Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT PERIPH 2.7MM

Facility

$840.00

Hospital Charge Code	270669247
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 PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.50
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

DRILL BIT PERIPH 3.2MM

Facility

$1,715.00

Hospital Charge Code	270700520
Hospital Revenue Code	272
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$22.05
Max. Negotiated Rate	$457.50
Rate for Payer: Aetna Commercial	$347.70
Rate for Payer: Aetna Medicare Advantage	$274.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$233.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$233.32
Rate for Payer: Cigna Commercial	$457.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$274.50
Rate for Payer: Oxford Commercial	$183.00
Rate for Payer: Qualcare PPO/HMO/WC	$137.25
Rate for Payer: UnitedHealthcare Commercial	$183.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$24.25

DRILL BIT PHALINX 2.45MM

Facility

$915.00

Hospital Charge Code	270675710
Hospital Revenue Code	272
Min. Negotiated Rate	$137.25
Max. Negotiated Rate	$137.25
Rate for Payer: Qualcare PPO/HMO/WC	$137.25

DRILL BIT QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
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 QC 1.1x60MM

Facility

$307.45

Hospital Charge Code	270604434
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

DRILL BIT QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$85.45
Max. Negotiated Rate	$85.45
Rate for Payer: Qualcare PPO/HMO/WC	$85.45

DRILL BIT QC/125MM

Facility

$569.70

Hospital Charge Code	270685593
Hospital Revenue Code	272
Min. Negotiated Rate	$13.73
Max. Negotiated Rate	$284.85
Rate for Payer: Aetna Commercial	$216.49
Rate for Payer: Aetna Medicare Advantage	$170.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.27
Rate for Payer: Cigna Commercial	$284.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$170.91
Rate for Payer: Oxford Commercial	$113.94
Rate for Payer: Qualcare PPO/HMO/WC	$85.45
Rate for Payer: UnitedHealthcare Commercial	$113.94
Rate for Payer: UnitedHealthcare Community & State	$13.73
Rate for Payer: Wellpoint Medicaid Managed Care	$15.10

DRILL BIT QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
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 QC 1.5x110MM

Facility

$307.45

Hospital Charge Code	270604436
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

DRILL BIT QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$79.73
Max. Negotiated Rate	$79.73
Rate for Payer: Qualcare PPO/HMO/WC	$79.73

DRILL BIT QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
Hospital Revenue Code	272
Min. Negotiated Rate	$47.50
Max. Negotiated Rate	$47.50
Rate for Payer: Qualcare PPO/HMO/WC	$47.50

DRILL BIT QC 1.5x85MM

Facility

$316.65

Hospital Charge Code	270604435
Hospital Revenue Code	272
Min. Negotiated Rate	$7.63
Max. Negotiated Rate	$158.32
Rate for Payer: Aetna Commercial	$120.33
Rate for Payer: Aetna Medicare Advantage	$95.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.75
Rate for Payer: Cigna Commercial	$158.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.00
Rate for Payer: Oxford Commercial	$63.33
Rate for Payer: Qualcare PPO/HMO/WC	$47.50
Rate for Payer: UnitedHealthcare Commercial	$63.33
Rate for Payer: UnitedHealthcare Community & State	$7.63
Rate for Payer: Wellpoint Medicaid Managed Care	$8.39

DRILL BIT QC 1.5x85MM

Facility

$531.55

Hospital Charge Code	270683580
Hospital Revenue Code	272
Min. Negotiated Rate	$12.81
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.47
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$12.81
Rate for Payer: Wellpoint Medicaid Managed Care	$14.09

DRILL BIT QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$19.26
Max. Negotiated Rate	$399.50
Rate for Payer: Aetna Commercial	$303.62
Rate for Payer: Aetna Medicare Advantage	$239.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.75
Rate for Payer: Cigna Commercial	$399.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.70
Rate for Payer: Oxford Commercial	$159.80
Rate for Payer: Qualcare PPO/HMO/WC	$119.85
Rate for Payer: UnitedHealthcare Commercial	$159.80
Rate for Payer: UnitedHealthcare Community & State	$19.26
Rate for Payer: Wellpoint Medicaid Managed Care	$21.17

