Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT 4.3mm

Facility

$1,105.00

Hospital Charge Code	270663307
Hospital Revenue Code	272
Min. Negotiated Rate	$165.75
Max. Negotiated Rate	$165.75
Rate for Payer: Qualcare PPO/HMO/WC	$165.75

DRILL BIT 4.3mm

Facility

$1,105.00

Hospital Charge Code	270663307
Hospital Revenue Code	272
Min. Negotiated Rate	$26.63
Max. Negotiated Rate	$552.50
Rate for Payer: Aetna Commercial	$419.90
Rate for Payer: Aetna Medicare Advantage	$331.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.77
Rate for Payer: Cigna Commercial	$552.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$331.50
Rate for Payer: Oxford Commercial	$221.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.75
Rate for Payer: UnitedHealthcare Commercial	$221.00
Rate for Payer: UnitedHealthcare Community & State	$26.63
Rate for Payer: Wellpoint Medicaid Managed Care	$29.28

DRILL BIT 4.3MM

Facility

$906.00

Hospital Charge Code	270668425
Hospital Revenue Code	272
Min. Negotiated Rate	$21.83
Max. Negotiated Rate	$453.00
Rate for Payer: Aetna Commercial	$344.28
Rate for Payer: Aetna Medicare Advantage	$271.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$231.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$231.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$231.03
Rate for Payer: Cigna Commercial	$453.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$271.80
Rate for Payer: Oxford Commercial	$181.20
Rate for Payer: Qualcare PPO/HMO/WC	$135.90
Rate for Payer: UnitedHealthcare Commercial	$181.20
Rate for Payer: UnitedHealthcare Community & State	$21.83
Rate for Payer: Wellpoint Medicaid Managed Care	$24.01

DRILL BIT 4.3MM

Facility

$906.00

Hospital Charge Code	270668425
Hospital Revenue Code	272
Min. Negotiated Rate	$135.90
Max. Negotiated Rate	$135.90
Rate for Payer: Qualcare PPO/HMO/WC	$135.90

DRILL BIT 4.3 MM X 44

Facility

$425.00

Hospital Charge Code	270688029
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

DRILL BIT 4.3 MM X 44

Facility

$425.00

Hospital Charge Code	270688029
Hospital Revenue Code	272
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

DRILL BIT 4.3x365mm

Facility

$825.00

Hospital Charge Code	270637230
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

DRILL BIT 4.3x365mm

Facility

$825.00

Hospital Charge Code	270637230
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

DRILL BIT 4.4MM F/6.5MM SCREWS

Facility

$840.00

Hospital Charge Code	270674142
Hospital Revenue Code	272
Min. Negotiated Rate	$20.24
Max. Negotiated Rate	$420.00
Rate for Payer: Aetna Commercial	$319.20
Rate for Payer: Aetna Medicare Advantage	$252.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$214.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$214.20
Rate for Payer: Cigna Commercial	$420.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$252.00
Rate for Payer: Oxford Commercial	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00
Rate for Payer: UnitedHealthcare Commercial	$168.00
Rate for Payer: UnitedHealthcare Community & State	$20.24
Rate for Payer: Wellpoint Medicaid Managed Care	$22.26

DRILL BIT 4.4MM F/6.5MM SCREWS

Facility

$840.00

Hospital Charge Code	270674142
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

DRILL BIT 4.4MM FOR 6.5MM SRW

Facility

$1,200.00

Hospital Charge Code	270673594
Hospital Revenue Code	272
Min. Negotiated Rate	$180.00
Max. Negotiated Rate	$180.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00

DRILL BIT 4.4MM FOR 6.5MM SRW

Facility

$1,200.00

Hospital Charge Code	270673594
Hospital Revenue Code	272
Min. Negotiated Rate	$28.92
Max. Negotiated Rate	$600.00
Rate for Payer: Aetna Commercial	$456.00
Rate for Payer: Aetna Medicare Advantage	$360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.00
Rate for Payer: Cigna Commercial	$600.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.00
Rate for Payer: Oxford Commercial	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$180.00
Rate for Payer: UnitedHealthcare Commercial	$240.00
Rate for Payer: UnitedHealthcare Community & State	$28.92
Rate for Payer: Wellpoint Medicaid Managed Care	$31.80

DRILL BIT 4.5

Facility

$4,040.00

Hospital Charge Code	270645690
Hospital Revenue Code	272
Min. Negotiated Rate	$97.36
Max. Negotiated Rate	$2,020.00
Rate for Payer: Aetna Commercial	$1,535.20
Rate for Payer: Aetna Medicare Advantage	$1,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.20
Rate for Payer: Cigna Commercial	$2,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,212.00
Rate for Payer: Oxford Commercial	$808.00
Rate for Payer: Qualcare PPO/HMO/WC	$606.00
Rate for Payer: UnitedHealthcare Commercial	$808.00
Rate for Payer: UnitedHealthcare Community & State	$97.36
Rate for Payer: Wellpoint Medicaid Managed Care	$107.06

