Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DHS LAG 12.7 130 280.30

Facility

$1,212.00

Hospital Charge Code	270603773
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 135 280.35

Facility

$1,212.00

Hospital Charge Code	270603774
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 135 280.35

Facility

$1,212.00

Hospital Charge Code	270603774
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 140 280.40

Facility

$1,212.00

Hospital Charge Code	270603775
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 140 280.40

Facility

$1,212.00

Hospital Charge Code	270603775
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 145 280.45

Facility

$1,212.00

Hospital Charge Code	270603776
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 145 280.45

Facility

$1,212.00

Hospital Charge Code	270603776
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 50 280.50

Facility

$1,212.00

Hospital Charge Code	270603756
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 50 280.50

Facility

$1,212.00

Hospital Charge Code	270603756
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 55 280.55

Facility

$1,212.00

Hospital Charge Code	270603757
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 55 280.55

Facility

$1,212.00

Hospital Charge Code	270603757
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 60 280.60

Facility

$1,212.00

Hospital Charge Code	270603758
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 60 280.60

Facility

$1,212.00

Hospital Charge Code	270603758
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 65 280.65

Facility

$1,212.00

Hospital Charge Code	270603759
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 65 280.65

Facility

$1,212.00

Hospital Charge Code	270603759
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 70 280.70

Facility

$1,212.00

Hospital Charge Code	270603760
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 70 280.70

Facility

$1,212.00

Hospital Charge Code	270603760
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 75 280.75

Facility

$1,212.00

Hospital Charge Code	270603761
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 75 280.75

Facility

$1,212.00

Hospital Charge Code	270603761
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 80 280.80

Facility

$1,320.00

Hospital Charge Code	270603762
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Community & State	$31.81
Rate for Payer: Wellpoint Medicaid Managed Care	$34.98

SCREW DHS LAG 12.7 80 280.80

Facility

$1,320.00

Hospital Charge Code	270603762
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 85 280.85

Facility

$1,212.00

Hospital Charge Code	270603763
Hospital Revenue Code	278
Min. Negotiated Rate	$29.21
Max. Negotiated Rate	$606.00
Rate for Payer: Aetna Commercial	$460.56
Rate for Payer: Aetna Medicare Advantage	$363.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$309.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$309.06
Rate for Payer: Cigna Commercial	$606.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80
Rate for Payer: UnitedHealthcare Community & State	$29.21
Rate for Payer: Wellpoint Medicaid Managed Care	$32.12

SCREW DHS LAG 12.7 85 280.85

Facility

$1,212.00

Hospital Charge Code	270603763
Hospital Revenue Code	278
Min. Negotiated Rate	$181.80
Max. Negotiated Rate	$293.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$242.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$293.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$266.64
Rate for Payer: Qualcare PPO/HMO/WC	$181.80

SCREW DHS LAG 12.7 90 280.90

Facility

$1,320.00

Hospital Charge Code	270603764
Hospital Revenue Code	278
Min. Negotiated Rate	$198.00
Max. Negotiated Rate	$319.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.00

SCREW DHS LAG 12.7 90 280.90

Facility

$1,320.00

Hospital Charge Code	270603764
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Community & State	$31.81
Rate for Payer: Wellpoint Medicaid Managed Care	$34.98

Know your out-of-pocket cost for care.

All Charges