Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT DARCO 2.8MM

Facility

$695.00

Hospital Charge Code	270686744
Hospital Revenue Code	272
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$264.10
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.50
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$139.00
Rate for Payer: UnitedHealthcare Community & State	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$18.42

DRILL BIT DEPTH MARK QC 140MM

Facility

$652.45

Hospital Charge Code	270642552
Hospital Revenue Code	272
Min. Negotiated Rate	$15.72
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$247.93
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.74
Rate for Payer: Oxford Commercial	$130.49
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$130.49
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.29

DRILL BIT DEPTH MARK QC 140MM

Facility

$652.45

Hospital Charge Code	270642552
Hospital Revenue Code	272
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

DRILL BIT DHS/DCS 8MM

Facility

$2,326.75

Hospital Charge Code	270618530
Hospital Revenue Code	272
Min. Negotiated Rate	$56.07
Max. Negotiated Rate	$1,163.38
Rate for Payer: Aetna Commercial	$884.16
Rate for Payer: Aetna Medicare Advantage	$698.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$593.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$593.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$593.32
Rate for Payer: Cigna Commercial	$1,163.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$698.02
Rate for Payer: Oxford Commercial	$465.35
Rate for Payer: Qualcare PPO/HMO/WC	$349.01
Rate for Payer: UnitedHealthcare Commercial	$465.35
Rate for Payer: UnitedHealthcare Community & State	$56.07
Rate for Payer: Wellpoint Medicaid Managed Care	$61.66

DRILL BIT DHS/DCS 8MM

Facility

$2,326.75

Hospital Charge Code	270618530
Hospital Revenue Code	272
Min. Negotiated Rate	$349.01
Max. Negotiated Rate	$349.01
Rate for Payer: Qualcare PPO/HMO/WC	$349.01

DRILL BIT DPT MARK QC 2x110MM

Facility

$429.00

Hospital Charge Code	270675730
Hospital Revenue Code	272
Min. Negotiated Rate	$64.35
Max. Negotiated Rate	$64.35
Rate for Payer: Qualcare PPO/HMO/WC	$64.35

DRILL BIT DPT MARK QC 2x110MM

Facility

$429.00

Hospital Charge Code	270675730
Hospital Revenue Code	272
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$214.50
Rate for Payer: Aetna Commercial	$163.02
Rate for Payer: Aetna Medicare Advantage	$128.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.39
Rate for Payer: Cigna Commercial	$214.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.70
Rate for Payer: Oxford Commercial	$85.80
Rate for Payer: Qualcare PPO/HMO/WC	$64.35
Rate for Payer: UnitedHealthcare Commercial	$85.80
Rate for Payer: UnitedHealthcare Community & State	$10.34
Rate for Payer: Wellpoint Medicaid Managed Care	$11.37

DRILL BIT FAST 2 0 FDB20

Facility

$425.00

Hospital Charge Code	270638284
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 FAST 2 0 FDB20

Facility

$425.00

Hospital Charge Code	270638284
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 FLUTED 3.8MMX6INCH

Facility

$675.00

Hospital Charge Code	270694693
Hospital Revenue Code	272
Min. Negotiated Rate	$16.27
Max. Negotiated Rate	$337.50
Rate for Payer: Aetna Commercial	$256.50
Rate for Payer: Aetna Medicare Advantage	$202.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.12
Rate for Payer: Cigna Commercial	$337.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.50
Rate for Payer: Oxford Commercial	$135.00
Rate for Payer: Qualcare PPO/HMO/WC	$101.25
Rate for Payer: UnitedHealthcare Commercial	$135.00
Rate for Payer: UnitedHealthcare Community & State	$16.27
Rate for Payer: Wellpoint Medicaid Managed Care	$17.89

DRILL BIT FLUTED 3.8MMX6INCH

Facility

$675.00

Hospital Charge Code	270694693
Hospital Revenue Code	272
Min. Negotiated Rate	$101.25
Max. Negotiated Rate	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$101.25

DRILL BIT FLUTELESS 1.5MM

Facility

$1,750.00

Hospital Charge Code	270694699
Hospital Revenue Code	272
Min. Negotiated Rate	$42.17
Max. Negotiated Rate	$875.00
Rate for Payer: Aetna Commercial	$665.00
Rate for Payer: Aetna Medicare Advantage	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$446.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$446.25
Rate for Payer: Cigna Commercial	$875.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$525.00
Rate for Payer: Oxford Commercial	$350.00
Rate for Payer: Qualcare PPO/HMO/WC	$262.50
Rate for Payer: UnitedHealthcare Commercial	$350.00
Rate for Payer: UnitedHealthcare Community & State	$42.17
Rate for Payer: Wellpoint Medicaid Managed Care	$46.38

DRILL BIT FLUTELESS 1.5MM

Facility

$1,750.00

Hospital Charge Code	270694699
Hospital Revenue Code	272
Min. Negotiated Rate	$262.50
Max. Negotiated Rate	$262.50
Rate for Payer: Qualcare PPO/HMO/WC	$262.50

