Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW DHS LAG 12.7 95 280.95

Facility

$1,212.00

Hospital Charge Code	270603766
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 95 280.95

Facility

$1,212.00

Hospital Charge Code	270603766
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 14.0 100 280.500

Facility

$1,342.45

Hospital Charge Code	270603791
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 100 280.500

Facility

$1,342.45

Hospital Charge Code	270603791
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 105 280.505

Facility

$1,342.45

Hospital Charge Code	270603792
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 105 280.505

Facility

$1,342.45

Hospital Charge Code	270603792
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 110 280.510

Facility

$1,342.45

Hospital Charge Code	270603793
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 110 280.510

Facility

$1,342.45

Hospital Charge Code	270603793
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 115 280.515

Facility

$1,342.45

Hospital Charge Code	270603794
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 115 280.515

Facility

$1,342.45

Hospital Charge Code	270603794
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 120 280.520

Facility

$1,342.45

Hospital Charge Code	270603795
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 120 280.520

Facility

$1,342.45

Hospital Charge Code	270603795
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 130 280.530

Facility

$1,342.45

Hospital Charge Code	270603797
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 130 280.530

Facility

$1,342.45

Hospital Charge Code	270603797
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 135 280.535

Facility

$1,342.45

Hospital Charge Code	270603798
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 135 280.535

Facility

$1,342.45

Hospital Charge Code	270603798
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 140 280.540

Facility

$1,342.45

Hospital Charge Code	270603799
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 140 280.540

Facility

$1,342.45

Hospital Charge Code	270603799
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 145 280.545

Facility

$1,334.45

Hospital Charge Code	270603800
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$322.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 145 280.545

Facility

$1,334.45

Hospital Charge Code	270603800
Hospital Revenue Code	278
Min. Negotiated Rate	$32.16
Max. Negotiated Rate	$667.23
Rate for Payer: Aetna Commercial	$507.09
Rate for Payer: Aetna Medicare Advantage	$400.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.28
Rate for Payer: Cigna Commercial	$667.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17
Rate for Payer: UnitedHealthcare Community & State	$32.16
Rate for Payer: Wellpoint Medicaid Managed Care	$35.36

SCREW DHS LAG 14.0 50 280.450

Facility

$1,334.45

Hospital Charge Code	270603781
Hospital Revenue Code	278
Min. Negotiated Rate	$200.17
Max. Negotiated Rate	$322.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17

SCREW DHS LAG 14.0 50 280.450

Facility

$1,334.45

Hospital Charge Code	270603781
Hospital Revenue Code	278
Min. Negotiated Rate	$32.16
Max. Negotiated Rate	$667.23
Rate for Payer: Aetna Commercial	$507.09
Rate for Payer: Aetna Medicare Advantage	$400.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$340.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$266.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$340.28
Rate for Payer: Cigna Commercial	$667.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$322.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$293.58
Rate for Payer: Qualcare PPO/HMO/WC	$200.17
Rate for Payer: UnitedHealthcare Community & State	$32.16
Rate for Payer: Wellpoint Medicaid Managed Care	$35.36

SCREW DHS LAG 14.0 55 280.455

Facility

$1,342.45

Hospital Charge Code	270603782
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

SCREW DHS LAG 14.0 55 280.455

Facility

$1,342.45

Hospital Charge Code	270603782
Hospital Revenue Code	278
Min. Negotiated Rate	$32.35
Max. Negotiated Rate	$671.23
Rate for Payer: Aetna Commercial	$510.13
Rate for Payer: Aetna Medicare Advantage	$402.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$342.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$342.32
Rate for Payer: Cigna Commercial	$671.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37
Rate for Payer: UnitedHealthcare Community & State	$32.35
Rate for Payer: Wellpoint Medicaid Managed Care	$35.57

SCREW DHS LAG 14.0 60 280.460

Facility

$1,342.45

Hospital Charge Code	270603783
Hospital Revenue Code	278
Min. Negotiated Rate	$201.37
Max. Negotiated Rate	$324.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$268.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$324.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$295.34
Rate for Payer: Qualcare PPO/HMO/WC	$201.37

Know your out-of-pocket cost for care.

All Charges