Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MINI QC 1.1MM

Facility

$324.65

Hospital Charge Code	270606010
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$123.37
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.39
Rate for Payer: Oxford Commercial	$64.93
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$64.93
Rate for Payer: UnitedHealthcare Community & State	$7.82
Rate for Payer: Wellpoint Medicaid Managed Care	$8.60

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$162.32
Rate for Payer: Aetna Commercial	$123.37
Rate for Payer: Aetna Medicare Advantage	$97.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.79
Rate for Payer: Cigna Commercial	$162.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.39
Rate for Payer: Oxford Commercial	$64.93
Rate for Payer: Qualcare PPO/HMO/WC	$48.70
Rate for Payer: UnitedHealthcare Commercial	$64.93
Rate for Payer: UnitedHealthcare Community & State	$7.82
Rate for Payer: Wellpoint Medicaid Managed Care	$8.60

DRILL BIT MINI QC 2.0x65MM

Facility

$324.65

Hospital Charge Code	270657133
Hospital Revenue Code	272
Min. Negotiated Rate	$48.70
Max. Negotiated Rate	$48.70
Rate for Payer: Qualcare PPO/HMO/WC	$48.70

DRILL BIT MMI NVC

Facility

$250.00

Hospital Charge Code	270639823
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

DRILL BIT MMI NVC

Facility

$250.00

Hospital Charge Code	270639823
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$144.07
Max. Negotiated Rate	$144.07
Rate for Payer: Qualcare PPO/HMO/WC	$144.07

DRILL BIT NCB 4.5 MM L 195MM

Facility

$960.50

Hospital Charge Code	270704924
Hospital Revenue Code	279
Min. Negotiated Rate	$23.15
Max. Negotiated Rate	$480.25
Rate for Payer: Aetna Commercial	$364.99
Rate for Payer: Aetna Medicare Advantage	$288.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.93
Rate for Payer: Cigna Commercial	$480.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$288.15
Rate for Payer: Oxford Commercial	$192.10
Rate for Payer: Qualcare PPO/HMO/WC	$144.07
Rate for Payer: UnitedHealthcare Commercial	$192.10
Rate for Payer: UnitedHealthcare Community & State	$23.15
Rate for Payer: Wellpoint Medicaid Managed Care	$25.45

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$145.35
Max. Negotiated Rate	$145.35
Rate for Payer: Qualcare PPO/HMO/WC	$145.35

DRILL BIT NONLKG SH 3.2X216MM

Facility

$969.00

Hospital Charge Code	270673788
Hospital Revenue Code	272
Min. Negotiated Rate	$23.35
Max. Negotiated Rate	$484.50
Rate for Payer: Aetna Commercial	$368.22
Rate for Payer: Aetna Medicare Advantage	$290.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$247.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$247.09
Rate for Payer: Cigna Commercial	$484.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$290.70
Rate for Payer: Oxford Commercial	$193.80
Rate for Payer: Qualcare PPO/HMO/WC	$145.35
Rate for Payer: UnitedHealthcare Commercial	$193.80
Rate for Payer: UnitedHealthcare Community & State	$23.35
Rate for Payer: Wellpoint Medicaid Managed Care	$25.68

DRILL BIT OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

DRILL BIT OVER 4MM

Facility

$695.00

Hospital Charge Code	270656795
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 PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$510.00
Max. Negotiated Rate	$510.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00

DRILL BIT PANTA2 CALCANE 4.1MM

Facility

$3,400.00

Service Code	HCPCS A4649
Hospital Charge Code	270699965
Hospital Revenue Code	272
Min. Negotiated Rate	$81.94
Max. Negotiated Rate	$1,700.00
Rate for Payer: Aetna Commercial	$1,292.00
Rate for Payer: Aetna Medicare Advantage	$1,020.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$867.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$867.00
Rate for Payer: Cigna Commercial	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,020.00
Rate for Payer: Oxford Commercial	$680.00
Rate for Payer: Qualcare PPO/HMO/WC	$510.00
Rate for Payer: UnitedHealthcare Commercial	$680.00
Rate for Payer: UnitedHealthcare Community & State	$81.94
Rate for Payer: Wellpoint Medicaid Managed Care	$90.10

