Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL BMT TWIST IM 3.6 472366

Facility

$585.00

Hospital Charge Code	270610879
Hospital Revenue Code	272
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$87.75
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

DRILL BMT TWIST IM 3.6 472366

Facility

$585.00

Hospital Charge Code	270610879
Hospital Revenue Code	272
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$175.50
Rate for Payer: Oxford Commercial	$117.00
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Commercial	$117.00
Rate for Payer: UnitedHealthcare Community & State	$14.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.50

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$207.00
Max. Negotiated Rate	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00

DRILL BT CALIBERAT 2.7m 27570

Facility

$1,380.00

Hospital Charge Code	270639626
Hospital Revenue Code	272
Min. Negotiated Rate	$33.26
Max. Negotiated Rate	$690.00
Rate for Payer: Aetna Commercial	$524.40
Rate for Payer: Aetna Medicare Advantage	$414.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.90
Rate for Payer: Cigna Commercial	$690.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$414.00
Rate for Payer: Oxford Commercial	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$207.00
Rate for Payer: UnitedHealthcare Commercial	$276.00
Rate for Payer: UnitedHealthcare Community & State	$33.26
Rate for Payer: Wellpoint Medicaid Managed Care	$36.57

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$147.18
Rate for Payer: Aetna Commercial	$111.85
Rate for Payer: Aetna Medicare Advantage	$88.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.06
Rate for Payer: Cigna Commercial	$147.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$88.31
Rate for Payer: Oxford Commercial	$58.87
Rate for Payer: Qualcare PPO/HMO/WC	$44.15
Rate for Payer: UnitedHealthcare Commercial	$58.87
Rate for Payer: UnitedHealthcare Community & State	$7.09
Rate for Payer: Wellpoint Medicaid Managed Care	$7.80

DRILL BUSHING 55 MM

Facility

$294.35

Hospital Charge Code	270688767
Hospital Revenue Code	272
Min. Negotiated Rate	$44.15
Max. Negotiated Rate	$44.15
Rate for Payer: Qualcare PPO/HMO/WC	$44.15

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$43.79
Max. Negotiated Rate	$43.79
Rate for Payer: Qualcare PPO/HMO/WC	$43.79

DRILL BUSHING 55MM

Facility

$291.94

Hospital Charge Code	270688797
Hospital Revenue Code	272
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$145.97
Rate for Payer: Aetna Commercial	$110.94
Rate for Payer: Aetna Medicare Advantage	$87.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$74.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$74.44
Rate for Payer: Cigna Commercial	$145.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$87.58
Rate for Payer: Oxford Commercial	$58.39
Rate for Payer: Qualcare PPO/HMO/WC	$43.79
Rate for Payer: UnitedHealthcare Commercial	$58.39
Rate for Payer: UnitedHealthcare Community & State	$7.04
Rate for Payer: Wellpoint Medicaid Managed Care	$7.74

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$26.03
Max. Negotiated Rate	$540.00
Rate for Payer: Aetna Commercial	$410.40
Rate for Payer: Aetna Medicare Advantage	$324.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$275.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$275.40
Rate for Payer: Cigna Commercial	$540.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.00
Rate for Payer: Oxford Commercial	$216.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00
Rate for Payer: UnitedHealthcare Commercial	$216.00
Rate for Payer: UnitedHealthcare Community & State	$26.03
Rate for Payer: Wellpoint Medicaid Managed Care	$28.62

DRILL CALBRTD 4.3mmx320m 41010

Facility

$1,080.00

Hospital Charge Code	270646653
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

DRILL CALIBERATE 4.3mm DC27961

Facility

$793.65

Hospital Charge Code	270635348
Hospital Revenue Code	272
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$119.05
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

DRILL CALIBERATE 4.3mm DC27961

Facility

$793.65

Hospital Charge Code	270635348
Hospital Revenue Code	272
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.09
Rate for Payer: Oxford Commercial	$158.73
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Commercial	$158.73
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

DRILL CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
Hospital Revenue Code	272
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$292.50
Rate for Payer: Oxford Commercial	$195.00
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Commercial	$195.00
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

