Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SDK CANC 4.5 13MM 871073

Facility

$1,433.65

Hospital Charge Code	270609021
Hospital Revenue Code	278
Min. Negotiated Rate	$34.55
Max. Negotiated Rate	$716.83
Rate for Payer: Aetna Commercial	$544.79
Rate for Payer: Aetna Medicare Advantage	$430.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$365.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$365.58
Rate for Payer: Cigna Commercial	$716.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$315.40
Rate for Payer: Qualcare PPO/HMO/WC	$215.05
Rate for Payer: UnitedHealthcare Community & State	$34.55
Rate for Payer: Wellpoint Medicaid Managed Care	$37.99

SCREW SDK CANC 4.5 13MM 871073

Facility

$1,433.65

Hospital Charge Code	270609021
Hospital Revenue Code	278
Min. Negotiated Rate	$215.05
Max. Negotiated Rate	$346.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$286.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$346.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$315.40
Rate for Payer: Qualcare PPO/HMO/WC	$215.05

SCREW SDK CANC 4.5 13MM 876353

Facility

$1,864.00

Hospital Charge Code	270614735
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$451.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$410.08
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 13MM 876353

Facility

$1,864.00

Hospital Charge Code	270614735
Hospital Revenue Code	278
Min. Negotiated Rate	$44.92
Max. Negotiated Rate	$932.00
Rate for Payer: Aetna Commercial	$708.32
Rate for Payer: Aetna Medicare Advantage	$559.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$475.32
Rate for Payer: Cigna Commercial	$932.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$410.08
Rate for Payer: Qualcare PPO/HMO/WC	$279.60
Rate for Payer: UnitedHealthcare Community & State	$44.92
Rate for Payer: Wellpoint Medicaid Managed Care	$49.40

SCREW SDK CANC 4.5 15MM 876355

Facility

$1,864.00

Hospital Charge Code	270614736
Hospital Revenue Code	278
Min. Negotiated Rate	$279.60
Max. Negotiated Rate	$451.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$410.08
Rate for Payer: Qualcare PPO/HMO/WC	$279.60

SCREW SDK CANC 4.5 15MM 876355

Facility

$1,864.00

Hospital Charge Code	270614736
Hospital Revenue Code	278
Min. Negotiated Rate	$44.92
Max. Negotiated Rate	$932.00
Rate for Payer: Aetna Commercial	$708.32
Rate for Payer: Aetna Medicare Advantage	$559.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$475.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$372.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$475.32
Rate for Payer: Cigna Commercial	$932.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$451.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$410.08
Rate for Payer: Qualcare PPO/HMO/WC	$279.60
Rate for Payer: UnitedHealthcare Community & State	$44.92
Rate for Payer: Wellpoint Medicaid Managed Care	$49.40

SCREW SDK CANC 4.5 17MM 876357

Facility

$2,040.00

Hospital Charge Code	270618018
Hospital Revenue Code	278
Min. Negotiated Rate	$49.16
Max. Negotiated Rate	$1,020.00
Rate for Payer: Aetna Commercial	$775.20
Rate for Payer: Aetna Medicare Advantage	$612.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$520.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$520.20
Rate for Payer: Cigna Commercial	$1,020.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$448.80
Rate for Payer: Qualcare PPO/HMO/WC	$306.00
Rate for Payer: UnitedHealthcare Community & State	$49.16
Rate for Payer: Wellpoint Medicaid Managed Care	$54.06

SCREW SDK CANC 4.5 17MM 876357

Facility

$2,040.00

Hospital Charge Code	270618018
Hospital Revenue Code	278
Min. Negotiated Rate	$306.00
Max. Negotiated Rate	$493.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$493.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$448.80
Rate for Payer: Qualcare PPO/HMO/WC	$306.00

SCREW SDK LOCKING 871001

Facility

$590.45

Hospital Charge Code	270607297
Hospital Revenue Code	278
Min. Negotiated Rate	$88.57
Max. Negotiated Rate	$142.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.90
Rate for Payer: Qualcare PPO/HMO/WC	$88.57

