Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC PT THD 4.0/90MM

Facility

$76.85

Hospital Charge Code	270604285
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 TL 16 7 100MM

Facility

$1,020.85

Hospital Charge Code	270604947
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 TL 16 7 100MM

Facility

$1,020.85

Hospital Charge Code	270604947
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 TL 16 7 105MM

Facility

$1,020.85

Hospital Charge Code	270604948
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 TL 16 7 105MM

Facility

$1,020.85

Hospital Charge Code	270604948
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 TL 16 7 110MM

Facility

$1,223.25

Hospital Charge Code	270604949
Hospital Revenue Code	278
Min. Negotiated Rate	$183.49
Max. Negotiated Rate	$296.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.12
Rate for Payer: Qualcare PPO/HMO/WC	$183.49

SCREW SYN CANC TL 16 7 110MM

Facility

$1,223.25

Hospital Charge Code	270604949
Hospital Revenue Code	278
Min. Negotiated Rate	$29.48
Max. Negotiated Rate	$611.62
Rate for Payer: Aetna Commercial	$464.83
Rate for Payer: Aetna Medicare Advantage	$366.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$311.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$311.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$244.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$311.93
Rate for Payer: Cigna Commercial	$611.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$296.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$269.12
Rate for Payer: Qualcare PPO/HMO/WC	$183.49
Rate for Payer: UnitedHealthcare Community & State	$29.48
Rate for Payer: Wellpoint Medicaid Managed Care	$32.42

SCREW SYN CANC TL 16 7 120MM

Facility

$1,020.85

Hospital Charge Code	270604951
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 TL 16 7 120MM

Facility

$1,020.85

Hospital Charge Code	270604951
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 TL 16 7 130MM

Facility

$1,020.85

Hospital Charge Code	270604953
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 TL 16 7 130MM

Facility

$1,020.85

Hospital Charge Code	270604953
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 TL 16 7 135MM

Facility

$1,020.85

Hospital Charge Code	270604954
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 TL 16 7 135MM

Facility

$1,020.85

Hospital Charge Code	270604954
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 TL 16 7 140MM

Facility

$1,020.85

Hospital Charge Code	270604955
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 TL 16 7 140MM

Facility

$1,020.85

Hospital Charge Code	270604955
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 TL 16 7 145MM

Facility

$1,020.85

Hospital Charge Code	270604956
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 TL 16 7 145MM

Facility

$1,020.85

Hospital Charge Code	270604956
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 TL 16 7 150MM

Facility

$1,020.85

Hospital Charge Code	270604957
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 TL 16 7 150MM

Facility

$1,020.85

Hospital Charge Code	270604957
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 TL 16 7.3 105MM

Facility

$1,096.95

Service Code	HCPCS C1713
Hospital Charge Code	270605034
Hospital Revenue Code	278
Min. Negotiated Rate	$26.44
Max. Negotiated Rate	$548.48
Rate for Payer: Aetna Commercial	$416.84
Rate for Payer: Aetna Medicare Advantage	$329.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$279.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$279.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$279.72
Rate for Payer: Cigna Commercial	$548.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.33
Rate for Payer: Qualcare PPO/HMO/WC	$164.54
Rate for Payer: UnitedHealthcare Community & State	$26.44
Rate for Payer: Wellpoint Medicaid Managed Care	$29.07

SCREW SYN CANC TL 16 7.3 105MM

Facility

$1,096.95

Service Code	HCPCS C1713
Hospital Charge Code	270605034
Hospital Revenue Code	278
Min. Negotiated Rate	$164.54
Max. Negotiated Rate	$265.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$219.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$265.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$241.33
Rate for Payer: Qualcare PPO/HMO/WC	$164.54

SCREW SYN CANC TL 16 7.3 115MM

Facility

$1,066.45

Hospital Charge Code	270605036
Hospital Revenue Code	274
Min. Negotiated Rate	$25.70
Max. Negotiated Rate	$533.23
Rate for Payer: Aetna Commercial	$405.25
Rate for Payer: Aetna Medicare Advantage	$319.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$271.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$271.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$271.94
Rate for Payer: Cigna Commercial	$533.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.62
Rate for Payer: Qualcare PPO/HMO/WC	$159.97
Rate for Payer: UnitedHealthcare Community & State	$25.70
Rate for Payer: Wellpoint Medicaid Managed Care	$28.26

SCREW SYN CANC TL 16 7.3 115MM

Facility

$1,066.45

Hospital Charge Code	270605036
Hospital Revenue Code	274
Min. Negotiated Rate	$159.97
Max. Negotiated Rate	$258.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.62
Rate for Payer: Qualcare PPO/HMO/WC	$159.97

SCREW SYN CANC TL 16 7.3 55MM

Facility

$1,020.85

Hospital Charge Code	270605024
Hospital Revenue Code	274
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 TL 16 7.3 55MM

Facility

$1,020.85

Hospital Charge Code	270605024
Hospital Revenue Code	274
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