Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC 4.0 16 406.016

Facility

$80.00

Hospital Charge Code	270601860
Hospital Revenue Code	274
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

SCREW SYN CANC 4.0 16 406.016

Facility

$80.00

Hospital Charge Code	270601860
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW SYN CANC 4.0 36 406.036

Facility

$72.85

Hospital Charge Code	270601871
Hospital Revenue Code	278
Min. Negotiated Rate	$10.93
Max. Negotiated Rate	$17.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$10.93

SCREW SYN CANC 4.0 36 406.036

Facility

$72.85

Hospital Charge Code	270601871
Hospital Revenue Code	278
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$27.68
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

SCREW SYN CANC 4.0 85 406.085

Facility

$76.85

Hospital Charge Code	270603225
Hospital Revenue Code	278
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$29.20
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

SCREW SYN CANC 4.0 85 406.085

Facility

$76.85

Hospital Charge Code	270603225
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 4.0 95 407.095

Facility

$76.85

Hospital Charge Code	270603335
Hospital Revenue Code	278
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$29.20
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

SCREW SYN CANC 4.0 95 407.095

Facility

$76.85

Hospital Charge Code	270603335
Hospital Revenue Code	278
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC 6.5 7 32 21770

Facility

$109.65

Hospital Charge Code	270627316
Hospital Revenue Code	278
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$54.83
Rate for Payer: Aetna Commercial	$41.67
Rate for Payer: Aetna Medicare Advantage	$32.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.96
Rate for Payer: Cigna Commercial	$54.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.45
Rate for Payer: UnitedHealthcare Community & State	$2.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2.91

SCREW SYN CANC 6.5 7 32 21770

Facility

$109.65

Hospital Charge Code	270627316
Hospital Revenue Code	278
Min. Negotiated Rate	$16.45
Max. Negotiated Rate	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.12
Rate for Payer: Qualcare PPO/HMO/WC	$16.45

SCREW SYN CANC FT 4.0 14

Facility

$77.65

Hospital Charge Code	270601859
Hospital Revenue Code	278
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC FT 4.0 14

Facility

$77.65

Hospital Charge Code	270601859
Hospital Revenue Code	278
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SCREW SYN CANC FT 4.0 18

Facility

$77.65

Hospital Charge Code	270601861
Hospital Revenue Code	274
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SCREW SYN CANC FT 4.0 18

Facility

$77.65

Hospital Charge Code	270601861
Hospital Revenue Code	274
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC FT 4.0 20

Facility

$80.00

Hospital Charge Code	270601862
Hospital Revenue Code	274
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW SYN CANC FT 4.0 20

Facility

$80.00

Hospital Charge Code	270601862
Hospital Revenue Code	274
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

SCREW SYN CANC FT 4.0 22

Facility

$76.85

Hospital Charge Code	270601863
Hospital Revenue Code	274
Min. Negotiated Rate	$11.53
Max. Negotiated Rate	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53

SCREW SYN CANC FT 4.0 22

Facility

$76.85

Hospital Charge Code	270601863
Hospital Revenue Code	274
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$38.42
Rate for Payer: Aetna Commercial	$29.20
Rate for Payer: Aetna Medicare Advantage	$23.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.60
Rate for Payer: Cigna Commercial	$38.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.91
Rate for Payer: Qualcare PPO/HMO/WC	$11.53
Rate for Payer: UnitedHealthcare Community & State	$1.85
Rate for Payer: Wellpoint Medicaid Managed Care	$2.04

SCREW SYN CANC FT 4.0 24

Facility

$77.65

Hospital Charge Code	270601864
Hospital Revenue Code	274
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC FT 4.0 24

Facility

$77.65

Hospital Charge Code	270601864
Hospital Revenue Code	274
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SCREW SYN CANC FT 4.0 30

Facility

$77.65

Hospital Charge Code	270601867
Hospital Revenue Code	278
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SCREW SYN CANC FT 4.0 30

Facility

$77.65

Hospital Charge Code	270601867
Hospital Revenue Code	278
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANC FT 4.0 32

Facility

$71.25

Hospital Charge Code	270604243
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CANC FT 4.0 32

Facility

$71.25

Hospital Charge Code	270604243
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

SCREW SYN CANC FT 4.0 32

Facility

$72.85

Hospital Charge Code	270601868
Hospital Revenue Code	278
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.42
Rate for Payer: Aetna Commercial	$27.68
Rate for Payer: Aetna Medicare Advantage	$21.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.58
Rate for Payer: Cigna Commercial	$36.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.03
Rate for Payer: Qualcare PPO/HMO/WC	$10.93
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.93

Know your out-of-pocket cost for care.

All Charges