Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW WLZ CTR DR 2.0 5 019475

Facility

$114.45

Hospital Charge Code	270610961
Hospital Revenue Code	278
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$57.23
Rate for Payer: Aetna Commercial	$43.49
Rate for Payer: Aetna Medicare Advantage	$34.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.18
Rate for Payer: Cigna Commercial	$57.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.18
Rate for Payer: Qualcare PPO/HMO/WC	$17.17
Rate for Payer: UnitedHealthcare Community & State	$2.76
Rate for Payer: Wellpoint Medicaid Managed Care	$3.03

SCREW WLZ CTR DR 2.0 5 019475

Facility

$114.45

Hospital Charge Code	270610961
Hospital Revenue Code	278
Min. Negotiated Rate	$17.17
Max. Negotiated Rate	$27.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$25.18
Rate for Payer: Qualcare PPO/HMO/WC	$17.17

SCREW WLZ CTR DR 2.0 5 999475

Facility

$139.25

Hospital Charge Code	270612074
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.0 5 999475

Facility

$139.25

Hospital Charge Code	270612074
Hospital Revenue Code	278
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SCREW WLZ CTR DR 2.3 5 999495

Facility

$184.85

Hospital Charge Code	270612077
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 WLZ CTR DR 2.3 5 999495

Facility

$184.85

Hospital Charge Code	270612077
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 WLZ CTR DR 2.3 7 999497

Facility

$139.25

Hospital Charge Code	270612241
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.3 7 999497

Facility

$139.25

Hospital Charge Code	270612241
Hospital Revenue Code	278
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SCREW WLZ CTR DR 2.7 16 019816

Facility

$176.00

Hospital Charge Code	270610983
Hospital Revenue Code	278
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$88.00
Rate for Payer: Aetna Commercial	$66.88
Rate for Payer: Aetna Medicare Advantage	$52.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.88
Rate for Payer: Cigna Commercial	$88.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$26.40
Rate for Payer: UnitedHealthcare Community & State	$4.24
Rate for Payer: Wellpoint Medicaid Managed Care	$4.66

SCREW WLZ CTR DR 2.7 16 019816

Facility

$176.00

Hospital Charge Code	270610983
Hospital Revenue Code	278
Min. Negotiated Rate	$26.40
Max. Negotiated Rate	$42.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$38.72
Rate for Payer: Qualcare PPO/HMO/WC	$26.40

SCREW WLZ CTR DR 2.7 20 999820

Facility

$262.45

Hospital Charge Code	270623629
Hospital Revenue Code	278
Min. Negotiated Rate	$39.37
Max. Negotiated Rate	$63.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.74
Rate for Payer: Qualcare PPO/HMO/WC	$39.37

SCREW WLZ CTR DR 2.7 20 999820

Facility

$262.45

Hospital Charge Code	270623629
Hospital Revenue Code	278
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$131.22
Rate for Payer: Aetna Commercial	$99.73
Rate for Payer: Aetna Medicare Advantage	$78.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$52.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.92
Rate for Payer: Cigna Commercial	$131.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.51
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$57.74
Rate for Payer: Qualcare PPO/HMO/WC	$39.37
Rate for Payer: UnitedHealthcare Community & State	$6.33
Rate for Payer: Wellpoint Medicaid Managed Care	$6.95

SCREW WLZ CTR DR 2.O 11 999479

Facility

$152.85

Hospital Charge Code	270612239
Hospital Revenue Code	278
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$36.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.93

SCREW WLZ CTR DR 2.O 11 999479

Facility

$152.85

Hospital Charge Code	270612239
Hospital Revenue Code	278
Min. Negotiated Rate	$3.68
Max. Negotiated Rate	$76.42
Rate for Payer: Aetna Commercial	$58.08
Rate for Payer: Aetna Medicare Advantage	$45.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.98
Rate for Payer: Cigna Commercial	$76.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$33.63
Rate for Payer: Qualcare PPO/HMO/WC	$22.93
Rate for Payer: UnitedHealthcare Community & State	$3.68
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SCREW WLZ CTR DR 2.O 15 999485

Facility

$254.45

Hospital Charge Code	270620856
Hospital Revenue Code	278
Min. Negotiated Rate	$38.17
Max. Negotiated Rate	$61.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$38.17

