Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BIT QC 3.5x110 480611035

Facility

$249.75

Hospital Charge Code	270632094
Hospital Revenue Code	272
Min. Negotiated Rate	$37.46
Max. Negotiated Rate	$37.46
Rate for Payer: Qualcare PPO/HMO/WC	$37.46

DRILL BIT QC 3.5x110MM

Facility

$337.40

Hospital Charge Code	270601915
Hospital Revenue Code	272
Min. Negotiated Rate	$8.13
Max. Negotiated Rate	$168.70
Rate for Payer: Aetna Commercial	$128.21
Rate for Payer: Aetna Medicare Advantage	$101.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.04
Rate for Payer: Cigna Commercial	$168.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.22
Rate for Payer: Oxford Commercial	$67.48
Rate for Payer: Qualcare PPO/HMO/WC	$50.61
Rate for Payer: UnitedHealthcare Commercial	$67.48
Rate for Payer: UnitedHealthcare Community & State	$8.13
Rate for Payer: Wellpoint Medicaid Managed Care	$8.94

DRILL BIT QC 3.5x110MM

Facility

$337.40

Hospital Charge Code	270601915
Hospital Revenue Code	272
Min. Negotiated Rate	$50.61
Max. Negotiated Rate	$50.61
Rate for Payer: Qualcare PPO/HMO/WC	$50.61

DRILL BIT QC 3.5x110MM STER

Facility

$550.60

Hospital Charge Code	270678039
Hospital Revenue Code	272
Min. Negotiated Rate	$13.27
Max. Negotiated Rate	$275.30
Rate for Payer: Aetna Commercial	$209.23
Rate for Payer: Aetna Medicare Advantage	$165.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.40
Rate for Payer: Cigna Commercial	$275.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.18
Rate for Payer: Oxford Commercial	$110.12
Rate for Payer: Qualcare PPO/HMO/WC	$82.59
Rate for Payer: UnitedHealthcare Commercial	$110.12
Rate for Payer: UnitedHealthcare Community & State	$13.27
Rate for Payer: Wellpoint Medicaid Managed Care	$14.59

DRILL BIT QC 3.5x110MM STER

Facility

$550.60

Hospital Charge Code	270678039
Hospital Revenue Code	272
Min. Negotiated Rate	$82.59
Max. Negotiated Rate	$82.59
Rate for Payer: Qualcare PPO/HMO/WC	$82.59

DRILL BIT QC 3.5x195MM

Facility

$356.50

Hospital Charge Code	270604124
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

DRILL BIT QC 3.5x195MM

Facility

$356.50

Hospital Charge Code	270604124
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 4.3x180MM

Facility

$522.20

Hospital Charge Code	270637798
Hospital Revenue Code	272
Min. Negotiated Rate	$78.33
Max. Negotiated Rate	$78.33
Rate for Payer: Qualcare PPO/HMO/WC	$78.33

DRILL BIT QC 4.3x180MM

Facility

$522.20

Hospital Charge Code	270637798
Hospital Revenue Code	272
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$261.10
Rate for Payer: Aetna Commercial	$198.44
Rate for Payer: Aetna Medicare Advantage	$156.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.16
Rate for Payer: Cigna Commercial	$261.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.66
Rate for Payer: Oxford Commercial	$104.44
Rate for Payer: Qualcare PPO/HMO/WC	$78.33
Rate for Payer: UnitedHealthcare Commercial	$104.44
Rate for Payer: UnitedHealthcare Community & State	$12.59
Rate for Payer: Wellpoint Medicaid Managed Care	$13.84

DRILL BIT QC 4.5X145MM 310.44

Facility

$271.25

Hospital Charge Code	270619719
Hospital Revenue Code	272
Min. Negotiated Rate	$40.69
Max. Negotiated Rate	$40.69
Rate for Payer: Qualcare PPO/HMO/WC	$40.69

DRILL BIT QC 4.5X145MM 310.44

Facility

$271.25

Hospital Charge Code	270619719
Hospital Revenue Code	272
Min. Negotiated Rate	$6.54
Max. Negotiated Rate	$135.62
Rate for Payer: Aetna Commercial	$103.08
Rate for Payer: Aetna Medicare Advantage	$81.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.17
Rate for Payer: Cigna Commercial	$135.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.38
Rate for Payer: Oxford Commercial	$54.25
Rate for Payer: Qualcare PPO/HMO/WC	$40.69
Rate for Payer: UnitedHealthcare Commercial	$54.25
Rate for Payer: UnitedHealthcare Community & State	$6.54
Rate for Payer: Wellpoint Medicaid Managed Care	$7.19

DRILL BIT QC 4.5x145MM STER

Facility

$526.50

Hospital Charge Code	270681478
Hospital Revenue Code	272
Min. Negotiated Rate	$78.97
Max. Negotiated Rate	$78.97
Rate for Payer: Qualcare PPO/HMO/WC	$78.97

DRILL BIT QC 4.5x145MM STER

Facility

$526.50

Hospital Charge Code	270681478
Hospital Revenue Code	272
Min. Negotiated Rate	$12.69
Max. Negotiated Rate	$263.25
Rate for Payer: Aetna Commercial	$200.07
Rate for Payer: Aetna Medicare Advantage	$157.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$134.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$134.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$134.26
Rate for Payer: Cigna Commercial	$263.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.95
Rate for Payer: Oxford Commercial	$105.30
Rate for Payer: Qualcare PPO/HMO/WC	$78.97
Rate for Payer: UnitedHealthcare Commercial	$105.30
Rate for Payer: UnitedHealthcare Community & State	$12.69
Rate for Payer: Wellpoint Medicaid Managed Care	$13.95

