Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR CARBIDE MATCH HEAD 3.0MM

Facility

$1,376.05

Hospital Charge Code	270683791
Hospital Revenue Code	270
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$688.02
Rate for Payer: Aetna Commercial	$522.90
Rate for Payer: Aetna Medicare Advantage	$412.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.89
Rate for Payer: Cigna Commercial	$688.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$412.81
Rate for Payer: Oxford Commercial	$275.21
Rate for Payer: Qualcare PPO/HMO/WC	$206.41
Rate for Payer: UnitedHealthcare Commercial	$275.21
Rate for Payer: UnitedHealthcare Community & State	$33.16
Rate for Payer: Wellpoint Medicaid Managed Care	$36.47

BUR CRANIAL ROUTER TAP 2.3MM

Facility

$392.85

Hospital Charge Code	270700148
Hospital Revenue Code	272
Min. Negotiated Rate	$58.93
Max. Negotiated Rate	$58.93
Rate for Payer: Qualcare PPO/HMO/WC	$58.93

BUR CRANIAL ROUTER TAP 2.3MM

Facility

$392.85

Hospital Charge Code	270700148
Hospital Revenue Code	272
Min. Negotiated Rate	$9.47
Max. Negotiated Rate	$196.43
Rate for Payer: Aetna Commercial	$149.28
Rate for Payer: Aetna Medicare Advantage	$117.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$100.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$100.18
Rate for Payer: Cigna Commercial	$196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.86
Rate for Payer: Oxford Commercial	$78.57
Rate for Payer: Qualcare PPO/HMO/WC	$58.93
Rate for Payer: UnitedHealthcare Commercial	$78.57
Rate for Payer: UnitedHealthcare Community & State	$9.47
Rate for Payer: Wellpoint Medicaid Managed Care	$10.41

BUR DIAMOND ELITE ROUND 2.0mm

Facility

$607.55

Hospital Charge Code	270678593
Hospital Revenue Code	272
Min. Negotiated Rate	$91.13
Max. Negotiated Rate	$91.13
Rate for Payer: Qualcare PPO/HMO/WC	$91.13

BUR DIAMOND ELITE ROUND 2.0mm

Facility

$607.55

Hospital Charge Code	270678593
Hospital Revenue Code	272
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$303.77
Rate for Payer: Aetna Commercial	$230.87
Rate for Payer: Aetna Medicare Advantage	$182.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.93
Rate for Payer: Cigna Commercial	$303.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.26
Rate for Payer: Oxford Commercial	$121.51
Rate for Payer: Qualcare PPO/HMO/WC	$91.13
Rate for Payer: UnitedHealthcare Commercial	$121.51
Rate for Payer: UnitedHealthcare Community & State	$14.64
Rate for Payer: Wellpoint Medicaid Managed Care	$16.10

BUR DIAMOND EXTRA COARSE 6.0

Facility

$1,345.00

Hospital Charge Code	270694624
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 6.0

Facility

$1,345.00

Hospital Charge Code	270694624
Hospital Revenue Code	272
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.50
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$32.41
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 7.0

Facility

$1,345.00

Hospital Charge Code	270694625
Hospital Revenue Code	272
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.50
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$32.41
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$201.75
Max. Negotiated Rate	$201.75
Rate for Payer: Qualcare PPO/HMO/WC	$201.75

BUR DIAMOND EXTRA COARSE 8.0

Facility

$1,345.00

Hospital Charge Code	270694626
Hospital Revenue Code	272
Min. Negotiated Rate	$32.41
Max. Negotiated Rate	$672.50
Rate for Payer: Aetna Commercial	$511.10
Rate for Payer: Aetna Medicare Advantage	$403.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.98
Rate for Payer: Cigna Commercial	$672.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$403.50
Rate for Payer: Oxford Commercial	$269.00
Rate for Payer: Qualcare PPO/HMO/WC	$201.75
Rate for Payer: UnitedHealthcare Commercial	$269.00
Rate for Payer: UnitedHealthcare Community & State	$32.41
Rate for Payer: Wellpoint Medicaid Managed Care	$35.64

BUR DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR DIAMOND RND 3MM

Facility

$621.00

Hospital Charge Code	270679194
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 4MM

Facility

$621.00

Hospital Charge Code	270672678
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR DIAMOND RND 5MM

Facility

$621.00

Hospital Charge Code	270672679
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND 5MM

Facility

$621.00

Hospital Charge Code	270672679
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR DIAMOND RND 6MM

Facility

$948.90

Hospital Charge Code	270672706
Hospital Revenue Code	272
Min. Negotiated Rate	$22.87
Max. Negotiated Rate	$474.45
Rate for Payer: Aetna Commercial	$360.58
Rate for Payer: Aetna Medicare Advantage	$284.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.97
Rate for Payer: Cigna Commercial	$474.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$284.67
Rate for Payer: Oxford Commercial	$189.78
Rate for Payer: Qualcare PPO/HMO/WC	$142.34
Rate for Payer: UnitedHealthcare Commercial	$189.78
Rate for Payer: UnitedHealthcare Community & State	$22.87
Rate for Payer: Wellpoint Medicaid Managed Care	$25.15

BUR DIAMOND RND 6MM

Facility

$948.90

Hospital Charge Code	270672706
Hospital Revenue Code	272
Min. Negotiated Rate	$142.34
Max. Negotiated Rate	$142.34
Rate for Payer: Qualcare PPO/HMO/WC	$142.34

BUR DIAMOND RND COARSE 2MM

Facility

$621.00

Hospital Charge Code	270679193
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR DIAMOND RND COARSE 2MM

Facility

$621.00

Hospital Charge Code	270679193
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 3MM

Facility

$621.00

Hospital Charge Code	270672703
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 3MM

Facility

$621.00

Hospital Charge Code	270672703
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

BUR DIAMOND RND COARSE 4MM

Facility

$621.00

Hospital Charge Code	270672704
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR DIAMOND RND COARSE 4MM

Facility

$621.00

Hospital Charge Code	270672704
Hospital Revenue Code	272
Min. Negotiated Rate	$14.97
Max. Negotiated Rate	$310.50
Rate for Payer: Aetna Commercial	$235.98
Rate for Payer: Aetna Medicare Advantage	$186.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.35
Rate for Payer: Cigna Commercial	$310.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.30
Rate for Payer: Oxford Commercial	$124.20
Rate for Payer: Qualcare PPO/HMO/WC	$93.15
Rate for Payer: UnitedHealthcare Commercial	$124.20
Rate for Payer: UnitedHealthcare Community & State	$14.97
Rate for Payer: Wellpoint Medicaid Managed Care	$16.46

Know your out-of-pocket cost for care.

All Charges