Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CANC 6.5 85 233386

Facility

$93.65

Hospital Charge Code	270610391
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 ZIM CANC 6.5 85 233386

Facility

$93.65

Hospital Charge Code	270610391
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 ZIM CANC 80 23472580

Facility

$147.25

Hospital Charge Code	270611488
Hospital Revenue Code	278
Min. Negotiated Rate	$22.09
Max. Negotiated Rate	$35.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.09

SCREW ZIM CANC 80 23472580

Facility

$147.25

Hospital Charge Code	270611488
Hospital Revenue Code	278
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$73.62
Rate for Payer: Aetna Commercial	$55.95
Rate for Payer: Aetna Medicare Advantage	$44.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.55
Rate for Payer: Cigna Commercial	$73.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$32.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.09
Rate for Payer: UnitedHealthcare Community & State	$3.55
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

SCREW ZIM CANN 16 7 100

Facility

$1,071.25

Hospital Charge Code	270605973
Hospital Revenue Code	278
Min. Negotiated Rate	$25.82
Max. Negotiated Rate	$535.62
Rate for Payer: Aetna Commercial	$407.07
Rate for Payer: Aetna Medicare Advantage	$321.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.17
Rate for Payer: Cigna Commercial	$535.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.68
Rate for Payer: Qualcare PPO/HMO/WC	$160.69
Rate for Payer: UnitedHealthcare Community & State	$25.82
Rate for Payer: Wellpoint Medicaid Managed Care	$28.39

SCREW ZIM CANN 16 7 100

Facility

$1,071.25

Hospital Charge Code	270605973
Hospital Revenue Code	278
Min. Negotiated Rate	$160.69
Max. Negotiated Rate	$259.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$235.68
Rate for Payer: Qualcare PPO/HMO/WC	$160.69

SCREW ZIM CANN 16 7 65

Facility

$817.65

Hospital Charge Code	270605974
Hospital Revenue Code	278
Min. Negotiated Rate	$19.71
Max. Negotiated Rate	$408.82
Rate for Payer: Aetna Commercial	$310.71
Rate for Payer: Aetna Medicare Advantage	$245.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$208.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$208.50
Rate for Payer: Cigna Commercial	$408.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.88
Rate for Payer: Qualcare PPO/HMO/WC	$122.65
Rate for Payer: UnitedHealthcare Community & State	$19.71
Rate for Payer: Wellpoint Medicaid Managed Care	$21.67

SCREW ZIM CANN 16 7 65

Facility

$817.65

Hospital Charge Code	270605974
Hospital Revenue Code	278
Min. Negotiated Rate	$122.65
Max. Negotiated Rate	$197.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$163.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$197.87
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.88
Rate for Payer: Qualcare PPO/HMO/WC	$122.65

SCREW ZIM CANN 16 7 70 114670

Facility

$981.65

Service Code	HCPCS C1713
Hospital Charge Code	270605975
Hospital Revenue Code	278
Min. Negotiated Rate	$23.66
Max. Negotiated Rate	$490.82
Rate for Payer: Aetna Commercial	$373.03
Rate for Payer: Aetna Medicare Advantage	$294.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$250.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$250.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$250.32
Rate for Payer: Cigna Commercial	$490.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.96
Rate for Payer: Qualcare PPO/HMO/WC	$147.25
Rate for Payer: UnitedHealthcare Community & State	$23.66
Rate for Payer: Wellpoint Medicaid Managed Care	$26.01

SCREW ZIM CANN 16 7 70 114670

Facility

$981.65

Service Code	HCPCS C1713
Hospital Charge Code	270605975
Hospital Revenue Code	278
Min. Negotiated Rate	$147.25
Max. Negotiated Rate	$237.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$196.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$237.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$215.96
Rate for Payer: Qualcare PPO/HMO/WC	$147.25

SCREW ZIM CANN 16 7 75 114675

Facility

$820.00

Hospital Charge Code	270605976
Hospital Revenue Code	278
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.40
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Community & State	$19.76
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

SCREW ZIM CANN 16 7 75 114675

Facility

$820.00

Hospital Charge Code	270605976
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$198.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.40
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

SCREW ZIM CANN 32 7 110 114611

Facility

$752.00

Hospital Charge Code	270619388
Hospital Revenue Code	278
Min. Negotiated Rate	$112.80
Max. Negotiated Rate	$181.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.44
Rate for Payer: Qualcare PPO/HMO/WC	$112.80

SCREW ZIM CANN 32 7 110 114611

Facility

$752.00

Hospital Charge Code	270619388
Hospital Revenue Code	278
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$376.00
Rate for Payer: Aetna Commercial	$285.76
Rate for Payer: Aetna Medicare Advantage	$225.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.76
Rate for Payer: Cigna Commercial	$376.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.44
Rate for Payer: Qualcare PPO/HMO/WC	$112.80
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.93

SCREW ZIM CANN 32 7 55 114655

Facility

$756.00

Hospital Charge Code	270620799
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW ZIM CANN 32 7 55 114655

Facility

$756.00

Hospital Charge Code	270620799
Hospital Revenue Code	278
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

SCREW ZIM CANN 32 7 60 114660

Facility

$756.00

Hospital Charge Code	270620823
Hospital Revenue Code	278
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

SCREW ZIM CANN 32 7 60 114660

Facility

$756.00

Hospital Charge Code	270620823
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW ZIM CANN 32 7 70 114670

Facility

$756.00

Hospital Charge Code	270620800
Hospital Revenue Code	278
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

SCREW ZIM CANN 32 7 70 114670

Facility

$756.00

Hospital Charge Code	270620800
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW ZIM CANN 32 7 75 114675

Facility

$751.95

Hospital Charge Code	270606467
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$181.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.43
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN 32 7 75 114675

Facility

$751.95

Hospital Charge Code	270606467
Hospital Revenue Code	278
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$375.98
Rate for Payer: Aetna Commercial	$285.74
Rate for Payer: Aetna Medicare Advantage	$225.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.75
Rate for Payer: Cigna Commercial	$375.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.43
Rate for Payer: Qualcare PPO/HMO/WC	$112.79
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.93

SCREW ZIM CANN 32 7 80 114680

Facility

$751.95

Hospital Charge Code	270606469
Hospital Revenue Code	278
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$375.98
Rate for Payer: Aetna Commercial	$285.74
Rate for Payer: Aetna Medicare Advantage	$225.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.75
Rate for Payer: Cigna Commercial	$375.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.43
Rate for Payer: Qualcare PPO/HMO/WC	$112.79
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.93

SCREW ZIM CANN 32 7 80 114680

Facility

$751.95

Hospital Charge Code	270606469
Hospital Revenue Code	278
Min. Negotiated Rate	$112.79
Max. Negotiated Rate	$181.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.43
Rate for Payer: Qualcare PPO/HMO/WC	$112.79

SCREW ZIM CANN 32 7 85 114685

Facility

$751.95

Hospital Charge Code	270606470
Hospital Revenue Code	278
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$375.98
Rate for Payer: Aetna Commercial	$285.74
Rate for Payer: Aetna Medicare Advantage	$225.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.75
Rate for Payer: Cigna Commercial	$375.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.43
Rate for Payer: Qualcare PPO/HMO/WC	$112.79
Rate for Payer: UnitedHealthcare Community & State	$18.12
Rate for Payer: Wellpoint Medicaid Managed Care	$19.93

Know your out-of-pocket cost for care.

All Charges