Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC TL 32 7 90MM

Facility

$1,020.85

Hospital Charge Code	270604967
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 32 7 90MM

Facility

$1,020.85

Hospital Charge Code	270604967
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 TT 4.0 10

Facility

$76.85

Hospital Charge Code	270603311
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 TT 4.0 10

Facility

$76.85

Hospital Charge Code	270603311
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 TT 4.0 10

Facility

$76.85

Hospital Charge Code	270603196
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 TT 4.0 10

Facility

$76.85

Hospital Charge Code	270603196
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 TT 4.0 12

Facility

$76.85

Hospital Charge Code	270603197
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 TT 4.0 12

Facility

$76.85

Hospital Charge Code	270603197
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 TT 4.0 12

Facility

$76.85

Hospital Charge Code	270603312
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 TT 4.0 12

Facility

$76.85

Hospital Charge Code	270603312
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 TTN 4.0 100MM**

Facility

$29.00

Hospital Charge Code	270603230
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 100MM**

Facility

$29.00

Hospital Charge Code	270603230
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 14MM

Facility

$76.85

Hospital Charge Code	270603198
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 TTN 4.0 14MM

Facility

$76.85

Hospital Charge Code	270603198
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 TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603317
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603317
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603201
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 22MM**

Facility

$29.00

Hospital Charge Code	270603201
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 26MM**

Facility

$29.00

Hospital Charge Code	270603203
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 26MM**

Facility

$29.00

Hospital Charge Code	270603203
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 28MM**

Facility

$29.00

Hospital Charge Code	270603204
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 28MM**

Facility

$29.00

Hospital Charge Code	270603204
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 30MM**

Facility

$29.00

Hospital Charge Code	270603321
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

SCREW SYN CANC TTN 4.0 30MM**

Facility

$29.00

Hospital Charge Code	270603321
Hospital Revenue Code	278
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.50
Rate for Payer: Aetna Commercial	$11.02
Rate for Payer: Aetna Medicare Advantage	$8.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.39
Rate for Payer: Cigna Commercial	$14.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SCREW SYN CANC TTN 4.0 32MM**

Facility

$29.00

Hospital Charge Code	270603207
Hospital Revenue Code	278
Min. Negotiated Rate	$4.35
Max. Negotiated Rate	$7.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.38
Rate for Payer: Qualcare PPO/HMO/WC	$4.35

Know your out-of-pocket cost for care.

All Charges