Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BMT STEP 6.2 330 471748

Facility

$425.65

Hospital Charge Code	270621704
Hospital Revenue Code	272
Min. Negotiated Rate	$10.26
Max. Negotiated Rate	$212.82
Rate for Payer: Aetna Commercial	$161.75
Rate for Payer: Aetna Medicare Advantage	$127.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.54
Rate for Payer: Cigna Commercial	$212.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.69
Rate for Payer: Oxford Commercial	$85.13
Rate for Payer: Qualcare PPO/HMO/WC	$63.85
Rate for Payer: UnitedHealthcare Commercial	$85.13
Rate for Payer: UnitedHealthcare Community & State	$10.26
Rate for Payer: Wellpoint Medicaid Managed Care	$11.28

DRILL BMT TWIST 3.2 180 472060

Facility

$555.60

Hospital Charge Code	270613719
Hospital Revenue Code	272
Min. Negotiated Rate	$83.34
Max. Negotiated Rate	$83.34
Rate for Payer: Qualcare PPO/HMO/WC	$83.34

DRILL BMT TWIST 3.2 180 472060

Facility

$555.60

Hospital Charge Code	270613719
Hospital Revenue Code	272
Min. Negotiated Rate	$13.39
Max. Negotiated Rate	$277.80
Rate for Payer: Aetna Commercial	$211.13
Rate for Payer: Aetna Medicare Advantage	$166.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.68
Rate for Payer: Cigna Commercial	$277.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.68
Rate for Payer: Oxford Commercial	$111.12
Rate for Payer: Qualcare PPO/HMO/WC	$83.34
Rate for Payer: UnitedHealthcare Commercial	$111.12
Rate for Payer: UnitedHealthcare Community & State	$13.39
Rate for Payer: Wellpoint Medicaid Managed Care	$14.72

DRILL BMT TWIST 3.6 180 472064

Facility

$383.25

Hospital Charge Code	270621705
Hospital Revenue Code	272
Min. Negotiated Rate	$9.24
Max. Negotiated Rate	$191.62
Rate for Payer: Aetna Commercial	$145.63
Rate for Payer: Aetna Medicare Advantage	$114.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.73
Rate for Payer: Cigna Commercial	$191.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$114.97
Rate for Payer: Oxford Commercial	$76.65
Rate for Payer: Qualcare PPO/HMO/WC	$57.49
Rate for Payer: UnitedHealthcare Commercial	$76.65
Rate for Payer: UnitedHealthcare Community & State	$9.24
Rate for Payer: Wellpoint Medicaid Managed Care	$10.16

DRILL BMT TWIST 3.6 180 472064

Facility

$383.25

Hospital Charge Code	270621705
Hospital Revenue Code	272
Min. Negotiated Rate	$57.49
Max. Negotiated Rate	$57.49
Rate for Payer: Qualcare PPO/HMO/WC	$57.49

DRILL BMT TWIST 4.0 471841

Facility

$775.25

Hospital Charge Code	270618657
Hospital Revenue Code	272
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$294.60
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.57
Rate for Payer: Oxford Commercial	$155.05
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Commercial	$155.05
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

DRILL BMT TWIST 4.0 471841

Facility

$775.25

Hospital Charge Code	270618657
Hospital Revenue Code	272
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$116.29
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

DRILL BMT TWIST 4.3 203 471655

Facility

$544.85

Hospital Charge Code	270612313
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

DRILL BMT TWIST 4.3 203 471655

Facility

$544.85

Hospital Charge Code	270612313
Hospital Revenue Code	272
Min. Negotiated Rate	$13.13
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$207.04
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.46
Rate for Payer: Oxford Commercial	$108.97
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$108.97
Rate for Payer: UnitedHealthcare Community & State	$13.13
Rate for Payer: Wellpoint Medicaid Managed Care	$14.44

DRILL BMT TWIST 4.3 254 471656

Facility

$530.00

Hospital Charge Code	270606460
Hospital Revenue Code	272
Min. Negotiated Rate	$79.50
Max. Negotiated Rate	$79.50
Rate for Payer: Qualcare PPO/HMO/WC	$79.50