SCREW SDK LOCKING 871001

Facility

$590.45

Hospital Charge Code	270607297
Hospital Revenue Code	278
Min. Negotiated Rate	$14.23
Max. Negotiated Rate	$295.23
Rate for Payer: Aetna Commercial	$224.37
Rate for Payer: Aetna Medicare Advantage	$177.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$150.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$118.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$150.56
Rate for Payer: Cigna Commercial	$295.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$142.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$129.90
Rate for Payer: Qualcare PPO/HMO/WC	$88.57
Rate for Payer: UnitedHealthcare Community & State	$14.23
Rate for Payer: Wellpoint Medicaid Managed Care	$15.65

SCREW SDK LOCKING 89104EHT

Facility

$851.25

Hospital Charge Code	270613603
Hospital Revenue Code	278
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$425.62
Rate for Payer: Aetna Commercial	$323.48
Rate for Payer: Aetna Medicare Advantage	$255.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.07
Rate for Payer: Cigna Commercial	$425.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.28
Rate for Payer: Qualcare PPO/HMO/WC	$127.69
Rate for Payer: UnitedHealthcare Community & State	$20.52
Rate for Payer: Wellpoint Medicaid Managed Care	$22.56

SCREW SDK LOCKING 89104EHT

Facility

$851.25

Hospital Charge Code	270613603
Hospital Revenue Code	278
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$206.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$170.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$206.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$187.28
Rate for Payer: Qualcare PPO/HMO/WC	$127.69

SCREW SDK M-AX 5.5 45 8695545

Facility

$3,759.25

Hospital Charge Code	270618698
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 5.5 45 8695545

Facility

$3,759.25

Hospital Charge Code	270618698
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 35 827-635

Facility

$3,759.25

Hospital Charge Code	270617951
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 35 827-635

Facility

$3,759.25

Hospital Charge Code	270617951
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 6.5 40 827-340

Facility

$3,480.00

Hospital Charge Code	270613601
Hospital Revenue Code	278
Min. Negotiated Rate	$83.87
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,322.40
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00
Rate for Payer: UnitedHealthcare Community & State	$83.87
Rate for Payer: Wellpoint Medicaid Managed Care	$92.22

SCREW SDK M-AX 6.5 40 827-340

Facility

$3,480.00

Hospital Charge Code	270613601
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 40 8696540

Facility

$3,759.25

Hospital Charge Code	270616989
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 6.5 40 8696540

Facility

$3,759.25

Hospital Charge Code	270616989
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 45 827-345

Facility

$3,480.00

Hospital Charge Code	270613602
Hospital Revenue Code	278
Min. Negotiated Rate	$522.00
Max. Negotiated Rate	$842.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00

SCREW SDK M-AX 6.5 45 827-345

Facility

$3,480.00

Hospital Charge Code	270613602
Hospital Revenue Code	278
Min. Negotiated Rate	$83.87
Max. Negotiated Rate	$1,740.00
Rate for Payer: Aetna Commercial	$1,322.40
Rate for Payer: Aetna Medicare Advantage	$1,044.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$887.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$696.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$887.40
Rate for Payer: Cigna Commercial	$1,740.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$842.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$765.60
Rate for Payer: Qualcare PPO/HMO/WC	$522.00
Rate for Payer: UnitedHealthcare Community & State	$83.87
Rate for Payer: Wellpoint Medicaid Managed Care	$92.22

SCREW SDK M-AX 6.5 45 8696545

Facility

$3,759.25

Hospital Charge Code	270617319
Hospital Revenue Code	278
Min. Negotiated Rate	$563.89
Max. Negotiated Rate	$909.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89

SCREW SDK M-AX 6.5 45 8696545

Facility

$3,759.25

Hospital Charge Code	270617319
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

SCREW SDK M-AX 7.5 30 8697530

Facility

$3,759.25

Hospital Charge Code	270616992
Hospital Revenue Code	278
Min. Negotiated Rate	$90.60
Max. Negotiated Rate	$1,879.62
Rate for Payer: Aetna Commercial	$1,428.52
Rate for Payer: Aetna Medicare Advantage	$1,127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$958.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$751.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$958.61
Rate for Payer: Cigna Commercial	$1,879.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$909.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$827.03
Rate for Payer: Qualcare PPO/HMO/WC	$563.89
Rate for Payer: UnitedHealthcare Community & State	$90.60
Rate for Payer: Wellpoint Medicaid Managed Care	$99.62

Know your out-of-pocket cost for care.

All Charges