Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT DRILL QC 3.2x40mm RINGLOC

Facility

$500.00

Hospital Charge Code	270645881
Hospital Revenue Code	272
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

BIT DRILL QC 3.2x40mm RINGLOC

Facility

$500.00

Hospital Charge Code	270645881
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

BIT DRILL QC 4.0x160MM

Facility

$354.00

Hospital Charge Code	270677035
Hospital Revenue Code	272
Min. Negotiated Rate	$53.10
Max. Negotiated Rate	$53.10
Rate for Payer: Qualcare PPO/HMO/WC	$53.10

BIT DRILL QC 4.0x160MM

Facility

$354.00

Hospital Charge Code	270677035
Hospital Revenue Code	272
Min. Negotiated Rate	$8.53
Max. Negotiated Rate	$177.00
Rate for Payer: Aetna Commercial	$134.52
Rate for Payer: Aetna Medicare Advantage	$106.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.27
Rate for Payer: Cigna Commercial	$177.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.20
Rate for Payer: Oxford Commercial	$70.80
Rate for Payer: Qualcare PPO/HMO/WC	$53.10
Rate for Payer: UnitedHealthcare Commercial	$70.80
Rate for Payer: UnitedHealthcare Community & State	$8.53
Rate for Payer: Wellpoint Medicaid Managed Care	$9.38

BIT DRILL QC HEX 3.2MM 3

Facility

$1,675.00

Hospital Charge Code	270677253
Hospital Revenue Code	272
Min. Negotiated Rate	$40.37
Max. Negotiated Rate	$837.50
Rate for Payer: Aetna Commercial	$636.50
Rate for Payer: Aetna Medicare Advantage	$502.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$427.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$427.12
Rate for Payer: Cigna Commercial	$837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.50
Rate for Payer: Oxford Commercial	$335.00
Rate for Payer: Qualcare PPO/HMO/WC	$251.25
Rate for Payer: UnitedHealthcare Commercial	$335.00
Rate for Payer: UnitedHealthcare Community & State	$40.37
Rate for Payer: Wellpoint Medicaid Managed Care	$44.39

BIT DRILL QC HEX 3.2MM 3

Facility

$1,675.00

Hospital Charge Code	270677253
Hospital Revenue Code	272
Min. Negotiated Rate	$251.25
Max. Negotiated Rate	$251.25
Rate for Payer: Qualcare PPO/HMO/WC	$251.25

BIT DRILL QK CONN 2.7m 2410027

Facility

$147.40

Hospital Charge Code	270610161
Hospital Revenue Code	272
Min. Negotiated Rate	$22.11
Max. Negotiated Rate	$22.11
Rate for Payer: Qualcare PPO/HMO/WC	$22.11

BIT DRILL QK CONN 2.7m 2410027

Facility

$147.40

Hospital Charge Code	270610161
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$73.70
Rate for Payer: Aetna Commercial	$56.01
Rate for Payer: Aetna Medicare Advantage	$44.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.59
Rate for Payer: Cigna Commercial	$73.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.22
Rate for Payer: Oxford Commercial	$29.48
Rate for Payer: Qualcare PPO/HMO/WC	$22.11
Rate for Payer: UnitedHealthcare Commercial	$29.48
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

BIT DRILL QK CONT 2.0m 2410020

Facility

$158.75

Hospital Charge Code	270610160
Hospital Revenue Code	272
Min. Negotiated Rate	$3.83
Max. Negotiated Rate	$79.38
Rate for Payer: Aetna Commercial	$60.33
Rate for Payer: Aetna Medicare Advantage	$47.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.48
Rate for Payer: Cigna Commercial	$79.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.62
Rate for Payer: Oxford Commercial	$31.75
Rate for Payer: Qualcare PPO/HMO/WC	$23.81
Rate for Payer: UnitedHealthcare Commercial	$31.75
Rate for Payer: UnitedHealthcare Community & State	$3.83
Rate for Payer: Wellpoint Medicaid Managed Care	$4.21

BIT DRILL QK CONT 2.0m 2410020

Facility

$158.75

Hospital Charge Code	270610160
Hospital Revenue Code	272
Min. Negotiated Rate	$23.81
Max. Negotiated Rate	$23.81
Rate for Payer: Qualcare PPO/HMO/WC	$23.81

BIT DRILL QK RELEAE 3 5 MSDC35

Facility

$112.00

Hospital Charge Code	638173
Hospital Revenue Code	272
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

BIT DRILL QK RELEAE 3 5 MSDC35

Facility

$112.00

Hospital Charge Code	638173
Hospital Revenue Code	272
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$42.56
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.60
Rate for Payer: Oxford Commercial	$22.40
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$22.40
Rate for Payer: UnitedHealthcare Community & State	$2.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.97

BIT DRILL QUICK RELEASE

Facility

$312.50

Hospital Charge Code	270654411
Hospital Revenue Code	272
Min. Negotiated Rate	$46.88
Max. Negotiated Rate	$46.88
Rate for Payer: Qualcare PPO/HMO/WC	$46.88

