Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BIT HMD DR 4.2 60 5235-1865

Facility

$436.85

Hospital Charge Code	270619741
Hospital Revenue Code	272
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$65.53
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

BIT HMD DR 4.2 60 5235-1865

Facility

$436.85

Hospital Charge Code	270619741
Hospital Revenue Code	272
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$166.00
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.06
Rate for Payer: Oxford Commercial	$87.37
Rate for Payer: Qualcare PPO/HMO/WC	$65.53
Rate for Payer: UnitedHealthcare Commercial	$87.37
Rate for Payer: UnitedHealthcare Community & State	$10.53
Rate for Payer: Wellpoint Medicaid Managed Care	$11.58

BIT HMD DR 5.5 1214-5-180

Facility

$637.65

Hospital Charge Code	270615319
Hospital Revenue Code	272
Min. Negotiated Rate	$15.37
Max. Negotiated Rate	$318.82
Rate for Payer: Aetna Commercial	$242.31
Rate for Payer: Aetna Medicare Advantage	$191.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$162.60
Rate for Payer: Cigna Commercial	$318.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.29
Rate for Payer: Oxford Commercial	$127.53
Rate for Payer: Qualcare PPO/HMO/WC	$95.65
Rate for Payer: UnitedHealthcare Commercial	$127.53
Rate for Payer: UnitedHealthcare Community & State	$15.37
Rate for Payer: Wellpoint Medicaid Managed Care	$16.90

BIT HMD DR 5.5 1214-5-180

Facility

$637.65

Hospital Charge Code	270615319
Hospital Revenue Code	272
Min. Negotiated Rate	$95.65
Max. Negotiated Rate	$95.65
Rate for Payer: Qualcare PPO/HMO/WC	$95.65

BIT HMD DR GAM 5.5 12145055

Facility

$685.65

Hospital Charge Code	270613084
Hospital Revenue Code	272
Min. Negotiated Rate	$16.52
Max. Negotiated Rate	$342.82
Rate for Payer: Aetna Commercial	$260.55
Rate for Payer: Aetna Medicare Advantage	$205.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$174.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$174.84
Rate for Payer: Cigna Commercial	$342.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.69
Rate for Payer: Oxford Commercial	$137.13
Rate for Payer: Qualcare PPO/HMO/WC	$102.85
Rate for Payer: UnitedHealthcare Commercial	$137.13
Rate for Payer: UnitedHealthcare Community & State	$16.52
Rate for Payer: Wellpoint Medicaid Managed Care	$18.17

BIT HMD DR GAM 5.5 12145055

Facility

$685.65

Hospital Charge Code	270613084
Hospital Revenue Code	272
Min. Negotiated Rate	$102.85
Max. Negotiated Rate	$102.85
Rate for Payer: Qualcare PPO/HMO/WC	$102.85

BIT HMD DR TK 4.2 160 52351870

Facility

$436.85

Hospital Charge Code	270619740
Hospital Revenue Code	272
Min. Negotiated Rate	$10.53
Max. Negotiated Rate	$218.43
Rate for Payer: Aetna Commercial	$166.00
Rate for Payer: Aetna Medicare Advantage	$131.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$111.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$111.40
Rate for Payer: Cigna Commercial	$218.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.06
Rate for Payer: Oxford Commercial	$87.37
Rate for Payer: Qualcare PPO/HMO/WC	$65.53
Rate for Payer: UnitedHealthcare Commercial	$87.37
Rate for Payer: UnitedHealthcare Community & State	$10.53
Rate for Payer: Wellpoint Medicaid Managed Care	$11.58

BIT HMD DR TK 4.2 160 52351870

Facility

$436.85

Hospital Charge Code	270619740
Hospital Revenue Code	272
Min. Negotiated Rate	$65.53
Max. Negotiated Rate	$65.53
Rate for Payer: Qualcare PPO/HMO/WC	$65.53

BI TIP FLEX TRODE BT-FT

Facility

$1,925.00

Hospital Charge Code	270691543
Hospital Revenue Code	272
Min. Negotiated Rate	$288.75
Max. Negotiated Rate	$288.75
Rate for Payer: Qualcare PPO/HMO/WC	$288.75

