Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 2.7 10 232411

Facility

$54.45

Hospital Charge Code	270610118
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 2.7 10 232411

Facility

$54.45

Hospital Charge Code	270610118
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 2.7 12 232413

Facility

$54.45

Hospital Charge Code	270610120
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 2.7 12 232413

Facility

$54.45

Hospital Charge Code	270610120
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 2.7 16 232417

Facility

$57.65

Hospital Charge Code	270610123
Hospital Revenue Code	278
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.82
Rate for Payer: Aetna Commercial	$21.91
Rate for Payer: Aetna Medicare Advantage	$17.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.70
Rate for Payer: Cigna Commercial	$28.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.68
Rate for Payer: Qualcare PPO/HMO/WC	$8.65
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

SCREW ZIM CORT 2.7 16 232417

Facility

$57.65

Hospital Charge Code	270610123
Hospital Revenue Code	278
Min. Negotiated Rate	$8.65
Max. Negotiated Rate	$13.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$12.68
Rate for Payer: Qualcare PPO/HMO/WC	$8.65

SCREW ZIM CORT 2.7 8 232408

Facility

$50.45

Hospital Charge Code	270606025
Hospital Revenue Code	278
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$19.17
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

SCREW ZIM CORT 2.7 8 232408

Facility

$50.45

Hospital Charge Code	270606025
Hospital Revenue Code	278
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$12.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

SCREW ZIM CORT 3.5 10 235011

Facility

$54.45

Hospital Charge Code	270607153
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 3.5 10 235011

Facility

$54.45

Hospital Charge Code	270607153
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 3.5 12 235013

Facility

$54.45

Hospital Charge Code	270607154
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 3.5 12 235013

Facility

$54.45

Hospital Charge Code	270607154
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 3.5 14 235015

Facility

$43.25

Hospital Charge Code	270607155
Hospital Revenue Code	278
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SCREW ZIM CORT 3.5 14 235015

Facility

$43.25

Hospital Charge Code	270607155
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CORT 3.5 16 235017

Facility

$39.25

Hospital Charge Code	270612264
Hospital Revenue Code	278
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.62
Rate for Payer: Aetna Commercial	$14.91
Rate for Payer: Aetna Medicare Advantage	$11.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.01
Rate for Payer: Cigna Commercial	$19.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.63
Rate for Payer: Qualcare PPO/HMO/WC	$5.89
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.04

SCREW ZIM CORT 3.5 16 235017

Facility

$39.25

Hospital Charge Code	270612264
Hospital Revenue Code	278
Min. Negotiated Rate	$5.89
Max. Negotiated Rate	$9.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.63
Rate for Payer: Qualcare PPO/HMO/WC	$5.89

SCREW ZIM CORT 3.5 18 235019

Facility

$43.25

Hospital Charge Code	270607156
Hospital Revenue Code	278
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SCREW ZIM CORT 3.5 18 235019

Facility

$43.25

Hospital Charge Code	270607156
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CORT 3.5 20 235021

Facility

$54.45

Hospital Charge Code	270607157
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 3.5 20 235021

Facility

$54.45

Hospital Charge Code	270607157
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 3.5 22 235023

Facility

$43.25

Hospital Charge Code	270607158
Hospital Revenue Code	278
Min. Negotiated Rate	$6.49
Max. Negotiated Rate	$10.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49

SCREW ZIM CORT 3.5 22 235023

Facility

$43.25

Hospital Charge Code	270607158
Hospital Revenue Code	278
Min. Negotiated Rate	$1.04
Max. Negotiated Rate	$21.62
Rate for Payer: Aetna Commercial	$16.43
Rate for Payer: Aetna Medicare Advantage	$12.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.03
Rate for Payer: Cigna Commercial	$21.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9.52
Rate for Payer: Qualcare PPO/HMO/WC	$6.49
Rate for Payer: UnitedHealthcare Community & State	$1.04
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

SCREW ZIM CORT 3.5 50 23505135

Facility

$50.45

Hospital Charge Code	270607932
Hospital Revenue Code	278
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$25.23
Rate for Payer: Aetna Commercial	$19.17
Rate for Payer: Aetna Medicare Advantage	$15.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.86
Rate for Payer: Cigna Commercial	$25.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.57
Rate for Payer: UnitedHealthcare Community & State	$1.22
Rate for Payer: Wellpoint Medicaid Managed Care	$1.34

SCREW ZIM CORT 3.5 50 23505135

Facility

$50.45

Hospital Charge Code	270607932
Hospital Revenue Code	278
Min. Negotiated Rate	$7.57
Max. Negotiated Rate	$12.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.57

SCREW ZIM CORT 3.7 25 22532537

Facility

$490.45

Hospital Charge Code	270625008
Hospital Revenue Code	278
Min. Negotiated Rate	$11.82
Max. Negotiated Rate	$245.22
Rate for Payer: Aetna Commercial	$186.37
Rate for Payer: Aetna Medicare Advantage	$147.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.06
Rate for Payer: Cigna Commercial	$245.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$107.90
Rate for Payer: Qualcare PPO/HMO/WC	$73.57
Rate for Payer: UnitedHealthcare Community & State	$11.82
Rate for Payer: Wellpoint Medicaid Managed Care	$13.00

Know your out-of-pocket cost for care.

All Charges