Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW BMT CORT 5.0 25 345420

Facility

$708.00

Hospital Charge Code	270622768
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$155.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW BMT CORT 5.0 50 345430

Facility

$813.65

Hospital Charge Code	270612307
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 50 345430

Facility

$813.65

Hospital Charge Code	270612307
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW BMT CORT 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270613718
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 55 345432

Facility

$813.65

Hospital Charge Code	270613718
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW BMT CORT 5.0 65 345436

Facility

$836.85

Hospital Charge Code	270620353
Hospital Revenue Code	278
Min. Negotiated Rate	$125.53
Max. Negotiated Rate	$202.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.11
Rate for Payer: Qualcare PPO/HMO/WC	$125.53

SCREW BMT CORT 5.0 65 345436

Facility

$836.85

Hospital Charge Code	270620353
Hospital Revenue Code	278
Min. Negotiated Rate	$20.17
Max. Negotiated Rate	$418.43
Rate for Payer: Aetna Commercial	$318.00
Rate for Payer: Aetna Medicare Advantage	$251.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.40
Rate for Payer: Cigna Commercial	$418.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.11
Rate for Payer: Qualcare PPO/HMO/WC	$125.53
Rate for Payer: UnitedHealthcare Community & State	$20.17
Rate for Payer: Wellpoint Medicaid Managed Care	$22.18

SCREW BMT CORT 5.0 70 345438

Facility

$813.65

Hospital Charge Code	270607861
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW BMT CORT 5.0 70 345438

Facility

$813.65

Hospital Charge Code	270607861
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 5.0 75 345440

Facility

$708.00

Hospital Charge Code	270614627
Hospital Revenue Code	278
Min. Negotiated Rate	$106.20
Max. Negotiated Rate	$171.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$155.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.20

SCREW BMT CORT 5.0 75 345440

Facility

$708.00

Hospital Charge Code	270614627
Hospital Revenue Code	278
Min. Negotiated Rate	$17.06
Max. Negotiated Rate	$354.00
Rate for Payer: Aetna Commercial	$269.04
Rate for Payer: Aetna Medicare Advantage	$212.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$180.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$141.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$180.54
Rate for Payer: Cigna Commercial	$354.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$155.76
Rate for Payer: Qualcare PPO/HMO/WC	$106.20
Rate for Payer: UnitedHealthcare Community & State	$17.06
Rate for Payer: Wellpoint Medicaid Managed Care	$18.76

SCREW BMT CORT 5.0 85 345444

Facility

$836.85

Hospital Charge Code	270618208
Hospital Revenue Code	278
Min. Negotiated Rate	$20.17
Max. Negotiated Rate	$418.43
Rate for Payer: Aetna Commercial	$318.00
Rate for Payer: Aetna Medicare Advantage	$251.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$213.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$213.40
Rate for Payer: Cigna Commercial	$418.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.11
Rate for Payer: Qualcare PPO/HMO/WC	$125.53
Rate for Payer: UnitedHealthcare Community & State	$20.17
Rate for Payer: Wellpoint Medicaid Managed Care	$22.18

SCREW BMT CORT 5.0 85 345444

Facility

$836.85

Hospital Charge Code	270618208
Hospital Revenue Code	278
Min. Negotiated Rate	$125.53
Max. Negotiated Rate	$202.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$167.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$202.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$184.11
Rate for Payer: Qualcare PPO/HMO/WC	$125.53

SCREW BMT CORT 6.0 30 345520

Facility

$813.65

Hospital Charge Code	270614896
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW BMT CORT 6.0 30 345520

Facility

$813.65

Hospital Charge Code	270614896
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW BMT CORT 6.0 35 345522

Facility

$588.00

Hospital Charge Code	270614889
Hospital Revenue Code	278
Min. Negotiated Rate	$14.17
Max. Negotiated Rate	$294.00
Rate for Payer: Aetna Commercial	$223.44
Rate for Payer: Aetna Medicare Advantage	$176.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$149.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$149.94
Rate for Payer: Cigna Commercial	$294.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$88.20
Rate for Payer: UnitedHealthcare Community & State	$14.17
Rate for Payer: Wellpoint Medicaid Managed Care	$15.58

