Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ATHX BIO 11 28 AR1403TB

Facility

$1,153.65

Hospital Charge Code	270623145
Hospital Revenue Code	278
Min. Negotiated Rate	$173.05
Max. Negotiated Rate	$279.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$230.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$279.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$253.80
Rate for Payer: Qualcare PPO/HMO/WC	$173.05

SCREW ATHX BIO 8 23 AR1380B

Facility

$1,242.45

Hospital Charge Code	270614431
Hospital Revenue Code	278
Min. Negotiated Rate	$29.94
Max. Negotiated Rate	$621.23
Rate for Payer: Aetna Commercial	$472.13
Rate for Payer: Aetna Medicare Advantage	$372.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$316.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$316.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$316.82
Rate for Payer: Cigna Commercial	$621.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$273.34
Rate for Payer: Qualcare PPO/HMO/WC	$186.37
Rate for Payer: UnitedHealthcare Community & State	$29.94
Rate for Payer: Wellpoint Medicaid Managed Care	$32.92

SCREW ATHX BIO 8 23 AR1380B

Facility

$1,242.45

Hospital Charge Code	270614431
Hospital Revenue Code	278
Min. Negotiated Rate	$186.37
Max. Negotiated Rate	$300.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$248.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$273.34
Rate for Payer: Qualcare PPO/HMO/WC	$186.37

SCREW ATHX BIO 9 28 AR1390TB

Facility

$1,685.65

Hospital Charge Code	270621137
Hospital Revenue Code	278
Min. Negotiated Rate	$252.85
Max. Negotiated Rate	$407.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$337.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$370.84
Rate for Payer: Qualcare PPO/HMO/WC	$252.85

SCREW ATHX BIO 9 28 AR1390TB

Facility

$1,685.65

Hospital Charge Code	270621137
Hospital Revenue Code	278
Min. Negotiated Rate	$40.62
Max. Negotiated Rate	$842.83
Rate for Payer: Aetna Commercial	$640.55
Rate for Payer: Aetna Medicare Advantage	$505.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$429.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$429.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$337.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$429.84
Rate for Payer: Cigna Commercial	$842.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$407.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$370.84
Rate for Payer: Qualcare PPO/HMO/WC	$252.85
Rate for Payer: UnitedHealthcare Community & State	$40.62
Rate for Payer: Wellpoint Medicaid Managed Care	$44.67

SCREW ATHX CAN 9 25 AR1391E

Facility

$1,058.45

Hospital Charge Code	270601993
Hospital Revenue Code	278
Min. Negotiated Rate	$158.77
Max. Negotiated Rate	$256.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$158.77

SCREW ATHX CAN 9 25 AR1391E

Facility

$1,058.45

Hospital Charge Code	270601993
Hospital Revenue Code	278
Min. Negotiated Rate	$25.51
Max. Negotiated Rate	$529.23
Rate for Payer: Aetna Commercial	$402.21
Rate for Payer: Aetna Medicare Advantage	$317.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.90
Rate for Payer: Cigna Commercial	$529.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$158.77
Rate for Payer: UnitedHealthcare Community & State	$25.51
Rate for Payer: Wellpoint Medicaid Managed Care	$28.05

SCREW ATHX CANC 6.5 35 AR1357

Facility

$1,012.85

Hospital Charge Code	270614427
Hospital Revenue Code	278
Min. Negotiated Rate	$24.41
Max. Negotiated Rate	$506.43
Rate for Payer: Aetna Commercial	$384.88
Rate for Payer: Aetna Medicare Advantage	$303.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$258.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$258.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$258.28
Rate for Payer: Cigna Commercial	$506.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.83
Rate for Payer: Qualcare PPO/HMO/WC	$151.93
Rate for Payer: UnitedHealthcare Community & State	$24.41
Rate for Payer: Wellpoint Medicaid Managed Care	$26.84

SCREW ATHX CANC 6.5 35 AR1357

Facility

$1,012.85

Hospital Charge Code	270614427
Hospital Revenue Code	278
Min. Negotiated Rate	$151.93
Max. Negotiated Rate	$245.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$202.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$245.11
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$222.83
Rate for Payer: Qualcare PPO/HMO/WC	$151.93

SCREW ATHX CAN INTERF 8/25MM**

Facility

$460.00

Hospital Charge Code	270601995
Hospital Revenue Code	279
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.00
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$92.00
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.19

SCREW ATHX CAN INTERF 8/25MM**

Facility

$460.00

Hospital Charge Code	270601995
Hospital Revenue Code	279
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

SCREW ATHX SHTH 7 20MM AR1370E

Facility

$883.25

Hospital Charge Code	270601363
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 7 20MM AR1370E

