Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANN 15x280mm QC

Facility

$2,119.75

Hospital Charge Code	270645689
Hospital Revenue Code	272
Min. Negotiated Rate	$51.09
Max. Negotiated Rate	$1,059.88
Rate for Payer: Aetna Commercial	$805.50
Rate for Payer: Aetna Medicare Advantage	$635.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$540.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$540.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$540.54
Rate for Payer: Cigna Commercial	$1,059.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.92
Rate for Payer: Oxford Commercial	$423.95
Rate for Payer: Qualcare PPO/HMO/WC	$317.96
Rate for Payer: UnitedHealthcare Commercial	$423.95
Rate for Payer: UnitedHealthcare Community & State	$51.09
Rate for Payer: Wellpoint Medicaid Managed Care	$56.17

DRILL BIT CANN 15x280mm QC

Facility

$2,119.75

Hospital Charge Code	270645689
Hospital Revenue Code	272
Min. Negotiated Rate	$317.96
Max. Negotiated Rate	$317.96
Rate for Payer: Qualcare PPO/HMO/WC	$317.96

DRILL BIT CANN 1.7x100MM

Facility

$1,928.15

Hospital Charge Code	270634211
Hospital Revenue Code	272
Min. Negotiated Rate	$46.47
Max. Negotiated Rate	$964.08
Rate for Payer: Aetna Commercial	$732.70
Rate for Payer: Aetna Medicare Advantage	$578.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$491.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$491.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$491.68
Rate for Payer: Cigna Commercial	$964.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$578.45
Rate for Payer: Oxford Commercial	$385.63
Rate for Payer: Qualcare PPO/HMO/WC	$289.22
Rate for Payer: UnitedHealthcare Commercial	$385.63
Rate for Payer: UnitedHealthcare Community & State	$46.47
Rate for Payer: Wellpoint Medicaid Managed Care	$51.10

DRILL BIT CANN 1.7x100MM

Facility

$1,928.15

Hospital Charge Code	270634211
Hospital Revenue Code	272
Min. Negotiated Rate	$289.22
Max. Negotiated Rate	$289.22
Rate for Payer: Qualcare PPO/HMO/WC	$289.22

DRILL BIT CANN 2.0

Facility

$875.00

Hospital Charge Code	270683395
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 CANN 2.0

Facility

$875.00

Hospital Charge Code	270683395
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 CANN 3.0MM

Facility

$875.00

Hospital Charge Code	270685917
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 CANN 3.0MM

Facility

$875.00

Hospital Charge Code	270685917
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 CANN 3.5x160MM

Facility

$1,944.65

Hospital Charge Code	270646925
Hospital Revenue Code	272
Min. Negotiated Rate	$291.70
Max. Negotiated Rate	$291.70
Rate for Payer: Qualcare PPO/HMO/WC	$291.70

DRILL BIT CANN 3.5x160MM

Facility

$1,944.65

Hospital Charge Code	270646925
Hospital Revenue Code	272
Min. Negotiated Rate	$46.87
Max. Negotiated Rate	$972.33
Rate for Payer: Aetna Commercial	$738.97
Rate for Payer: Aetna Medicare Advantage	$583.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$495.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$495.89
Rate for Payer: Cigna Commercial	$972.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$583.39
Rate for Payer: Oxford Commercial	$388.93
Rate for Payer: Qualcare PPO/HMO/WC	$291.70
Rate for Payer: UnitedHealthcare Commercial	$388.93
Rate for Payer: UnitedHealthcare Community & State	$46.87
Rate for Payer: Wellpoint Medicaid Managed Care	$51.53

DRILL BIT CANN 4.3 MM

Facility

$875.00

Hospital Charge Code	270685918
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 CANN 4.3 MM

Facility

$875.00

Hospital Charge Code	270685918
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 CANN 4.5x170MM

Facility

$1,854.00

Hospital Charge Code	270604931
Hospital Revenue Code	272
Min. Negotiated Rate	$278.10
Max. Negotiated Rate	$278.10
Rate for Payer: Qualcare PPO/HMO/WC	$278.10

DRILL BIT CANN 4.5x170MM

Facility

$1,854.00

Hospital Charge Code	270604931
Hospital Revenue Code	272
Min. Negotiated Rate	$44.68
Max. Negotiated Rate	$927.00
Rate for Payer: Aetna Commercial	$704.52
Rate for Payer: Aetna Medicare Advantage	$556.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$472.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$472.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$472.77
Rate for Payer: Cigna Commercial	$927.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.20
Rate for Payer: Oxford Commercial	$370.80
Rate for Payer: Qualcare PPO/HMO/WC	$278.10
Rate for Payer: UnitedHealthcare Commercial	$370.80
Rate for Payer: UnitedHealthcare Community & State	$44.68
Rate for Payer: Wellpoint Medicaid Managed Care	$49.13

