Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC FT 7 20

Facility

$1,020.85

Hospital Charge Code	270604980
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 25

Facility

$1,020.85

Hospital Charge Code	270604981
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 25

Facility

$1,020.85

Hospital Charge Code	270604981
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 30

Facility

$1,020.85

Hospital Charge Code	270604982
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 30

Facility

$1,020.85

Hospital Charge Code	270604982
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 35

Facility

$1,020.85

Hospital Charge Code	270604983
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 35

Facility

$1,020.85

Hospital Charge Code	270604983
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 7.3 65

Facility

$1,360.00

Hospital Charge Code	270605078
Hospital Revenue Code	278
Min. Negotiated Rate	$204.00
Max. Negotiated Rate	$329.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00

SCREW SYN CANC FT 7.3 65

Facility

$1,360.00

Hospital Charge Code	270605078
Hospital Revenue Code	278
Min. Negotiated Rate	$32.78
Max. Negotiated Rate	$680.00
Rate for Payer: Aetna Commercial	$516.80
Rate for Payer: Aetna Medicare Advantage	$408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$346.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$272.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$346.80
Rate for Payer: Cigna Commercial	$680.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$329.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$299.20
Rate for Payer: Qualcare PPO/HMO/WC	$204.00
Rate for Payer: UnitedHealthcare Community & State	$32.78
Rate for Payer: Wellpoint Medicaid Managed Care	$36.04

SCREW SYN CANC FT 7 40

Facility

$1,020.85

Hospital Charge Code	270604984
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 40

Facility

$1,020.85

Hospital Charge Code	270604984
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 45

Facility

$1,020.85

Hospital Charge Code	270604985
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 45

Facility

$1,020.85

Hospital Charge Code	270604985
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 50

Facility

$1,020.85

Hospital Charge Code	270604986
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 50

Facility

$1,020.85

Hospital Charge Code	270604986
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 55

Facility

$1,020.85

Hospital Charge Code	270604987
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 55

Facility

$1,020.85

Hospital Charge Code	270604987
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 60

Facility

$1,020.85

Hospital Charge Code	270604988
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 60

Facility

$1,020.85

Hospital Charge Code	270604988
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 65

Facility

$1,020.85

Hospital Charge Code	270604989
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 65

Facility

$1,020.85

Hospital Charge Code	270604989
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 70

Facility

$1,020.85

Hospital Charge Code	270604990
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 70

Facility

$1,020.85

Hospital Charge Code	270604990
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 75

Facility

$1,020.85

Hospital Charge Code	270604994
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 75

Facility

$1,020.85

Hospital Charge Code	270604994
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

Know your out-of-pocket cost for care.

All Charges