Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT DR FLUTED 2.7mm XLG

Facility

$121.00

Hospital Charge Code	270604470
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 2.7mm XLG

Facility

$121.00

Hospital Charge Code	270604470
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

BIT DR FLUTED 3.2mm 604150

Facility

$81.00

Hospital Charge Code	270604150
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

BIT DR FLUTED 3.2mm 604150

Facility

$81.00

Hospital Charge Code	270604150
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.2mm 604471***

Facility

$81.00

Hospital Charge Code	270604471
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.2mm 604471***

Facility

$81.00

Hospital Charge Code	270604471
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

BIT DR FLUTED 3.2mm L 604151

Facility

$81.00

Hospital Charge Code	270604151
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.2mm L 604151

Facility

$81.00

Hospital Charge Code	270604151
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

BIT DR FLUTED 3.2mm XLG

Facility

$121.00

Hospital Charge Code	270604472
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

BIT DR FLUTED 3.2mm XLG

Facility

$121.00

Hospital Charge Code	270604472
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm 604152

Facility

$121.00

Hospital Charge Code	270604152
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm 604152

Facility

$121.00

Hospital Charge Code	270604152
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

BIT DR FLUTED 3.5mm 604473***

Facility

$81.00

Hospital Charge Code	270604473
Hospital Revenue Code	279
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

BIT DR FLUTED 3.5mm 604473***

Facility

$81.00

Hospital Charge Code	270604473
Hospital Revenue Code	279
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

BIT DR FLUTED 3.5mm L 604153

Facility

$121.00

Hospital Charge Code	270604153
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

BIT DR FLUTED 3.5mm L 604153

Facility

$121.00

Hospital Charge Code	270604153
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DR FLUTED 3.5mm XLG****

Facility

$121.00

Hospital Charge Code	270604474
Hospital Revenue Code	279
Min. Negotiated Rate	$2.92
Max. Negotiated Rate	$60.50
Rate for Payer: Aetna Commercial	$45.98
Rate for Payer: Aetna Medicare Advantage	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.86
Rate for Payer: Cigna Commercial	$60.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Oxford Commercial	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$18.15
Rate for Payer: UnitedHealthcare Commercial	$24.20
Rate for Payer: UnitedHealthcare Community & State	$2.92
Rate for Payer: Wellpoint Medicaid Managed Care	$3.21

BIT DR FLUTED 3.5mm XLG****

Facility

$121.00

Hospital Charge Code	270604474
Hospital Revenue Code	279
Min. Negotiated Rate	$18.15
Max. Negotiated Rate	$18.15
Rate for Payer: Qualcare PPO/HMO/WC	$18.15

BIT DRIL 2.0mx110m JLAT317.855

Facility

$515.90

Hospital Charge Code	270635599
Hospital Revenue Code	272
Min. Negotiated Rate	$12.43
Max. Negotiated Rate	$257.95
Rate for Payer: Aetna Commercial	$196.04
Rate for Payer: Aetna Medicare Advantage	$154.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$131.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$131.55
Rate for Payer: Cigna Commercial	$257.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$154.77
Rate for Payer: Oxford Commercial	$103.18
Rate for Payer: Qualcare PPO/HMO/WC	$77.39
Rate for Payer: UnitedHealthcare Commercial	$103.18
Rate for Payer: UnitedHealthcare Community & State	$12.43
Rate for Payer: Wellpoint Medicaid Managed Care	$13.67

BIT DRIL 2.0mx110m JLAT317.855

Facility

$515.90

Hospital Charge Code	270635599
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRIL 2.5mX230m LONG 700355

Facility

$965.00

Hospital Charge Code	270640121
Hospital Revenue Code	272
Min. Negotiated Rate	$144.75
Max. Negotiated Rate	$144.75
Rate for Payer: Qualcare PPO/HMO/WC	$144.75

BIT DRIL 2.5mX230m LONG 700355

Facility

$965.00

Hospital Charge Code	270640121
Hospital Revenue Code	272
Min. Negotiated Rate	$23.26
Max. Negotiated Rate	$482.50
Rate for Payer: Aetna Commercial	$366.70
Rate for Payer: Aetna Medicare Advantage	$289.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.07
Rate for Payer: Cigna Commercial	$482.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.50
Rate for Payer: Oxford Commercial	$193.00
Rate for Payer: Qualcare PPO/HMO/WC	$144.75
Rate for Payer: UnitedHealthcare Commercial	$193.00
Rate for Payer: UnitedHealthcare Community & State	$23.26
Rate for Payer: Wellpoint Medicaid Managed Care	$25.57

BIT DRILL

Facility

$260.00

Hospital Charge Code	270656827
Hospital Revenue Code	270
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

BIT DRILL

Facility

$260.00

Hospital Charge Code	270656827
Hospital Revenue Code	270
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$52.00
Rate for Payer: UnitedHealthcare Community & State	$6.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.89

BIT DRILL 10.0mm 190mm QC

Facility

$2,694.50

Hospital Charge Code	270650161
Hospital Revenue Code	272
Min. Negotiated Rate	$64.94
Max. Negotiated Rate	$1,347.25
Rate for Payer: Aetna Commercial	$1,023.91
Rate for Payer: Aetna Medicare Advantage	$808.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$687.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$687.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$687.10
Rate for Payer: Cigna Commercial	$1,347.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$808.35
Rate for Payer: Oxford Commercial	$538.90
Rate for Payer: Qualcare PPO/HMO/WC	$404.18
Rate for Payer: UnitedHealthcare Commercial	$538.90
Rate for Payer: UnitedHealthcare Community & State	$64.94
Rate for Payer: Wellpoint Medicaid Managed Care	$71.40

Know your out-of-pocket cost for care.

All Charges