Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DRILL SMN TWIST 3.5 110244

Facility

$928.00

Hospital Charge Code	270621510
Hospital Revenue Code	272
Min. Negotiated Rate	$22.36
Max. Negotiated Rate	$464.00
Rate for Payer: Aetna Commercial	$352.64
Rate for Payer: Aetna Medicare Advantage	$278.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$236.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$236.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$236.64
Rate for Payer: Cigna Commercial	$464.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.40
Rate for Payer: Oxford Commercial	$185.60
Rate for Payer: Qualcare PPO/HMO/WC	$139.20
Rate for Payer: UnitedHealthcare Commercial	$185.60
Rate for Payer: UnitedHealthcare Community & State	$22.36
Rate for Payer: Wellpoint Medicaid Managed Care	$24.59

DRILL SMN TWIST 3.5 110244

Facility

$928.00

Hospital Charge Code	270621510
Hospital Revenue Code	272
Min. Negotiated Rate	$139.20
Max. Negotiated Rate	$139.20
Rate for Payer: Qualcare PPO/HMO/WC	$139.20

DRILL SNR RT 4.0MM 112049

Facility

$732.00

Hospital Charge Code	270613590
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$366.00
Rate for Payer: Aetna Commercial	$278.16
Rate for Payer: Aetna Medicare Advantage	$219.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.66
Rate for Payer: Cigna Commercial	$366.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.60
Rate for Payer: Oxford Commercial	$146.40
Rate for Payer: Qualcare PPO/HMO/WC	$109.80
Rate for Payer: UnitedHealthcare Commercial	$146.40
Rate for Payer: UnitedHealthcare Community & State	$17.64
Rate for Payer: Wellpoint Medicaid Managed Care	$19.40

DRILL SNR RT 4.0MM 112049

Facility

$732.00

Hospital Charge Code	270613590
Hospital Revenue Code	272
Min. Negotiated Rate	$109.80
Max. Negotiated Rate	$109.80
Rate for Payer: Qualcare PPO/HMO/WC	$109.80

DRILL SOLID SIDE CUT 2.5x40MM

Facility

$493.00

Hospital Charge Code	270661786
Hospital Revenue Code	272
Min. Negotiated Rate	$11.88
Max. Negotiated Rate	$246.50
Rate for Payer: Aetna Commercial	$187.34
Rate for Payer: Aetna Medicare Advantage	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.72
Rate for Payer: Cigna Commercial	$246.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.90
Rate for Payer: Oxford Commercial	$98.60
Rate for Payer: Qualcare PPO/HMO/WC	$73.95
Rate for Payer: UnitedHealthcare Commercial	$98.60
Rate for Payer: UnitedHealthcare Community & State	$11.88
Rate for Payer: Wellpoint Medicaid Managed Care	$13.06

DRILL SOLID SIDE CUT 2.5x40MM

Facility

$493.00

Hospital Charge Code	270661786
Hospital Revenue Code	272
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$73.95
Rate for Payer: Qualcare PPO/HMO/WC	$73.95

DRILL SOLID SIDE CUT 2x40MM

Facility

$493.00

Hospital Charge Code	270661785
Hospital Revenue Code	272
Min. Negotiated Rate	$73.95
Max. Negotiated Rate	$73.95
Rate for Payer: Qualcare PPO/HMO/WC	$73.95

DRILL SOLID SIDE CUT 2x40MM

Facility

$493.00

Hospital Charge Code	270661785
Hospital Revenue Code	272
Min. Negotiated Rate	$11.88
Max. Negotiated Rate	$246.50
Rate for Payer: Aetna Commercial	$187.34
Rate for Payer: Aetna Medicare Advantage	$147.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.72
Rate for Payer: Cigna Commercial	$246.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.90
Rate for Payer: Oxford Commercial	$98.60
Rate for Payer: Qualcare PPO/HMO/WC	$73.95
Rate for Payer: UnitedHealthcare Commercial	$98.60
Rate for Payer: UnitedHealthcare Community & State	$11.88
Rate for Payer: Wellpoint Medicaid Managed Care	$13.06

DRILL SPEEDGUIDE 2X30MM

Facility

$1,585.70

Hospital Charge Code	270700523
Hospital Revenue Code	272
Min. Negotiated Rate	$38.22
Max. Negotiated Rate	$792.85
Rate for Payer: Aetna Commercial	$602.57
Rate for Payer: Aetna Medicare Advantage	$475.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$404.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$404.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$404.35
Rate for Payer: Cigna Commercial	$792.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$475.71
Rate for Payer: Oxford Commercial	$317.14
Rate for Payer: Qualcare PPO/HMO/WC	$237.85
Rate for Payer: UnitedHealthcare Commercial	$317.14
Rate for Payer: UnitedHealthcare Community & State	$38.22
Rate for Payer: Wellpoint Medicaid Managed Care	$42.02

DRILL SPEEDGUIDE 2X30MM

Facility

$1,585.70

Hospital Charge Code	270700523
Hospital Revenue Code	272
Min. Negotiated Rate	$237.85
Max. Negotiated Rate	$237.85
Rate for Payer: Qualcare PPO/HMO/WC	$237.85

