Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL CANULATED 4.4

Facility

$1,455.00

Hospital Charge Code	270683637
Hospital Revenue Code	272
Min. Negotiated Rate	$35.07
Max. Negotiated Rate	$727.50
Rate for Payer: Aetna Commercial	$552.90
Rate for Payer: Aetna Medicare Advantage	$436.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$371.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$371.02
Rate for Payer: Cigna Commercial	$727.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$436.50
Rate for Payer: Oxford Commercial	$291.00
Rate for Payer: Qualcare PPO/HMO/WC	$218.25
Rate for Payer: UnitedHealthcare Commercial	$291.00
Rate for Payer: UnitedHealthcare Community & State	$35.07
Rate for Payer: Wellpoint Medicaid Managed Care	$38.56

DRILL CODMAN WIRE PASS 26-1247

Facility

$412.85

Hospital Charge Code	270600324
Hospital Revenue Code	272
Min. Negotiated Rate	$61.93
Max. Negotiated Rate	$61.93
Rate for Payer: Qualcare PPO/HMO/WC	$61.93

DRILL CODMAN WIRE PASS 26-1247

Facility

$412.85

Hospital Charge Code	270600324
Hospital Revenue Code	272
Min. Negotiated Rate	$9.95
Max. Negotiated Rate	$206.43
Rate for Payer: Aetna Commercial	$156.88
Rate for Payer: Aetna Medicare Advantage	$123.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.28
Rate for Payer: Cigna Commercial	$206.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.86
Rate for Payer: Oxford Commercial	$82.57
Rate for Payer: Qualcare PPO/HMO/WC	$61.93
Rate for Payer: UnitedHealthcare Commercial	$82.57
Rate for Payer: UnitedHealthcare Community & State	$9.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.94

DRILL COUPLING ADAPTER

Facility

$4,850.00

Hospital Charge Code	270700468
Hospital Revenue Code	272
Min. Negotiated Rate	$116.89
Max. Negotiated Rate	$2,425.00
Rate for Payer: Aetna Commercial	$1,843.00
Rate for Payer: Aetna Medicare Advantage	$1,455.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,236.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,236.75
Rate for Payer: Cigna Commercial	$2,425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,455.00
Rate for Payer: Oxford Commercial	$970.00
Rate for Payer: Qualcare PPO/HMO/WC	$727.50
Rate for Payer: UnitedHealthcare Commercial	$970.00
Rate for Payer: UnitedHealthcare Community & State	$116.89
Rate for Payer: Wellpoint Medicaid Managed Care	$128.53

DRILL COUPLING ADAPTER

Facility

$4,850.00

Hospital Charge Code	270700468
Hospital Revenue Code	272
Min. Negotiated Rate	$727.50
Max. Negotiated Rate	$727.50
Rate for Payer: Qualcare PPO/HMO/WC	$727.50

DRILL D2.8

Facility

$2,400.00

Hospital Charge Code	270680909
Hospital Revenue Code	272
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

DRILL D2.8

Facility

$2,400.00

Hospital Charge Code	270680909
Hospital Revenue Code	272
Min. Negotiated Rate	$57.84
Max. Negotiated Rate	$1,200.00
Rate for Payer: Aetna Commercial	$912.00
Rate for Payer: Aetna Medicare Advantage	$720.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$612.00
Rate for Payer: Cigna Commercial	$1,200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$720.00
Rate for Payer: Oxford Commercial	$480.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00
Rate for Payer: UnitedHealthcare Commercial	$480.00
Rate for Payer: UnitedHealthcare Community & State	$57.84
Rate for Payer: Wellpoint Medicaid Managed Care	$63.60

DRILL DEPTH GAUGE FOR LG SCREW

Facility

$2,382.00

Hospital Charge Code	270668379
Hospital Revenue Code	272
Min. Negotiated Rate	$357.30
Max. Negotiated Rate	$357.30
Rate for Payer: Qualcare PPO/HMO/WC	$357.30

DRILL DEPTH GAUGE FOR LG SCREW

Facility

$2,382.00

Hospital Charge Code	270668379
Hospital Revenue Code	272
Min. Negotiated Rate	$57.41
Max. Negotiated Rate	$1,191.00
Rate for Payer: Aetna Commercial	$905.16
Rate for Payer: Aetna Medicare Advantage	$714.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$607.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$607.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$607.41
Rate for Payer: Cigna Commercial	$1,191.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.60
Rate for Payer: Oxford Commercial	$476.40
Rate for Payer: Qualcare PPO/HMO/WC	$357.30
Rate for Payer: UnitedHealthcare Commercial	$476.40
Rate for Payer: UnitedHealthcare Community & State	$57.41
Rate for Payer: Wellpoint Medicaid Managed Care	$63.12

DRILL DEPTH MARK MINI 1.5x96MM

Facility

$652.45

Hospital Charge Code	270666015
Hospital Revenue Code	272
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

DRILL DEPTH MARK MINI 1.5x96MM

Facility

$652.45

Hospital Charge Code	270666015
Hospital Revenue Code	272
Min. Negotiated Rate	$15.72
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$247.93
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.74
Rate for Payer: Oxford Commercial	$130.49
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$130.49
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.29

DRILL DIAMOND 10MM

Facility

$500.00

Hospital Charge Code	270676993
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL DIAMOND 10MM

Facility

$500.00

Hospital Charge Code	270676993
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