DRILL BMT TWIST 4.3 254 471656

Facility

$530.00

Hospital Charge Code	270606460
Hospital Revenue Code	272
Min. Negotiated Rate	$12.77
Max. Negotiated Rate	$265.00
Rate for Payer: Aetna Commercial	$201.40
Rate for Payer: Aetna Medicare Advantage	$159.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.15
Rate for Payer: Cigna Commercial	$265.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.00
Rate for Payer: Oxford Commercial	$106.00
Rate for Payer: Qualcare PPO/HMO/WC	$79.50
Rate for Payer: UnitedHealthcare Commercial	$106.00
Rate for Payer: UnitedHealthcare Community & State	$12.77
Rate for Payer: Wellpoint Medicaid Managed Care	$14.04

DRILL BMT TWIST 4.3 471845

Facility

$763.25

Hospital Charge Code	270614629
Hospital Revenue Code	272
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$114.49
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

DRILL BMT TWIST 4.3 471845

Facility

$763.25

Hospital Charge Code	270614629
Hospital Revenue Code	272
Min. Negotiated Rate	$18.39
Max. Negotiated Rate	$381.62
Rate for Payer: Aetna Commercial	$290.04
Rate for Payer: Aetna Medicare Advantage	$228.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.63
Rate for Payer: Cigna Commercial	$381.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.97
Rate for Payer: Oxford Commercial	$152.65
Rate for Payer: Qualcare PPO/HMO/WC	$114.49
Rate for Payer: UnitedHealthcare Commercial	$152.65
Rate for Payer: UnitedHealthcare Community & State	$18.39
Rate for Payer: Wellpoint Medicaid Managed Care	$20.23

DRILL BMT TWIST 5.0 254 471786

Facility

$460.85

Hospital Charge Code	270618213
Hospital Revenue Code	272
Min. Negotiated Rate	$11.11
Max. Negotiated Rate	$230.43
Rate for Payer: Aetna Commercial	$175.12
Rate for Payer: Aetna Medicare Advantage	$138.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.52
Rate for Payer: Cigna Commercial	$230.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.25
Rate for Payer: Oxford Commercial	$92.17
Rate for Payer: Qualcare PPO/HMO/WC	$69.13
Rate for Payer: UnitedHealthcare Commercial	$92.17
Rate for Payer: UnitedHealthcare Community & State	$11.11
Rate for Payer: Wellpoint Medicaid Managed Care	$12.21

DRILL BMT TWIST 5.0 254 471786

Facility

$460.85

Hospital Charge Code	270618213
Hospital Revenue Code	272
Min. Negotiated Rate	$69.13
Max. Negotiated Rate	$69.13
Rate for Payer: Qualcare PPO/HMO/WC	$69.13

DRILL BMT TWIST 5.0 254 471786

Facility

$310.45

Hospital Charge Code	270621866
Hospital Revenue Code	272
Min. Negotiated Rate	$46.57
Max. Negotiated Rate	$46.57
Rate for Payer: Qualcare PPO/HMO/WC	$46.57

DRILL BMT TWIST 5.0 254 471786

Facility

$310.45

Hospital Charge Code	270621866
Hospital Revenue Code	272
Min. Negotiated Rate	$7.48
Max. Negotiated Rate	$155.22
Rate for Payer: Aetna Commercial	$117.97
Rate for Payer: Aetna Medicare Advantage	$93.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.16
Rate for Payer: Cigna Commercial	$155.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.14
Rate for Payer: Oxford Commercial	$62.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.57
Rate for Payer: UnitedHealthcare Commercial	$62.09
Rate for Payer: UnitedHealthcare Community & State	$7.48
Rate for Payer: Wellpoint Medicaid Managed Care	$8.23

