Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL GUIDE 2.8MM VA W/CONE

Facility

$2,450.35

Hospital Charge Code	270677606
Hospital Revenue Code	272
Min. Negotiated Rate	$367.55
Max. Negotiated Rate	$367.55
Rate for Payer: Qualcare PPO/HMO/WC	$367.55

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$345.64
Max. Negotiated Rate	$345.64
Rate for Payer: Qualcare PPO/HMO/WC	$345.64

DRILL GUIDE 3.0X2.0MM

Facility

$2,304.25

Hospital Charge Code	270700082
Hospital Revenue Code	272
Min. Negotiated Rate	$55.53
Max. Negotiated Rate	$1,152.12
Rate for Payer: Aetna Commercial	$875.62
Rate for Payer: Aetna Medicare Advantage	$691.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$587.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$587.58
Rate for Payer: Cigna Commercial	$1,152.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$691.27
Rate for Payer: Oxford Commercial	$460.85
Rate for Payer: Qualcare PPO/HMO/WC	$345.64
Rate for Payer: UnitedHealthcare Commercial	$460.85
Rate for Payer: UnitedHealthcare Community & State	$55.53
Rate for Payer: Wellpoint Medicaid Managed Care	$61.06

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$63.45
Max. Negotiated Rate	$63.45
Rate for Payer: Qualcare PPO/HMO/WC	$63.45

DRILL GUIDE 3.2

Facility

$423.00

Hospital Charge Code	270687843
Hospital Revenue Code	272
Min. Negotiated Rate	$10.19
Max. Negotiated Rate	$211.50
Rate for Payer: Aetna Commercial	$160.74
Rate for Payer: Aetna Medicare Advantage	$126.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.86
Rate for Payer: Cigna Commercial	$211.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.90
Rate for Payer: Oxford Commercial	$84.60
Rate for Payer: Qualcare PPO/HMO/WC	$63.45
Rate for Payer: UnitedHealthcare Commercial	$84.60
Rate for Payer: UnitedHealthcare Community & State	$10.19
Rate for Payer: Wellpoint Medicaid Managed Care	$11.21

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$367.63
Max. Negotiated Rate	$367.63
Rate for Payer: Qualcare PPO/HMO/WC	$367.63

DRILL GUIDE 4.3MM VA W/CONE

Facility

$2,450.85

Hospital Charge Code	270677618
Hospital Revenue Code	272
Min. Negotiated Rate	$59.07
Max. Negotiated Rate	$1,225.42
Rate for Payer: Aetna Commercial	$931.32
Rate for Payer: Aetna Medicare Advantage	$735.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$624.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$624.97
Rate for Payer: Cigna Commercial	$1,225.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$735.25
Rate for Payer: Oxford Commercial	$490.17
Rate for Payer: Qualcare PPO/HMO/WC	$367.63
Rate for Payer: UnitedHealthcare Commercial	$490.17
Rate for Payer: UnitedHealthcare Community & State	$59.07
Rate for Payer: Wellpoint Medicaid Managed Care	$64.95

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	698294
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$937.50
Max. Negotiated Rate	$937.50
Rate for Payer: Qualcare PPO/HMO/WC	$937.50

DRILL GUIDE IMPACTOR FX ANG

Facility

$6,250.00

Hospital Charge Code	270698294
Hospital Revenue Code	272
Min. Negotiated Rate	$150.62
Max. Negotiated Rate	$3,125.00
Rate for Payer: Aetna Commercial	$2,375.00
Rate for Payer: Aetna Medicare Advantage	$1,875.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,593.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,593.75
Rate for Payer: Cigna Commercial	$3,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,875.00
Rate for Payer: Oxford Commercial	$1,250.00
Rate for Payer: Qualcare PPO/HMO/WC	$937.50
Rate for Payer: UnitedHealthcare Commercial	$1,250.00
Rate for Payer: UnitedHealthcare Community & State	$150.62
Rate for Payer: Wellpoint Medicaid Managed Care	$165.62

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE OCCIPITAL 10/12

Facility

$1,975.00

Hospital Charge Code	270697896
Hospital Revenue Code	272
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$296.25
Max. Negotiated Rate	$296.25
Rate for Payer: Qualcare PPO/HMO/WC	$296.25

