Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$91.86
Max. Negotiated Rate	$91.86
Rate for Payer: Qualcare PPO/HMO/WC	$91.86

DRILL BIT 3.5MM QC 110MM

Facility

$612.40

Hospital Charge Code	270691897
Hospital Revenue Code	272
Min. Negotiated Rate	$14.76
Max. Negotiated Rate	$306.20
Rate for Payer: Aetna Commercial	$232.71
Rate for Payer: Aetna Medicare Advantage	$183.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$156.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$156.16
Rate for Payer: Cigna Commercial	$306.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$183.72
Rate for Payer: Oxford Commercial	$122.48
Rate for Payer: Qualcare PPO/HMO/WC	$91.86
Rate for Payer: UnitedHealthcare Commercial	$122.48
Rate for Payer: UnitedHealthcare Community & State	$14.76
Rate for Payer: Wellpoint Medicaid Managed Care	$16.23

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$488.65
Rate for Payer: Aetna Commercial	$371.37
Rate for Payer: Aetna Medicare Advantage	$293.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$249.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$249.21
Rate for Payer: Cigna Commercial	$488.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.19
Rate for Payer: Oxford Commercial	$195.46
Rate for Payer: Qualcare PPO/HMO/WC	$146.59
Rate for Payer: UnitedHealthcare Commercial	$195.46
Rate for Payer: UnitedHealthcare Community & State	$23.55
Rate for Payer: Wellpoint Medicaid Managed Care	$25.90

DRILL BIT 3.5MM QC 195MM

Facility

$977.30

Hospital Charge Code	270693748
Hospital Revenue Code	272
Min. Negotiated Rate	$146.59
Max. Negotiated Rate	$146.59
Rate for Payer: Qualcare PPO/HMO/WC	$146.59

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$337.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

DRILL BIT 3.5MM REAMING PILOT

Facility

$2,250.00

Hospital Charge Code	270696762
Hospital Revenue Code	272
Min. Negotiated Rate	$54.23
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$855.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$675.00
Rate for Payer: Oxford Commercial	$450.00
Rate for Payer: Qualcare PPO/HMO/WC	$337.50
Rate for Payer: UnitedHealthcare Commercial	$450.00
Rate for Payer: UnitedHealthcare Community & State	$54.23
Rate for Payer: Wellpoint Medicaid Managed Care	$59.62

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$186.82
Rate for Payer: Aetna Commercial	$141.99
Rate for Payer: Aetna Medicare Advantage	$112.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.28
Rate for Payer: Cigna Commercial	$186.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.09
Rate for Payer: Oxford Commercial	$74.73
Rate for Payer: Qualcare PPO/HMO/WC	$56.05
Rate for Payer: UnitedHealthcare Commercial	$74.73
Rate for Payer: UnitedHealthcare Community & State	$9.00
Rate for Payer: Wellpoint Medicaid Managed Care	$9.90

DRILL BIT 3.5 QC 150MM

Facility

$373.65

Service Code	HCPCS A4649
Hospital Charge Code	270691204
Hospital Revenue Code	272
Min. Negotiated Rate	$56.05
Max. Negotiated Rate	$56.05
Rate for Payer: Qualcare PPO/HMO/WC	$56.05

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
Min. Negotiated Rate	$71.25
Max. Negotiated Rate	$71.25
Rate for Payer: Qualcare PPO/HMO/WC	$71.25

DRILL BIT 3.5 QC 195MM

Facility

$475.00

Service Code	HCPCS A4649
Hospital Charge Code	270699324
Hospital Revenue Code	272
Min. Negotiated Rate	$11.45
Max. Negotiated Rate	$237.50
Rate for Payer: Aetna Commercial	$180.50
Rate for Payer: Aetna Medicare Advantage	$142.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121.12
Rate for Payer: Cigna Commercial	$237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.50
Rate for Payer: Oxford Commercial	$95.00
Rate for Payer: Qualcare PPO/HMO/WC	$71.25
Rate for Payer: UnitedHealthcare Commercial	$95.00
Rate for Payer: UnitedHealthcare Community & State	$11.45
Rate for Payer: Wellpoint Medicaid Managed Care	$12.59

