Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$51.39
Max. Negotiated Rate	$1,066.20
Rate for Payer: Aetna Commercial	$810.31
Rate for Payer: Aetna Medicare Advantage	$639.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$543.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$543.76
Rate for Payer: Cigna Commercial	$1,066.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$639.72
Rate for Payer: Oxford Commercial	$426.48
Rate for Payer: Qualcare PPO/HMO/WC	$319.86
Rate for Payer: UnitedHealthcare Commercial	$426.48
Rate for Payer: UnitedHealthcare Community & State	$51.39
Rate for Payer: Wellpoint Medicaid Managed Care	$56.51

DRILL BIT CANN LG QC 5x300MM

Facility

$2,132.40

Hospital Charge Code	270676995
Hospital Revenue Code	272
Min. Negotiated Rate	$319.86
Max. Negotiated Rate	$319.86
Rate for Payer: Qualcare PPO/HMO/WC	$319.86

DRILL BIT CANN QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
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 QC 2.7x160MM

Facility

$1,944.65

Hospital Charge Code	270608218
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 QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$58.98
Max. Negotiated Rate	$1,223.75
Rate for Payer: Aetna Commercial	$930.05
Rate for Payer: Aetna Medicare Advantage	$734.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.11
Rate for Payer: Cigna Commercial	$1,223.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$734.25
Rate for Payer: Oxford Commercial	$489.50
Rate for Payer: Qualcare PPO/HMO/WC	$367.12
Rate for Payer: UnitedHealthcare Commercial	$489.50
Rate for Payer: UnitedHealthcare Community & State	$58.98
Rate for Payer: Wellpoint Medicaid Managed Care	$64.86

DRILL BIT CANN QC 3.0X215MM

Facility

$2,447.50

Service Code	HCPCS A4649
Hospital Charge Code	270698819
Hospital Revenue Code	272
Min. Negotiated Rate	$367.12
Max. Negotiated Rate	$367.12
Rate for Payer: Qualcare PPO/HMO/WC	$367.12

DRILL BIT CANN QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
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 QC 3.2x170MM

Facility

$1,909.60

Hospital Charge Code	270604930
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 QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$52.00
Max. Negotiated Rate	$1,078.92
Rate for Payer: Aetna Commercial	$819.98
Rate for Payer: Aetna Medicare Advantage	$647.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$550.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$550.25
Rate for Payer: Cigna Commercial	$1,078.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$647.36
Rate for Payer: Oxford Commercial	$431.57
Rate for Payer: Qualcare PPO/HMO/WC	$323.68
Rate for Payer: UnitedHealthcare Commercial	$431.57
Rate for Payer: UnitedHealthcare Community & State	$52.00
Rate for Payer: Wellpoint Medicaid Managed Care	$57.18

DRILL BIT CANN QC 3.5x160MM ST

Facility

$2,157.85

Hospital Charge Code	270681182
Hospital Revenue Code	272
Min. Negotiated Rate	$323.68
Max. Negotiated Rate	$323.68
Rate for Payer: Qualcare PPO/HMO/WC	$323.68

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$36.97
Max. Negotiated Rate	$767.05
Rate for Payer: Aetna Commercial	$582.96
Rate for Payer: Aetna Medicare Advantage	$460.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.20
Rate for Payer: Cigna Commercial	$767.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$460.23
Rate for Payer: Oxford Commercial	$306.82
Rate for Payer: Qualcare PPO/HMO/WC	$230.12
Rate for Payer: UnitedHealthcare Commercial	$306.82
Rate for Payer: UnitedHealthcare Community & State	$36.97
Rate for Payer: Wellpoint Medicaid Managed Care	$40.65

DRILL BIT CANN QC 4.3x200MM

Facility

$1,534.10

Hospital Charge Code	270634816
Hospital Revenue Code	272
Min. Negotiated Rate	$230.12
Max. Negotiated Rate	$230.12
Rate for Payer: Qualcare PPO/HMO/WC	$230.12

