Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BUR DIAMOND RND COARSE 6MM

Facility

$621.00

Hospital Charge Code	270679294
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 6MM

Facility

$621.00

Hospital Charge Code	270679294
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 6MM

Facility

$621.00

Hospital Charge Code	270679295
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 6MM

Facility

$621.00

Hospital Charge Code	270679295
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 ROUND 5MM

Facility

$375.00

Hospital Charge Code	270698414
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BUR DIAMOND ROUND 5MM

Facility

$375.00

Hospital Charge Code	270698414
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

BUR DRILL NEURO 3.0X3.8MM

Facility

$375.00

Hospital Charge Code	270698407
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

BUR DRILL NEURO 3.0X3.8MM

Facility

$375.00

Hospital Charge Code	270698407
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

BUR EGG 5.0MM

Facility

$230.00

Hospital Charge Code	270673894
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

BUR EGG 5.0MM

Facility

$230.00

Hospital Charge Code	270673894
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.00
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.09

BUR EGG STANDARD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658041
Hospital Revenue Code	278
Min. Negotiated Rate	$37.44
Max. Negotiated Rate	$776.75
Rate for Payer: Aetna Commercial	$590.33
Rate for Payer: Aetna Medicare Advantage	$466.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$396.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$396.14
Rate for Payer: Cigna Commercial	$776.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$341.77
Rate for Payer: Qualcare PPO/HMO/WC	$233.03
Rate for Payer: UnitedHealthcare Community & State	$37.44
Rate for Payer: Wellpoint Medicaid Managed Care	$41.17

BUR EGG STANDARD 8 FLUTE 5.0MM

Facility

$1,553.50

Hospital Charge Code	270658041
Hospital Revenue Code	278
Min. Negotiated Rate	$233.03
Max. Negotiated Rate	$375.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$310.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$375.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$341.77
Rate for Payer: Qualcare PPO/HMO/WC	$233.03

BUR ELECTRIC 5091-238 ZIM*****

Facility

$168.00

Hospital Charge Code	1604909
Hospital Revenue Code	272
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$84.00
Rate for Payer: Aetna Commercial	$63.84
Rate for Payer: Aetna Medicare Advantage	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.84
Rate for Payer: Cigna Commercial	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.40
Rate for Payer: Oxford Commercial	$33.60
Rate for Payer: Qualcare PPO/HMO/WC	$25.20
Rate for Payer: UnitedHealthcare Commercial	$33.60
Rate for Payer: UnitedHealthcare Community & State	$4.05
Rate for Payer: Wellpoint Medicaid Managed Care	$4.45

BUR ELECTRIC 5091-238 ZIM*****

Facility

$168.00

Hospital Charge Code	1604909
Hospital Revenue Code	272
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$25.20
Rate for Payer: Qualcare PPO/HMO/WC	$25.20

BUR FLUTED RND SFT TOUCH 2.0MM

Facility

$607.50

Hospital Charge Code	270681017
Hospital Revenue Code	272
Min. Negotiated Rate	$91.12
Max. Negotiated Rate	$91.12
Rate for Payer: Qualcare PPO/HMO/WC	$91.12

BUR FLUTED RND SFT TOUCH 2.0MM

Facility

$607.50

Hospital Charge Code	270681017
Hospital Revenue Code	272
Min. Negotiated Rate	$14.64
Max. Negotiated Rate	$303.75
Rate for Payer: Aetna Commercial	$230.85
Rate for Payer: Aetna Medicare Advantage	$182.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$154.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$154.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$154.91
Rate for Payer: Cigna Commercial	$303.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.25
Rate for Payer: Oxford Commercial	$121.50
Rate for Payer: Qualcare PPO/HMO/WC	$91.12
Rate for Payer: UnitedHealthcare Commercial	$121.50
Rate for Payer: UnitedHealthcare Community & State	$14.64
Rate for Payer: Wellpoint Medicaid Managed Care	$16.10

BUR FLUTED RND SFT TOUCH 4MM

Facility

$621.00

Hospital Charge Code	270672677
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 FLUTED RND SFT TOUCH 4MM

Facility

$621.00

Hospital Charge Code	270672677
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR FLUTED RND SFT TOUCH 5MM

Facility

$621.00

Hospital Charge Code	270669956
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BUR FLUTED RND SFT TOUCH 5MM

Facility

$621.00

Hospital Charge Code	270669956
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 FLUTED RND SFT TOUCH 6MM

Facility

$621.00

Hospital Charge Code	270672680
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 FLUTED RND SFT TOUCH 6MM

Facility

$621.00

Hospital Charge Code	270672680
Hospital Revenue Code	272
Min. Negotiated Rate	$93.15
Max. Negotiated Rate	$93.15
Rate for Payer: Qualcare PPO/HMO/WC	$93.15

BURG SURG OVAL 5.5MM DIA 10MML

Facility

$197.50

Hospital Charge Code	270655943
Hospital Revenue Code	271
Min. Negotiated Rate	$29.62
Max. Negotiated Rate	$29.62
Rate for Payer: Qualcare PPO/HMO/WC	$29.62

BURG SURG OVAL 5.5MM DIA 10MML

Facility

$197.50

Hospital Charge Code	270655943
Hospital Revenue Code	271
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.75
Rate for Payer: Aetna Commercial	$75.05
Rate for Payer: Aetna Medicare Advantage	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.36
Rate for Payer: Cigna Commercial	$98.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: Oxford Commercial	$39.50
Rate for Payer: Qualcare PPO/HMO/WC	$29.62
Rate for Payer: UnitedHealthcare Commercial	$39.50
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

BUR GUARD LONG 00137501100

Facility

$1,531.80

Hospital Charge Code	270647005
Hospital Revenue Code	272
Min. Negotiated Rate	$229.77
Max. Negotiated Rate	$229.77
Rate for Payer: Qualcare PPO/HMO/WC	$229.77

Know your out-of-pocket cost for care.

All Charges