DRILL BIT QC CALIBR 3.2X300MM

Facility

$2,495.00

Hospital Charge Code	270699499
Hospital Revenue Code	272
Min. Negotiated Rate	$60.13
Max. Negotiated Rate	$1,247.50
Rate for Payer: Aetna Commercial	$948.10
Rate for Payer: Aetna Medicare Advantage	$748.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$636.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$636.23
Rate for Payer: Cigna Commercial	$1,247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$748.50
Rate for Payer: Oxford Commercial	$499.00
Rate for Payer: Qualcare PPO/HMO/WC	$374.25
Rate for Payer: UnitedHealthcare Commercial	$499.00
Rate for Payer: UnitedHealthcare Community & State	$60.13
Rate for Payer: Wellpoint Medicaid Managed Care	$66.12

DRILL BIT QC CALIBR 3.2X300MM

Facility

$2,495.00

Hospital Charge Code	270699499
Hospital Revenue Code	272
Min. Negotiated Rate	$374.25
Max. Negotiated Rate	$374.25
Rate for Payer: Qualcare PPO/HMO/WC	$374.25

DRILL BIT QC CANNULAT 1.6X95MM

Facility

$2,139.50

Service Code	HCPCS A4649
Hospital Charge Code	270697772
Hospital Revenue Code	272
Min. Negotiated Rate	$320.93
Max. Negotiated Rate	$320.93
Rate for Payer: Qualcare PPO/HMO/WC	$320.93

DRILL BIT QC CANNULAT 1.6X95MM

Facility

$2,139.50

Service Code	HCPCS A4649
Hospital Charge Code	270697772
Hospital Revenue Code	272
Min. Negotiated Rate	$51.56
Max. Negotiated Rate	$1,069.75
Rate for Payer: Aetna Commercial	$813.01
Rate for Payer: Aetna Medicare Advantage	$641.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$545.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$545.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$545.57
Rate for Payer: Cigna Commercial	$1,069.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$641.85
Rate for Payer: Oxford Commercial	$427.90
Rate for Payer: Qualcare PPO/HMO/WC	$320.93
Rate for Payer: UnitedHealthcare Commercial	$427.90
Rate for Payer: UnitedHealthcare Community & State	$51.56
Rate for Payer: Wellpoint Medicaid Managed Care	$56.70

DRILL BIT QC GOLD 2.5x110MM

Facility

$316.65

Hospital Charge Code	270601914
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 GOLD 2.5x110MM

Facility

$316.65

Hospital Charge Code	270601914
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 GOLD 2.5x180MM

Facility

$356.50

Hospital Charge Code	270604439
Hospital Revenue Code	272
Min. Negotiated Rate	$53.48
Max. Negotiated Rate	$53.48
Rate for Payer: Qualcare PPO/HMO/WC	$53.48

DRILL BIT QC GOLD 2.5x180MM

Facility

$356.50

Hospital Charge Code	270604439
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 ORANGE 2x125MM

Facility

$324.00

Hospital Charge Code	270675735
Hospital Revenue Code	272
Min. Negotiated Rate	$7.81
Max. Negotiated Rate	$162.00
Rate for Payer: Aetna Commercial	$123.12
Rate for Payer: Aetna Medicare Advantage	$97.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.62
Rate for Payer: Cigna Commercial	$162.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.20
Rate for Payer: Oxford Commercial	$64.80
Rate for Payer: Qualcare PPO/HMO/WC	$48.60
Rate for Payer: UnitedHealthcare Commercial	$64.80
Rate for Payer: UnitedHealthcare Community & State	$7.81
Rate for Payer: Wellpoint Medicaid Managed Care	$8.59

DRILL BIT QC ORANGE 2x125MM

Facility

$324.00

Hospital Charge Code	270675735
Hospital Revenue Code	272
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$48.60
Rate for Payer: Qualcare PPO/HMO/WC	$48.60

DRILL BIT QC PURPLE 1.7x100MM

Facility

$1,806.00

Hospital Charge Code	270676409
Hospital Revenue Code	272
Min. Negotiated Rate	$270.90
Max. Negotiated Rate	$270.90
Rate for Payer: Qualcare PPO/HMO/WC	$270.90

DRILL BIT QC PURPLE 1.7x100MM

Facility

$1,806.00

Hospital Charge Code	270676409
Hospital Revenue Code	272
Min. Negotiated Rate	$43.52
Max. Negotiated Rate	$903.00
Rate for Payer: Aetna Commercial	$686.28
Rate for Payer: Aetna Medicare Advantage	$541.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$460.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$460.53
Rate for Payer: Cigna Commercial	$903.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$541.80
Rate for Payer: Oxford Commercial	$361.20
Rate for Payer: Qualcare PPO/HMO/WC	$270.90
Rate for Payer: UnitedHealthcare Commercial	$361.20
Rate for Payer: UnitedHealthcare Community & State	$43.52
Rate for Payer: Wellpoint Medicaid Managed Care	$47.86

Know your out-of-pocket cost for care.

All Charges