Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CANC 6.5 35 233336

Facility

$103.25

Hospital Charge Code	270605562
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 35 233336

Facility

$84.00

Hospital Charge Code	270610401
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 35 233336

Facility

$84.00

Hospital Charge Code	270610401
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW ZIM CANC 6.5 40 233340

Facility

$111.25

Hospital Charge Code	270606818
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 ZIM CANC 6.5 40 233340

Facility

$111.25

Hospital Charge Code	270606818
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 ZIM CANC 6.5 40 233341

Facility

$84.00

Hospital Charge Code	270610402
Hospital Revenue Code	278
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$20.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

SCREW ZIM CANC 6.5 40 233341

Facility

$84.00

Hospital Charge Code	270610402
Hospital Revenue Code	278
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.48
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

SCREW ZIM CANC 6.5 50 233351

Facility

$103.25

Hospital Charge Code	270605563
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 50 233351

Facility

$103.25

Hospital Charge Code	270605563
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

SCREW ZIM CANC 6.5 55 233356

Facility

$83.25

Hospital Charge Code	270610386
Hospital Revenue Code	278
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$31.64
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.32
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

SCREW ZIM CANC 6.5 55 233356

Facility

$83.25

Hospital Charge Code	270610386
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.32
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 60 233361

Facility

$124.85

Hospital Charge Code	270610387
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 ZIM CANC 6.5 60 233361

Facility

$124.85

Hospital Charge Code	270610387
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

SCREW ZIM CANC 6.5 65 233366

Facility

$103.25

Hospital Charge Code	270605564
Hospital Revenue Code	278
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

SCREW ZIM CANC 6.5 65 233366

Facility

$103.25

Hospital Charge Code	270605564
Hospital Revenue Code	278
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.99
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$22.71
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

SCREW ZIM CANC 6.5 65 233371

Facility

$83.25

Hospital Charge Code	270610388
Hospital Revenue Code	278
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$20.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.32
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

SCREW ZIM CANC 6.5 65 233371

Facility

$83.25

Hospital Charge Code	270610388
Hospital Revenue Code	278
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$31.64
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.32
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

SCREW ZIM CANC 6.5 65 23472565

Facility

$141.65

Hospital Charge Code	270611486
Hospital Revenue Code	278
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

SCREW ZIM CANC 6.5 65 23472565

Facility

$141.65

Hospital Charge Code	270611486
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$34.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 70 23472570

Facility

$141.65

Hospital Charge Code	270611487
Hospital Revenue Code	278
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$34.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SCREW ZIM CANC 6.5 70 23472570

Facility

$141.65

Hospital Charge Code	270611487
Hospital Revenue Code	278
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$28.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$31.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

SCREW ZIM CANC 6.5 75 233376

Facility

$80.00

Hospital Charge Code	270610389
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW ZIM CANC 6.5 75 233376

Facility

$80.00

Hospital Charge Code	270610389
Hospital Revenue Code	278
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

SCREW ZIM CANC 6.5 80 233381

Facility

$80.00

Hospital Charge Code	270610390
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

SCREW ZIM CANC 6.5 80 233381

Facility

$80.00

Hospital Charge Code	270610390
Hospital Revenue Code	278
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$17.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.93
Rate for Payer: Wellpoint Medicaid Managed Care	$2.12

Know your out-of-pocket cost for care.

All Charges