SCREW WLZ CTR DR 2.O 15 999485

Facility

$254.45

Hospital Charge Code	270620856
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$127.22
Rate for Payer: Aetna Commercial	$96.69
Rate for Payer: Aetna Medicare Advantage	$76.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$64.88
Rate for Payer: Cigna Commercial	$127.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.98
Rate for Payer: Qualcare PPO/HMO/WC	$38.17
Rate for Payer: UnitedHealthcare Community & State	$6.13
Rate for Payer: Wellpoint Medicaid Managed Care	$6.74

SCREW WLZ CTR DR 2.O 4 999474

Facility

$139.25

Hospital Charge Code	270612073
Hospital Revenue Code	278
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SCREW WLZ CTR DR 2.O 4 999474

Facility

$139.25

Hospital Charge Code	270612073
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 2.O 7 999477

Facility

$139.25

Hospital Charge Code	270612238
Hospital Revenue Code	278
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$69.62
Rate for Payer: Aetna Commercial	$52.91
Rate for Payer: Aetna Medicare Advantage	$41.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.51
Rate for Payer: Cigna Commercial	$69.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89
Rate for Payer: UnitedHealthcare Community & State	$3.36
Rate for Payer: Wellpoint Medicaid Managed Care	$3.69

SCREW WLZ CTR DR 2.O 7 999477

Facility

$139.25

Hospital Charge Code	270612238
Hospital Revenue Code	278
Min. Negotiated Rate	$20.89
Max. Negotiated Rate	$33.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$27.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$30.64
Rate for Payer: Qualcare PPO/HMO/WC	$20.89

SCREW WLZ CTR DR 3.2 16 019984

Facility

$244.85

Hospital Charge Code	270610993
Hospital Revenue Code	278
Min. Negotiated Rate	$36.73
Max. Negotiated Rate	$59.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.87
Rate for Payer: Qualcare PPO/HMO/WC	$36.73

SCREW WLZ CTR DR 3.2 16 019984

Facility

$244.85

Hospital Charge Code	270610993
Hospital Revenue Code	278
Min. Negotiated Rate	$5.90
Max. Negotiated Rate	$122.42
Rate for Payer: Aetna Commercial	$93.04
Rate for Payer: Aetna Medicare Advantage	$73.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$62.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$62.44
Rate for Payer: Cigna Commercial	$122.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$53.87
Rate for Payer: Qualcare PPO/HMO/WC	$36.73
Rate for Payer: UnitedHealthcare Community & State	$5.90
Rate for Payer: Wellpoint Medicaid Managed Care	$6.49

SCREW WLZ LCTSRB 1.5 5 9152316

Facility

$250.45

Hospital Charge Code	270621791
Hospital Revenue Code	278
Min. Negotiated Rate	$37.57
Max. Negotiated Rate	$60.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.10
Rate for Payer: Qualcare PPO/HMO/WC	$37.57

SCREW WLZ LCTSRB 1.5 5 9152316

Facility

$250.45

Hospital Charge Code	270621791
Hospital Revenue Code	278
Min. Negotiated Rate	$6.04
Max. Negotiated Rate	$125.22
Rate for Payer: Aetna Commercial	$95.17
Rate for Payer: Aetna Medicare Advantage	$75.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.86
Rate for Payer: Cigna Commercial	$125.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.10
Rate for Payer: Qualcare PPO/HMO/WC	$37.57
Rate for Payer: UnitedHealthcare Community & State	$6.04
Rate for Payer: Wellpoint Medicaid Managed Care	$6.64

SCREW WLZ LP SLT 2.0 7 018042

Facility

$729.65

Hospital Charge Code	270607817
Hospital Revenue Code	278
Min. Negotiated Rate	$17.58
Max. Negotiated Rate	$364.82
Rate for Payer: Aetna Commercial	$277.27
Rate for Payer: Aetna Medicare Advantage	$218.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$186.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$186.06
Rate for Payer: Cigna Commercial	$364.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.52
Rate for Payer: Qualcare PPO/HMO/WC	$109.45
Rate for Payer: UnitedHealthcare Community & State	$17.58
Rate for Payer: Wellpoint Medicaid Managed Care	$19.34

Know your out-of-pocket cost for care.

All Charges