Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CORT TITN 36MM

Facility

$76.85

Hospital Charge Code	270601841
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 CORT TITN 36MM

Facility

$76.85

Hospital Charge Code	270601841
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 CORT TITN 38MM

Facility

$71.25

Hospital Charge Code	270601842
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TITN 38MM

Facility

$71.25

Hospital Charge Code	270601842
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

SCREW SYN CORT TT 1.5 11

Facility

$192.85

Hospital Charge Code	270602976
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 TT 1.5 11

Facility

$192.85

Hospital Charge Code	270602976
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 TT 1.5 12

Facility

$192.85

Hospital Charge Code	270602978
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 TT 1.5 12

Facility

$192.85

Hospital Charge Code	270602978
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 TT 3.5 75 40475

Facility

$71.25

Hospital Charge Code	270603180
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TT 3.5 75 40475

Facility

$71.25

Hospital Charge Code	270603180
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

SCREW SYN CORT TTN 1.5/7MM

Facility

$192.85

Hospital Charge Code	270603949
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 TTN 1.5/7MM

Facility

$192.85

Hospital Charge Code	270603949
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 TTN 2.7/20MM

Facility

$207.25

Hospital Charge Code	270603052
Hospital Revenue Code	278
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$78.75
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

SCREW SYN CORT TTN 2.7/20MM

Facility

$207.25

Hospital Charge Code	270603052
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

SCREW SYN CORT TTN 2.7/22MM

Facility

$207.25

Hospital Charge Code	270603053
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

SCREW SYN CORT TTN 2.7/22MM

Facility

$207.25

Hospital Charge Code	270603053
Hospital Revenue Code	278
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$78.75
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

SCREW SYN CORT TTN 2.7/24MM

Facility

$207.25

Hospital Charge Code	270603054
Hospital Revenue Code	278
Min. Negotiated Rate	$31.09
Max. Negotiated Rate	$50.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09

SCREW SYN CORT TTN 2.7/24MM

Facility

$207.25

Hospital Charge Code	270603054
Hospital Revenue Code	278
Min. Negotiated Rate	$4.99
Max. Negotiated Rate	$103.62
Rate for Payer: Aetna Commercial	$78.75
Rate for Payer: Aetna Medicare Advantage	$62.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.85
Rate for Payer: Cigna Commercial	$103.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$45.59
Rate for Payer: Qualcare PPO/HMO/WC	$31.09
Rate for Payer: UnitedHealthcare Community & State	$4.99
Rate for Payer: Wellpoint Medicaid Managed Care	$5.49

SCREW SYN CORT TTN 3.5/100MM

Facility

$71.25

Hospital Charge Code	270603185
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/100MM

Facility

$71.25

Hospital Charge Code	270603185
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

SCREW SYN CORT TTN 3.5/105MM

Facility

$96.85

Hospital Charge Code	270603186
Hospital Revenue Code	278
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$23.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.31
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

SCREW SYN CORT TTN 3.5/105MM

Facility

$96.85

Hospital Charge Code	270603186
Hospital Revenue Code	278
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$48.42
Rate for Payer: Aetna Commercial	$36.80
Rate for Payer: Aetna Medicare Advantage	$29.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.70
Rate for Payer: Cigna Commercial	$48.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.31
Rate for Payer: Qualcare PPO/HMO/WC	$14.53
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

SCREW SYN CORT TTN 3.5/110MM

Facility

$71.25

Hospital Charge Code	270603187
Hospital Revenue Code	278
Min. Negotiated Rate	$10.69
Max. Negotiated Rate	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69

SCREW SYN CORT TTN 3.5/110MM

Facility

$71.25

Hospital Charge Code	270603187
Hospital Revenue Code	278
Min. Negotiated Rate	$1.72
Max. Negotiated Rate	$35.62
Rate for Payer: Aetna Commercial	$27.07
Rate for Payer: Aetna Medicare Advantage	$21.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.17
Rate for Payer: Cigna Commercial	$35.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.68
Rate for Payer: Qualcare PPO/HMO/WC	$10.69
Rate for Payer: UnitedHealthcare Community & State	$1.72
Rate for Payer: Wellpoint Medicaid Managed Care	$1.89

SCREW SYN CORT TTN 3.5/12MM

Facility

$124.85

Hospital Charge Code	270603078
Hospital Revenue Code	278
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$30.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$27.47
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

Know your out-of-pocket cost for care.

All Charges