Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT BMT DR SNAP 4.3 471878

Facility

$752.00

Hospital Charge Code	270614895
Hospital Revenue Code	272
Min. Negotiated Rate	$112.80
Max. Negotiated Rate	$112.80
Rate for Payer: Qualcare PPO/HMO/WC	$112.80

BIT BMT DR SNAP 4.3 471878

Facility

$752.00

Hospital Charge Code	270614895
Hospital Revenue Code	272
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$376.00
Rate for Payer: Aetna Commercial	$285.76
Rate for Payer: Aetna Medicare Advantage	$225.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.76
Rate for Payer: Cigna Commercial	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.60
Rate for Payer: Oxford Commercial	$150.40
Rate for Payer: Qualcare PPO/HMO/WC	$112.80
Rate for Payer: UnitedHealthcare Commercial	$150.40
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.93

BIT BX DRL 2.0 DR20272

Facility

$192.85

Hospital Charge Code	270620187
Hospital Revenue Code	272
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$28.93
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

BIT BX DRL 2.0 DR20272

Facility

$192.85

Hospital Charge Code	270620187
Hospital Revenue Code	272
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.85
Rate for Payer: Oxford Commercial	$38.57
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Commercial	$38.57
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

BIT CRANIAL PERFORATOR DISP LG

Facility

$948.75

Hospital Charge Code	270676207
Hospital Revenue Code	272
Min. Negotiated Rate	$142.31
Max. Negotiated Rate	$142.31
Rate for Payer: Qualcare PPO/HMO/WC	$142.31

BIT CRANIAL PERFORATOR DISP LG

Facility

$948.75

Hospital Charge Code	270676207
Hospital Revenue Code	272
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$474.38
Rate for Payer: Aetna Commercial	$360.52
Rate for Payer: Aetna Medicare Advantage	$284.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.93
Rate for Payer: Cigna Commercial	$474.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.62
Rate for Payer: Oxford Commercial	$189.75
Rate for Payer: Qualcare PPO/HMO/WC	$142.31
Rate for Payer: UnitedHealthcare Commercial	$189.75
Rate for Payer: UnitedHealthcare Community & State	$22.86
Rate for Payer: Wellpoint Medicaid Managed Care	$25.14

BIT DPY DR 5MM PIN FF10503

Facility

$1,127.25

Hospital Charge Code	270612440
Hospital Revenue Code	272
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.18
Rate for Payer: Oxford Commercial	$225.45
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Commercial	$225.45
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

BIT DPY DR 5MM PIN FF10503

Facility

$1,127.25

Hospital Charge Code	270612440
Hospital Revenue Code	272
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$169.09
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

BIT DPY DRILL 1355070

Facility

$368.00

Hospital Charge Code	270622989
Hospital Revenue Code	272
Min. Negotiated Rate	$55.20
Max. Negotiated Rate	$55.20
Rate for Payer: Qualcare PPO/HMO/WC	$55.20

BIT DPY DRILL 1355070

Facility

$368.00

Hospital Charge Code	270622989
Hospital Revenue Code	272
Min. Negotiated Rate	$8.87
Max. Negotiated Rate	$184.00
Rate for Payer: Aetna Commercial	$139.84
Rate for Payer: Aetna Medicare Advantage	$110.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93.84
Rate for Payer: Cigna Commercial	$184.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.40
Rate for Payer: Oxford Commercial	$73.60
Rate for Payer: Qualcare PPO/HMO/WC	$55.20
Rate for Payer: UnitedHealthcare Commercial	$73.60
Rate for Payer: UnitedHealthcare Community & State	$8.87
Rate for Payer: Wellpoint Medicaid Managed Care	$9.75

BIT DPY DRILL 3.8 5242-72-000

Facility

$304.85

Hospital Charge Code	270622954
Hospital Revenue Code	272
Min. Negotiated Rate	$7.35
Max. Negotiated Rate	$152.43
Rate for Payer: Aetna Commercial	$115.84
Rate for Payer: Aetna Medicare Advantage	$91.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.74
Rate for Payer: Cigna Commercial	$152.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.45
Rate for Payer: Oxford Commercial	$60.97
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$60.97
Rate for Payer: UnitedHealthcare Community & State	$7.35
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

BIT DPY DRILL 3.8 5242-72-000

Facility

$304.85

Hospital Charge Code	270622954
Hospital Revenue Code	272
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

BIT DPY DRILL 4.8 8242-73-000

Facility

$326.45

Hospital Charge Code	270622955
Hospital Revenue Code	272
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$163.22
Rate for Payer: Aetna Commercial	$124.05
Rate for Payer: Aetna Medicare Advantage	$97.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.24
Rate for Payer: Cigna Commercial	$163.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.94
Rate for Payer: Oxford Commercial	$65.29
Rate for Payer: Qualcare PPO/HMO/WC	$48.97
Rate for Payer: UnitedHealthcare Commercial	$65.29
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8.65

BIT DPY DRILL 4.8 8242-73-000

Facility

$326.45

Hospital Charge Code	270622955
Hospital Revenue Code	272
Min. Negotiated Rate	$48.97
Max. Negotiated Rate	$48.97
Rate for Payer: Qualcare PPO/HMO/WC	$48.97

BIT DR 1.1MM

Facility

$62.50

Hospital Charge Code	270603560
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

BIT DR 1.1MM

Facility

$62.50

Hospital Charge Code	270603560
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BIT DR 1.5MM

Facility

$62.50

Hospital Charge Code	270603561
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

BIT DR 1.5MM

Facility

$62.50

Hospital Charge Code	270603561
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BIT DR 2.0MM

Facility

$62.50

Hospital Charge Code	270603563
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

BIT DR 2.0MM

Facility

$62.50

Hospital Charge Code	270603563
Hospital Revenue Code	272
Min. Negotiated Rate	$9.38
Max. Negotiated Rate	$9.38
Rate for Payer: Qualcare PPO/HMO/WC	$9.38

BIT DR 2.0MM LONG

Facility

$69.00

Hospital Charge Code	270603565
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$26.22
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Oxford Commercial	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$13.80
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

BIT DR 2.0MM LONG

Facility

$69.00

Hospital Charge Code	270603565
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

BIT DR 2.7 LONG

Facility

$69.00

Hospital Charge Code	270603568
Hospital Revenue Code	272
Min. Negotiated Rate	$10.35
Max. Negotiated Rate	$10.35
Rate for Payer: Qualcare PPO/HMO/WC	$10.35

BIT DR 2.7 LONG

Facility

$69.00

Hospital Charge Code	270603568
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$34.50
Rate for Payer: Aetna Commercial	$26.22
Rate for Payer: Aetna Medicare Advantage	$20.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.59
Rate for Payer: Cigna Commercial	$34.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.70
Rate for Payer: Oxford Commercial	$13.80
Rate for Payer: Qualcare PPO/HMO/WC	$10.35
Rate for Payer: UnitedHealthcare Commercial	$13.80
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.83

BIT DR 2.7MM

Facility

$62.50

Hospital Charge Code	270603569
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.25
Rate for Payer: Aetna Commercial	$23.75
Rate for Payer: Aetna Medicare Advantage	$18.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.94
Rate for Payer: Cigna Commercial	$31.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.75
Rate for Payer: Oxford Commercial	$12.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.38
Rate for Payer: UnitedHealthcare Commercial	$12.50
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

Know your out-of-pocket cost for care.

All Charges