Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANC TTN 4.0 65MM**

Facility

$29.00

Hospital Charge Code	270603221
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	270603221
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 70MM**

Facility

$29.00

Hospital Charge Code	270603329
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 70MM**

Facility

$29.00

Hospital Charge Code	270603329
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 70MM**

Facility

$29.00

Hospital Charge Code	270603222
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 70MM**

Facility

$29.00

Hospital Charge Code	270603222
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 75MM**

Facility

$29.00

Hospital Charge Code	270603223
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 75MM**

Facility

$29.00

Hospital Charge Code	270603330
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 75MM**

Facility

$29.00

Hospital Charge Code	270603330
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 75MM**

Facility

$29.00

Hospital Charge Code	270603223
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 80MM**

Facility

$29.00

Hospital Charge Code	270603332
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 80MM**

Facility

$29.00

Hospital Charge Code	270603224
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 80MM**

Facility

$29.00

Hospital Charge Code	270603332
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 80MM**

Facility

$29.00

Hospital Charge Code	270603224
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 85MM**

Facility

$29.00

Hospital Charge Code	270603333
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 85MM**

Facility

$29.00

Hospital Charge Code	270603333
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 90MM**

Facility

$29.00

Hospital Charge Code	270603226
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 90MM**

Facility

$29.00

Hospital Charge Code	270603226
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 4.0/90MM***

Facility

$38.00

Hospital Charge Code	27060334
Hospital Revenue Code	279
Min. Negotiated Rate	$0.92
Max. Negotiated Rate	$19.00
Rate for Payer: Aetna Commercial	$14.44
Rate for Payer: Aetna Medicare Advantage	$11.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.69
Rate for Payer: Cigna Commercial	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.40
Rate for Payer: Oxford Commercial	$7.60
Rate for Payer: Qualcare PPO/HMO/WC	$5.70
Rate for Payer: UnitedHealthcare Commercial	$7.60
Rate for Payer: UnitedHealthcare Community & State	$0.92
Rate for Payer: Wellpoint Medicaid Managed Care	$1.01

SCREW SYN CANC TTN 4.0/90MM***

Facility

$38.00

Hospital Charge Code	27060334
Hospital Revenue Code	279
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$5.70
Rate for Payer: Qualcare PPO/HMO/WC	$5.70

SCREW SYN CANC TTN 4.0 95MM**

Facility

$29.00

Hospital Charge Code	270603227
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 95MM**

Facility

$29.00

Hospital Charge Code	270603227
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 CAN FL THD 4.5/72MM*

Facility

$202.00

Hospital Charge Code	270604925
Hospital Revenue Code	274
Min. Negotiated Rate	$30.30
Max. Negotiated Rate	$48.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$30.30

SCREW SYN CAN FL THD 4.5/72MM*

Facility

$202.00

Hospital Charge Code	270604925
Hospital Revenue Code	274
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$101.00
Rate for Payer: Aetna Commercial	$76.76
Rate for Payer: Aetna Medicare Advantage	$60.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.51
Rate for Payer: Cigna Commercial	$101.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.44
Rate for Payer: Qualcare PPO/HMO/WC	$30.30
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5.35

SCREW SYN CANN 18 3.5 205018

Facility

$677.65

Hospital Charge Code	270629206
Hospital Revenue Code	278
Min. Negotiated Rate	$16.33
Max. Negotiated Rate	$338.82
Rate for Payer: Aetna Commercial	$257.51
Rate for Payer: Aetna Medicare Advantage	$203.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$172.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$135.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$172.80
Rate for Payer: Cigna Commercial	$338.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$163.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$149.08
Rate for Payer: Qualcare PPO/HMO/WC	$101.65
Rate for Payer: UnitedHealthcare Community & State	$16.33
Rate for Payer: Wellpoint Medicaid Managed Care	$17.96

Know your out-of-pocket cost for care.

All Charges