DRILL BIT 4.5

Facility

$4,040.00

Hospital Charge Code	270645690
Hospital Revenue Code	272
Min. Negotiated Rate	$606.00
Max. Negotiated Rate	$606.00
Rate for Payer: Qualcare PPO/HMO/WC	$606.00

DRILL BIT 4.5

Facility

$4,040.00

Hospital Charge Code	270687874
Hospital Revenue Code	272
Min. Negotiated Rate	$606.00
Max. Negotiated Rate	$606.00
Rate for Payer: Qualcare PPO/HMO/WC	$606.00

DRILL BIT 4.5

Facility

$4,040.00

Hospital Charge Code	270687874
Hospital Revenue Code	272
Min. Negotiated Rate	$97.36
Max. Negotiated Rate	$2,020.00
Rate for Payer: Aetna Commercial	$1,535.20
Rate for Payer: Aetna Medicare Advantage	$1,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,030.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,030.20
Rate for Payer: Cigna Commercial	$2,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,212.00
Rate for Payer: Oxford Commercial	$808.00
Rate for Payer: Qualcare PPO/HMO/WC	$606.00
Rate for Payer: UnitedHealthcare Commercial	$808.00
Rate for Payer: UnitedHealthcare Community & State	$97.36
Rate for Payer: Wellpoint Medicaid Managed Care	$107.06

DRILL BIT 4.5 MM

Facility

$1,370.00

Hospital Charge Code	270668342
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 4.5 MM

Facility

$1,370.00

Hospital Charge Code	270668342
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 4.5MM GPS

Facility

$5,330.00

Hospital Charge Code	270693236
Hospital Revenue Code	272
Min. Negotiated Rate	$128.45
Max. Negotiated Rate	$2,665.00
Rate for Payer: Aetna Commercial	$2,025.40
Rate for Payer: Aetna Medicare Advantage	$1,599.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,359.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,359.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,359.15
Rate for Payer: Cigna Commercial	$2,665.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,599.00
Rate for Payer: Oxford Commercial	$1,066.00
Rate for Payer: Qualcare PPO/HMO/WC	$799.50
Rate for Payer: UnitedHealthcare Commercial	$1,066.00
Rate for Payer: UnitedHealthcare Community & State	$128.45
Rate for Payer: Wellpoint Medicaid Managed Care	$141.25

DRILL BIT 4.5MM GPS

Facility

$5,330.00

Hospital Charge Code	270693236
Hospital Revenue Code	272
Min. Negotiated Rate	$799.50
Max. Negotiated Rate	$799.50
Rate for Payer: Qualcare PPO/HMO/WC	$799.50

DRILL BIT 4.8MM CORNER

Facility

$2,005.00

Hospital Charge Code	270693697
Hospital Revenue Code	272
Min. Negotiated Rate	$300.75
Max. Negotiated Rate	$300.75
Rate for Payer: Qualcare PPO/HMO/WC	$300.75

DRILL BIT 4.8MM CORNER

Facility

$2,005.00

Hospital Charge Code	270693697
Hospital Revenue Code	272
Min. Negotiated Rate	$48.32
Max. Negotiated Rate	$1,002.50
Rate for Payer: Aetna Commercial	$761.90
Rate for Payer: Aetna Medicare Advantage	$601.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$511.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$511.27
Rate for Payer: Cigna Commercial	$1,002.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$601.50
Rate for Payer: Oxford Commercial	$401.00
Rate for Payer: Qualcare PPO/HMO/WC	$300.75
Rate for Payer: UnitedHealthcare Commercial	$401.00
Rate for Payer: UnitedHealthcare Community & State	$48.32
Rate for Payer: Wellpoint Medicaid Managed Care	$53.13

DRILL BIT 4.8mmX180 03020

Facility

$540.70

Hospital Charge Code	270634730
Hospital Revenue Code	272
Min. Negotiated Rate	$81.11
Max. Negotiated Rate	$81.11
Rate for Payer: Qualcare PPO/HMO/WC	$81.11

DRILL BIT 4.8mmX180 03020

Facility

$540.70

Hospital Charge Code	270634730
Hospital Revenue Code	272
Min. Negotiated Rate	$13.03
Max. Negotiated Rate	$270.35
Rate for Payer: Aetna Commercial	$205.47
Rate for Payer: Aetna Medicare Advantage	$162.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.88
Rate for Payer: Cigna Commercial	$270.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.21
Rate for Payer: Oxford Commercial	$108.14
Rate for Payer: Qualcare PPO/HMO/WC	$81.11
Rate for Payer: UnitedHealthcare Commercial	$108.14
Rate for Payer: UnitedHealthcare Community & State	$13.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14.33

DRILL BIT 4.8MM X 300MM

Facility

$1,800.00

Hospital Charge Code	270680280
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

Know your out-of-pocket cost for care.

All Charges