Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CANN PT THD 4.0/32MM

Facility

$76.85

Hospital Charge Code	270601890
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 CANN PT THD 4.0/35MM

Facility

$77.65

Hospital Charge Code	270601891
Hospital Revenue Code	274
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SCREW SYN CANN PT THD 4.0/35MM

Facility

$77.65

Hospital Charge Code	270601891
Hospital Revenue Code	274
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SCREW SYN CANN PT THD 4.0/50MM

Facility

$76.85

Hospital Charge Code	270601894
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 CANN PT THD 4.0/50MM

Facility

$76.85

Hospital Charge Code	270601894
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 CANN PT THD 4.5/24MM

Facility

$775.25

Hospital Charge Code	270604878
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$294.60
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

SCREW SYN CANN PT THD 4.5/24MM

Facility

$775.25

Hospital Charge Code	270604878
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN PT THD 4.5/28MM

Facility

$775.25

Hospital Charge Code	270604880
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CANN PT THD 4.5/28MM

Facility

$775.25

Hospital Charge Code	270604880
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$294.60
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

SCREW SYN CANN PT THD 4.5/46MM

Facility

$775.25

Hospital Charge Code	270604890
Hospital Revenue Code	278
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.62
Rate for Payer: Aetna Commercial	$294.60
Rate for Payer: Aetna Medicare Advantage	$232.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.69
Rate for Payer: Cigna Commercial	$387.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

SCREW SYN CANN PT THD 4.5/46MM

Facility

$775.25

Hospital Charge Code	270604890
Hospital Revenue Code	278
Min. Negotiated Rate	$116.29
Max. Negotiated Rate	$187.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$155.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$170.56
Rate for Payer: Qualcare PPO/HMO/WC	$116.29

SCREW SYN CORT 1.3 3 400.623

Facility

$354.45

Hospital Charge Code	270621199
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$85.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.98
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.3 3 400.623

Facility

$354.45

Hospital Charge Code	270621199
Hospital Revenue Code	278
Min. Negotiated Rate	$8.54
Max. Negotiated Rate	$177.22
Rate for Payer: Aetna Commercial	$134.69
Rate for Payer: Aetna Medicare Advantage	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.38
Rate for Payer: Cigna Commercial	$177.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.98
Rate for Payer: Qualcare PPO/HMO/WC	$53.17
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$9.39

SCREW SYN CORT 1.3 5 400.625

Facility

$1,729.65

Hospital Charge Code	270620360
Hospital Revenue Code	278
Min. Negotiated Rate	$259.45
Max. Negotiated Rate	$418.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$380.52
Rate for Payer: Qualcare PPO/HMO/WC	$259.45

SCREW SYN CORT 1.3 5 400.625

Facility

$1,729.65

Hospital Charge Code	270620360
Hospital Revenue Code	278
Min. Negotiated Rate	$41.68
Max. Negotiated Rate	$864.83
Rate for Payer: Aetna Commercial	$657.27
Rate for Payer: Aetna Medicare Advantage	$518.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$441.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$441.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$345.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$441.06
Rate for Payer: Cigna Commercial	$864.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$418.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$380.52
Rate for Payer: Qualcare PPO/HMO/WC	$259.45
Rate for Payer: UnitedHealthcare Community & State	$41.68
Rate for Payer: Wellpoint Medicaid Managed Care	$45.84

SCREW SYN CORT 1.3 6 400.626

Facility

$354.45

Hospital Charge Code	270621197
Hospital Revenue Code	278
Min. Negotiated Rate	$53.17
Max. Negotiated Rate	$85.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.98
Rate for Payer: Qualcare PPO/HMO/WC	$53.17

SCREW SYN CORT 1.3 6 400.626

Facility

$354.45

Hospital Charge Code	270621197
Hospital Revenue Code	278
Min. Negotiated Rate	$8.54
Max. Negotiated Rate	$177.22
Rate for Payer: Aetna Commercial	$134.69
Rate for Payer: Aetna Medicare Advantage	$106.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90.38
Rate for Payer: Cigna Commercial	$177.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$85.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.98
Rate for Payer: Qualcare PPO/HMO/WC	$53.17
Rate for Payer: UnitedHealthcare Community & State	$8.54
Rate for Payer: Wellpoint Medicaid Managed Care	$9.39

SCREW SYN CORT 1.5 10MM

Facility

$67.25

Hospital Charge Code	270604163
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 10MM

Facility

$67.25

Hospital Charge Code	270604163
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

SCREW SYN CORT 1.5 11MM

Facility

$67.25

Hospital Charge Code	270604164
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 11MM

Facility

$67.25

Hospital Charge Code	270604164
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

SCREW SYN CORT 1.5 12MM

Facility

$67.25

Hospital Charge Code	270604165
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

SCREW SYN CORT 1.5 12MM

Facility

$67.25

Hospital Charge Code	270604165
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

SCREW SYN CORT 1.5 16MM

Facility

$67.25

Hospital Charge Code	270604167
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

SCREW SYN CORT 1.5 16MM

Facility

$67.25

Hospital Charge Code	270604167
Hospital Revenue Code	278
Min. Negotiated Rate	$10.09
Max. Negotiated Rate	$16.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09

Know your out-of-pocket cost for care.

All Charges