DRILL BIT 3.5x130MM

Facility

$1,250.00

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

DRILL BIT 3.5x130MM

Facility

$1,250.00

Hospital Charge Code	270656499
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$8.34
Max. Negotiated Rate	$173.05
Rate for Payer: Aetna Commercial	$131.52
Rate for Payer: Aetna Medicare Advantage	$103.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.26
Rate for Payer: Cigna Commercial	$173.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$103.83
Rate for Payer: Oxford Commercial	$69.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.91
Rate for Payer: UnitedHealthcare Commercial	$69.22
Rate for Payer: UnitedHealthcare Community & State	$8.34
Rate for Payer: Wellpoint Medicaid Managed Care	$9.17

DRILL BIT 3.5x180MM

Facility

$346.10

Hospital Charge Code	270603586
Hospital Revenue Code	272
Min. Negotiated Rate	$51.91
Max. Negotiated Rate	$51.91
Rate for Payer: Qualcare PPO/HMO/WC	$51.91

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

DRILL BIT 3.5 X 60MM

Facility

$790.00

Service Code	HCPCS C1713
Hospital Charge Code	270701057
Hospital Revenue Code	278
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$191.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$173.80
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.00
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$164.00
Rate for Payer: UnitedHealthcare Community & State	$19.76
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

DRILL BIT 3.5x70MM

Facility

$820.00

Hospital Charge Code	270663468
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$20.90
Max. Negotiated Rate	$433.57
Rate for Payer: Aetna Commercial	$329.52
Rate for Payer: Aetna Medicare Advantage	$260.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.12
Rate for Payer: Cigna Commercial	$433.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.14
Rate for Payer: Oxford Commercial	$173.43
Rate for Payer: Qualcare PPO/HMO/WC	$130.07
Rate for Payer: UnitedHealthcare Commercial	$173.43
Rate for Payer: UnitedHealthcare Community & State	$20.90
Rate for Payer: Wellpoint Medicaid Managed Care	$22.98

DRILL BIT 3.9MM/ 4.2 MM 150MM

Facility

$867.15

Hospital Charge Code	270688103
Hospital Revenue Code	272
Min. Negotiated Rate	$130.07
Max. Negotiated Rate	$130.07
Rate for Payer: Qualcare PPO/HMO/WC	$130.07

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$151.57
Max. Negotiated Rate	$151.57
Rate for Payer: Qualcare PPO/HMO/WC	$151.57

DRILL BIT 3 FLUTE 4x215mm

Facility

$1,010.45

Hospital Charge Code	270652062
Hospital Revenue Code	272
Min. Negotiated Rate	$24.35
Max. Negotiated Rate	$505.23
Rate for Payer: Aetna Commercial	$383.97
Rate for Payer: Aetna Medicare Advantage	$303.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.66
Rate for Payer: Cigna Commercial	$505.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$303.13
Rate for Payer: Oxford Commercial	$202.09
Rate for Payer: Qualcare PPO/HMO/WC	$151.57
Rate for Payer: UnitedHealthcare Commercial	$202.09
Rate for Payer: UnitedHealthcare Community & State	$24.35
Rate for Payer: Wellpoint Medicaid Managed Care	$26.78

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$122.69
Max. Negotiated Rate	$197.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.95
Rate for Payer: Qualcare PPO/HMO/WC	$122.69

DRILL BIT 3-FLUTED 2.5x230MM

Facility

$817.95

Hospital Charge Code	270657068
Hospital Revenue Code	278
Min. Negotiated Rate	$19.71
Max. Negotiated Rate	$408.98
Rate for Payer: Aetna Commercial	$310.82
Rate for Payer: Aetna Medicare Advantage	$245.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.58
Rate for Payer: Cigna Commercial	$408.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.95
Rate for Payer: Qualcare PPO/HMO/WC	$122.69
Rate for Payer: UnitedHealthcare Community & State	$19.71
Rate for Payer: Wellpoint Medicaid Managed Care	$21.68

DRILL BIT 3 FLUTED 2.7x125mm

Facility

$719.30

Hospital Charge Code	270681007
Hospital Revenue Code	272
Min. Negotiated Rate	$17.34
Max. Negotiated Rate	$359.65
Rate for Payer: Aetna Commercial	$273.33
Rate for Payer: Aetna Medicare Advantage	$215.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.42
Rate for Payer: Cigna Commercial	$359.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.79
Rate for Payer: Oxford Commercial	$143.86
Rate for Payer: Qualcare PPO/HMO/WC	$107.89
Rate for Payer: UnitedHealthcare Commercial	$143.86
Rate for Payer: UnitedHealthcare Community & State	$17.34
Rate for Payer: Wellpoint Medicaid Managed Care	$19.06

Know your out-of-pocket cost for care.

All Charges