DRILL BIT FORMULI NAILED 10.0M

Facility

$1,236.10

Hospital Charge Code	270688273
Hospital Revenue Code	272
Min. Negotiated Rate	$29.79
Max. Negotiated Rate	$618.05
Rate for Payer: Aetna Commercial	$469.72
Rate for Payer: Aetna Medicare Advantage	$370.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$315.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$315.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$315.21
Rate for Payer: Cigna Commercial	$618.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.83
Rate for Payer: Oxford Commercial	$247.22
Rate for Payer: Qualcare PPO/HMO/WC	$185.41
Rate for Payer: UnitedHealthcare Commercial	$247.22
Rate for Payer: UnitedHealthcare Community & State	$29.79
Rate for Payer: Wellpoint Medicaid Managed Care	$32.76

DRILL BIT FORMULI NAILED 10.0M

Facility

$1,236.10

Hospital Charge Code	270688273
Hospital Revenue Code	272
Min. Negotiated Rate	$185.41
Max. Negotiated Rate	$185.41
Rate for Payer: Qualcare PPO/HMO/WC	$185.41

DRILL BIT FREEHAND 4.2X185MM

Facility

$1,565.50

Hospital Charge Code	270697349
Hospital Revenue Code	272
Min. Negotiated Rate	$37.73
Max. Negotiated Rate	$782.75
Rate for Payer: Aetna Commercial	$594.89
Rate for Payer: Aetna Medicare Advantage	$469.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$399.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$399.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$399.20
Rate for Payer: Cigna Commercial	$782.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.65
Rate for Payer: Oxford Commercial	$313.10
Rate for Payer: Qualcare PPO/HMO/WC	$234.82
Rate for Payer: UnitedHealthcare Commercial	$313.10
Rate for Payer: UnitedHealthcare Community & State	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$41.49

DRILL BIT FREEHAND 4.2X185MM

Facility

$1,565.50

Hospital Charge Code	270697349
Hospital Revenue Code	272
Min. Negotiated Rate	$234.82
Max. Negotiated Rate	$234.82
Rate for Payer: Qualcare PPO/HMO/WC	$234.82

DRILL BIT HELIX R, 2.5 X 10

Facility

$1,780.00

Hospital Charge Code	270666089
Hospital Revenue Code	272
Min. Negotiated Rate	$267.00
Max. Negotiated Rate	$267.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.00

DRILL BIT HELIX R, 2.5 X 10

Facility

$1,780.00

Hospital Charge Code	270666089
Hospital Revenue Code	272
Min. Negotiated Rate	$42.90
Max. Negotiated Rate	$890.00
Rate for Payer: Aetna Commercial	$676.40
Rate for Payer: Aetna Medicare Advantage	$534.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$453.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$453.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$453.90
Rate for Payer: Cigna Commercial	$890.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.00
Rate for Payer: Oxford Commercial	$356.00
Rate for Payer: Qualcare PPO/HMO/WC	$267.00
Rate for Payer: UnitedHealthcare Commercial	$356.00
Rate for Payer: UnitedHealthcare Community & State	$42.90
Rate for Payer: Wellpoint Medicaid Managed Care	$47.17

DRILL BIT HELIX T 2.5X13MM

Facility

$1,940.00

Hospital Charge Code	270693541
Hospital Revenue Code	272
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

DRILL BIT HELIX T 2.5X13MM

Facility

$1,940.00

Hospital Charge Code	270693541
Hospital Revenue Code	272
Min. Negotiated Rate	$46.75
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.00
Rate for Payer: Oxford Commercial	$388.00
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Commercial	$388.00
Rate for Payer: UnitedHealthcare Community & State	$46.75
Rate for Payer: Wellpoint Medicaid Managed Care	$51.41

DRILL BIT JACOBS 1.1x45MM

Facility

$290.45

Hospital Charge Code	270604445
Hospital Revenue Code	272
Min. Negotiated Rate	$43.57
Max. Negotiated Rate	$43.57
Rate for Payer: Qualcare PPO/HMO/WC	$43.57

DRILL BIT JACOBS 1.1x45MM

Facility

$290.45

Hospital Charge Code	270604445
Hospital Revenue Code	272
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$145.22
Rate for Payer: Aetna Commercial	$110.37
Rate for Payer: Aetna Medicare Advantage	$87.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.06
Rate for Payer: Cigna Commercial	$145.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.14
Rate for Payer: Oxford Commercial	$58.09
Rate for Payer: Qualcare PPO/HMO/WC	$43.57
Rate for Payer: UnitedHealthcare Commercial	$58.09
Rate for Payer: UnitedHealthcare Community & State	$7.00
Rate for Payer: Wellpoint Medicaid Managed Care	$7.70

DRILL BIT JACOBS 2.0x85MM

Facility

$307.45

Hospital Charge Code	270604448
Hospital Revenue Code	272
Min. Negotiated Rate	$46.12
Max. Negotiated Rate	$46.12
Rate for Payer: Qualcare PPO/HMO/WC	$46.12

DRILL BIT JACOBS 2.0x85MM

Facility

$307.45

Hospital Charge Code	270604448
Hospital Revenue Code	272
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$153.72
Rate for Payer: Aetna Commercial	$116.83
Rate for Payer: Aetna Medicare Advantage	$92.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.40
Rate for Payer: Cigna Commercial	$153.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.23
Rate for Payer: Oxford Commercial	$61.49
Rate for Payer: Qualcare PPO/HMO/WC	$46.12
Rate for Payer: UnitedHealthcare Commercial	$61.49
Rate for Payer: UnitedHealthcare Community & State	$7.41
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

Know your out-of-pocket cost for care.

All Charges