SCREW BMT CORT 6.0 35 345522

Facility

$588.00

Hospital Charge Code	270614889
Hospital Revenue Code	278
Min. Negotiated Rate	$88.20
Max. Negotiated Rate	$142.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$117.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.36
Rate for Payer: Qualcare PPO/HMO/WC	$88.20

SCREW BMT CORT 6.0 35 345620

Facility

$655.25

Hospital Charge Code	270621700
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$327.62
Rate for Payer: Aetna Commercial	$249.00
Rate for Payer: Aetna Medicare Advantage	$196.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$167.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$167.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$167.09
Rate for Payer: Cigna Commercial	$327.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.16
Rate for Payer: Qualcare PPO/HMO/WC	$98.29
Rate for Payer: UnitedHealthcare Community & State	$15.79
Rate for Payer: Wellpoint Medicaid Managed Care	$17.36

SCREW BMT CORT 6.0 35 345620

Facility

$655.25

Hospital Charge Code	270621700
Hospital Revenue Code	278
Min. Negotiated Rate	$98.29
Max. Negotiated Rate	$158.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$131.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$158.57
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$144.16
Rate for Payer: Qualcare PPO/HMO/WC	$98.29

SCREW BMT LAG VHS 100 200200

Facility

$1,404.00

Hospital Charge Code	270616520
Hospital Revenue Code	278
Min. Negotiated Rate	$33.84
Max. Negotiated Rate	$702.00
Rate for Payer: Aetna Commercial	$533.52
Rate for Payer: Aetna Medicare Advantage	$421.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.02
Rate for Payer: Cigna Commercial	$702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60
Rate for Payer: UnitedHealthcare Community & State	$33.84
Rate for Payer: Wellpoint Medicaid Managed Care	$37.21

SCREW BMT LAG VHS 100 200200

Facility

$1,404.00

Hospital Charge Code	270616520
Hospital Revenue Code	278
Min. Negotiated Rate	$210.60
Max. Negotiated Rate	$339.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60

SCREW BMT LAG VHS 110 200210

Facility

$1,404.00

Hospital Charge Code	270612179
Hospital Revenue Code	278
Min. Negotiated Rate	$210.60
Max. Negotiated Rate	$339.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60

SCREW BMT LAG VHS 110 200210

Facility

$1,404.00

Hospital Charge Code	270612179
Hospital Revenue Code	278
Min. Negotiated Rate	$33.84
Max. Negotiated Rate	$702.00
Rate for Payer: Aetna Commercial	$533.52
Rate for Payer: Aetna Medicare Advantage	$421.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.02
Rate for Payer: Cigna Commercial	$702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60
Rate for Payer: UnitedHealthcare Community & State	$33.84
Rate for Payer: Wellpoint Medicaid Managed Care	$37.21

SCREW BMT LAG VHS 80 200180

Facility

$1,404.00

Hospital Charge Code	270617576
Hospital Revenue Code	278
Min. Negotiated Rate	$33.84
Max. Negotiated Rate	$702.00
Rate for Payer: Aetna Commercial	$533.52
Rate for Payer: Aetna Medicare Advantage	$421.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$358.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$358.02
Rate for Payer: Cigna Commercial	$702.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60
Rate for Payer: UnitedHealthcare Community & State	$33.84
Rate for Payer: Wellpoint Medicaid Managed Care	$37.21

SCREW BMT LAG VHS 80 200180

Facility

$1,404.00

Hospital Charge Code	270617576
Hospital Revenue Code	278
Min. Negotiated Rate	$210.60
Max. Negotiated Rate	$339.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$280.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.77
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$308.88
Rate for Payer: Qualcare PPO/HMO/WC	$210.60

Know your out-of-pocket cost for care.

All Charges