Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ATK INTF 9 30 905608

Facility

$1,127.25

Hospital Charge Code	270617897
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 MULCH 10.5 35 907335

Facility

$2,798.45

Hospital Charge Code	270620354
Hospital Revenue Code	278
Min. Negotiated Rate	$419.77
Max. Negotiated Rate	$677.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.66
Rate for Payer: Qualcare PPO/HMO/WC	$419.77

SCREW ATK MULCH 10.5 35 907335

Facility

$2,798.45

Hospital Charge Code	270620354
Hospital Revenue Code	278
Min. Negotiated Rate	$67.44
Max. Negotiated Rate	$1,399.22
Rate for Payer: Aetna Commercial	$1,063.41
Rate for Payer: Aetna Medicare Advantage	$839.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$713.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$559.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$713.60
Rate for Payer: Cigna Commercial	$1,399.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$677.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$615.66
Rate for Payer: Qualcare PPO/HMO/WC	$419.77
Rate for Payer: UnitedHealthcare Community & State	$67.44
Rate for Payer: Wellpoint Medicaid Managed Care	$74.16

SCREW ATK MULCH 25MM 906325

Facility

$1,915.25

Hospital Charge Code	270613296
Hospital Revenue Code	278
Min. Negotiated Rate	$46.16
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$727.79
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

SCREW ATK MULCH 25MM 906325

Facility

$1,915.25

Hospital Charge Code	270613296
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK MULCH 906330

Facility

$1,915.25

Hospital Charge Code	270609649
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK MULCH 906330

Facility

$1,915.25

Hospital Charge Code	270609649
Hospital Revenue Code	278
Min. Negotiated Rate	$46.16
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$727.79
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

SCREW ATK TUNNELOC 906335

Facility

$1,915.25

Hospital Charge Code	270609652
Hospital Revenue Code	278
Min. Negotiated Rate	$287.29
Max. Negotiated Rate	$463.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29

SCREW ATK TUNNELOC 906335

Facility

$1,915.25

Hospital Charge Code	270609652
Hospital Revenue Code	278
Min. Negotiated Rate	$46.16
Max. Negotiated Rate	$957.62
Rate for Payer: Aetna Commercial	$727.79
Rate for Payer: Aetna Medicare Advantage	$574.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$488.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$383.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$488.39
Rate for Payer: Cigna Commercial	$957.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$463.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$421.36
Rate for Payer: Qualcare PPO/HMO/WC	$287.29
Rate for Payer: UnitedHealthcare Community & State	$46.16
Rate for Payer: Wellpoint Medicaid Managed Care	$50.75

SCREW ATK WASHERLC 40 908640

Facility

$576.00

Hospital Charge Code	270613298
Hospital Revenue Code	278
Min. Negotiated Rate	$13.88
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$218.88
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40
Rate for Payer: UnitedHealthcare Community & State	$13.88
Rate for Payer: Wellpoint Medicaid Managed Care	$15.26

SCREW ATK WASHERLC 40 908640

Facility

$576.00

Hospital Charge Code	270613298
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 44 908644

Facility

$576.00

Hospital Charge Code	270613299
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 44 908644

Facility

$576.00

Hospital Charge Code	270613299
Hospital Revenue Code	278
Min. Negotiated Rate	$13.88
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$218.88
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40
Rate for Payer: UnitedHealthcare Community & State	$13.88
Rate for Payer: Wellpoint Medicaid Managed Care	$15.26

SCREW ATK WASHERLC 56 908656

Facility

$576.00

Hospital Charge Code	270613300
Hospital Revenue Code	278
Min. Negotiated Rate	$13.88
Max. Negotiated Rate	$288.00
Rate for Payer: Aetna Commercial	$218.88
Rate for Payer: Aetna Medicare Advantage	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.88
Rate for Payer: Cigna Commercial	$288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40
Rate for Payer: UnitedHealthcare Community & State	$13.88
Rate for Payer: Wellpoint Medicaid Managed Care	$15.26

SCREW ATK WASHERLC 56 908656

Facility

$576.00

Hospital Charge Code	270613300
Hospital Revenue Code	278
Min. Negotiated Rate	$86.40
Max. Negotiated Rate	$139.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$126.72
Rate for Payer: Qualcare PPO/HMO/WC	$86.40

SCREW ATK WASHERLC 6 30 908830

Facility

$873.65

Hospital Charge Code	270620356
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 30 908830

Facility

$873.65

Hospital Charge Code	270620356
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

SCREW ATK WASHERLC 6 32 908832

Facility

$873.65

Hospital Charge Code	270620207
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 32 908832

Facility

$873.65

Hospital Charge Code	270620207
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

SCREW ATK WASHERLC 6 38 908838

Facility

$594.45

Hospital Charge Code	270625098
Hospital Revenue Code	278
Min. Negotiated Rate	$89.17
Max. Negotiated Rate	$143.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.78
Rate for Payer: Qualcare PPO/HMO/WC	$89.17

SCREW ATK WASHERLC 6 38 908838

Facility

$594.45

Hospital Charge Code	270625098
Hospital Revenue Code	278
Min. Negotiated Rate	$14.33
Max. Negotiated Rate	$297.23
Rate for Payer: Aetna Commercial	$225.89
Rate for Payer: Aetna Medicare Advantage	$178.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$151.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$151.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$151.58
Rate for Payer: Cigna Commercial	$297.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$143.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$130.78
Rate for Payer: Qualcare PPO/HMO/WC	$89.17
Rate for Payer: UnitedHealthcare Community & State	$14.33
Rate for Payer: Wellpoint Medicaid Managed Care	$15.75

SCREW ATK WASHERLC 6 44 908844

Facility

$873.65

Hospital Charge Code	270620208
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

SCREW ATK WASHERLC 6 44 908844

Facility

$873.65

Hospital Charge Code	270620208
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 60 908660

Facility

$873.65

Hospital Charge Code	270620209
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

SCREW ATK WASHERLC 6 60 908660

Facility

$873.65

Hospital Charge Code	270620209
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

Know your out-of-pocket cost for care.

All Charges