BI TIP FLEX TRODE BT-FT

Facility

$1,925.00

Hospital Charge Code	270691543
Hospital Revenue Code	272
Min. Negotiated Rate	$46.39
Max. Negotiated Rate	$962.50
Rate for Payer: Aetna Commercial	$731.50
Rate for Payer: Aetna Medicare Advantage	$577.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$490.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$490.88
Rate for Payer: Cigna Commercial	$962.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$577.50
Rate for Payer: Oxford Commercial	$385.00
Rate for Payer: Qualcare PPO/HMO/WC	$288.75
Rate for Payer: UnitedHealthcare Commercial	$385.00
Rate for Payer: UnitedHealthcare Community & State	$46.39
Rate for Payer: Wellpoint Medicaid Managed Care	$51.01

BITOLTEROL 0.2% INHAL SOLN

Facility

$212.85

Hospital Charge Code	60628576
Hospital Revenue Code	259
Min. Negotiated Rate	$5.13
Max. Negotiated Rate	$106.42
Rate for Payer: Aetna Commercial	$80.88
Rate for Payer: Aetna Medicare Advantage	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.28
Rate for Payer: Cigna Commercial	$106.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.85
Rate for Payer: Oxford Commercial	$42.57
Rate for Payer: Qualcare PPO/HMO/WC	$31.93
Rate for Payer: UnitedHealthcare Commercial	$42.57
Rate for Payer: UnitedHealthcare Community & State	$5.13
Rate for Payer: Wellpoint Medicaid Managed Care	$5.64

BITOLTEROL 0.2% INHAL SOLN

Facility

$212.85

Hospital Charge Code	60628576
Hospital Revenue Code	259
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$31.93
Rate for Payer: Qualcare PPO/HMO/WC	$31.93

BIT RMFG 4.5x145mm

Facility

$318.25

Hospital Charge Code	270651529
Hospital Revenue Code	272
Min. Negotiated Rate	$7.67
Max. Negotiated Rate	$159.12
Rate for Payer: Aetna Commercial	$120.94
Rate for Payer: Aetna Medicare Advantage	$95.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$81.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$81.15
Rate for Payer: Cigna Commercial	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$95.47
Rate for Payer: Oxford Commercial	$63.65
Rate for Payer: Qualcare PPO/HMO/WC	$47.74
Rate for Payer: UnitedHealthcare Commercial	$63.65
Rate for Payer: UnitedHealthcare Community & State	$7.67
Rate for Payer: Wellpoint Medicaid Managed Care	$8.43

BIT RMFG 4.5x145mm

Facility

$318.25

Hospital Charge Code	270651529
Hospital Revenue Code	272
Min. Negotiated Rate	$47.74
Max. Negotiated Rate	$47.74
Rate for Payer: Qualcare PPO/HMO/WC	$47.74

BITS/BURRS/BLADES

Facility

$261.00

Hospital Charge Code	270335044
Hospital Revenue Code	272
Min. Negotiated Rate	$6.29
Max. Negotiated Rate	$130.50
Rate for Payer: Aetna Commercial	$99.18
Rate for Payer: Aetna Medicare Advantage	$78.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.56
Rate for Payer: Cigna Commercial	$130.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.30
Rate for Payer: Oxford Commercial	$52.20
Rate for Payer: Qualcare PPO/HMO/WC	$39.15
Rate for Payer: UnitedHealthcare Commercial	$52.20
Rate for Payer: UnitedHealthcare Community & State	$6.29
Rate for Payer: Wellpoint Medicaid Managed Care	$6.92

BITS/BURRS/BLADES

Facility

$261.00

Hospital Charge Code	270335044
Hospital Revenue Code	272
Min. Negotiated Rate	$39.15
Max. Negotiated Rate	$39.15
Rate for Payer: Qualcare PPO/HMO/WC	$39.15

BIT SCREWDRIVER T15 AO

Facility

$2,747.20

Hospital Charge Code	270703595
Hospital Revenue Code	272
Min. Negotiated Rate	$412.08
Max. Negotiated Rate	$412.08
Rate for Payer: Qualcare PPO/HMO/WC	$412.08

