Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL QC GOLD 2.5x111MM STER

Facility

$531.55

Hospital Charge Code	270669681
Hospital Revenue Code	272
Min. Negotiated Rate	$12.81
Max. Negotiated Rate	$265.77
Rate for Payer: Aetna Commercial	$201.99
Rate for Payer: Aetna Medicare Advantage	$159.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$135.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$135.55
Rate for Payer: Cigna Commercial	$265.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$159.47
Rate for Payer: Oxford Commercial	$106.31
Rate for Payer: Qualcare PPO/HMO/WC	$79.73
Rate for Payer: UnitedHealthcare Commercial	$106.31
Rate for Payer: UnitedHealthcare Community & State	$12.81
Rate for Payer: Wellpoint Medicaid Managed Care	$14.09

DRILL QC TWIST 3.5X196MM STERI

Facility

$537.00

Hospital Charge Code	270669682
Hospital Revenue Code	272
Min. Negotiated Rate	$80.55
Max. Negotiated Rate	$80.55
Rate for Payer: Qualcare PPO/HMO/WC	$80.55

DRILL QC TWIST 3.5X196MM STERI

Facility

$537.00

Hospital Charge Code	270669682
Hospital Revenue Code	272
Min. Negotiated Rate	$12.94
Max. Negotiated Rate	$268.50
Rate for Payer: Aetna Commercial	$204.06
Rate for Payer: Aetna Medicare Advantage	$161.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.94
Rate for Payer: Cigna Commercial	$268.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$161.10
Rate for Payer: Oxford Commercial	$107.40
Rate for Payer: Qualcare PPO/HMO/WC	$80.55
Rate for Payer: UnitedHealthcare Commercial	$107.40
Rate for Payer: UnitedHealthcare Community & State	$12.94
Rate for Payer: Wellpoint Medicaid Managed Care	$14.23

DRILL QUIK CNNT 3.2LG 2410-033

Facility

$238.45

Hospital Charge Code	270610452
Hospital Revenue Code	272
Min. Negotiated Rate	$5.75
Max. Negotiated Rate	$119.22
Rate for Payer: Aetna Commercial	$90.61
Rate for Payer: Aetna Medicare Advantage	$71.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.80
Rate for Payer: Cigna Commercial	$119.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.53
Rate for Payer: Oxford Commercial	$47.69
Rate for Payer: Qualcare PPO/HMO/WC	$35.77
Rate for Payer: UnitedHealthcare Commercial	$47.69
Rate for Payer: UnitedHealthcare Community & State	$5.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.32

DRILL QUIK CNNT 3.2LG 2410-033

Facility

$238.45

Hospital Charge Code	270610452
Hospital Revenue Code	272
Min. Negotiated Rate	$35.77
Max. Negotiated Rate	$35.77
Rate for Payer: Qualcare PPO/HMO/WC	$35.77

DRILL REAMER 2.9MM/5.0MM

Facility

$2,022.00

Hospital Charge Code	270662839
Hospital Revenue Code	272
Min. Negotiated Rate	$48.73
Max. Negotiated Rate	$1,011.00
Rate for Payer: Aetna Commercial	$768.36
Rate for Payer: Aetna Medicare Advantage	$606.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$515.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$515.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$515.61
Rate for Payer: Cigna Commercial	$1,011.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$606.60
Rate for Payer: Oxford Commercial	$404.40
Rate for Payer: Qualcare PPO/HMO/WC	$303.30
Rate for Payer: UnitedHealthcare Commercial	$404.40
Rate for Payer: UnitedHealthcare Community & State	$48.73
Rate for Payer: Wellpoint Medicaid Managed Care	$53.58

DRILL REAMER 2.9MM/5.0MM

Facility

$2,022.00

Hospital Charge Code	270662839
Hospital Revenue Code	272
Min. Negotiated Rate	$303.30
Max. Negotiated Rate	$303.30
Rate for Payer: Qualcare PPO/HMO/WC	$303.30

DRILL RETRO GUIDE ASSEMBLY

Facility

$1,040.00

Hospital Charge Code	270661065
Hospital Revenue Code	270
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$156.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00

