Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC TTN 4.0 32MM**

Facility

$29.00

Hospital Charge Code	270603207
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 34MM**

Facility

$29.00

Hospital Charge Code	270603208
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 34MM**

Facility

$29.00

Hospital Charge Code	270603208
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 36MM**

Facility

$29.00

Hospital Charge Code	270603212
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 36MM**

Facility

$29.00

Hospital Charge Code	270603212
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 38MM**

Facility

$29.00

Hospital Charge Code	270603214
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 38MM**

Facility

$29.00

Hospital Charge Code	270603214
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 40MM**

Facility

$29.00

Hospital Charge Code	270603215
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 40MM**

Facility

$29.00

Hospital Charge Code	270603215
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 40MM**

Facility

$29.00

Hospital Charge Code	270603323
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 40MM**

Facility

$29.00

Hospital Charge Code	270603323
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 45MM**

Facility

$29.00

Hospital Charge Code	270603324
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 45MM**

Facility

$29.00

Hospital Charge Code	270603324
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 45MM**

Facility

$29.00

Hospital Charge Code	270603217
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 45MM**

Facility

$29.00

Hospital Charge Code	270603217
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 50MM**

Facility

$30.00

Hospital Charge Code	270603218
Hospital Revenue Code	278
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

SCREW SYN CANC TTN 4.0 50MM**

Facility

$30.00

Hospital Charge Code	270603218
Hospital Revenue Code	278
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

SCREW SYN CANC TTN 4.0 55MM**

Facility

$29.00

Hospital Charge Code	270603219
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 55MM**

Facility

$29.00

Hospital Charge Code	270603219
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 55MM**

Facility

$29.00

Hospital Charge Code	270603326
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 55MM**

Facility

$29.00

Hospital Charge Code	270603326
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 60MM**

Facility

$29.00

Hospital Charge Code	270603327
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 60MM**

Facility

$29.00

Hospital Charge Code	270603327
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 65MM**

Facility

$29.00

Hospital Charge Code	270603328
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 65MM**

Facility

$29.00

Hospital Charge Code	270603328
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