Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT CANN 7 105 345734

Facility

$973.65

Hospital Charge Code	270619019
Hospital Revenue Code	278
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$369.99
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.80

SCREW BMT CANN 7 105 345734

Facility

$973.65

Hospital Charge Code	270619019
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 140 345744

Facility

$772.85

Hospital Charge Code	270625378
Hospital Revenue Code	278
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$386.43
Rate for Payer: Aetna Commercial	$293.68
Rate for Payer: Aetna Medicare Advantage	$231.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.08
Rate for Payer: Cigna Commercial	$386.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93
Rate for Payer: UnitedHealthcare Community & State	$18.63
Rate for Payer: Wellpoint Medicaid Managed Care	$20.48

SCREW BMT CANN 7 140 345744

Facility

$772.85

Hospital Charge Code	270625378
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$187.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 75 345722

Facility

$772.85

Hospital Charge Code	270624247
Hospital Revenue Code	278
Min. Negotiated Rate	$115.93
Max. Negotiated Rate	$187.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93

SCREW BMT CANN 7 75 345722

Facility

$772.85

Hospital Charge Code	270624247
Hospital Revenue Code	278
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$386.43
Rate for Payer: Aetna Commercial	$293.68
Rate for Payer: Aetna Medicare Advantage	$231.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$154.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.08
Rate for Payer: Cigna Commercial	$386.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.03
Rate for Payer: Qualcare PPO/HMO/WC	$115.93
Rate for Payer: UnitedHealthcare Community & State	$18.63
Rate for Payer: Wellpoint Medicaid Managed Care	$20.48

SCREW BMT CANN 7 80 345724

Facility

$973.65

Hospital Charge Code	270619786
Hospital Revenue Code	278
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$369.99
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.80

SCREW BMT CANN 7 80 345724

Facility

$973.65

Hospital Charge Code	270619786
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 85 345726

Facility

$688.00

Hospital Charge Code	270622878
Hospital Revenue Code	278
Min. Negotiated Rate	$103.20
Max. Negotiated Rate	$166.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.36
Rate for Payer: Qualcare PPO/HMO/WC	$103.20

SCREW BMT CANN 7 85 345726

Facility

$688.00

Hospital Charge Code	270622878
Hospital Revenue Code	278
Min. Negotiated Rate	$16.58
Max. Negotiated Rate	$344.00
Rate for Payer: Aetna Commercial	$261.44
Rate for Payer: Aetna Medicare Advantage	$206.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$175.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$137.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$175.44
Rate for Payer: Cigna Commercial	$344.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$166.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$151.36
Rate for Payer: Qualcare PPO/HMO/WC	$103.20
Rate for Payer: UnitedHealthcare Community & State	$16.58
Rate for Payer: Wellpoint Medicaid Managed Care	$18.23

SCREW BMT CANN 7 90 345728

Facility

$973.65

Hospital Charge Code	270617177
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 90 345728

Facility

$973.65

Hospital Charge Code	270617177
Hospital Revenue Code	278
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$369.99
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.80

SCREW BMT CANN 7 95 345730

Facility

$973.65

Hospital Charge Code	270617176
Hospital Revenue Code	278
Min. Negotiated Rate	$146.05
Max. Negotiated Rate	$235.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05

SCREW BMT CANN 7 95 345730

Facility

$973.65

Hospital Charge Code	270617176
Hospital Revenue Code	278
Min. Negotiated Rate	$23.46
Max. Negotiated Rate	$486.82
Rate for Payer: Aetna Commercial	$369.99
Rate for Payer: Aetna Medicare Advantage	$292.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$248.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$194.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$248.28
Rate for Payer: Cigna Commercial	$486.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$235.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$214.20
Rate for Payer: Qualcare PPO/HMO/WC	$146.05
Rate for Payer: UnitedHealthcare Community & State	$23.46
Rate for Payer: Wellpoint Medicaid Managed Care	$25.80

SCREW BMT CORT 4.0 32 345832

Facility

$495.25

Hospital Charge Code	270627062
Hospital Revenue Code	278
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$188.19
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.29
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

SCREW BMT CORT 4.0 32 345832

Facility

$495.25

Hospital Charge Code	270627062
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 34 345278

Facility

$621.65

Hospital Charge Code	270613717
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 34 345278

Facility

$621.65

Hospital Charge Code	270613717
Hospital Revenue Code	278
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SCREW BMT CORT 4.0 36 345280

Facility

$621.65

Hospital Charge Code	270613720
Hospital Revenue Code	278
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SCREW BMT CORT 4.0 36 345280

Facility

$621.65

Hospital Charge Code	270613720
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW BMT CORT 4.0 38 345838

Facility

$5.00

Hospital Charge Code	270627442
Hospital Revenue Code	278
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$1.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

SCREW BMT CORT 4.0 38 345838

Facility

$5.00

Hospital Charge Code	270627442
Hospital Revenue Code	278
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1.10
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

SCREW BMT CORT 4.0 42 345842

Facility

$495.25

Hospital Charge Code	270625702
Hospital Revenue Code	278
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$188.19
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.29
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

SCREW BMT CORT 4.0 42 345842

Facility

$495.25

Hospital Charge Code	270625702
Hospital Revenue Code	278
Min. Negotiated Rate	$74.29
Max. Negotiated Rate	$119.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.29

SCREW BMT CORT 4.0 44 345844

Facility

$495.25

Hospital Charge Code	270625701
Hospital Revenue Code	278
Min. Negotiated Rate	$11.94
Max. Negotiated Rate	$247.62
Rate for Payer: Aetna Commercial	$188.19
Rate for Payer: Aetna Medicare Advantage	$148.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.29
Rate for Payer: Cigna Commercial	$247.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.95
Rate for Payer: Qualcare PPO/HMO/WC	$74.29
Rate for Payer: UnitedHealthcare Community & State	$11.94
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

Know your out-of-pocket cost for care.

All Charges