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

DRILL BIT PANTA2 CANN 7X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699967
Hospital Revenue Code	272
Min. Negotiated Rate	$153.03
Max. Negotiated Rate	$3,175.00
Rate for Payer: Aetna Commercial	$2,413.00
Rate for Payer: Aetna Medicare Advantage	$1,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,619.25
Rate for Payer: Cigna Commercial	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.00
Rate for Payer: Oxford Commercial	$1,270.00
Rate for Payer: Qualcare PPO/HMO/WC	$952.50
Rate for Payer: UnitedHealthcare Commercial	$1,270.00
Rate for Payer: UnitedHealthcare Community & State	$153.03
Rate for Payer: Wellpoint Medicaid Managed Care	$168.28

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
Hospital Revenue Code	272
Min. Negotiated Rate	$153.03
Max. Negotiated Rate	$3,175.00
Rate for Payer: Aetna Commercial	$2,413.00
Rate for Payer: Aetna Medicare Advantage	$1,905.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,619.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,619.25
Rate for Payer: Cigna Commercial	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,905.00
Rate for Payer: Oxford Commercial	$1,270.00
Rate for Payer: Qualcare PPO/HMO/WC	$952.50
Rate for Payer: UnitedHealthcare Commercial	$1,270.00
Rate for Payer: UnitedHealthcare Community & State	$153.03
Rate for Payer: Wellpoint Medicaid Managed Care	$168.28

DRILL BIT PANTA2 CANN 9X185MM

Facility

$6,350.00

Service Code	HCPCS A4649
Hospital Charge Code	270699953
Hospital Revenue Code	272
Min. Negotiated Rate	$952.50
Max. Negotiated Rate	$952.50
Rate for Payer: Qualcare PPO/HMO/WC	$952.50

DRILL BIT PANTA2 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$663.00
Max. Negotiated Rate	$663.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00

DRILL BIT PANTA2 TIBIAL 4.1MM

Facility

$4,420.00

Service Code	HCPCS A4649
Hospital Charge Code	270699963
Hospital Revenue Code	272
Min. Negotiated Rate	$106.52
Max. Negotiated Rate	$2,210.00
Rate for Payer: Aetna Commercial	$1,679.60
Rate for Payer: Aetna Medicare Advantage	$1,326.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,127.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,127.10
Rate for Payer: Cigna Commercial	$2,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,326.00
Rate for Payer: Oxford Commercial	$884.00
Rate for Payer: Qualcare PPO/HMO/WC	$663.00
Rate for Payer: UnitedHealthcare Commercial	$884.00
Rate for Payer: UnitedHealthcare Community & State	$106.52
Rate for Payer: Wellpoint Medicaid Managed Care	$117.13

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$378.73
Rate for Payer: Aetna Commercial	$287.83
Rate for Payer: Aetna Medicare Advantage	$227.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$193.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$193.15
Rate for Payer: Cigna Commercial	$378.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$227.24
Rate for Payer: Oxford Commercial	$151.49
Rate for Payer: Qualcare PPO/HMO/WC	$113.62
Rate for Payer: UnitedHealthcare Commercial	$151.49
Rate for Payer: UnitedHealthcare Community & State	$18.25
Rate for Payer: Wellpoint Medicaid Managed Care	$20.07

DRILL BIT PERC QC 200/100MM

Facility

$757.45

Hospital Charge Code	270641803
Hospital Revenue Code	272
Min. Negotiated Rate	$113.62
Max. Negotiated Rate	$113.62
Rate for Payer: Qualcare PPO/HMO/WC	$113.62

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$19.21
Max. Negotiated Rate	$398.60
Rate for Payer: Aetna Commercial	$302.94
Rate for Payer: Aetna Medicare Advantage	$239.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.29
Rate for Payer: Cigna Commercial	$398.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.16
Rate for Payer: Oxford Commercial	$159.44
Rate for Payer: Qualcare PPO/HMO/WC	$119.58
Rate for Payer: UnitedHealthcare Commercial	$159.44
Rate for Payer: UnitedHealthcare Community & State	$19.21
Rate for Payer: Wellpoint Medicaid Managed Care	$21.13

DRILL BIT PERCUT QC 4.3x300MM

Facility

$797.20

Hospital Charge Code	270649696
Hospital Revenue Code	272
Min. Negotiated Rate	$119.58
Max. Negotiated Rate	$119.58
Rate for Payer: Qualcare PPO/HMO/WC	$119.58

DRILL BIT PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
Hospital Revenue Code	272
Min. Negotiated Rate	$126.00
Max. Negotiated Rate	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$126.00

Know your out-of-pocket cost for care.

All Charges