DRILL BIT QC 200MM 2.8MM

Facility

$799.00

Hospital Charge Code	270692441
Hospital Revenue Code	272
Min. Negotiated Rate	$119.85
Max. Negotiated Rate	$119.85
Rate for Payer: Qualcare PPO/HMO/WC	$119.85

DRILL BIT Q-C 2.0MMX100MM

Facility

$455.00

Hospital Charge Code	270697190
Hospital Revenue Code	272
Min. Negotiated Rate	$68.25
Max. Negotiated Rate	$68.25
Rate for Payer: Qualcare PPO/HMO/WC	$68.25

DRILL BIT Q-C 2.0MMX100MM

Facility

$455.00

Hospital Charge Code	270697190
Hospital Revenue Code	272
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$227.50
Rate for Payer: Aetna Commercial	$172.90
Rate for Payer: Aetna Medicare Advantage	$136.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.03
Rate for Payer: Cigna Commercial	$227.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.50
Rate for Payer: Oxford Commercial	$91.00
Rate for Payer: Qualcare PPO/HMO/WC	$68.25
Rate for Payer: UnitedHealthcare Commercial	$91.00
Rate for Payer: UnitedHealthcare Community & State	$10.97
Rate for Payer: Wellpoint Medicaid Managed Care	$12.06

DRILL BIT QC 2.0x100 480610020

Facility

$261.80

Hospital Charge Code	270632813
Hospital Revenue Code	272
Min. Negotiated Rate	$39.27
Max. Negotiated Rate	$39.27
Rate for Payer: Qualcare PPO/HMO/WC	$39.27

DRILL BIT QC 2.0x100 480610020

Facility

$261.80

Hospital Charge Code	270632813
Hospital Revenue Code	272
Min. Negotiated Rate	$6.31
Max. Negotiated Rate	$130.90
Rate for Payer: Aetna Commercial	$99.48
Rate for Payer: Aetna Medicare Advantage	$78.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.76
Rate for Payer: Cigna Commercial	$130.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.54
Rate for Payer: Oxford Commercial	$52.36
Rate for Payer: Qualcare PPO/HMO/WC	$39.27
Rate for Payer: UnitedHealthcare Commercial	$52.36
Rate for Payer: UnitedHealthcare Community & State	$6.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.94

DRILL BIT QC 2.0x100mm

Facility

$534.55

Hospital Charge Code	270650975
Hospital Revenue Code	272
Min. Negotiated Rate	$80.18
Max. Negotiated Rate	$80.18
Rate for Payer: Qualcare PPO/HMO/WC	$80.18

DRILL BIT QC 2.0x100mm

Facility

$534.55

Hospital Charge Code	270650975
Hospital Revenue Code	272
Min. Negotiated Rate	$12.88
Max. Negotiated Rate	$267.27
Rate for Payer: Aetna Commercial	$203.13
Rate for Payer: Aetna Medicare Advantage	$160.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.31
Rate for Payer: Cigna Commercial	$267.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.37
Rate for Payer: Oxford Commercial	$106.91
Rate for Payer: Qualcare PPO/HMO/WC	$80.18
Rate for Payer: UnitedHealthcare Commercial	$106.91
Rate for Payer: UnitedHealthcare Community & State	$12.88
Rate for Payer: Wellpoint Medicaid Managed Care	$14.17

DRILL BIT QC 2.0x125MM

Facility

$356.50

Hospital Charge Code	270604120
Hospital Revenue Code	272
Min. Negotiated Rate	$8.59
Max. Negotiated Rate	$178.25
Rate for Payer: Aetna Commercial	$135.47
Rate for Payer: Aetna Medicare Advantage	$106.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.91
Rate for Payer: Cigna Commercial	$178.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.95
Rate for Payer: Oxford Commercial	$71.30
Rate for Payer: Qualcare PPO/HMO/WC	$53.48
Rate for Payer: UnitedHealthcare Commercial	$71.30
Rate for Payer: UnitedHealthcare Community & State	$8.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9.45

DRILL BIT QC 2.0x125MM

Facility

$356.50

Hospital Charge Code	270604120
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

Know your out-of-pocket cost for care.

All Charges