPO/HMO/WC	$104.17

DRILL BIT 3.2x170mm STERILE

Facility

$2,122.90

Hospital Charge Code	270678422
Hospital Revenue Code	272
Min. Negotiated Rate	$51.16
Max. Negotiated Rate	$1,061.45
Rate for Payer: Aetna Commercial	$806.70
Rate for Payer: Aetna Medicare Advantage	$636.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.34
Rate for Payer: Cigna Commercial	$1,061.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$636.87
Rate for Payer: Oxford Commercial	$424.58
Rate for Payer: Qualcare PPO/HMO/WC	$318.44
Rate for Payer: UnitedHealthcare Commercial	$424.58
Rate for Payer: UnitedHealthcare Community & State	$51.16
Rate for Payer: Wellpoint Medicaid Managed Care	$56.26

DRILL BIT 3.2x170mm STERILE

Facility

$2,122.90

Hospital Charge Code	270678422
Hospital Revenue Code	272
Min. Negotiated Rate	$318.44
Max. Negotiated Rate	$318.44
Rate for Payer: Qualcare PPO/HMO/WC	$318.44

DRILL BIT 3.2X200MM 4MM PINS

Facility

$800.00

Hospital Charge Code	270669475
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT 3.2X200MM 4MM PINS

Facility

$800.00

Hospital Charge Code	270669475
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

DRILL BIT 3.2x240MM

Facility

$715.00

Hospital Charge Code	270656622
Hospital Revenue Code	272
Min. Negotiated Rate	$17.23
Max. Negotiated Rate	$357.50
Rate for Payer: Aetna Commercial	$271.70
Rate for Payer: Aetna Medicare Advantage	$214.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.32
Rate for Payer: Cigna Commercial	$357.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$214.50
Rate for Payer: Oxford Commercial	$143.00
Rate for Payer: Qualcare PPO/HMO/WC	$107.25
Rate for Payer: UnitedHealthcare Commercial	$143.00
Rate for Payer: UnitedHealthcare Community & State	$17.23
Rate for Payer: Wellpoint Medicaid Managed Care	$18.95

DRILL BIT 3.2x240MM

Facility

$715.00

Hospital Charge Code	270656622
Hospital Revenue Code	272
Min. Negotiated Rate	$107.25
Max. Negotiated Rate	$107.25
Rate for Payer: Qualcare PPO/HMO/WC	$107.25

DRILL BIT 3.5

Facility

$378.33

Hospital Charge Code	270657772
Hospital Revenue Code	272
Min. Negotiated Rate	$9.12
Max. Negotiated Rate	$189.16
Rate for Payer: Aetna Commercial	$143.77
Rate for Payer: Aetna Medicare Advantage	$113.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$96.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$96.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$96.47
Rate for Payer: Cigna Commercial	$189.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$113.50
Rate for Payer: Oxford Commercial	$75.67
Rate for Payer: Qualcare PPO/HMO/WC	$56.75
Rate for Payer: UnitedHealthcare Commercial	$75.67
Rate for Payer: UnitedHealthcare Community & State	$9.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10.03

DRILL BIT 3.5

Facility

$378.33

Hospital Charge Code	270657772
Hospital Revenue Code	272
Min. Negotiated Rate	$56.75
Max. Negotiated Rate	$56.75
Rate for Payer: Qualcare PPO/HMO/WC	$56.75

DRILL BIT 3.5 MM

Facility

$1,125.00

Hospital Charge Code	270662028
Hospital Revenue Code	272
Min. Negotiated Rate	$27.11
Max. Negotiated Rate	$562.50
Rate for Payer: Aetna Commercial	$427.50
Rate for Payer: Aetna Medicare Advantage	$337.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$286.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$286.88
Rate for Payer: Cigna Commercial	$562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$337.50
Rate for Payer: Oxford Commercial	$225.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.75
Rate for Payer: UnitedHealthcare Commercial	$225.00
Rate for Payer: UnitedHealthcare Community & State	$27.11
Rate for Payer: Wellpoint Medicaid Managed Care	$29.81

DRILL BIT 3.5 MM

Facility

$1,125.00

Hospital Charge Code	270662028
Hospital Revenue Code	272
Min. Negotiated Rate	$168.75
Max. Negotiated Rate	$168.75
Rate for Payer: Qualcare PPO/HMO/WC	$168.75

