Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL HIGH SPEED 2.5MM

Facility

$989.85

Hospital Charge Code	270681646
Hospital Revenue Code	272
Min. Negotiated Rate	$148.48
Max. Negotiated Rate	$148.48
Rate for Payer: Qualcare PPO/HMO/WC	$148.48

DRILL HIGH SPEED 2.5MM

Facility

$989.85

Hospital Charge Code	270681646
Hospital Revenue Code	272
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$494.93
Rate for Payer: Aetna Commercial	$376.14
Rate for Payer: Aetna Medicare Advantage	$296.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.41
Rate for Payer: Cigna Commercial	$494.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.95
Rate for Payer: Oxford Commercial	$197.97
Rate for Payer: Qualcare PPO/HMO/WC	$148.48
Rate for Payer: UnitedHealthcare Commercial	$197.97
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.23

DRILL ,HIP PL, SHORT HB,2.9MM

Facility

$775.00

Hospital Charge Code	270681508
Hospital Revenue Code	272
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

DRILL ,HIP PL, SHORT HB,2.9MM

Facility

$775.00

Hospital Charge Code	270681508
Hospital Revenue Code	272
Min. Negotiated Rate	$116.25
Max. Negotiated Rate	$116.25
Rate for Payer: Qualcare PPO/HMO/WC	$116.25

DRILL HOLE IMPLT VENTRIC DEVIC

Facility

$61,616.39

Service Code	HCPCS 61107
Hospital Charge Code	411061107
Hospital Revenue Code	360
Min. Negotiated Rate	$1,484.95
Max. Negotiated Rate	$30,808.19
Rate for Payer: Aetna Commercial	$23,414.23
Rate for Payer: Aetna Medicare Advantage	$18,484.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,712.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,712.18
Rate for Payer: Cigna Commercial	$30,808.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18,484.92
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$1,484.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1,632.83

DRILL HOLE IMPLT VENTRIC DEVIC

Facility

$61,616.39

Service Code	HCPCS 61107
Hospital Charge Code	411061107
Hospital Revenue Code	360
Min. Negotiated Rate	$9,242.46
Max. Negotiated Rate	$9,242.46
Rate for Payer: Qualcare PPO/HMO/WC	$9,242.46

DRILL HOLE WITNESS

Facility

$1,090.00

Hospital Charge Code	270671066
Hospital Revenue Code	272
Min. Negotiated Rate	$163.50
Max. Negotiated Rate	$163.50
Rate for Payer: Qualcare PPO/HMO/WC	$163.50

DRILL HOLE WITNESS

Facility

$1,090.00

Hospital Charge Code	270671066
Hospital Revenue Code	272
Min. Negotiated Rate	$26.27
Max. Negotiated Rate	$545.00
Rate for Payer: Aetna Commercial	$414.20
Rate for Payer: Aetna Medicare Advantage	$327.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$277.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$277.95
Rate for Payer: Cigna Commercial	$545.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$327.00
Rate for Payer: Oxford Commercial	$218.00
Rate for Payer: Qualcare PPO/HMO/WC	$163.50
Rate for Payer: UnitedHealthcare Commercial	$218.00
Rate for Payer: UnitedHealthcare Community & State	$26.27
Rate for Payer: Wellpoint Medicaid Managed Care	$28.89

DRILL ICONIX 2.3MM DISP

Facility

$1,005.70

Hospital Charge Code	270676525
Hospital Revenue Code	272
Min. Negotiated Rate	$24.24
Max. Negotiated Rate	$502.85
Rate for Payer: Aetna Commercial	$382.17
Rate for Payer: Aetna Medicare Advantage	$301.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.45
Rate for Payer: Cigna Commercial	$502.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.71
Rate for Payer: Oxford Commercial	$201.14
Rate for Payer: Qualcare PPO/HMO/WC	$150.85
Rate for Payer: UnitedHealthcare Commercial	$201.14
Rate for Payer: UnitedHealthcare Community & State	$24.24
Rate for Payer: Wellpoint Medicaid Managed Care	$26.65

DRILL ICONIX 2.3MM DISP

Facility

$1,005.70

Hospital Charge Code	270676525
Hospital Revenue Code	272
Min. Negotiated Rate	$150.85
Max. Negotiated Rate	$150.85
Rate for Payer: Qualcare PPO/HMO/WC	$150.85

DRILL ICONIX DISP 1.4MM

Facility

$1,005.70

Hospital Charge Code	270681343
Hospital Revenue Code	272
Min. Negotiated Rate	$150.85
Max. Negotiated Rate	$150.85
Rate for Payer: Qualcare PPO/HMO/WC	$150.85

DRILL ICONIX DISP 1.4MM

Facility

$1,005.70

Hospital Charge Code	270681343
Hospital Revenue Code	272
Min. Negotiated Rate	$24.24
Max. Negotiated Rate	$502.85
Rate for Payer: Aetna Commercial	$382.17
Rate for Payer: Aetna Medicare Advantage	$301.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$256.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$256.45
Rate for Payer: Cigna Commercial	$502.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$301.71
Rate for Payer: Oxford Commercial	$201.14
Rate for Payer: Qualcare PPO/HMO/WC	$150.85
Rate for Payer: UnitedHealthcare Commercial	$201.14
Rate for Payer: UnitedHealthcare Community & State	$24.24
Rate for Payer: Wellpoint Medicaid Managed Care	$26.65