DRILL BIT CANN 4.5x233MM

Facility

$1,909.60

Hospital Charge Code	270605008
Hospital Revenue Code	272
Min. Negotiated Rate	$286.44
Max. Negotiated Rate	$286.44
Rate for Payer: Qualcare PPO/HMO/WC	$286.44

DRILL BIT CANN 4.5x233MM

Facility

$1,909.60

Hospital Charge Code	270605008
Hospital Revenue Code	272
Min. Negotiated Rate	$46.02
Max. Negotiated Rate	$954.80
Rate for Payer: Aetna Commercial	$725.65
Rate for Payer: Aetna Medicare Advantage	$572.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$486.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$486.95
Rate for Payer: Cigna Commercial	$954.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$572.88
Rate for Payer: Oxford Commercial	$381.92
Rate for Payer: Qualcare PPO/HMO/WC	$286.44
Rate for Payer: UnitedHealthcare Commercial	$381.92
Rate for Payer: UnitedHealthcare Community & State	$46.02
Rate for Payer: Wellpoint Medicaid Managed Care	$50.60

DRILL BIT CANN 7.3X300MM

Facility

$1,836.00

Hospital Charge Code	270670831
Hospital Revenue Code	272
Min. Negotiated Rate	$275.40
Max. Negotiated Rate	$275.40
Rate for Payer: Qualcare PPO/HMO/WC	$275.40

DRILL BIT CANN 7.3X300MM

Facility

$1,836.00

Hospital Charge Code	270670831
Hospital Revenue Code	272
Min. Negotiated Rate	$44.25
Max. Negotiated Rate	$918.00
Rate for Payer: Aetna Commercial	$697.68
Rate for Payer: Aetna Medicare Advantage	$550.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$468.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$468.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$468.18
Rate for Payer: Cigna Commercial	$918.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$550.80
Rate for Payer: Oxford Commercial	$367.20
Rate for Payer: Qualcare PPO/HMO/WC	$275.40
Rate for Payer: UnitedHealthcare Commercial	$367.20
Rate for Payer: UnitedHealthcare Community & State	$44.25
Rate for Payer: Wellpoint Medicaid Managed Care	$48.65

DRILL BIT CANN AO 2.0X65MM

Facility

$600.00

Hospital Charge Code	270692685
Hospital Revenue Code	278
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$145.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

DRILL BIT CANN AO 2.0X65MM

Facility

$600.00

Hospital Charge Code	270692685
Hospital Revenue Code	278
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$145.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

DRILLBIT CANN AO COUP 2.1MM

Facility

$2,020.00

Service Code	HCPCS A4649
Hospital Charge Code	270673480
Hospital Revenue Code	272
Min. Negotiated Rate	$303.00
Max. Negotiated Rate	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00

DRILLBIT CANN AO COUP 2.1MM

Facility

$2,020.00

Service Code	HCPCS A4649
Hospital Charge Code	270673480
Hospital Revenue Code	272
Min. Negotiated Rate	$48.68
Max. Negotiated Rate	$1,010.00
Rate for Payer: Aetna Commercial	$767.60
Rate for Payer: Aetna Medicare Advantage	$606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.10
Rate for Payer: Cigna Commercial	$1,010.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$606.00
Rate for Payer: Oxford Commercial	$404.00
Rate for Payer: Qualcare PPO/HMO/WC	$303.00
Rate for Payer: UnitedHealthcare Commercial	$404.00
Rate for Payer: UnitedHealthcare Community & State	$48.68
Rate for Payer: Wellpoint Medicaid Managed Care	$53.53

DRILL BIT CANN LG QC 12.8MM

Facility

$3,132.55

Service Code	HCPCS A4649
Hospital Charge Code	270692420
Hospital Revenue Code	272
Min. Negotiated Rate	$75.49
Max. Negotiated Rate	$1,566.28
Rate for Payer: Aetna Commercial	$1,190.37
Rate for Payer: Aetna Medicare Advantage	$939.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$798.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$798.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$798.80
Rate for Payer: Cigna Commercial	$1,566.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$939.76
Rate for Payer: Oxford Commercial	$626.51
Rate for Payer: Qualcare PPO/HMO/WC	$469.88
Rate for Payer: UnitedHealthcare Commercial	$626.51
Rate for Payer: UnitedHealthcare Community & State	$75.49
Rate for Payer: Wellpoint Medicaid Managed Care	$83.01

DRILL BIT CANN LG QC 12.8MM

Facility

$3,132.55

Service Code	HCPCS A4649
Hospital Charge Code	270692420
Hospital Revenue Code	272
Min. Negotiated Rate	$469.88
Max. Negotiated Rate	$469.88
Rate for Payer: Qualcare PPO/HMO/WC	$469.88

DRILL BIT CANN LG QC 12x190MM

Facility

$2,175.00

Hospital Charge Code	270674887
Hospital Revenue Code	272
Min. Negotiated Rate	$326.25
Max. Negotiated Rate	$326.25
Rate for Payer: Qualcare PPO/HMO/WC	$326.25

Know your out-of-pocket cost for care.

All Charges