Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT DRILL 3.2X145 31031****

Facility

$331.70

Hospital Charge Code	270636029
Hospital Revenue Code	272
Min. Negotiated Rate	$49.76
Max. Negotiated Rate	$49.76
Rate for Payer: Qualcare PPO/HMO/WC	$49.76

BIT DRILL 3.2X145 31031****

Facility

$331.70

Hospital Charge Code	270636029
Hospital Revenue Code	272
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$165.85
Rate for Payer: Aetna Commercial	$126.05
Rate for Payer: Aetna Medicare Advantage	$99.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.58
Rate for Payer: Cigna Commercial	$165.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$99.51
Rate for Payer: Oxford Commercial	$66.34
Rate for Payer: Qualcare PPO/HMO/WC	$49.76
Rate for Payer: UnitedHealthcare Commercial	$66.34
Rate for Payer: UnitedHealthcare Community & State	$7.99
Rate for Payer: Wellpoint Medicaid Managed Care	$8.79

BIT DRILL 3.5 700349

Facility

$950.00

Hospital Charge Code	270648061
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

BIT DRILL 3.5 700349

Facility

$950.00

Hospital Charge Code	270648061
Hospital Revenue Code	272
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

BIT DRILL 3.5 702450

Facility

$2,150.00

Hospital Charge Code	270648763
Hospital Revenue Code	278
Min. Negotiated Rate	$51.81
Max. Negotiated Rate	$1,075.00
Rate for Payer: Aetna Commercial	$817.00
Rate for Payer: Aetna Medicare Advantage	$645.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$548.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$548.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$430.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$548.25
Rate for Payer: Cigna Commercial	$1,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$473.00
Rate for Payer: Qualcare PPO/HMO/WC	$322.50
Rate for Payer: UnitedHealthcare Community & State	$51.81
Rate for Payer: Wellpoint Medicaid Managed Care	$56.98

BIT DRILL 3.5 702450

Facility

$2,150.00

Hospital Charge Code	270648763
Hospital Revenue Code	278
Min. Negotiated Rate	$322.50
Max. Negotiated Rate	$520.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$430.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$520.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$473.00
Rate for Payer: Qualcare PPO/HMO/WC	$322.50

BIT DRILL 3.5MM

Facility

$695.00

Hospital Charge Code	270648918
Hospital Revenue Code	272
Min. Negotiated Rate	$16.75
Max. Negotiated Rate	$347.50
Rate for Payer: Aetna Commercial	$264.10
Rate for Payer: Aetna Medicare Advantage	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$177.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$177.22
Rate for Payer: Cigna Commercial	$347.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$208.50
Rate for Payer: Oxford Commercial	$139.00
Rate for Payer: Qualcare PPO/HMO/WC	$104.25
Rate for Payer: UnitedHealthcare Commercial	$139.00
Rate for Payer: UnitedHealthcare Community & State	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$18.42

BIT DRILL 3.5MM

Facility

$695.00

Hospital Charge Code	270648918
Hospital Revenue Code	272
Min. Negotiated Rate	$104.25
Max. Negotiated Rate	$104.25
Rate for Payer: Qualcare PPO/HMO/WC	$104.25

BIT DRILL 3.5MM 7117-3504

Facility

$730.00

Hospital Charge Code	270647953
Hospital Revenue Code	272
Min. Negotiated Rate	$109.50
Max. Negotiated Rate	$109.50
Rate for Payer: Qualcare PPO/HMO/WC	$109.50

BIT DRILL 3.5MM 7117-3504

Facility

$730.00

Hospital Charge Code	270647953
Hospital Revenue Code	272
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$365.00
Rate for Payer: Aetna Commercial	$277.40
Rate for Payer: Aetna Medicare Advantage	$219.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.15
Rate for Payer: Cigna Commercial	$365.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$219.00
Rate for Payer: Oxford Commercial	$146.00
Rate for Payer: Qualcare PPO/HMO/WC	$109.50
Rate for Payer: UnitedHealthcare Commercial	$146.00
Rate for Payer: UnitedHealthcare Community & State	$17.59
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

BIT DRILL 3.8mm

Facility

$870.00

Hospital Charge Code	270671864
Hospital Revenue Code	272
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$261.00
Rate for Payer: Oxford Commercial	$174.00
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Commercial	$174.00
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

BIT DRILL 3.8mm

Facility

$870.00

Hospital Charge Code	270671864
Hospital Revenue Code	272
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$130.50
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

BIT DRILL 3.8mm 270mm QC

Facility

$1,100.05

Hospital Charge Code	270650159
Hospital Revenue Code	272
Min. Negotiated Rate	$26.51
Max. Negotiated Rate	$550.02
Rate for Payer: Aetna Commercial	$418.02
Rate for Payer: Aetna Medicare Advantage	$330.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.51
Rate for Payer: Cigna Commercial	$550.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.01
Rate for Payer: Oxford Commercial	$220.01
Rate for Payer: Qualcare PPO/HMO/WC	$165.01
Rate for Payer: UnitedHealthcare Commercial	$220.01
Rate for Payer: UnitedHealthcare Community & State	$26.51
Rate for Payer: Wellpoint Medicaid Managed Care	$29.15

BIT DRILL 3.8mm 270mm QC

Facility

$1,100.05

Hospital Charge Code	270650159
Hospital Revenue Code	272
Min. Negotiated Rate	$165.01
Max. Negotiated Rate	$165.01
Rate for Payer: Qualcare PPO/HMO/WC	$165.01

