Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT CANNULATED 2.5MM

Facility

$1,100.00

Hospital Charge Code	270698540
Hospital Revenue Code	272
Min. Negotiated Rate	$26.51
Max. Negotiated Rate	$550.00
Rate for Payer: Aetna Commercial	$418.00
Rate for Payer: Aetna Medicare Advantage	$330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.50
Rate for Payer: Cigna Commercial	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.00
Rate for Payer: Oxford Commercial	$220.00
Rate for Payer: Qualcare PPO/HMO/WC	$165.00
Rate for Payer: UnitedHealthcare Commercial	$220.00
Rate for Payer: UnitedHealthcare Community & State	$26.51
Rate for Payer: Wellpoint Medicaid Managed Care	$29.15

DRILL BIT CANNULATED 3.0MM

Facility

$840.00

Hospital Charge Code	270676768
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 CANNULATED 3.0MM

Facility

$1,250.00

Hospital Charge Code	270687933
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 CANNULATED 3.0MM

Facility

$840.00

Hospital Charge Code	270676768
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 CANNULATED 3.0MM

Facility

$1,250.00

Hospital Charge Code	270687933
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 CANNULATED 3.2MM

Facility

$1,990.00

Hospital Charge Code	270673485
Hospital Revenue Code	272
Min. Negotiated Rate	$47.96
Max. Negotiated Rate	$995.00
Rate for Payer: Aetna Commercial	$756.20
Rate for Payer: Aetna Medicare Advantage	$597.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$507.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$507.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$507.45
Rate for Payer: Cigna Commercial	$995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$597.00
Rate for Payer: Oxford Commercial	$398.00
Rate for Payer: Qualcare PPO/HMO/WC	$298.50
Rate for Payer: UnitedHealthcare Commercial	$398.00
Rate for Payer: UnitedHealthcare Community & State	$47.96
Rate for Payer: Wellpoint Medicaid Managed Care	$52.73

DRILL BIT CANNULATED 3.2MM

Facility

$1,990.00

Hospital Charge Code	270673485
Hospital Revenue Code	272
Min. Negotiated Rate	$298.50
Max. Negotiated Rate	$298.50
Rate for Payer: Qualcare PPO/HMO/WC	$298.50

DRILL BIT CANNULATED 3.7X200MM

Facility

$2,330.00

Service Code	HCPCS A4649
Hospital Charge Code	270698261
Hospital Revenue Code	272
Min. Negotiated Rate	$56.15
Max. Negotiated Rate	$1,165.00
Rate for Payer: Aetna Commercial	$885.40
Rate for Payer: Aetna Medicare Advantage	$699.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$594.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$594.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$594.15
Rate for Payer: Cigna Commercial	$1,165.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$699.00
Rate for Payer: Oxford Commercial	$466.00
Rate for Payer: Qualcare PPO/HMO/WC	$349.50
Rate for Payer: UnitedHealthcare Commercial	$466.00
Rate for Payer: UnitedHealthcare Community & State	$56.15
Rate for Payer: Wellpoint Medicaid Managed Care	$61.74

DRILL BIT CANNULATED 3.7X200MM

Facility

$2,330.00

Service Code	HCPCS A4649
Hospital Charge Code	270698261
Hospital Revenue Code	272
Min. Negotiated Rate	$349.50
Max. Negotiated Rate	$349.50
Rate for Payer: Qualcare PPO/HMO/WC	$349.50

DRILL BIT CANNULATED 3MM

Facility

$875.00

Hospital Charge Code	270661060
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 CANNULATED 3MM

Facility

$875.00

Hospital Charge Code	270661060
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 3 X 170mm

Facility

$1,650.00

Hospital Charge Code	270681219
Hospital Revenue Code	272
Min. Negotiated Rate	$247.50
Max. Negotiated Rate	$247.50
Rate for Payer: Qualcare PPO/HMO/WC	$247.50