DRILL BIT 3.5MM

Facility

$1,062.00

Hospital Charge Code	270686435
Hospital Revenue Code	272
Min. Negotiated Rate	$25.59
Max. Negotiated Rate	$531.00
Rate for Payer: Aetna Commercial	$403.56
Rate for Payer: Aetna Medicare Advantage	$318.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$270.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$270.81
Rate for Payer: Cigna Commercial	$531.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$318.60
Rate for Payer: Oxford Commercial	$212.40
Rate for Payer: Qualcare PPO/HMO/WC	$159.30
Rate for Payer: UnitedHealthcare Commercial	$212.40
Rate for Payer: UnitedHealthcare Community & State	$25.59
Rate for Payer: Wellpoint Medicaid Managed Care	$28.14

DRILL BIT 3.5MM

Facility

$465.00

Hospital Charge Code	270698550
Hospital Revenue Code	272
Min. Negotiated Rate	$69.75
Max. Negotiated Rate	$69.75
Rate for Payer: Qualcare PPO/HMO/WC	$69.75

DRILL BIT 3.5MM

Facility

$500.00

Hospital Charge Code	270699245
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL BIT 3.5MM

Facility

$1,062.00

Hospital Charge Code	270686435
Hospital Revenue Code	272
Min. Negotiated Rate	$159.30
Max. Negotiated Rate	$159.30
Rate for Payer: Qualcare PPO/HMO/WC	$159.30

DRILL BIT 3.5MM

Facility

$500.00

Hospital Charge Code	270699245
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

DRILL BIT 3.5MM

Facility

$2,540.65

Hospital Charge Code	270704457
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 3.5MM

Facility

$465.00

Hospital Charge Code	270698550
Hospital Revenue Code	272
Min. Negotiated Rate	$11.21
Max. Negotiated Rate	$232.50
Rate for Payer: Aetna Commercial	$176.70
Rate for Payer: Aetna Medicare Advantage	$139.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.58
Rate for Payer: Cigna Commercial	$232.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.50
Rate for Payer: Oxford Commercial	$93.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.75
Rate for Payer: UnitedHealthcare Commercial	$93.00
Rate for Payer: UnitedHealthcare Community & State	$11.21
Rate for Payer: Wellpoint Medicaid Managed Care	$12.32

DRILL BIT 3.5MM

Facility

$2,540.65

Hospital Charge Code	270704457
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 3.5MM 195MM

Facility

$643.45

Hospital Charge Code	270681645
Hospital Revenue Code	272
Min. Negotiated Rate	$15.51
Max. Negotiated Rate	$321.73
Rate for Payer: Aetna Commercial	$244.51
Rate for Payer: Aetna Medicare Advantage	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.08
Rate for Payer: Cigna Commercial	$321.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: Oxford Commercial	$128.69
Rate for Payer: Qualcare PPO/HMO/WC	$96.52
Rate for Payer: UnitedHealthcare Commercial	$128.69
Rate for Payer: UnitedHealthcare Community & State	$15.51
Rate for Payer: Wellpoint Medicaid Managed Care	$17.05

DRILL BIT 3.5MM 195MM

Facility

$643.45

Hospital Charge Code	270681645
Hospital Revenue Code	272
Min. Negotiated Rate	$96.52
Max. Negotiated Rate	$96.52
Rate for Payer: Qualcare PPO/HMO/WC	$96.52

DRILL BIT 3.5MM LINEUM

Facility

$1,785.00

Hospital Charge Code	270693062
Hospital Revenue Code	272
Min. Negotiated Rate	$43.02
Max. Negotiated Rate	$892.50
Rate for Payer: Aetna Commercial	$678.30
Rate for Payer: Aetna Medicare Advantage	$535.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$455.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$455.18
Rate for Payer: Cigna Commercial	$892.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$535.50
Rate for Payer: Oxford Commercial	$357.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.75
Rate for Payer: UnitedHealthcare Commercial	$357.00
Rate for Payer: UnitedHealthcare Community & State	$43.02
Rate for Payer: Wellpoint Medicaid Managed Care	$47.30

DRILL BIT 3.5MM LINEUM

Facility

$1,785.00

Hospital Charge Code	270693062
Hospital Revenue Code	272
Min. Negotiated Rate	$267.75
Max. Negotiated Rate	$267.75
Rate for Payer: Qualcare PPO/HMO/WC	$267.75

Know your out-of-pocket cost for care.

All Charges