Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ATK 1 25 905623

Facility

$793.65

Hospital Charge Code	270627339
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

SCREW ATK 1 25 905623

Facility

$793.65

Hospital Charge Code	270627339
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

SCREW ATK 6.5 30MM 381030

Facility

$332.00

Hospital Charge Code	270610578
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 30MM 381030

Facility

$332.00

Hospital Charge Code	270610578
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$126.16
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW ATK 6.5 40MM 381040

Facility

$332.00

Hospital Charge Code	270610579
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 40MM 381040

Facility

$332.00

Hospital Charge Code	270610579
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$126.16
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW ATK 6.5 45MM 381045

Facility

$332.00

Hospital Charge Code	270617808
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$126.16
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW ATK 6.5 45MM 381045

Facility

$332.00

Hospital Charge Code	270617808
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 55MM 381055

Facility

$332.00

Hospital Charge Code	270617806
Hospital Revenue Code	278
Min. Negotiated Rate	$49.80
Max. Negotiated Rate	$80.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80

SCREW ATK 6.5 55MM 381055

Facility

$332.00

Hospital Charge Code	270617806
Hospital Revenue Code	278
Min. Negotiated Rate	$8.00
Max. Negotiated Rate	$166.00
Rate for Payer: Aetna Commercial	$126.16
Rate for Payer: Aetna Medicare Advantage	$99.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$66.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84.66
Rate for Payer: Cigna Commercial	$166.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$73.04
Rate for Payer: Qualcare PPO/HMO/WC	$49.80
Rate for Payer: UnitedHealthcare Community & State	$8.00
Rate for Payer: Wellpoint Medicaid Managed Care	$8.80

SCREW ATK CANC 55 955407

Facility

$664.70

Hospital Charge Code	270627982
Hospital Revenue Code	278
Min. Negotiated Rate	$99.70
Max. Negotiated Rate	$160.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.23
Rate for Payer: Qualcare PPO/HMO/WC	$99.70

SCREW ATK CANC 55 955407

Facility

$664.70

Hospital Charge Code	270627982
Hospital Revenue Code	278
Min. Negotiated Rate	$16.02
Max. Negotiated Rate	$332.35
Rate for Payer: Aetna Commercial	$252.59
Rate for Payer: Aetna Medicare Advantage	$199.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$132.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.50
Rate for Payer: Cigna Commercial	$332.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$146.23
Rate for Payer: Qualcare PPO/HMO/WC	$99.70
Rate for Payer: UnitedHealthcare Community & State	$16.02
Rate for Payer: Wellpoint Medicaid Managed Care	$17.61

SCREW ATK GT 10 25 905620

Facility

$793.65

Hospital Charge Code	270627337
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

SCREW ATK GT 10 25 905620

Facility

$793.65

Hospital Charge Code	270627337
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

SCREW ATK GT 12 25 905626

Facility

$858.15

Hospital Charge Code	270627336
Hospital Revenue Code	278
Min. Negotiated Rate	$128.72
Max. Negotiated Rate	$207.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.72

SCREW ATK GT 12 25 905626

Facility

$858.15

Hospital Charge Code	270627336
Hospital Revenue Code	278
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$429.07
Rate for Payer: Aetna Commercial	$326.10
Rate for Payer: Aetna Medicare Advantage	$257.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$218.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$171.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$218.83
Rate for Payer: Cigna Commercial	$429.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$207.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$188.79
Rate for Payer: Qualcare PPO/HMO/WC	$128.72
Rate for Payer: UnitedHealthcare Community & State	$20.68
Rate for Payer: Wellpoint Medicaid Managed Care	$22.74

SCREW ATK GT 9 25 905616

Facility

$847.45

Hospital Charge Code	270627338
Hospital Revenue Code	278
Min. Negotiated Rate	$20.42
Max. Negotiated Rate	$423.73
Rate for Payer: Aetna Commercial	$322.03
Rate for Payer: Aetna Medicare Advantage	$254.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$216.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$216.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$216.10
Rate for Payer: Cigna Commercial	$423.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.44
Rate for Payer: Qualcare PPO/HMO/WC	$127.12
Rate for Payer: UnitedHealthcare Community & State	$20.42
Rate for Payer: Wellpoint Medicaid Managed Care	$22.46

SCREW ATK GT 9 25 905616

Facility

$847.45

Hospital Charge Code	270627338
Hospital Revenue Code	278
Min. Negotiated Rate	$127.12
Max. Negotiated Rate	$205.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$169.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$205.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$186.44
Rate for Payer: Qualcare PPO/HMO/WC	$127.12

SCREW ATK INTF 10 20 905609

Facility

$793.65

Hospital Charge Code	270627981
Hospital Revenue Code	278
Min. Negotiated Rate	$119.05
Max. Negotiated Rate	$192.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05

SCREW ATK INTF 10 20 905609

Facility

$793.65

Hospital Charge Code	270627981
Hospital Revenue Code	278
Min. Negotiated Rate	$19.13
Max. Negotiated Rate	$396.82
Rate for Payer: Aetna Commercial	$301.59
Rate for Payer: Aetna Medicare Advantage	$238.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.38
Rate for Payer: Cigna Commercial	$396.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.60
Rate for Payer: Qualcare PPO/HMO/WC	$119.05
Rate for Payer: UnitedHealthcare Community & State	$19.13
Rate for Payer: Wellpoint Medicaid Managed Care	$21.03

SCREW ATK INTF 8 25 905615

Facility

$1,127.25

Hospital Charge Code	270617620
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW ATK INTF 8 25 905615

Facility

$1,127.25

Hospital Charge Code	270617620
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 25 905617

Facility

$1,127.25

Hospital Charge Code	270617896
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

SCREW ATK INTF 9 25 905617

Facility

$1,127.25

Hospital Charge Code	270617896
Hospital Revenue Code	278
Min. Negotiated Rate	$169.09
Max. Negotiated Rate	$272.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09

SCREW ATK INTF 9 30 905608

Facility

$1,127.25

Hospital Charge Code	270617897
Hospital Revenue Code	278
Min. Negotiated Rate	$27.17
Max. Negotiated Rate	$563.62
Rate for Payer: Aetna Commercial	$428.36
Rate for Payer: Aetna Medicare Advantage	$338.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$225.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.45
Rate for Payer: Cigna Commercial	$563.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$272.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$248.00
Rate for Payer: Qualcare PPO/HMO/WC	$169.09
Rate for Payer: UnitedHealthcare Community & State	$27.17
Rate for Payer: Wellpoint Medicaid Managed Care	$29.87

Know your out-of-pocket cost for care.

All Charges