DRILL RETRO GUIDE ASSEMBLY

Facility

$1,040.00

Hospital Charge Code	270661065
Hospital Revenue Code	270
Min. Negotiated Rate	$25.06
Max. Negotiated Rate	$520.00
Rate for Payer: Aetna Commercial	$395.20
Rate for Payer: Aetna Medicare Advantage	$312.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$265.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$265.20
Rate for Payer: Cigna Commercial	$520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$312.00
Rate for Payer: Oxford Commercial	$208.00
Rate for Payer: Qualcare PPO/HMO/WC	$156.00
Rate for Payer: UnitedHealthcare Commercial	$208.00
Rate for Payer: UnitedHealthcare Community & State	$25.06
Rate for Payer: Wellpoint Medicaid Managed Care	$27.56

DRILL SHAVE 2.9MM

Facility

$500.00

Hospital Charge Code	270703391
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

DRILL SHAVE 2.9MM

Facility

$500.00

Hospital Charge Code	270703391
Hospital Revenue Code	278
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) NJ Health	$100.00
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	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

DRILL SHORT 4.0mm 71631117

Facility

$312.50

Hospital Charge Code	270633367
Hospital Revenue Code	272
Min. Negotiated Rate	$46.88
Max. Negotiated Rate	$46.88
Rate for Payer: Qualcare PPO/HMO/WC	$46.88

DRILL SHORT 4.0mm 71631117

Facility

$312.50

Hospital Charge Code	270633367
Hospital Revenue Code	272
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$156.25
Rate for Payer: Aetna Commercial	$118.75
Rate for Payer: Aetna Medicare Advantage	$93.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.69
Rate for Payer: Cigna Commercial	$156.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.75
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.88
Rate for Payer: UnitedHealthcare Commercial	$62.50
Rate for Payer: UnitedHealthcare Community & State	$7.53
Rate for Payer: Wellpoint Medicaid Managed Care	$8.28

DRILL SHORT 4.3

Facility

$1,052.60

Hospital Charge Code	270673790
Hospital Revenue Code	272
Min. Negotiated Rate	$25.37
Max. Negotiated Rate	$526.30
Rate for Payer: Aetna Commercial	$399.99
Rate for Payer: Aetna Medicare Advantage	$315.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$268.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$268.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$268.41
Rate for Payer: Cigna Commercial	$526.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.78
Rate for Payer: Oxford Commercial	$210.52
Rate for Payer: Qualcare PPO/HMO/WC	$157.89
Rate for Payer: UnitedHealthcare Commercial	$210.52
Rate for Payer: UnitedHealthcare Community & State	$25.37
Rate for Payer: Wellpoint Medicaid Managed Care	$27.89

DRILL SHORT 4.3

Facility

$1,052.60

Hospital Charge Code	270673790
Hospital Revenue Code	272
Min. Negotiated Rate	$157.89
Max. Negotiated Rate	$157.89
Rate for Payer: Qualcare PPO/HMO/WC	$157.89

DRILL SHORT MEASURING 4.3MM

Facility

$1,600.00

Hospital Charge Code	270694082
Hospital Revenue Code	272
Min. Negotiated Rate	$240.00
Max. Negotiated Rate	$240.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00

DRILL SHORT MEASURING 4.3MM

Facility

$1,600.00

Hospital Charge Code	270694082
Hospital Revenue Code	272
Min. Negotiated Rate	$38.56
Max. Negotiated Rate	$800.00
Rate for Payer: Aetna Commercial	$608.00
Rate for Payer: Aetna Medicare Advantage	$480.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.00
Rate for Payer: Cigna Commercial	$800.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$480.00
Rate for Payer: Oxford Commercial	$320.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.00
Rate for Payer: UnitedHealthcare Commercial	$320.00
Rate for Payer: UnitedHealthcare Community & State	$38.56
Rate for Payer: Wellpoint Medicaid Managed Care	$42.40

DRILL SKULL FOR IMPLANTATION

Facility

$2,647.00

Service Code	HCPCS 61107
Hospital Charge Code	1600000644
Hospital Revenue Code	360
Min. Negotiated Rate	$397.05
Max. Negotiated Rate	$397.05
Rate for Payer: Qualcare PPO/HMO/WC	$397.05