Facility

$883.25

Hospital Charge Code	270601363
Hospital Revenue Code	278
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$335.63
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: Wellpoint Medicaid Managed Care	$23.41

SCREW ATHX SHTH 7 25MM AR1371E

Facility

$883.25

Hospital Charge Code	270601365
Hospital Revenue Code	278
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$335.63
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: Wellpoint Medicaid Managed Care	$23.41

SCREW ATHX SHTH 7 25MM AR1371E

Facility

$883.25

Hospital Charge Code	270601365
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 8 20MM AR1380E

Facility

$883.25

Hospital Charge Code	270601366
Hospital Revenue Code	278
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$335.63
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: Wellpoint Medicaid Managed Care	$23.41

SCREW ATHX SHTH 8 20MM AR1380E

Facility

$883.25

Hospital Charge Code	270601366
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 8 25MM AR1381E

Facility

$1,058.45

Hospital Charge Code	270601367
Hospital Revenue Code	278
Min. Negotiated Rate	$158.77
Max. Negotiated Rate	$256.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$158.77

SCREW ATHX SHTH 8 25MM AR1381E

Facility

$1,058.45

Hospital Charge Code	270601367
Hospital Revenue Code	278
Min. Negotiated Rate	$25.51
Max. Negotiated Rate	$529.23
Rate for Payer: Aetna Commercial	$402.21
Rate for Payer: Aetna Medicare Advantage	$317.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$269.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$211.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$269.90
Rate for Payer: Cigna Commercial	$529.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$256.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$232.86
Rate for Payer: Qualcare PPO/HMO/WC	$158.77
Rate for Payer: UnitedHealthcare Community & State	$25.51
Rate for Payer: Wellpoint Medicaid Managed Care	$28.05

SCREW ATHX SHTH 9 20MM AR1930E

Facility

$883.25

Hospital Charge Code	270601368
Hospital Revenue Code	278
Min. Negotiated Rate	$21.29
Max. Negotiated Rate	$441.62
Rate for Payer: Aetna Commercial	$335.63
Rate for Payer: Aetna Medicare Advantage	$264.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225.23
Rate for Payer: Cigna Commercial	$441.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49
Rate for Payer: UnitedHealthcare Community & State	$21.29
Rate for Payer: Wellpoint Medicaid Managed Care	$23.41

SCREW ATHX SHTH 9 20MM AR1930E

Facility

$883.25

Hospital Charge Code	270601368
Hospital Revenue Code	278
Min. Negotiated Rate	$132.49
Max. Negotiated Rate	$213.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$176.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$194.31
Rate for Payer: Qualcare PPO/HMO/WC	$132.49

SCREW ATHX SHTH 9 25MM ****

Facility

$460.00

Hospital Charge Code	270601369
Hospital Revenue Code	279
Min. Negotiated Rate	$11.09
Max. Negotiated Rate	$230.00
Rate for Payer: Aetna Commercial	$174.80
Rate for Payer: Aetna Medicare Advantage	$138.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.30
Rate for Payer: Cigna Commercial	$230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.00
Rate for Payer: Oxford Commercial	$92.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00
Rate for Payer: UnitedHealthcare Commercial	$92.00
Rate for Payer: UnitedHealthcare Community & State	$11.09
Rate for Payer: Wellpoint Medicaid Managed Care	$12.19

SCREW ATHX SHTH 9 25MM ****

Facility

$460.00

Hospital Charge Code	270601369
Hospital Revenue Code	279
Min. Negotiated Rate	$69.00
Max. Negotiated Rate	$69.00
Rate for Payer: Qualcare PPO/HMO/WC	$69.00

SCREW ATK 10.5 30 907330

Facility

$2,812.85

Hospital Charge Code	270620206
Hospital Revenue Code	278
Min. Negotiated Rate	$421.93
Max. Negotiated Rate	$680.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$421.93

SCREW ATK 10.5 30 907330

Facility

$2,812.85

Hospital Charge Code	270620206
Hospital Revenue Code	278
Min. Negotiated Rate	$67.79
Max. Negotiated Rate	$1,406.42
Rate for Payer: Aetna Commercial	$1,068.88
Rate for Payer: Aetna Medicare Advantage	$843.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$717.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$562.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$717.28
Rate for Payer: Cigna Commercial	$1,406.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$680.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$618.83
Rate for Payer: Qualcare PPO/HMO/WC	$421.93
Rate for Payer: UnitedHealthcare Community & State	$67.79
Rate for Payer: Wellpoint Medicaid Managed Care	$74.54

Know your out-of-pocket cost for care.

All Charges