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$887.25
Max. Negotiated Rate	$887.25
Rate for Payer: Qualcare PPO/HMO/WC	$887.25

DRILL BIT CANN QC 5.0X215MM

Facility

$5,915.00

Hospital Charge Code	270700129
Hospital Revenue Code	272
Min. Negotiated Rate	$142.55
Max. Negotiated Rate	$2,957.50
Rate for Payer: Aetna Commercial	$2,247.70
Rate for Payer: Aetna Medicare Advantage	$1,774.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,508.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,508.33
Rate for Payer: Cigna Commercial	$2,957.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,774.50
Rate for Payer: Oxford Commercial	$1,183.00
Rate for Payer: Qualcare PPO/HMO/WC	$887.25
Rate for Payer: UnitedHealthcare Commercial	$1,183.00
Rate for Payer: UnitedHealthcare Community & State	$142.55
Rate for Payer: Wellpoint Medicaid Managed Care	$156.75

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$34.85
Max. Negotiated Rate	$723.00
Rate for Payer: Aetna Commercial	$549.48
Rate for Payer: Aetna Medicare Advantage	$433.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$368.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$368.73
Rate for Payer: Cigna Commercial	$723.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$433.80
Rate for Payer: Oxford Commercial	$289.20
Rate for Payer: Qualcare PPO/HMO/WC	$216.90
Rate for Payer: UnitedHealthcare Commercial	$289.20
Rate for Payer: UnitedHealthcare Community & State	$34.85
Rate for Payer: Wellpoint Medicaid Managed Care	$38.32

DRILL BIT CANN QC 5x200MM

Facility

$1,446.00

Hospital Charge Code	270656658
Hospital Revenue Code	272
Min. Negotiated Rate	$216.90
Max. Negotiated Rate	$216.90
Rate for Payer: Qualcare PPO/HMO/WC	$216.90

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

DRILL BIT CANN SHORT 6.5mm

Facility

$1,000.00

Hospital Charge Code	270637465
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$351.00
Max. Negotiated Rate	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00

DRILL BIT CANN TWIST 3x87MM

Facility

$2,340.00

Hospital Charge Code	270675276
Hospital Revenue Code	272
Min. Negotiated Rate	$56.39
Max. Negotiated Rate	$1,170.00
Rate for Payer: Aetna Commercial	$889.20
Rate for Payer: Aetna Medicare Advantage	$702.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$596.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$596.70
Rate for Payer: Cigna Commercial	$1,170.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.00
Rate for Payer: Oxford Commercial	$468.00
Rate for Payer: Qualcare PPO/HMO/WC	$351.00
Rate for Payer: UnitedHealthcare Commercial	$468.00
Rate for Payer: UnitedHealthcare Community & State	$56.39
Rate for Payer: Wellpoint Medicaid Managed Care	$62.01

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$18.99
Max. Negotiated Rate	$393.98
Rate for Payer: Aetna Commercial	$299.42
Rate for Payer: Aetna Medicare Advantage	$236.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$200.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$200.93
Rate for Payer: Cigna Commercial	$393.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$236.38
Rate for Payer: Oxford Commercial	$157.59
Rate for Payer: Qualcare PPO/HMO/WC	$118.19
Rate for Payer: UnitedHealthcare Commercial	$157.59
Rate for Payer: UnitedHealthcare Community & State	$18.99
Rate for Payer: Wellpoint Medicaid Managed Care	$20.88

DRILL BIT CANNUL 3.0X60MM

Facility

$787.95

Service Code	HCPCS A4649
Hospital Charge Code	270699443
Hospital Revenue Code	272
Min. Negotiated Rate	$118.19
Max. Negotiated Rate	$118.19
Rate for Payer: Qualcare PPO/HMO/WC	$118.19

DRILL BIT CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
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 CANNULATED

Facility

$875.00

Hospital Charge Code	270683325
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