DRILL DIAMOND 12MM

Facility

$805.00

Hospital Charge Code	270657678
Hospital Revenue Code	272
Min. Negotiated Rate	$120.75
Max. Negotiated Rate	$120.75
Rate for Payer: Qualcare PPO/HMO/WC	$120.75

DRILL DIAMOND 12MM

Facility

$805.00

Hospital Charge Code	270657678
Hospital Revenue Code	272
Min. Negotiated Rate	$19.40
Max. Negotiated Rate	$402.50
Rate for Payer: Aetna Commercial	$305.90
Rate for Payer: Aetna Medicare Advantage	$241.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.28
Rate for Payer: Cigna Commercial	$402.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$241.50
Rate for Payer: Oxford Commercial	$161.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.75
Rate for Payer: UnitedHealthcare Commercial	$161.00
Rate for Payer: UnitedHealthcare Community & State	$19.40
Rate for Payer: Wellpoint Medicaid Managed Care	$21.33

DRILL DIAMOND 14MM

Facility

$1,475.00

Hospital Charge Code	270657683
Hospital Revenue Code	272
Min. Negotiated Rate	$221.25
Max. Negotiated Rate	$221.25
Rate for Payer: Qualcare PPO/HMO/WC	$221.25

DRILL DIAMOND 14MM

Facility

$1,475.00

Hospital Charge Code	270657683
Hospital Revenue Code	272
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.50
Rate for Payer: Aetna Commercial	$560.50
Rate for Payer: Aetna Medicare Advantage	$442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.12
Rate for Payer: Cigna Commercial	$737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.50
Rate for Payer: Oxford Commercial	$295.00
Rate for Payer: Qualcare PPO/HMO/WC	$221.25
Rate for Payer: UnitedHealthcare Commercial	$295.00
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

DRILL DISP QFIX 1.9MM

Facility

$2,430.00

Service Code	HCPCS A4649
Hospital Charge Code	270687541
Hospital Revenue Code	272
Min. Negotiated Rate	$364.50
Max. Negotiated Rate	$364.50
Rate for Payer: Qualcare PPO/HMO/WC	$364.50

DRILL DISP QFIX 1.9MM

Facility

$2,430.00

Service Code	HCPCS A4649
Hospital Charge Code	270687541
Hospital Revenue Code	272
Min. Negotiated Rate	$58.56
Max. Negotiated Rate	$1,215.00
Rate for Payer: Aetna Commercial	$923.40
Rate for Payer: Aetna Medicare Advantage	$729.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.65
Rate for Payer: Cigna Commercial	$1,215.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$729.00
Rate for Payer: Oxford Commercial	$486.00
Rate for Payer: Qualcare PPO/HMO/WC	$364.50
Rate for Payer: UnitedHealthcare Commercial	$486.00
Rate for Payer: UnitedHealthcare Community & State	$58.56
Rate for Payer: Wellpoint Medicaid Managed Care	$64.39

DRILL DISTAL GRADUATED LG 4.3M

Facility

$1,080.00

Hospital Charge Code	270650501
Hospital Revenue Code	271
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 DISTAL GRADUATED LG 4.3M

Facility

$1,080.00

Hospital Charge Code	270650501
Hospital Revenue Code	271
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

DRILL FEM CALBRTD 5mm 22553550

Facility

$917.65

Hospital Charge Code	270628517
Hospital Revenue Code	272
Min. Negotiated Rate	$137.65
Max. Negotiated Rate	$137.65
Rate for Payer: Qualcare PPO/HMO/WC	$137.65

DRILL FEM CALBRTD 5mm 22553550

Facility

$917.65

Hospital Charge Code	270628517
Hospital Revenue Code	272
Min. Negotiated Rate	$22.12
Max. Negotiated Rate	$458.82
Rate for Payer: Aetna Commercial	$348.71
Rate for Payer: Aetna Medicare Advantage	$275.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.00
Rate for Payer: Cigna Commercial	$458.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$275.30
Rate for Payer: Oxford Commercial	$183.53
Rate for Payer: Qualcare PPO/HMO/WC	$137.65
Rate for Payer: UnitedHealthcare Commercial	$183.53
Rate for Payer: UnitedHealthcare Community & State	$22.12
Rate for Payer: Wellpoint Medicaid Managed Care	$24.32

DRILL FENESTRATING

Facility

$1,775.00

Hospital Charge Code	270698470
Hospital Revenue Code	272
Min. Negotiated Rate	$266.25
Max. Negotiated Rate	$266.25
Rate for Payer: Qualcare PPO/HMO/WC	$266.25

DRILL FENESTRATING

Facility

$1,775.00

Hospital Charge Code	270698470
Hospital Revenue Code	272
Min. Negotiated Rate	$42.78
Max. Negotiated Rate	$887.50
Rate for Payer: Aetna Commercial	$674.50
Rate for Payer: Aetna Medicare Advantage	$532.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$452.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$452.62
Rate for Payer: Cigna Commercial	$887.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$532.50
Rate for Payer: Oxford Commercial	$355.00
Rate for Payer: Qualcare PPO/HMO/WC	$266.25
Rate for Payer: UnitedHealthcare Commercial	$355.00
Rate for Payer: UnitedHealthcare Community & State	$42.78
Rate for Payer: Wellpoint Medicaid Managed Care	$47.04

Know your out-of-pocket cost for care.

All Charges