Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC FT 4.0 32

Facility

$72.85

Hospital Charge Code	270601868
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 FT 4.0 34

Facility

$72.85

Hospital Charge Code	270601869
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 FT 4.0 34

Facility

$72.85

Hospital Charge Code	270601869
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 FT 4.0 35

Facility

$71.25

Hospital Charge Code	270604244
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 35

Facility

$72.85

Hospital Charge Code	270601870
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 FT 4.0 35

Facility

$71.25

Hospital Charge Code	270604244
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 35

Facility

$72.85

Hospital Charge Code	270601870
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 FT 4.0 36

Facility

$71.25

Hospital Charge Code	270604245
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 36

Facility

$71.25

Hospital Charge Code	270604245
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 38

Facility

$72.85

Hospital Charge Code	270601872
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 FT 4.0 38

Facility

$72.85

Hospital Charge Code	270601872
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 FT 4.0 40

Facility

$80.00

Hospital Charge Code	270601873
Hospital Revenue Code	278
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 40

Facility

$80.00

Hospital Charge Code	270601873
Hospital Revenue Code	278
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 50

Facility

$72.85

Hospital Charge Code	270601875
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 FT 4.0 50

Facility

$72.85

Hospital Charge Code	270601875
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 FT 4.0 55

Facility

$76.85

Hospital Charge Code	270601876
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 FT 4.0 55

Facility

$76.85

Hospital Charge Code	270601876
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 FT 4.0 60

Facility

$76.85

Hospital Charge Code	270601877
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 FT 4.0 60

Facility

$76.85

Hospital Charge Code	270601877
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 FT 4.0 60 20660

Facility

$71.25

Hospital Charge Code	270604250
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 60 20660

Facility

$71.25

Hospital Charge Code	270604250
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 65

Facility

$77.65

Hospital Charge Code	270604251
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 65

Facility

$77.65

Hospital Charge Code	270604251
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 70

Facility

$77.65

Hospital Charge Code	270604252
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 70

Facility

$77.65

Hospital Charge Code	270604252
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

Know your out-of-pocket cost for care.

All Charges