DRILL SKULL FOR IMPLANTATION

Facility

$2,647.00

Service Code	HCPCS 61107
Hospital Charge Code	1600000644
Hospital Revenue Code	360
Min. Negotiated Rate	$63.79
Max. Negotiated Rate	$10,232.00
Rate for Payer: Aetna Commercial	$1,005.86
Rate for Payer: Aetna Medicare Advantage	$794.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$674.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$674.99
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	$674.99
Rate for Payer: Cigna Commercial	$1,323.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.10
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$397.05
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$63.79
Rate for Payer: Wellpoint Medicaid Managed Care	$70.15

DRILL SLEEVE DBL 2.7/1.25MM

Facility

$1,713.00

Hospital Charge Code	270676251
Hospital Revenue Code	272
Min. Negotiated Rate	$256.95
Max. Negotiated Rate	$256.95
Rate for Payer: Qualcare PPO/HMO/WC	$256.95

DRILL SLEEVE DBL 2.7/1.25MM

Facility

$1,713.00

Hospital Charge Code	270676251
Hospital Revenue Code	272
Min. Negotiated Rate	$41.28
Max. Negotiated Rate	$856.50
Rate for Payer: Aetna Commercial	$650.94
Rate for Payer: Aetna Medicare Advantage	$513.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$436.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$436.81
Rate for Payer: Cigna Commercial	$856.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$513.90
Rate for Payer: Oxford Commercial	$342.60
Rate for Payer: Qualcare PPO/HMO/WC	$256.95
Rate for Payer: UnitedHealthcare Commercial	$342.60
Rate for Payer: UnitedHealthcare Community & State	$41.28
Rate for Payer: Wellpoint Medicaid Managed Care	$45.39

DRILL SLEEVE DOUBLE 4.5/3.2MM

Facility

$1,395.00

Hospital Charge Code	270671822
Hospital Revenue Code	272
Min. Negotiated Rate	$209.25
Max. Negotiated Rate	$209.25
Rate for Payer: Qualcare PPO/HMO/WC	$209.25

DRILL SLEEVE DOUBLE 4.5/3.2MM

Facility

$1,395.00

Hospital Charge Code	270671822
Hospital Revenue Code	272
Min. Negotiated Rate	$33.62
Max. Negotiated Rate	$697.50
Rate for Payer: Aetna Commercial	$530.10
Rate for Payer: Aetna Medicare Advantage	$418.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$355.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$355.73
Rate for Payer: Cigna Commercial	$697.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.50
Rate for Payer: Oxford Commercial	$279.00
Rate for Payer: Qualcare PPO/HMO/WC	$209.25
Rate for Payer: UnitedHealthcare Commercial	$279.00
Rate for Payer: UnitedHealthcare Community & State	$33.62
Rate for Payer: Wellpoint Medicaid Managed Care	$36.97

DRILL SLEEVE SHORT 6.0/5.0MM

Facility

$565.45

Hospital Charge Code	270641668
Hospital Revenue Code	272
Min. Negotiated Rate	$13.63
Max. Negotiated Rate	$282.73
Rate for Payer: Aetna Commercial	$214.87
Rate for Payer: Aetna Medicare Advantage	$169.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.19
Rate for Payer: Cigna Commercial	$282.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.63
Rate for Payer: Oxford Commercial	$113.09
Rate for Payer: Qualcare PPO/HMO/WC	$84.82
Rate for Payer: UnitedHealthcare Commercial	$113.09
Rate for Payer: UnitedHealthcare Community & State	$13.63
Rate for Payer: Wellpoint Medicaid Managed Care	$14.98

DRILL SLEEVE SHORT 6.0/5.0MM

Facility

$565.45

Hospital Charge Code	270641668
Hospital Revenue Code	272
Min. Negotiated Rate	$84.82
Max. Negotiated Rate	$84.82
Rate for Payer: Qualcare PPO/HMO/WC	$84.82

Know your out-of-pocket cost for care.

All Charges