Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW SYN CORT TTN 3.5/12MM

Facility

$124.85

Hospital Charge Code	270603078
Hospital Revenue Code	278
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
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
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

SCREW SYN CORT TTN 3.5/40MM

Facility

$93.65

Hospital Charge Code	270603193
Hospital Revenue Code	278
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW SYN CORT TTN 3.5/40MM

Facility

$93.65

Hospital Charge Code	270603193
Hospital Revenue Code	278
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$35.59
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

SCREW SYN CORT TTN 3.5/45MM

Facility

$93.65

Hospital Charge Code	270603194
Hospital Revenue Code	278
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$35.59
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

SCREW SYN CORT TTN 3.5/45MM

Facility

$93.65

Hospital Charge Code	270603194
Hospital Revenue Code	278
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW SYN CORT TTN 3.5/50MM

Facility

$93.65

Hospital Charge Code	270603195
Hospital Revenue Code	278
Min. Negotiated Rate	$2.26
Max. Negotiated Rate	$46.83
Rate for Payer: Aetna Commercial	$35.59
Rate for Payer: Aetna Medicare Advantage	$28.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.88
Rate for Payer: Cigna Commercial	$46.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05
Rate for Payer: UnitedHealthcare Community & State	$2.26
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

SCREW SYN CORT TTN 3.5/50MM

Facility

$93.65

Hospital Charge Code	270603195
Hospital Revenue Code	278
Min. Negotiated Rate	$14.05
Max. Negotiated Rate	$22.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$18.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$20.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.05

SCREW SYN CORT TTN 3.5/55MM

Facility

$71.25

Hospital Charge Code	270603176
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 3.5/55MM

Facility

$71.25

Hospital Charge Code	270603176
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 3.5/60MM

Facility

$71.25

Hospital Charge Code	270603177
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 3.5/60MM

Facility

$71.25

Hospital Charge Code	270603177
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 3.5/65MM

Facility

$71.25

Hospital Charge Code	270603178
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 3.5/65MM

Facility

$71.25

Hospital Charge Code	270603178
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 3.5/70MM

Facility

$71.25

Hospital Charge Code	270603179
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 3.5/70MM

Facility

$71.25

Hospital Charge Code	270603179
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 3.5/80MM

Facility

$71.25

Hospital Charge Code	270603181
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 3.5/80MM

Facility

$71.25

Hospital Charge Code	270603181
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 3.5/85MM

Facility

$71.25

Hospital Charge Code	270603182
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 3.5/85MM

Facility

$71.25

Hospital Charge Code	270603182
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 3.5/90MM

Facility

$71.25

Hospital Charge Code	270603183
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 3.5/90MM

Facility

$71.25

Hospital Charge Code	270603183
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 3.5/95MM

Facility

$71.25

Hospital Charge Code	270603184
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 3.5/95MM

Facility

$71.25

Hospital Charge Code	270603184
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 EMERG 1.7 X 4 400144

Facility

$252.85

Hospital Charge Code	270627897
Hospital Revenue Code	278
Min. Negotiated Rate	$6.09
Max. Negotiated Rate	$126.42
Rate for Payer: Aetna Commercial	$96.08
Rate for Payer: Aetna Medicare Advantage	$75.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.48
Rate for Payer: Cigna Commercial	$126.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.63
Rate for Payer: Qualcare PPO/HMO/WC	$37.93
Rate for Payer: UnitedHealthcare Community & State	$6.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.70

SCREW SYN EMERG 1.7 X 4 400144

Facility

$252.85

Hospital Charge Code	270627897
Hospital Revenue Code	278
Min. Negotiated Rate	$37.93
Max. Negotiated Rate	$61.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.19
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.63
Rate for Payer: Qualcare PPO/HMO/WC	$37.93

Know your out-of-pocket cost for care.

All Charges