BIT DRILL QUICK RELEASE

Facility

$312.50

Hospital Charge Code	270654411
Hospital Revenue Code	272
Min. Negotiated Rate	$7.53
Max. Negotiated Rate	$156.25
Rate for Payer: Aetna Commercial	$118.75
Rate for Payer: Aetna Medicare Advantage	$93.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.69
Rate for Payer: Cigna Commercial	$156.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.75
Rate for Payer: Oxford Commercial	$62.50
Rate for Payer: Qualcare PPO/HMO/WC	$46.88
Rate for Payer: UnitedHealthcare Commercial	$62.50
Rate for Payer: UnitedHealthcare Community & State	$7.53
Rate for Payer: Wellpoint Medicaid Managed Care	$8.28

BIT DRILL SCREW GRIDLOK 2.4mm

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270680718
Hospital Revenue Code	278
Min. Negotiated Rate	$146.25
Max. Negotiated Rate	$235.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25

BIT DRILL SCREW GRIDLOK 2.4mm

Facility

$975.00

Service Code	HCPCS C1713
Hospital Charge Code	270680718
Hospital Revenue Code	278
Min. Negotiated Rate	$23.50
Max. Negotiated Rate	$487.50
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$292.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$195.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.62
Rate for Payer: Cigna Commercial	$487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.50
Rate for Payer: Qualcare PPO/HMO/WC	$146.25
Rate for Payer: UnitedHealthcare Community & State	$23.50
Rate for Payer: Wellpoint Medicaid Managed Care	$25.84

BIT DRILL STERILE 4.0x195mm

Facility

$807.00

Hospital Charge Code	270656655
Hospital Revenue Code	272
Min. Negotiated Rate	$19.45
Max. Negotiated Rate	$403.50
Rate for Payer: Aetna Commercial	$306.66
Rate for Payer: Aetna Medicare Advantage	$242.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$205.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$205.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$205.78
Rate for Payer: Cigna Commercial	$403.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$242.10
Rate for Payer: Oxford Commercial	$161.40
Rate for Payer: Qualcare PPO/HMO/WC	$121.05
Rate for Payer: UnitedHealthcare Commercial	$161.40
Rate for Payer: UnitedHealthcare Community & State	$19.45
Rate for Payer: Wellpoint Medicaid Managed Care	$21.39

BIT DRILL STERILE 4.0x195mm

Facility

$807.00

Hospital Charge Code	270656655
Hospital Revenue Code	272
Min. Negotiated Rate	$121.05
Max. Negotiated Rate	$121.05
Rate for Payer: Qualcare PPO/HMO/WC	$121.05

BIT DRILL TWIST 5/64 23182006

Facility

$161.80

Hospital Charge Code	270601283
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.90
Rate for Payer: Aetna Commercial	$61.48
Rate for Payer: Aetna Medicare Advantage	$48.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.26
Rate for Payer: Cigna Commercial	$80.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.54
Rate for Payer: Oxford Commercial	$32.36
Rate for Payer: Qualcare PPO/HMO/WC	$24.27
Rate for Payer: UnitedHealthcare Commercial	$32.36
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.29

BIT DRILL TWIST 5/64 23182006

Facility

$161.80

Hospital Charge Code	270601283
Hospital Revenue Code	272
Min. Negotiated Rate	$24.27
Max. Negotiated Rate	$24.27
Rate for Payer: Qualcare PPO/HMO/WC	$24.27

BIT DRILL TWIST 7/64

Facility

$193.78

Hospital Charge Code	270601285
Hospital Revenue Code	272
Min. Negotiated Rate	$29.07
Max. Negotiated Rate	$29.07
Rate for Payer: Qualcare PPO/HMO/WC	$29.07

BIT DRILL TWIST 7/64

Facility

$193.78

Hospital Charge Code	270601285
Hospital Revenue Code	272
Min. Negotiated Rate	$4.67
Max. Negotiated Rate	$96.89
Rate for Payer: Aetna Commercial	$73.64
Rate for Payer: Aetna Medicare Advantage	$58.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.41
Rate for Payer: Cigna Commercial	$96.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.13
Rate for Payer: Oxford Commercial	$38.76
Rate for Payer: Qualcare PPO/HMO/WC	$29.07
Rate for Payer: UnitedHealthcare Commercial	$38.76
Rate for Payer: UnitedHealthcare Community & State	$4.67
Rate for Payer: Wellpoint Medicaid Managed Care	$5.14

BIT DR JAC 3.5MM XLG****

Facility

$79.50

Hospital Charge Code	270604454
Hospital Revenue Code	279
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$11.93
Rate for Payer: Qualcare PPO/HMO/WC	$11.93

BIT DR JAC 3.5MM XLG****

Facility

$79.50

Hospital Charge Code	270604454
Hospital Revenue Code	279
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$39.75
Rate for Payer: Aetna Commercial	$30.21
Rate for Payer: Aetna Medicare Advantage	$23.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.27
Rate for Payer: Cigna Commercial	$39.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.85
Rate for Payer: Oxford Commercial	$15.90
Rate for Payer: Qualcare PPO/HMO/WC	$11.93
Rate for Payer: UnitedHealthcare Commercial	$15.90
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

BIT DR JAC CHK 1.1mm 603574

Facility

$60.00

Hospital Charge Code	270603574
Hospital Revenue Code	279
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

Know your out-of-pocket cost for care.

All Charges