DRILL BMT TWIST CANN 7 471140

Facility

$2,386.45

Hospital Charge Code	270624244
Hospital Revenue Code	272
Min. Negotiated Rate	$357.97
Max. Negotiated Rate	$357.97
Rate for Payer: Qualcare PPO/HMO/WC	$357.97

DRILL BMT TWIST CANN 7 471140

Facility

$2,386.45

Hospital Charge Code	270624244
Hospital Revenue Code	272
Min. Negotiated Rate	$57.51
Max. Negotiated Rate	$1,193.22
Rate for Payer: Aetna Commercial	$906.85
Rate for Payer: Aetna Medicare Advantage	$715.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$608.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$608.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$608.54
Rate for Payer: Cigna Commercial	$1,193.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$715.93
Rate for Payer: Oxford Commercial	$477.29
Rate for Payer: Qualcare PPO/HMO/WC	$357.97
Rate for Payer: UnitedHealthcare Commercial	$477.29
Rate for Payer: UnitedHealthcare Community & State	$57.51
Rate for Payer: Wellpoint Medicaid Managed Care	$63.24

DRILL BMT TWIST CRW 3.6 471868

Facility

$964.85

Hospital Charge Code	270609864
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$482.43
Rate for Payer: Aetna Commercial	$366.64
Rate for Payer: Aetna Medicare Advantage	$289.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.04
Rate for Payer: Cigna Commercial	$482.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.45
Rate for Payer: Oxford Commercial	$192.97
Rate for Payer: Qualcare PPO/HMO/WC	$144.73
Rate for Payer: UnitedHealthcare Commercial	$192.97
Rate for Payer: UnitedHealthcare Community & State	$23.25
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

DRILL BMT TWIST CRW 3.6 471868

Facility

$964.85

Hospital Charge Code	270609864
Hospital Revenue Code	272
Min. Negotiated Rate	$144.73
Max. Negotiated Rate	$144.73
Rate for Payer: Qualcare PPO/HMO/WC	$144.73

DRILL BMT TWIST CRW 4.3 156072

Facility

$763.25

Hospital Charge Code	270612856
Hospital Revenue Code	272
Min. Negotiated Rate	$114.49
Max. Negotiated Rate	$114.49
Rate for Payer: Qualcare PPO/HMO/WC	$114.49

DRILL BMT TWIST CRW 4.3 156072

Facility

$763.25

Hospital Charge Code	270612856
Hospital Revenue Code	272
Min. Negotiated Rate	$18.39
Max. Negotiated Rate	$381.62
Rate for Payer: Aetna Commercial	$290.04
Rate for Payer: Aetna Medicare Advantage	$228.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.63
Rate for Payer: Cigna Commercial	$381.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.97
Rate for Payer: Oxford Commercial	$152.65
Rate for Payer: Qualcare PPO/HMO/WC	$114.49
Rate for Payer: UnitedHealthcare Commercial	$152.65
Rate for Payer: UnitedHealthcare Community & State	$18.39
Rate for Payer: Wellpoint Medicaid Managed Care	$20.23

DRILL BMT TWIST CRW 471873

Facility

$964.85

Hospital Charge Code	270606461
Hospital Revenue Code	272
Min. Negotiated Rate	$23.25
Max. Negotiated Rate	$482.43
Rate for Payer: Aetna Commercial	$366.64
Rate for Payer: Aetna Medicare Advantage	$289.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.04
Rate for Payer: Cigna Commercial	$482.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.45
Rate for Payer: Oxford Commercial	$192.97
Rate for Payer: Qualcare PPO/HMO/WC	$144.73
Rate for Payer: UnitedHealthcare Commercial	$192.97
Rate for Payer: UnitedHealthcare Community & State	$23.25
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

DRILL BMT TWIST CRW 471873

Facility

$964.85

Hospital Charge Code	270606461
Hospital Revenue Code	272
Min. Negotiated Rate	$144.73
Max. Negotiated Rate	$144.73
Rate for Payer: Qualcare PPO/HMO/WC	$144.73

Know your out-of-pocket cost for care.

All Charges