Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CANN7Dx80m16m1146-80

Facility

$751.95

Hospital Charge Code	270605977
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 CANN7Dx85m16m1146-85

Facility

$751.95

Hospital Charge Code	270605978
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 CANN7Dx85m16m1146-85

Facility

$751.95

Hospital Charge Code	270605978
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 CANN7Dx90m16m1146-90

Facility

$1,073.65

Hospital Charge Code	270605972
Hospital Revenue Code	278
Min. Negotiated Rate	$25.87
Max. Negotiated Rate	$536.83
Rate for Payer: Aetna Commercial	$407.99
Rate for Payer: Aetna Medicare Advantage	$322.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$273.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$273.78
Rate for Payer: Cigna Commercial	$536.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.20
Rate for Payer: Qualcare PPO/HMO/WC	$161.05
Rate for Payer: UnitedHealthcare Community & State	$25.87
Rate for Payer: Wellpoint Medicaid Managed Care	$28.45

SCREW ZIM CANN7Dx90m16m1146-90

Facility

$1,073.65

Hospital Charge Code	270605972
Hospital Revenue Code	278
Min. Negotiated Rate	$161.05
Max. Negotiated Rate	$259.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$214.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$259.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$236.20
Rate for Payer: Qualcare PPO/HMO/WC	$161.05

SCREW ZIM CANN FT4/36 11424036

Facility

$542.00

Hospital Charge Code	270614931
Hospital Revenue Code	278
Min. Negotiated Rate	$13.06
Max. Negotiated Rate	$271.00
Rate for Payer: Aetna Commercial	$205.96
Rate for Payer: Aetna Medicare Advantage	$162.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.21
Rate for Payer: Cigna Commercial	$271.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.24
Rate for Payer: Qualcare PPO/HMO/WC	$81.30
Rate for Payer: UnitedHealthcare Community & State	$13.06
Rate for Payer: Wellpoint Medicaid Managed Care	$14.36

SCREW ZIM CANN FT4/36 11424036

Facility

$542.00

Hospital Charge Code	270614931
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$131.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$108.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$131.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$119.24
Rate for Payer: Qualcare PPO/HMO/WC	$81.30

SCREW ZIM CN 6.5 16 40 2332041

Facility

$96.65

Hospital Charge Code	270610369
Hospital Revenue Code	278
Min. Negotiated Rate	$14.50
Max. Negotiated Rate	$23.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.26
Rate for Payer: Qualcare PPO/HMO/WC	$14.50

SCREW ZIM CN 6.5 16 40 2332041

Facility

$96.65

Hospital Charge Code	270610369
Hospital Revenue Code	278
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$48.33
Rate for Payer: Aetna Commercial	$36.73
Rate for Payer: Aetna Medicare Advantage	$29.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$19.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.65
Rate for Payer: Cigna Commercial	$48.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$21.26
Rate for Payer: Qualcare PPO/HMO/WC	$14.50
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.56

SCREW ZIM COMP HX 1 1/2

Facility

$183.85

Hospital Charge Code	270606036
Hospital Revenue Code	278
Min. Negotiated Rate	$27.58
Max. Negotiated Rate	$44.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.58

SCREW ZIM COMP HX 1 1/2

Facility

$183.85

Hospital Charge Code	270606036
Hospital Revenue Code	278
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.92
Rate for Payer: Aetna Commercial	$69.86
Rate for Payer: Aetna Medicare Advantage	$55.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.88
Rate for Payer: Cigna Commercial	$91.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$40.45
Rate for Payer: Qualcare PPO/HMO/WC	$27.58
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

SCREW ZIM COMP HX 1 1/4

Facility

$198.45

Hospital Charge Code	270601415
Hospital Revenue Code	278
Min. Negotiated Rate	$29.77
Max. Negotiated Rate	$48.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.77

SCREW ZIM COMP HX 1 1/4

Facility

$198.45

Hospital Charge Code	270601415
Hospital Revenue Code	278
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$99.22
Rate for Payer: Aetna Commercial	$75.41
Rate for Payer: Aetna Medicare Advantage	$59.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.60
Rate for Payer: Cigna Commercial	$99.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$43.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.77
Rate for Payer: UnitedHealthcare Community & State	$4.78
Rate for Payer: Wellpoint Medicaid Managed Care	$5.26

SCREW ZIM CORT 1.5 12 235015

Facility

$40.85

Hospital Charge Code	270610104
Hospital Revenue Code	278
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$20.43
Rate for Payer: Aetna Commercial	$15.52
Rate for Payer: Aetna Medicare Advantage	$12.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.42
Rate for Payer: Cigna Commercial	$20.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.13
Rate for Payer: UnitedHealthcare Community & State	$0.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1.08

SCREW ZIM CORT 1.5 12 235015

Facility

$40.85

Hospital Charge Code	270610104
Hospital Revenue Code	278
Min. Negotiated Rate	$6.13
Max. Negotiated Rate	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.99
Rate for Payer: Qualcare PPO/HMO/WC	$6.13

SCREW ZIM CORT 1.5 15 235016

Facility

$54.45

Hospital Charge Code	270602001
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$20.69
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

SCREW ZIM CORT 1.5 15 235016

Facility

$54.45

Hospital Charge Code	270602001
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 2.0 18 232019

Facility

$54.45

Hospital Charge Code	270608058
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 2.0 18 232019

Facility

$54.45

Hospital Charge Code	270608058
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$20.69
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

SCREW ZIM CORT 2.0 20 232020

Facility

$306.45

Hospital Charge Code	270606024
Hospital Revenue Code	278
Min. Negotiated Rate	$45.97
Max. Negotiated Rate	$74.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.42
Rate for Payer: Qualcare PPO/HMO/WC	$45.97

SCREW ZIM CORT 2.0 20 232020

Facility

$306.45

Hospital Charge Code	270606024
Hospital Revenue Code	278
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$153.22
Rate for Payer: Aetna Commercial	$116.45
Rate for Payer: Aetna Medicare Advantage	$91.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$78.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$78.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$61.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$78.14
Rate for Payer: Cigna Commercial	$153.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.16
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$67.42
Rate for Payer: Qualcare PPO/HMO/WC	$45.97
Rate for Payer: UnitedHealthcare Community & State	$7.39
Rate for Payer: Wellpoint Medicaid Managed Care	$8.12

SCREW ZIM CORT 2.0 20 232021

Facility

$54.45

Hospital Charge Code	270608059
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$20.69
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

SCREW ZIM CORT 2.0 20 232021

Facility

$54.45

Hospital Charge Code	270608059
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 2.0 24 232025

Facility

$54.45

Hospital Charge Code	270608060
Hospital Revenue Code	278
Min. Negotiated Rate	$8.17
Max. Negotiated Rate	$13.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17

SCREW ZIM CORT 2.0 24 232025

Facility

$54.45

Hospital Charge Code	270608060
Hospital Revenue Code	278
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$27.23
Rate for Payer: Aetna Commercial	$20.69
Rate for Payer: Aetna Medicare Advantage	$16.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.88
Rate for Payer: Cigna Commercial	$27.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.98
Rate for Payer: Qualcare PPO/HMO/WC	$8.17
Rate for Payer: UnitedHealthcare Community & State	$1.31
Rate for Payer: Wellpoint Medicaid Managed Care	$1.44

Know your out-of-pocket cost for care.

All Charges