Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT LOCKNG SHORT 4.3X216

Facility

$1,849.00

Hospital Charge Code	270693030
Hospital Revenue Code	272
Min. Negotiated Rate	$277.35
Max. Negotiated Rate	$277.35
Rate for Payer: Qualcare PPO/HMO/WC	$277.35

DRILL BIT LOCK SHORT 3.1X216MM

Facility

$1,848.40

Hospital Charge Code	270692185
Hospital Revenue Code	272
Min. Negotiated Rate	$44.55
Max. Negotiated Rate	$924.20
Rate for Payer: Aetna Commercial	$702.39
Rate for Payer: Aetna Medicare Advantage	$554.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$471.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$471.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$471.34
Rate for Payer: Cigna Commercial	$924.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$554.52
Rate for Payer: Oxford Commercial	$369.68
Rate for Payer: Qualcare PPO/HMO/WC	$277.26
Rate for Payer: UnitedHealthcare Commercial	$369.68
Rate for Payer: UnitedHealthcare Community & State	$44.55
Rate for Payer: Wellpoint Medicaid Managed Care	$48.98

DRILL BIT LOCK SHORT 3.1X216MM

Facility

$1,848.40

Hospital Charge Code	270692185
Hospital Revenue Code	272
Min. Negotiated Rate	$277.26
Max. Negotiated Rate	$277.26
Rate for Payer: Qualcare PPO/HMO/WC	$277.26

DRILL BIT M 1.0MM

Facility

$381.50

Hospital Charge Code	270674520
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT M 1.0MM

Facility

$381.50

Hospital Charge Code	270674520
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.1MM

Facility

$381.50

Hospital Charge Code	270674522
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.1MM

Facility

$381.50

Hospital Charge Code	270674522
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT M 1.3MM

Facility

$381.50

Hospital Charge Code	270674524
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 1.3MM

Facility

$381.50

Hospital Charge Code	270674524
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT M 1.5MM

Facility

$381.50

Hospital Charge Code	270674526
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT M 1.5MM

Facility

$381.50

Hospital Charge Code	270674526
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 2.0MM

Facility

$381.50

Hospital Charge Code	270674528
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT M 2.0MM

Facility

$381.50

Hospital Charge Code	270674528
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 2.5MM

Facility

$381.50

Hospital Charge Code	270674530
Hospital Revenue Code	272
Min. Negotiated Rate	$57.23
Max. Negotiated Rate	$57.23
Rate for Payer: Qualcare PPO/HMO/WC	$57.23

DRILL BIT M 2.5MM

Facility

$381.50

Hospital Charge Code	270674530
Hospital Revenue Code	272
Min. Negotiated Rate	$9.19
Max. Negotiated Rate	$190.75
Rate for Payer: Aetna Commercial	$144.97
Rate for Payer: Aetna Medicare Advantage	$114.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.28
Rate for Payer: Cigna Commercial	$190.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.45
Rate for Payer: Oxford Commercial	$76.30
Rate for Payer: Qualcare PPO/HMO/WC	$57.23
Rate for Payer: UnitedHealthcare Commercial	$76.30
Rate for Payer: UnitedHealthcare Community & State	$9.19
Rate for Payer: Wellpoint Medicaid Managed Care	$10.11

DRILL BIT MAXTORQUE 2.7MM

Facility

$820.00

Hospital Charge Code	270700660
Hospital Revenue Code	272
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.00
Rate for Payer: Oxford Commercial	$164.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Commercial	$164.00
Rate for Payer: UnitedHealthcare Community & State	$19.76
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

DRILL BIT MAXTORQUE 2.7MM

Facility

$820.00

Hospital Charge Code	270700660
Hospital Revenue Code	272
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$123.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

DRILL BIT MEMOFIX 2.7MM

Facility

$1,738.00

Hospital Charge Code	270674854
Hospital Revenue Code	272
Min. Negotiated Rate	$260.70
Max. Negotiated Rate	$260.70
Rate for Payer: Qualcare PPO/HMO/WC	$260.70

DRILL BIT MEMOFIX 2.7MM

Facility

$1,738.00

Hospital Charge Code	270674854
Hospital Revenue Code	272
Min. Negotiated Rate	$41.89
Max. Negotiated Rate	$869.00
Rate for Payer: Aetna Commercial	$660.44
Rate for Payer: Aetna Medicare Advantage	$521.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$443.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$443.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$443.19
Rate for Payer: Cigna Commercial	$869.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$521.40
Rate for Payer: Oxford Commercial	$347.60
Rate for Payer: Qualcare PPO/HMO/WC	$260.70
Rate for Payer: UnitedHealthcare Commercial	$347.60
Rate for Payer: UnitedHealthcare Community & State	$41.89
Rate for Payer: Wellpoint Medicaid Managed Care	$46.06

DRILL BIT MINI AO 1.2 MM CALIB

Facility

$800.00

Hospital Charge Code	270689943
Hospital Revenue Code	272
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

DRILL BIT MINI AO 1.2 MM CALIB

Facility

$800.00

Hospital Charge Code	270689943
Hospital Revenue Code	272
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

DRILL BIT MINI AO 1.4MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699857
Hospital Revenue Code	272
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$433.88
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.28
Rate for Payer: Cigna Commercial	$433.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.32
Rate for Payer: Oxford Commercial	$173.55
Rate for Payer: Qualcare PPO/HMO/WC	$130.16
Rate for Payer: UnitedHealthcare Commercial	$173.55
Rate for Payer: UnitedHealthcare Community & State	$20.91
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

DRILL BIT MINI AO 1.4MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699857
Hospital Revenue Code	272
Min. Negotiated Rate	$130.16
Max. Negotiated Rate	$130.16
Rate for Payer: Qualcare PPO/HMO/WC	$130.16

DRILL BIT MINI AO 1.6MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699864
Hospital Revenue Code	272
Min. Negotiated Rate	$130.16
Max. Negotiated Rate	$130.16
Rate for Payer: Qualcare PPO/HMO/WC	$130.16

DRILL BIT MINI AO 1.6MM

Facility

$867.75

Service Code	HCPCS A4649
Hospital Charge Code	270699864
Hospital Revenue Code	272
Min. Negotiated Rate	$20.91
Max. Negotiated Rate	$433.88
Rate for Payer: Aetna Commercial	$329.75
Rate for Payer: Aetna Medicare Advantage	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.28
Rate for Payer: Cigna Commercial	$433.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$260.32
Rate for Payer: Oxford Commercial	$173.55
Rate for Payer: Qualcare PPO/HMO/WC	$130.16
Rate for Payer: UnitedHealthcare Commercial	$173.55
Rate for Payer: UnitedHealthcare Community & State	$20.91
Rate for Payer: Wellpoint Medicaid Managed Care	$23.00

Know your out-of-pocket cost for care.

All Charges