BIT DRILL 3.8mm 824272000

Facility

$307.60

Hospital Charge Code	270633177
Hospital Revenue Code	272
Min. Negotiated Rate	$46.14
Max. Negotiated Rate	$46.14
Rate for Payer: Qualcare PPO/HMO/WC	$46.14

BIT DRILL 3.8mm 824272000

Facility

$307.60

Hospital Charge Code	270633177
Hospital Revenue Code	272
Min. Negotiated Rate	$7.41
Max. Negotiated Rate	$153.80
Rate for Payer: Aetna Commercial	$116.89
Rate for Payer: Aetna Medicare Advantage	$92.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.44
Rate for Payer: Cigna Commercial	$153.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.28
Rate for Payer: Oxford Commercial	$61.52
Rate for Payer: Qualcare PPO/HMO/WC	$46.14
Rate for Payer: UnitedHealthcare Commercial	$61.52
Rate for Payer: UnitedHealthcare Community & State	$7.41
Rate for Payer: Wellpoint Medicaid Managed Care	$8.15

BIT DRILL 3-FLUTED 2.9/3.2x150

Facility

$762.00

Hospital Charge Code	270662831
Hospital Revenue Code	272
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$381.00
Rate for Payer: Aetna Commercial	$289.56
Rate for Payer: Aetna Medicare Advantage	$228.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$194.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$194.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$194.31
Rate for Payer: Cigna Commercial	$381.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.60
Rate for Payer: Oxford Commercial	$152.40
Rate for Payer: Qualcare PPO/HMO/WC	$114.30
Rate for Payer: UnitedHealthcare Commercial	$152.40
Rate for Payer: UnitedHealthcare Community & State	$18.36
Rate for Payer: Wellpoint Medicaid Managed Care	$20.19

BIT DRILL 3-FLUTED 2.9/3.2x150

Facility

$762.00

Hospital Charge Code	270662831
Hospital Revenue Code	272
Min. Negotiated Rate	$114.30
Max. Negotiated Rate	$114.30
Rate for Payer: Qualcare PPO/HMO/WC	$114.30

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$954.80

Hospital Charge Code	270647424
Hospital Revenue Code	272
Min. Negotiated Rate	$23.01
Max. Negotiated Rate	$477.40
Rate for Payer: Aetna Commercial	$362.82
Rate for Payer: Aetna Medicare Advantage	$286.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.47
Rate for Payer: Cigna Commercial	$477.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.44
Rate for Payer: Oxford Commercial	$190.96
Rate for Payer: Qualcare PPO/HMO/WC	$143.22
Rate for Payer: UnitedHealthcare Commercial	$190.96
Rate for Payer: UnitedHealthcare Community & State	$23.01
Rate for Payer: Wellpoint Medicaid Managed Care	$25.30

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$698.35

Service Code	HCPCS C1713
Hospital Charge Code	270679777
Hospital Revenue Code	278
Min. Negotiated Rate	$104.75
Max. Negotiated Rate	$169.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.64
Rate for Payer: Qualcare PPO/HMO/WC	$104.75

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$741.55

Hospital Charge Code	270679778
Hospital Revenue Code	272
Min. Negotiated Rate	$111.23
Max. Negotiated Rate	$111.23
Rate for Payer: Qualcare PPO/HMO/WC	$111.23

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$954.80

Hospital Charge Code	270647424
Hospital Revenue Code	272
Min. Negotiated Rate	$143.22
Max. Negotiated Rate	$143.22
Rate for Payer: Qualcare PPO/HMO/WC	$143.22

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$698.35

Service Code	HCPCS C1713
Hospital Charge Code	270679777
Hospital Revenue Code	278
Min. Negotiated Rate	$16.83
Max. Negotiated Rate	$349.18
Rate for Payer: Aetna Commercial	$265.37
Rate for Payer: Aetna Medicare Advantage	$209.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$139.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.08
Rate for Payer: Cigna Commercial	$349.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$153.64
Rate for Payer: Qualcare PPO/HMO/WC	$104.75
Rate for Payer: UnitedHealthcare Community & State	$16.83
Rate for Payer: Wellpoint Medicaid Managed Care	$18.51

BIT DRILL 3-FLUTED 3.2x145MM

Facility

$741.55

Hospital Charge Code	270679778
Hospital Revenue Code	272
Min. Negotiated Rate	$17.87
Max. Negotiated Rate	$370.77
Rate for Payer: Aetna Commercial	$281.79
Rate for Payer: Aetna Medicare Advantage	$222.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.10
Rate for Payer: Cigna Commercial	$370.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$222.47
Rate for Payer: Oxford Commercial	$148.31
Rate for Payer: Qualcare PPO/HMO/WC	$111.23
Rate for Payer: UnitedHealthcare Commercial	$148.31
Rate for Payer: UnitedHealthcare Community & State	$17.87
Rate for Payer: Wellpoint Medicaid Managed Care	$19.65

BIT DRILL 3-FLUTED 3.2x145 ST

Facility

$954.80

Hospital Charge Code	270674886
Hospital Revenue Code	272
Min. Negotiated Rate	$143.22
Max. Negotiated Rate	$143.22
Rate for Payer: Qualcare PPO/HMO/WC	$143.22

Know your out-of-pocket cost for care.

All Charges