Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CORT 4.5/30MM 214.30

Facility

$91.25

Hospital Charge Code	270603608
Hospital Revenue Code	278
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$45.62
Rate for Payer: Aetna Commercial	$34.67
Rate for Payer: Aetna Medicare Advantage	$27.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.27
Rate for Payer: Cigna Commercial	$45.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.07
Rate for Payer: Qualcare PPO/HMO/WC	$13.69
Rate for Payer: UnitedHealthcare Community & State	$2.20
Rate for Payer: Wellpoint Medicaid Managed Care	$2.42

SCREW SYN CORT 4.5/30MM 214.30

Facility

$65.65

Hospital Charge Code	270603728
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/30MM 214.30

Facility

$65.65

Hospital Charge Code	270603728
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/32MM 214.32

Facility

$65.65

Hospital Charge Code	270603729
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/32MM 214.32

Facility

$65.65

Hospital Charge Code	270603729
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/34MM 214.34

Facility

$67.25

Hospital Charge Code	270603730
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 4.5/34MM 214.34

Facility

$67.25

Hospital Charge Code	270603730
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 4.5/38MM 214.38

Facility

$65.65

Hospital Charge Code	270603732
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/38MM 214.38

Facility

$65.65

Hospital Charge Code	270603732
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/42MM 214.42

Facility

$65.65

Hospital Charge Code	270603734
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/42MM 214.42

Facility

$65.65

Hospital Charge Code	270603734
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/46MM 214.46

Facility

$65.65

Hospital Charge Code	270603736
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/46MM 214.46

Facility

$65.65

Hospital Charge Code	270603736
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/48MM 214.48

Facility

$65.65

Hospital Charge Code	270603737
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/48MM 214.48

Facility

$65.65

Hospital Charge Code	270603737
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/50MM 214.50

Facility

$65.65

Hospital Charge Code	270603738
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/50MM 214.50

Facility

$65.65

Hospital Charge Code	270603738
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/52MM 214.52

Facility

$65.65

Hospital Charge Code	270603739
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/52MM 214.52

Facility

$65.65

Hospital Charge Code	270603739
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/56MM 214.56

Facility

$65.65

Hospital Charge Code	270603741
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/56MM 214.56

Facility

$65.65

Hospital Charge Code	270603741
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/58MM 214.58

Facility

$65.65

Hospital Charge Code	270603742
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/58MM 214.58

Facility

$65.65

Hospital Charge Code	270603742
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW SYN CORT 4.5/60MM 214.60

Facility

$65.65

Hospital Charge Code	270603743
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW SYN CORT 4.5/60MM 214.60

Facility

$65.65

Hospital Charge Code	270603743
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

Know your out-of-pocket cost for care.

All Charges