DRILLING GUIDE 3.1MM

Facility

$552.00

Hospital Charge Code	270676248
Hospital Revenue Code	272
Min. Negotiated Rate	$13.30
Max. Negotiated Rate	$276.00
Rate for Payer: Aetna Commercial	$209.76
Rate for Payer: Aetna Medicare Advantage	$165.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.76
Rate for Payer: Cigna Commercial	$276.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.60
Rate for Payer: Oxford Commercial	$110.40
Rate for Payer: Qualcare PPO/HMO/WC	$82.80
Rate for Payer: UnitedHealthcare Commercial	$110.40
Rate for Payer: UnitedHealthcare Community & State	$13.30
Rate for Payer: Wellpoint Medicaid Managed Care	$14.63

DRILLING GUIDE 3.1MM

Facility

$552.00

Hospital Charge Code	270676248
Hospital Revenue Code	272
Min. Negotiated Rate	$82.80
Max. Negotiated Rate	$82.80
Rate for Payer: Qualcare PPO/HMO/WC	$82.80

DRILLING SCREW 4x12MM

Facility

$2,750.00

Hospital Charge Code	270675883
Hospital Revenue Code	278
Min. Negotiated Rate	$66.28
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$1,045.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50
Rate for Payer: UnitedHealthcare Community & State	$66.28
Rate for Payer: Wellpoint Medicaid Managed Care	$72.88

DRILLING SCREW 4x12MM

Facility

$2,750.00

Hospital Charge Code	270675883
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$605.00
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

DRILL KIT BIT 2.0MM

Facility

$1,406.60

Hospital Charge Code	270691075
Hospital Revenue Code	272
Min. Negotiated Rate	$210.99
Max. Negotiated Rate	$210.99
Rate for Payer: Qualcare PPO/HMO/WC	$210.99

DRILL KIT BIT 2.0MM

Facility

$1,406.60

Hospital Charge Code	270691075
Hospital Revenue Code	272
Min. Negotiated Rate	$33.90
Max. Negotiated Rate	$703.30
Rate for Payer: Aetna Commercial	$534.51
Rate for Payer: Aetna Medicare Advantage	$421.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.68
Rate for Payer: Cigna Commercial	$703.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$421.98
Rate for Payer: Oxford Commercial	$281.32
Rate for Payer: Qualcare PPO/HMO/WC	$210.99
Rate for Payer: UnitedHealthcare Commercial	$281.32
Rate for Payer: UnitedHealthcare Community & State	$33.90
Rate for Payer: Wellpoint Medicaid Managed Care	$37.27

DRILL KIT ELITE COMPRESS 3.0MM

Facility

$1,485.00

Hospital Charge Code	270681555
Hospital Revenue Code	278
Min. Negotiated Rate	$222.75
Max. Negotiated Rate	$359.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$222.75

DRILL KIT ELITE COMPRESS 3.0MM

Facility

$1,485.00

Hospital Charge Code	270681555
Hospital Revenue Code	278
Min. Negotiated Rate	$35.79
Max. Negotiated Rate	$742.50
Rate for Payer: Aetna Commercial	$564.30
Rate for Payer: Aetna Medicare Advantage	$445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$378.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$378.68
Rate for Payer: Cigna Commercial	$742.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$359.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$326.70
Rate for Payer: Qualcare PPO/HMO/WC	$222.75
Rate for Payer: UnitedHealthcare Community & State	$35.79
Rate for Payer: Wellpoint Medicaid Managed Care	$39.35

DRILL KIT FOR CONTINUOUS COMPR

Facility

$1,250.00

Hospital Charge Code	270659686
Hospital Revenue Code	272
Min. Negotiated Rate	$187.50
Max. Negotiated Rate	$187.50
Rate for Payer: Qualcare PPO/HMO/WC	$187.50

DRILL KIT FOR CONTINUOUS COMPR

Facility

$1,250.00

Hospital Charge Code	270659686
Hospital Revenue Code	272
Min. Negotiated Rate	$30.12
Max. Negotiated Rate	$625.00
Rate for Payer: Aetna Commercial	$475.00
Rate for Payer: Aetna Medicare Advantage	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$318.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$318.75
Rate for Payer: Cigna Commercial	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.00
Rate for Payer: Oxford Commercial	$250.00
Rate for Payer: Qualcare PPO/HMO/WC	$187.50
Rate for Payer: UnitedHealthcare Commercial	$250.00
Rate for Payer: UnitedHealthcare Community & State	$30.12
Rate for Payer: Wellpoint Medicaid Managed Care	$33.12

DRILL KMD 1.6MM SCREW J LTCH

Facility

$453.65

Hospital Charge Code	270607680
Hospital Revenue Code	272
Min. Negotiated Rate	$68.05
Max. Negotiated Rate	$68.05
Rate for Payer: Qualcare PPO/HMO/WC	$68.05

DRILL KMD 1.6MM SCREW J LTCH

Facility

$453.65

Hospital Charge Code	270607680
Hospital Revenue Code	272
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$226.82
Rate for Payer: Aetna Commercial	$172.39
Rate for Payer: Aetna Medicare Advantage	$136.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$115.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$115.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$115.68
Rate for Payer: Cigna Commercial	$226.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.09
Rate for Payer: Oxford Commercial	$90.73
Rate for Payer: Qualcare PPO/HMO/WC	$68.05
Rate for Payer: UnitedHealthcare Commercial	$90.73
Rate for Payer: UnitedHealthcare Community & State	$10.93
Rate for Payer: Wellpoint Medicaid Managed Care	$12.02

DRILL LONG

Facility

$1,070.00

Hospital Charge Code	270677456
Hospital Revenue Code	272
Min. Negotiated Rate	$160.50
Max. Negotiated Rate	$160.50
Rate for Payer: Qualcare PPO/HMO/WC	$160.50

Know your out-of-pocket cost for care.

All Charges