Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT CORT 4.0 44 345844

Facility

$495.25

Hospital Charge Code	270625701
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 50 345292

Facility

$621.65

Hospital Charge Code	270613721
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 50 345292

Facility

$621.65

Hospital Charge Code	270613721
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 4.5 18MM 345218

Facility

$457.65

Hospital Charge Code	270612317
Hospital Revenue Code	278
Min. Negotiated Rate	$11.03
Max. Negotiated Rate	$228.82
Rate for Payer: Aetna Commercial	$173.91
Rate for Payer: Aetna Medicare Advantage	$137.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.70
Rate for Payer: Cigna Commercial	$228.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.65
Rate for Payer: UnitedHealthcare Community & State	$11.03
Rate for Payer: Wellpoint Medicaid Managed Care	$12.13

SCREW BMT CORT 4.5 18MM 345218

Facility

$457.65

Hospital Charge Code	270612317
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$110.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

SCREW BMT CORT 4.5 20MM 345220

Facility

$716.00

Hospital Charge Code	270610876
Hospital Revenue Code	278
Min. Negotiated Rate	$107.40
Max. Negotiated Rate	$173.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.52
Rate for Payer: Qualcare PPO/HMO/WC	$107.40

SCREW BMT CORT 4.5 20MM 345220

Facility

$716.00

Hospital Charge Code	270610876
Hospital Revenue Code	278
Min. Negotiated Rate	$17.26
Max. Negotiated Rate	$358.00
Rate for Payer: Aetna Commercial	$272.08
Rate for Payer: Aetna Medicare Advantage	$214.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$182.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$143.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$182.58
Rate for Payer: Cigna Commercial	$358.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$173.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$157.52
Rate for Payer: Qualcare PPO/HMO/WC	$107.40
Rate for Payer: UnitedHealthcare Community & State	$17.26
Rate for Payer: Wellpoint Medicaid Managed Care	$18.97

SCREW BMT CORT 4.5 20MM 345320

Facility

$457.65

Hospital Charge Code	270614911
Hospital Revenue Code	278
Min. Negotiated Rate	$11.03
Max. Negotiated Rate	$228.82
Rate for Payer: Aetna Commercial	$173.91
Rate for Payer: Aetna Medicare Advantage	$137.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.70
Rate for Payer: Cigna Commercial	$228.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.65
Rate for Payer: UnitedHealthcare Community & State	$11.03
Rate for Payer: Wellpoint Medicaid Managed Care	$12.13

SCREW BMT CORT 4.5 20MM 345320

Facility

$457.65

Hospital Charge Code	270614911
Hospital Revenue Code	278
Min. Negotiated Rate	$68.65
Max. Negotiated Rate	$110.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.68
Rate for Payer: Qualcare PPO/HMO/WC	$68.65

SCREW BMT CORT 4.5 22MM 345322

Facility

$870.00

Hospital Charge Code	270610871
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 22MM 345322

Facility

$870.00

Hospital Charge Code	270610871
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

SCREW BMT CORT 4.5 24MM 345324

Facility

$621.65

Hospital Charge Code	270610877
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 4.5 24MM 345324

Facility

$621.65

Hospital Charge Code	270610877
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 4.5 26MM 345326

Facility

$870.00

Hospital Charge Code	270622379
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

SCREW BMT CORT 4.5 26MM 345326

Facility

$870.00

Hospital Charge Code	270622379
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

SCREW BMT CORT 4.5 28MM 345328

Facility

$585.00

Hospital Charge Code	270610792
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Community & State	$14.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.50

SCREW BMT CORT 4.5 28MM 345328

Facility

$585.00

Hospital Charge Code	270610792
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 30 345330

Facility

$508.85

Hospital Charge Code	270623896
Hospital Revenue Code	278
Min. Negotiated Rate	$76.33
Max. Negotiated Rate	$123.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.95
Rate for Payer: Qualcare PPO/HMO/WC	$76.33

SCREW BMT CORT 4.5 30 345330

Facility

$508.85

Hospital Charge Code	270623896
Hospital Revenue Code	278
Min. Negotiated Rate	$12.26
Max. Negotiated Rate	$254.43
Rate for Payer: Aetna Commercial	$193.36
Rate for Payer: Aetna Medicare Advantage	$152.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.76
Rate for Payer: Cigna Commercial	$254.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.14
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.95
Rate for Payer: Qualcare PPO/HMO/WC	$76.33
Rate for Payer: UnitedHealthcare Community & State	$12.26
Rate for Payer: Wellpoint Medicaid Managed Care	$13.48

SCREW BMT CORT 4.5 32MM 235132

Facility

$153.65

Hospital Charge Code	270614106
Hospital Revenue Code	278
Min. Negotiated Rate	$3.70
Max. Negotiated Rate	$76.83
Rate for Payer: Aetna Commercial	$58.39
Rate for Payer: Aetna Medicare Advantage	$46.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.18
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Community & State	$3.70
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

SCREW BMT CORT 4.5 32MM 235132

Facility

$153.65

Hospital Charge Code	270614106
Hospital Revenue Code	278
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$37.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.80
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

SCREW BMT CORT 4.5 32MM 345332

Facility

$585.00

Hospital Charge Code	270610794
Hospital Revenue Code	278
Min. Negotiated Rate	$87.75
Max. Negotiated Rate	$141.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75

SCREW BMT CORT 4.5 32MM 345332

Facility

$585.00

Hospital Charge Code	270610794
Hospital Revenue Code	278
Min. Negotiated Rate	$14.10
Max. Negotiated Rate	$292.50
Rate for Payer: Aetna Commercial	$222.30
Rate for Payer: Aetna Medicare Advantage	$175.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.18
Rate for Payer: Cigna Commercial	$292.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$128.70
Rate for Payer: Qualcare PPO/HMO/WC	$87.75
Rate for Payer: UnitedHealthcare Community & State	$14.10
Rate for Payer: Wellpoint Medicaid Managed Care	$15.50

SCREW BMT CORT 4.5 34 345334

Facility

$870.00

Hospital Charge Code	270624982
Hospital Revenue Code	278
Min. Negotiated Rate	$20.97
Max. Negotiated Rate	$435.00
Rate for Payer: Aetna Commercial	$330.60
Rate for Payer: Aetna Medicare Advantage	$261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$221.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$221.85
Rate for Payer: Cigna Commercial	$435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50
Rate for Payer: UnitedHealthcare Community & State	$20.97
Rate for Payer: Wellpoint Medicaid Managed Care	$23.05

SCREW BMT CORT 4.5 34 345334

Facility

$870.00

Hospital Charge Code	270624982
Hospital Revenue Code	278
Min. Negotiated Rate	$130.50
Max. Negotiated Rate	$210.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$191.40
Rate for Payer: Qualcare PPO/HMO/WC	$130.50

Know your out-of-pocket cost for care.

All Charges