DRILL BIT CANNULATED 3 X 170mm

Facility

$1,650.00

Hospital Charge Code	270681219
Hospital Revenue Code	272
Min. Negotiated Rate	$39.77
Max. Negotiated Rate	$825.00
Rate for Payer: Aetna Commercial	$627.00
Rate for Payer: Aetna Medicare Advantage	$495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$420.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$420.75
Rate for Payer: Cigna Commercial	$825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$495.00
Rate for Payer: Oxford Commercial	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$247.50
Rate for Payer: UnitedHealthcare Commercial	$330.00
Rate for Payer: UnitedHealthcare Community & State	$39.77
Rate for Payer: Wellpoint Medicaid Managed Care	$43.73

DRILL BIT CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.0MM

Facility

$1,000.00

Hospital Charge Code	270678277
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 CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$134.25
Max. Negotiated Rate	$134.25
Rate for Payer: Qualcare PPO/HMO/WC	$134.25

DRILL BIT CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 4.5MM

Facility

$895.00

Hospital Charge Code	270663477
Hospital Revenue Code	272
Min. Negotiated Rate	$21.57
Max. Negotiated Rate	$447.50
Rate for Payer: Aetna Commercial	$340.10
Rate for Payer: Aetna Medicare Advantage	$268.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.22
Rate for Payer: Cigna Commercial	$447.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$268.50
Rate for Payer: Oxford Commercial	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$134.25
Rate for Payer: UnitedHealthcare Commercial	$179.00
Rate for Payer: UnitedHealthcare Community & State	$21.57
Rate for Payer: Wellpoint Medicaid Managed Care	$23.72

DRILL BIT CANNULATED 4.5MM

Facility

$2,200.00

Hospital Charge Code	270698466
Hospital Revenue Code	272
Min. Negotiated Rate	$53.02
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.00
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$440.00
Rate for Payer: UnitedHealthcare Community & State	$53.02
Rate for Payer: Wellpoint Medicaid Managed Care	$58.30

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

DRILL BIT CANNULATED 6.5MM

Facility

$2,200.00

Hospital Charge Code	270698455
Hospital Revenue Code	272
Min. Negotiated Rate	$53.02
Max. Negotiated Rate	$1,100.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.00
Rate for Payer: Oxford Commercial	$440.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$440.00
Rate for Payer: UnitedHealthcare Community & State	$53.02
Rate for Payer: Wellpoint Medicaid Managed Care	$58.30

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$54.04
Max. Negotiated Rate	$1,121.25
Rate for Payer: Aetna Commercial	$852.15
Rate for Payer: Aetna Medicare Advantage	$672.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$571.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$571.84
Rate for Payer: Cigna Commercial	$1,121.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$672.75
Rate for Payer: Oxford Commercial	$448.50
Rate for Payer: Qualcare PPO/HMO/WC	$336.38
Rate for Payer: UnitedHealthcare Commercial	$448.50
Rate for Payer: UnitedHealthcare Community & State	$54.04
Rate for Payer: Wellpoint Medicaid Managed Care	$59.43

DRILL BIT CANNULATED SS 3MMX60

Facility

$2,242.50

Hospital Charge Code	270702605
Hospital Revenue Code	272
Min. Negotiated Rate	$336.38
Max. Negotiated Rate	$336.38
Rate for Payer: Qualcare PPO/HMO/WC	$336.38

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$250.56
Max. Negotiated Rate	$250.56
Rate for Payer: Qualcare PPO/HMO/WC	$250.56

DRILL BIT CANN W/AO CPLG 2.7MM

Facility

$1,670.40

Hospital Charge Code	270663657
Hospital Revenue Code	272
Min. Negotiated Rate	$40.26
Max. Negotiated Rate	$835.20
Rate for Payer: Aetna Commercial	$634.75
Rate for Payer: Aetna Medicare Advantage	$501.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.95
Rate for Payer: Cigna Commercial	$835.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.12
Rate for Payer: Oxford Commercial	$334.08
Rate for Payer: Qualcare PPO/HMO/WC	$250.56
Rate for Payer: UnitedHealthcare Commercial	$334.08
Rate for Payer: UnitedHealthcare Community & State	$40.26
Rate for Payer: Wellpoint Medicaid Managed Care	$44.27

Know your out-of-pocket cost for care.

All Charges