DRILL GUIDE OCCIPITAL 6/8

Facility

$1,975.00

Hospital Charge Code	270697895
Hospital Revenue Code	272
Min. Negotiated Rate	$47.60
Max. Negotiated Rate	$987.50
Rate for Payer: Aetna Commercial	$750.50
Rate for Payer: Aetna Medicare Advantage	$592.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$503.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$503.62
Rate for Payer: Cigna Commercial	$987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$592.50
Rate for Payer: Oxford Commercial	$395.00
Rate for Payer: Qualcare PPO/HMO/WC	$296.25
Rate for Payer: UnitedHealthcare Commercial	$395.00
Rate for Payer: UnitedHealthcare Community & State	$47.60
Rate for Payer: Wellpoint Medicaid Managed Care	$52.34

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$91.19
Max. Negotiated Rate	$91.19
Rate for Payer: Qualcare PPO/HMO/WC	$91.19

DRILL GUIDE PERCUTAN REDU FORC

Facility

$607.90

Hospital Charge Code	270680933
Hospital Revenue Code	272
Min. Negotiated Rate	$14.65
Max. Negotiated Rate	$303.95
Rate for Payer: Aetna Commercial	$231.00
Rate for Payer: Aetna Medicare Advantage	$182.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$155.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$155.01
Rate for Payer: Cigna Commercial	$303.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.37
Rate for Payer: Oxford Commercial	$121.58
Rate for Payer: Qualcare PPO/HMO/WC	$91.19
Rate for Payer: UnitedHealthcare Commercial	$121.58
Rate for Payer: UnitedHealthcare Community & State	$14.65
Rate for Payer: Wellpoint Medicaid Managed Care	$16.11

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$38.46
Max. Negotiated Rate	$798.00
Rate for Payer: Aetna Commercial	$606.48
Rate for Payer: Aetna Medicare Advantage	$478.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$406.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$406.98
Rate for Payer: Cigna Commercial	$798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$478.80
Rate for Payer: Oxford Commercial	$319.20
Rate for Payer: Qualcare PPO/HMO/WC	$239.40
Rate for Payer: UnitedHealthcare Commercial	$319.20
Rate for Payer: UnitedHealthcare Community & State	$38.46
Rate for Payer: Wellpoint Medicaid Managed Care	$42.29

DRILL GUIDE THREADED 1.5MM

Facility

$1,596.00

Hospital Charge Code	270674260
Hospital Revenue Code	272
Min. Negotiated Rate	$239.40
Max. Negotiated Rate	$239.40
Rate for Payer: Qualcare PPO/HMO/WC	$239.40

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$92.70
Max. Negotiated Rate	$149.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70

DRILL HARDBONE 1.5MM

Facility

$618.00

Hospital Charge Code	270703053
Hospital Revenue Code	278
Min. Negotiated Rate	$14.89
Max. Negotiated Rate	$309.00
Rate for Payer: Aetna Commercial	$234.84
Rate for Payer: Aetna Medicare Advantage	$185.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.59
Rate for Payer: Cigna Commercial	$309.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.96
Rate for Payer: Qualcare PPO/HMO/WC	$92.70
Rate for Payer: UnitedHealthcare Community & State	$14.89
Rate for Payer: Wellpoint Medicaid Managed Care	$16.38

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$155.25
Max. Negotiated Rate	$155.25
Rate for Payer: Qualcare PPO/HMO/WC	$155.25

DRILL HEAD 7.0MM

Facility

$1,035.00

Hospital Charge Code	270687137
Hospital Revenue Code	272
Min. Negotiated Rate	$24.94
Max. Negotiated Rate	$517.50
Rate for Payer: Aetna Commercial	$393.30
Rate for Payer: Aetna Medicare Advantage	$310.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.93
Rate for Payer: Cigna Commercial	$517.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$310.50
Rate for Payer: Oxford Commercial	$207.00
Rate for Payer: Qualcare PPO/HMO/WC	$155.25
Rate for Payer: UnitedHealthcare Commercial	$207.00
Rate for Payer: UnitedHealthcare Community & State	$24.94
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$37.23
Max. Negotiated Rate	$772.50
Rate for Payer: Aetna Commercial	$587.10
Rate for Payer: Aetna Medicare Advantage	$463.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$393.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$393.98
Rate for Payer: Cigna Commercial	$772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.50
Rate for Payer: Oxford Commercial	$309.00
Rate for Payer: Qualcare PPO/HMO/WC	$231.75
Rate for Payer: UnitedHealthcare Commercial	$309.00
Rate for Payer: UnitedHealthcare Community & State	$37.23
Rate for Payer: Wellpoint Medicaid Managed Care	$40.94

DRILL HEAD DARCO

Facility

$1,545.00

Hospital Charge Code	270683638
Hospital Revenue Code	272
Min. Negotiated Rate	$231.75
Max. Negotiated Rate	$231.75
Rate for Payer: Qualcare PPO/HMO/WC	$231.75

Know your out-of-pocket cost for care.

All Charges