Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CORT 4.5/72MM 214.72

Facility

$65.65

Hospital Charge Code	270603749
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 4.5/72MM 214.72

Facility

$65.65

Hospital Charge Code	270603749
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 4.5/76MM 214.76

Facility

$111.25

Hospital Charge Code	270603750
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW SYN CORT 4.5/76MM 214.76

Facility

$111.25

Hospital Charge Code	270603750
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$42.27
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SCREW SYN CORT 4.5/80MM 214.80

Facility

$111.25

Hospital Charge Code	270603751
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$42.27
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SCREW SYN CORT 4.5/80MM 214.80

Facility

$111.25

Hospital Charge Code	270603751
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW SYN CORT 4.5 85 214.885

Facility

$184.85

Hospital Charge Code	270615256
Hospital Revenue Code	278
Min. Negotiated Rate	$4.45
Max. Negotiated Rate	$92.42
Rate for Payer: Aetna Commercial	$70.24
Rate for Payer: Aetna Medicare Advantage	$55.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47.14
Rate for Payer: Cigna Commercial	$92.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.67
Rate for Payer: Qualcare PPO/HMO/WC	$27.73
Rate for Payer: UnitedHealthcare Community & State	$4.45
Rate for Payer: Wellpoint Medicaid Managed Care	$4.90

SCREW SYN CORT 4.5 85 214.885

Facility

$184.85

Hospital Charge Code	270615256
Hospital Revenue Code	278
Min. Negotiated Rate	$27.73
Max. Negotiated Rate	$44.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.67
Rate for Payer: Qualcare PPO/HMO/WC	$27.73

SCREW SYN CORT 4.5/85MM 214.85

Facility

$111.25

Hospital Charge Code	270603752
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW SYN CORT 4.5/85MM 214.85

Facility

$111.25

Hospital Charge Code	270603752
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$42.27
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SCREW SYN CORT 4.5/90MM 214.90

Facility

$111.25

Hospital Charge Code	270603753
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW SYN CORT 4.5/90MM 214.90

Facility

$111.25

Hospital Charge Code	270603753
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$42.27
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SCREW SYN CORT 4.5/95MM 214.95

Facility

$111.25

Hospital Charge Code	270603754
Hospital Revenue Code	278
Min. Negotiated Rate	$16.69
Max. Negotiated Rate	$26.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69

SCREW SYN CORT 4.5/95MM 214.95

Facility

$111.25

Hospital Charge Code	270603754
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.62
Rate for Payer: Aetna Commercial	$42.27
Rate for Payer: Aetna Medicare Advantage	$33.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.37
Rate for Payer: Cigna Commercial	$55.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$24.48
Rate for Payer: Qualcare PPO/HMO/WC	$16.69
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SCREW SYN CORT TITN 1.5/10MM**

Facility

$75.00

Hospital Charge Code	270602975
Hospital Revenue Code	278
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$18.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

SCREW SYN CORT TITN 1.5/10MM**

Facility

$75.00

Hospital Charge Code	270602975
Hospital Revenue Code	278
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$16.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

SCREW SYN CORT TITN 1.5/14MM

Facility

$192.85

Hospital Charge Code	270602979
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

SCREW SYN CORT TITN 1.5/14MM

Facility

$192.85

Hospital Charge Code	270602979
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

SCREW SYN CORT TITN 1.5/16MM

Facility

$192.85

Hospital Charge Code	270602980
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

SCREW SYN CORT TITN 1.5/16MM

Facility

$192.85

Hospital Charge Code	270602980
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

SCREW SYN CORT TITN 1.5/18MM

Facility

$192.85

Hospital Charge Code	270602981
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

SCREW SYN CORT TITN 1.5/18MM

Facility

$192.85

Hospital Charge Code	270602981
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

SCREW SYN CORT TITN 1.5/20MM

Facility

$192.85

Hospital Charge Code	270602982
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

SCREW SYN CORT TITN 1.5/20MM

Facility

$192.85

Hospital Charge Code	270602982
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

SCREW SYN CORT TITN 1.5/22MM

Facility

$192.85

Hospital Charge Code	270602983
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

Know your out-of-pocket cost for care.

All Charges