BIT SCREWDRIVER T15 AO

Facility

$2,747.20

Hospital Charge Code	270703595
Hospital Revenue Code	272
Min. Negotiated Rate	$66.21
Max. Negotiated Rate	$1,373.60
Rate for Payer: Aetna Commercial	$1,043.94
Rate for Payer: Aetna Medicare Advantage	$824.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$700.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$700.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$700.54
Rate for Payer: Cigna Commercial	$1,373.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$824.16
Rate for Payer: Oxford Commercial	$549.44
Rate for Payer: Qualcare PPO/HMO/WC	$412.08
Rate for Payer: UnitedHealthcare Commercial	$549.44
Rate for Payer: UnitedHealthcare Community & State	$66.21
Rate for Payer: Wellpoint Medicaid Managed Care	$72.80

BIT SDK DR 13M 571-636

Facility

$1,475.25

Hospital Charge Code	270607300
Hospital Revenue Code	272
Min. Negotiated Rate	$221.29
Max. Negotiated Rate	$221.29
Rate for Payer: Qualcare PPO/HMO/WC	$221.29

BIT SDK DR 13M 571-636

Facility

$1,475.25

Hospital Charge Code	270607300
Hospital Revenue Code	272
Min. Negotiated Rate	$35.55
Max. Negotiated Rate	$737.62
Rate for Payer: Aetna Commercial	$560.60
Rate for Payer: Aetna Medicare Advantage	$442.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.19
Rate for Payer: Cigna Commercial	$737.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$442.57
Rate for Payer: Oxford Commercial	$295.05
Rate for Payer: Qualcare PPO/HMO/WC	$221.29
Rate for Payer: UnitedHealthcare Commercial	$295.05
Rate for Payer: UnitedHealthcare Community & State	$35.55
Rate for Payer: Wellpoint Medicaid Managed Care	$39.09

BIT SDK DR 13MM 871-616

Facility

$1,328.85

Hospital Charge Code	270609813
Hospital Revenue Code	272
Min. Negotiated Rate	$199.33
Max. Negotiated Rate	$199.33
Rate for Payer: Qualcare PPO/HMO/WC	$199.33

BIT SDK DR 13MM 871-616

Facility

$1,328.85

Hospital Charge Code	270609813
Hospital Revenue Code	272
Min. Negotiated Rate	$32.03
Max. Negotiated Rate	$664.42
Rate for Payer: Aetna Commercial	$504.96
Rate for Payer: Aetna Medicare Advantage	$398.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$338.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$338.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$338.86
Rate for Payer: Cigna Commercial	$664.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.65
Rate for Payer: Oxford Commercial	$265.77
Rate for Payer: Qualcare PPO/HMO/WC	$199.33
Rate for Payer: UnitedHealthcare Commercial	$265.77
Rate for Payer: UnitedHealthcare Community & State	$32.03
Rate for Payer: Wellpoint Medicaid Managed Care	$35.21

BIT SDK DR 1.7 4MM 61712

Facility

$769.65

Hospital Charge Code	270610685
Hospital Revenue Code	272
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$292.47
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.90
Rate for Payer: Oxford Commercial	$153.93
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Commercial	$153.93
Rate for Payer: UnitedHealthcare Community & State	$18.55
Rate for Payer: Wellpoint Medicaid Managed Care	$20.40

BIT SDK DR 1.7 4MM 61712

Facility

$769.65

Hospital Charge Code	270610685
Hospital Revenue Code	272
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$115.45
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

BIT SDK DR ADJUSTABLE 876455

Facility

$1,364.85

Hospital Charge Code	270618016
Hospital Revenue Code	272
Min. Negotiated Rate	$32.89
Max. Negotiated Rate	$682.42
Rate for Payer: Aetna Commercial	$518.64
Rate for Payer: Aetna Medicare Advantage	$409.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$348.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$348.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$348.04
Rate for Payer: Cigna Commercial	$682.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$409.45
Rate for Payer: Oxford Commercial	$272.97
Rate for Payer: Qualcare PPO/HMO/WC	$204.73
Rate for Payer: UnitedHealthcare Commercial	$272.97
Rate for Payer: UnitedHealthcare Community & State	$32.89
Rate for Payer: Wellpoint Medicaid Managed Care	$36.17

Know your out-of-pocket cost for care.

All Charges