Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC FT 4.0 75

Facility

$77.65

Hospital Charge Code	270604253
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 75

Facility

$77.65

Hospital Charge Code	270604253
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 80

Facility

$77.65

Hospital Charge Code	270604254
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 80

Facility

$77.65

Hospital Charge Code	270604254
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 85

Facility

$77.65

Hospital Charge Code	270604255
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 85

Facility

$77.65

Hospital Charge Code	270604255
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 90

Facility

$77.65

Hospital Charge Code	270604256
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 90

Facility

$77.65

Hospital Charge Code	270604256
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 95

Facility

$775.25

Hospital Charge Code	270604257
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANC FT 4.0 95

Facility

$775.25

Hospital Charge Code	270604257
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$294.60
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

SCREW SYN CANC FT 7 100

Facility

$1,020.85

Hospital Charge Code	270604999
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 100

Facility

$1,020.85

Hospital Charge Code	270604999
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 105

Facility

$1,020.85

Hospital Charge Code	270605000
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 105

Facility

$1,020.85

Hospital Charge Code	270605000
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 110

Facility

$1,020.85

Hospital Charge Code	270605001
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 110

Facility

$1,020.85

Hospital Charge Code	270605001
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 115

Facility

$1,020.85

Hospital Charge Code	270605002
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 115

Facility

$1,020.85

Hospital Charge Code	270605002
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 120

Facility

$1,020.85

Hospital Charge Code	270605003
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 120

Facility

$1,020.85

Hospital Charge Code	270605003
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 125

Facility

$1,020.85

Hospital Charge Code	270605004
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 125

Facility

$1,020.85

Hospital Charge Code	270605004
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 130

Facility

$1,020.85

Hospital Charge Code	270605005
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

SCREW SYN CANC FT 7 130

Facility

$1,020.85

Hospital Charge Code	270605005
Hospital Revenue Code	278
Min. Negotiated Rate	$153.13
Max. Negotiated Rate	$247.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13

SCREW SYN CANC FT 7 20

Facility

$1,020.85

Hospital Charge Code	270604980
Hospital Revenue Code	278
Min. Negotiated Rate	$24.60
Max. Negotiated Rate	$510.43
Rate for Payer: Aetna Commercial	$387.92
Rate for Payer: Aetna Medicare Advantage	$306.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$260.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$204.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$260.32
Rate for Payer: Cigna Commercial	$510.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$224.59
Rate for Payer: Qualcare PPO/HMO/WC	$153.13
Rate for Payer: UnitedHealthcare Community & State	$24.60
Rate for Payer: Wellpoint Medicaid Managed Care	$27.05

Know your out-of-pocket cost for care.

All Charges