DRILL CALIBRATED 3.0mm

Facility

$975.00

Hospital Charge Code	270678712
Hospital Revenue Code	272
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$146.25
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$9.52
Max. Negotiated Rate	$197.50
Rate for Payer: Aetna Commercial	$150.10
Rate for Payer: Aetna Medicare Advantage	$118.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.72
Rate for Payer: Cigna Commercial	$197.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.50
Rate for Payer: Oxford Commercial	$79.00
Rate for Payer: Qualcare PPO/HMO/WC	$59.25
Rate for Payer: UnitedHealthcare Commercial	$79.00
Rate for Payer: UnitedHealthcare Community & State	$9.52
Rate for Payer: Wellpoint Medicaid Managed Care	$10.47

DRILL CALIBRATED 5.5MM

Facility

$395.00

Hospital Charge Code	270678713
Hospital Revenue Code	272
Min. Negotiated Rate	$59.25
Max. Negotiated Rate	$59.25
Rate for Payer: Qualcare PPO/HMO/WC	$59.25

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$28.98
Max. Negotiated Rate	$601.25
Rate for Payer: Aetna Commercial	$456.95
Rate for Payer: Aetna Medicare Advantage	$360.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$306.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$306.64
Rate for Payer: Cigna Commercial	$601.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$360.75
Rate for Payer: Oxford Commercial	$240.50
Rate for Payer: Qualcare PPO/HMO/WC	$180.38
Rate for Payer: UnitedHealthcare Commercial	$240.50
Rate for Payer: UnitedHealthcare Community & State	$28.98
Rate for Payer: Wellpoint Medicaid Managed Care	$31.87

DRILL CANN 2.0MM W AO ST

Facility

$1,202.50

Hospital Charge Code	270692683
Hospital Revenue Code	272
Min. Negotiated Rate	$180.38
Max. Negotiated Rate	$180.38
Rate for Payer: Qualcare PPO/HMO/WC	$180.38

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$26.99
Max. Negotiated Rate	$560.00
Rate for Payer: Aetna Commercial	$425.60
Rate for Payer: Aetna Medicare Advantage	$336.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$285.60
Rate for Payer: Cigna Commercial	$560.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$336.00
Rate for Payer: Oxford Commercial	$224.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00
Rate for Payer: UnitedHealthcare Commercial	$224.00
Rate for Payer: UnitedHealthcare Community & State	$26.99
Rate for Payer: Wellpoint Medicaid Managed Care	$29.68

DRILL CANN 2.45

Facility

$1,120.00

Hospital Charge Code	270678676
Hospital Revenue Code	272
Min. Negotiated Rate	$168.00
Max. Negotiated Rate	$168.00
Rate for Payer: Qualcare PPO/HMO/WC	$168.00

DRILL CANN 3.5X70 8290-34-070

Facility

$1,900.00

Hospital Charge Code	270661696
Hospital Revenue Code	272
Min. Negotiated Rate	$45.79
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.00
Rate for Payer: Oxford Commercial	$380.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Commercial	$380.00
Rate for Payer: UnitedHealthcare Community & State	$45.79
Rate for Payer: Wellpoint Medicaid Managed Care	$50.35

DRILL CANN 3.5X70 8290-34-070

Facility

$1,900.00

Hospital Charge Code	270661696
Hospital Revenue Code	272
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$285.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$227.25
Max. Negotiated Rate	$227.25
Rate for Payer: Qualcare PPO/HMO/WC	$227.25

DRILL CANN 73.5MM AQ FITTING

Facility

$1,515.00

Hospital Charge Code	270702952
Hospital Revenue Code	272
Min. Negotiated Rate	$36.51
Max. Negotiated Rate	$757.50
Rate for Payer: Aetna Commercial	$575.70
Rate for Payer: Aetna Medicare Advantage	$454.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$386.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$386.32
Rate for Payer: Cigna Commercial	$757.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.50
Rate for Payer: Oxford Commercial	$303.00
Rate for Payer: Qualcare PPO/HMO/WC	$227.25
Rate for Payer: UnitedHealthcare Commercial	$303.00
Rate for Payer: UnitedHealthcare Community & State	$36.51
Rate for Payer: Wellpoint Medicaid Managed Care	$40.15

DRILL CANNLUATED DIAMETER 9MM

Facility

$1,058.75

Hospital Charge Code	270666237
Hospital Revenue Code	272
Min. Negotiated Rate	$158.81
Max. Negotiated Rate	$158.81
Rate for Payer: Qualcare PPO/HMO/WC	$158.81

Know your out-of-pocket cost for care.

All Charges