Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

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

BIT DRILL 10.0MM 190MM QC LRG

Facility

$2,562.05

Hospital Charge Code	270680673
Hospital Revenue Code	272
Min. Negotiated Rate	$61.75
Max. Negotiated Rate	$1,281.03
Rate for Payer: Aetna Commercial	$973.58
Rate for Payer: Aetna Medicare Advantage	$768.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$653.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$653.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$653.32
Rate for Payer: Cigna Commercial	$1,281.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.62
Rate for Payer: Oxford Commercial	$512.41
Rate for Payer: Qualcare PPO/HMO/WC	$384.31
Rate for Payer: UnitedHealthcare Commercial	$512.41
Rate for Payer: UnitedHealthcare Community & State	$61.75
Rate for Payer: Wellpoint Medicaid Managed Care	$67.89

BIT DRILL 10.0MM 190MM QC LRG

Facility

$2,562.05

Hospital Charge Code	270680673
Hospital Revenue Code	272
Min. Negotiated Rate	$384.31
Max. Negotiated Rate	$384.31
Rate for Payer: Qualcare PPO/HMO/WC	$384.31

BIT DRILL 1.0x22 60-10122

Facility

$750.00

Hospital Charge Code	270648759
Hospital Revenue Code	272
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

BIT DRILL 1.0x22 60-10122

Facility

$750.00

Hospital Charge Code	270648759
Hospital Revenue Code	272
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$375.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$150.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

BIT DRILL 11MM TRI FLAT ZEPHIR

Facility

$1,400.00

Hospital Charge Code	270654836
Hospital Revenue Code	278
Min. Negotiated Rate	$210.00
Max. Negotiated Rate	$338.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00

BIT DRILL 11MM TRI FLAT ZEPHIR

Facility

$1,400.00

Hospital Charge Code	270654836
Hospital Revenue Code	278
Min. Negotiated Rate	$33.74
Max. Negotiated Rate	$700.00
Rate for Payer: Aetna Commercial	$532.00
Rate for Payer: Aetna Medicare Advantage	$420.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$357.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$357.00
Rate for Payer: Cigna Commercial	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.00
Rate for Payer: Qualcare PPO/HMO/WC	$210.00
Rate for Payer: UnitedHealthcare Community & State	$33.74
Rate for Payer: Wellpoint Medicaid Managed Care	$37.10

BIT DRILL 1.5mm J-LATCH 125mm

Facility

$515.90

Hospital Charge Code	270635520
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRILL 1.5mm J-LATCH 125mm

Facility

$515.90

Hospital Charge Code	270635520
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 DRILL 1.5mm x110mm J-LATCH

Facility

$515.90

Hospital Charge Code	270628800
Hospital Revenue Code	272
Min. Negotiated Rate	$77.39
Max. Negotiated Rate	$77.39
Rate for Payer: Qualcare PPO/HMO/WC	$77.39

BIT DRILL 1.5mm x110mm J-LATCH

Facility

$515.90

Hospital Charge Code	270628800
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 DRILL 1.8mm W/DEPTH GAUGE

Facility

$652.45

Hospital Charge Code	207661256
Hospital Revenue Code	270
Min. Negotiated Rate	$15.72
Max. Negotiated Rate	$326.23
Rate for Payer: Aetna Commercial	$247.93
Rate for Payer: Aetna Medicare Advantage	$195.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.37
Rate for Payer: Cigna Commercial	$326.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.74
Rate for Payer: Oxford Commercial	$130.49
Rate for Payer: Qualcare PPO/HMO/WC	$97.87
Rate for Payer: UnitedHealthcare Commercial	$130.49
Rate for Payer: UnitedHealthcare Community & State	$15.72
Rate for Payer: Wellpoint Medicaid Managed Care	$17.29

BIT DRILL 1.8mm W/DEPTH GAUGE

Facility

$652.45

Hospital Charge Code	207661256
Hospital Revenue Code	270
Min. Negotiated Rate	$97.87
Max. Negotiated Rate	$97.87
Rate for Payer: Qualcare PPO/HMO/WC	$97.87