DRILL STANDARD 2.0MM

Facility

$1,080.00

Hospital Charge Code	270661357
Hospital Revenue Code	272
Min. Negotiated Rate	$162.00
Max. Negotiated Rate	$162.00
Rate for Payer: Qualcare PPO/HMO/WC	$162.00

DRILL STANDARD 2.0MM

Facility

$1,080.00

Hospital Charge Code	270661357
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 STAPEG STAINLESS STEEL

Facility

$790.00

Hospital Charge Code	270666786
Hospital Revenue Code	272
Min. Negotiated Rate	$19.04
Max. Negotiated Rate	$395.00
Rate for Payer: Aetna Commercial	$300.20
Rate for Payer: Aetna Medicare Advantage	$237.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.45
Rate for Payer: Cigna Commercial	$395.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.00
Rate for Payer: Oxford Commercial	$158.00
Rate for Payer: Qualcare PPO/HMO/WC	$118.50
Rate for Payer: UnitedHealthcare Commercial	$158.00
Rate for Payer: UnitedHealthcare Community & State	$19.04
Rate for Payer: Wellpoint Medicaid Managed Care	$20.93

DRILL STAPEG STAINLESS STEEL

Facility

$790.00

Hospital Charge Code	270666786
Hospital Revenue Code	272
Min. Negotiated Rate	$118.50
Max. Negotiated Rate	$118.50
Rate for Payer: Qualcare PPO/HMO/WC	$118.50

DRILL STEP 6.0/5.0MM

Facility

$2,190.00

Hospital Charge Code	270674308
Hospital Revenue Code	272
Min. Negotiated Rate	$52.78
Max. Negotiated Rate	$1,095.00
Rate for Payer: Aetna Commercial	$832.20
Rate for Payer: Aetna Medicare Advantage	$657.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$558.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$558.45
Rate for Payer: Cigna Commercial	$1,095.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$657.00
Rate for Payer: Oxford Commercial	$438.00
Rate for Payer: Qualcare PPO/HMO/WC	$328.50
Rate for Payer: UnitedHealthcare Commercial	$438.00
Rate for Payer: UnitedHealthcare Community & State	$52.78
Rate for Payer: Wellpoint Medicaid Managed Care	$58.03

DRILL STEP 6.0/5.0MM

Facility

$2,190.00

Hospital Charge Code	270674308
Hospital Revenue Code	272
Min. Negotiated Rate	$328.50
Max. Negotiated Rate	$328.50
Rate for Payer: Qualcare PPO/HMO/WC	$328.50

DRILL STOP 12mm

Facility

$10.60

Hospital Charge Code	270657657
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

DRILL STOP 12mm

Facility

$10.60

Hospital Charge Code	270657657
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.30
Rate for Payer: Aetna Commercial	$4.03
Rate for Payer: Aetna Medicare Advantage	$3.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.70
Rate for Payer: Cigna Commercial	$5.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.18
Rate for Payer: Oxford Commercial	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
Rate for Payer: UnitedHealthcare Commercial	$2.12
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

DRILL STOP 2.3 x 10mm 20190072

Facility

$1,608.00

Hospital Charge Code	270648861
Hospital Revenue Code	272
Min. Negotiated Rate	$241.20
Max. Negotiated Rate	$241.20
Rate for Payer: Qualcare PPO/HMO/WC	$241.20

DRILL STOP 2.3 x 10mm 20190072

Facility

$1,608.00

Hospital Charge Code	270648861
Hospital Revenue Code	272
Min. Negotiated Rate	$38.75
Max. Negotiated Rate	$804.00
Rate for Payer: Aetna Commercial	$611.04
Rate for Payer: Aetna Medicare Advantage	$482.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$410.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$410.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$410.04
Rate for Payer: Cigna Commercial	$804.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$482.40
Rate for Payer: Oxford Commercial	$321.60
Rate for Payer: Qualcare PPO/HMO/WC	$241.20
Rate for Payer: UnitedHealthcare Commercial	$321.60
Rate for Payer: UnitedHealthcare Community & State	$38.75
Rate for Payer: Wellpoint Medicaid Managed Care	$42.61

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692246
Hospital Revenue Code	272
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692342
Hospital Revenue Code	272
Min. Negotiated Rate	$21.21
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$334.40
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.00
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$176.00
Rate for Payer: UnitedHealthcare Community & State	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$23.32

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692246
Hospital Revenue Code	272
Min. Negotiated Rate	$21.21
Max. Negotiated Rate	$440.00
Rate for Payer: Aetna Commercial	$334.40
Rate for Payer: Aetna Medicare Advantage	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$224.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$224.40
Rate for Payer: Cigna Commercial	$440.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$264.00
Rate for Payer: Oxford Commercial	$176.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00
Rate for Payer: UnitedHealthcare Commercial	$176.00
Rate for Payer: UnitedHealthcare Community & State	$21.21
Rate for Payer: Wellpoint Medicaid Managed Care	$23.32

DRILL STRATUM 2.0MM

Facility

$880.00

Hospital Charge Code	270692342
Hospital Revenue Code	272
Min. Negotiated Rate	$132.00
Max. Negotiated Rate	$132.00
Rate for Payer: Qualcare PPO/HMO/WC	$132.00

DRILL SUBCHONDRAL 1.5mm

Facility

$190.00

Hospital Charge Code	270621558
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

Know your out-of-pocket cost for care.

All Charges