BIT DRILL 1.8x75mm J-LATCH

Facility

$825.00

Hospital Charge Code	270639687
Hospital Revenue Code	272
Min. Negotiated Rate	$19.88
Max. Negotiated Rate	$412.50
Rate for Payer: Aetna Commercial	$313.50
Rate for Payer: Aetna Medicare Advantage	$247.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.38
Rate for Payer: Cigna Commercial	$412.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.50
Rate for Payer: Oxford Commercial	$165.00
Rate for Payer: Qualcare PPO/HMO/WC	$123.75
Rate for Payer: UnitedHealthcare Commercial	$165.00
Rate for Payer: UnitedHealthcare Community & State	$19.88
Rate for Payer: Wellpoint Medicaid Managed Care	$21.86

BIT DRILL 1.8x75mm J-LATCH

Facility

$825.00

Hospital Charge Code	270639687
Hospital Revenue Code	272
Min. Negotiated Rate	$123.75
Max. Negotiated Rate	$123.75
Rate for Payer: Qualcare PPO/HMO/WC	$123.75

BIT DRILL 2.0

Facility

$990.00

Hospital Charge Code	270662555
Hospital Revenue Code	270
Min. Negotiated Rate	$23.86
Max. Negotiated Rate	$495.00
Rate for Payer: Aetna Commercial	$376.20
Rate for Payer: Aetna Medicare Advantage	$297.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.45
Rate for Payer: Cigna Commercial	$495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$297.00
Rate for Payer: Oxford Commercial	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$148.50
Rate for Payer: UnitedHealthcare Commercial	$198.00
Rate for Payer: UnitedHealthcare Community & State	$23.86
Rate for Payer: Wellpoint Medicaid Managed Care	$26.23

BIT DRILL 2.0

Facility

$990.00

Hospital Charge Code	270662555
Hospital Revenue Code	270
Min. Negotiated Rate	$148.50
Max. Negotiated Rate	$148.50
Rate for Payer: Qualcare PPO/HMO/WC	$148.50

BIT DRILL 2.0mm

Facility

$795.60

Hospital Charge Code	270648599
Hospital Revenue Code	272
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$397.80
Rate for Payer: Aetna Commercial	$302.33
Rate for Payer: Aetna Medicare Advantage	$238.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.88
Rate for Payer: Cigna Commercial	$397.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$238.68
Rate for Payer: Oxford Commercial	$159.12
Rate for Payer: Qualcare PPO/HMO/WC	$119.34
Rate for Payer: UnitedHealthcare Commercial	$159.12
Rate for Payer: UnitedHealthcare Community & State	$19.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.08

BIT DRILL 2.0mm

Facility

$795.60

Hospital Charge Code	270648599
Hospital Revenue Code	272
Min. Negotiated Rate	$119.34
Max. Negotiated Rate	$119.34
Rate for Payer: Qualcare PPO/HMO/WC	$119.34

BIT DRILL 2.0MM

Facility

$875.00

Hospital Charge Code	270648826
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

BIT DRILL 2.0MM

Facility

$875.00

Hospital Charge Code	270648826
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

BIT DRILL 2.0mm 60-20385

Facility

$635.00

Hospital Charge Code	270643444
Hospital Revenue Code	272
Min. Negotiated Rate	$15.30
Max. Negotiated Rate	$317.50
Rate for Payer: Aetna Commercial	$241.30
Rate for Payer: Aetna Medicare Advantage	$190.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$161.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$161.93
Rate for Payer: Cigna Commercial	$317.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$190.50
Rate for Payer: Oxford Commercial	$127.00
Rate for Payer: Qualcare PPO/HMO/WC	$95.25
Rate for Payer: UnitedHealthcare Commercial	$127.00
Rate for Payer: UnitedHealthcare Community & State	$15.30
Rate for Payer: Wellpoint Medicaid Managed Care	$16.83

BIT DRILL 2.0mm 60-20385

Facility

$635.00

Hospital Charge Code	270643444
Hospital Revenue Code	272
Min. Negotiated Rate	$95.25
Max. Negotiated Rate	$95.25
Rate for Payer: Qualcare PPO/HMO/WC	$95.25

BIT DRILL 2.0MM CALIBRATED

Facility

$625.00

Hospital Charge Code	270646199
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

BIT DRILL 2.0MM CALIBRATED

Facility

$625.00

Hospital Charge Code	270646199
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

Know your out-of-pocket cost for care.

All Charges