Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 4.5 26 230627

Facility

$50.45

Hospital Charge Code	270605561
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 4.5 26 230627

Facility

$50.45

Hospital Charge Code	270605561
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 4.5 28 230629

Facility

$38.45

Hospital Charge Code	270610335
Hospital Revenue Code	278
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$19.23
Rate for Payer: Aetna Commercial	$14.61
Rate for Payer: Aetna Medicare Advantage	$11.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.80
Rate for Payer: Cigna Commercial	$19.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.46
Rate for Payer: Qualcare PPO/HMO/WC	$5.77
Rate for Payer: UnitedHealthcare Community & State	$0.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.02

SCREW ZIM CORT 4.5 28 230629

Facility

$38.45

Hospital Charge Code	270610335
Hospital Revenue Code	278
Min. Negotiated Rate	$5.77
Max. Negotiated Rate	$9.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8.46
Rate for Payer: Qualcare PPO/HMO/WC	$5.77

SCREW ZIM CORT 4.5 28 231929

Facility

$65.65

Hospital Charge Code	270613659
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW ZIM CORT 4.5 28 231929

Facility

$65.65

Hospital Charge Code	270613659
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW ZIM CORT 4.5 30 230631

Facility

$52.00

Hospital Charge Code	270606815
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 30 230631

Facility

$52.00

Hospital Charge Code	270606815
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

SCREW ZIM CORT 4.5 30 231931

Facility

$358.45

Hospital Charge Code	270601788
Hospital Revenue Code	278
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$136.21
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77
Rate for Payer: UnitedHealthcare Community & State	$8.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.50

SCREW ZIM CORT 4.5 30 231931

Facility

$358.45

Hospital Charge Code	270601788
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW ZIM CORT 4.5 32 230633

Facility

$57.65

Hospital Charge Code	270610336
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 4.5 32 230633

Facility

$57.65

Hospital Charge Code	270610336
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 4.5 32 231932

Facility

$358.45

Hospital Charge Code	270601789
Hospital Revenue Code	278
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$179.22
Rate for Payer: Aetna Commercial	$136.21
Rate for Payer: Aetna Medicare Advantage	$107.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.40
Rate for Payer: Cigna Commercial	$179.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77
Rate for Payer: UnitedHealthcare Community & State	$8.64
Rate for Payer: Wellpoint Medicaid Managed Care	$9.50

SCREW ZIM CORT 4.5 32 231932

Facility

$358.45

Hospital Charge Code	270601789
Hospital Revenue Code	278
Min. Negotiated Rate	$53.77
Max. Negotiated Rate	$86.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.86
Rate for Payer: Qualcare PPO/HMO/WC	$53.77

SCREW ZIM CORT 4.5 32 231933

Facility

$65.65

Hospital Charge Code	270605565
Hospital Revenue Code	278
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$15.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85

SCREW ZIM CORT 4.5 32 231933

Facility

$65.65

Hospital Charge Code	270605565
Hospital Revenue Code	278
Min. Negotiated Rate	$1.58
Max. Negotiated Rate	$32.83
Rate for Payer: Aetna Commercial	$24.95
Rate for Payer: Aetna Medicare Advantage	$19.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.74
Rate for Payer: Cigna Commercial	$32.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$9.85
Rate for Payer: UnitedHealthcare Community & State	$1.58
Rate for Payer: Wellpoint Medicaid Managed Care	$1.74

SCREW ZIM CORT 4.5 34 230635

Facility

$50.45

Hospital Charge Code	270601795
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 4.5 34 230635

Facility

$50.45

Hospital Charge Code	270601795
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 4.5 34 231934

Facility

$392.00

Hospital Charge Code	270601790
Hospital Revenue Code	278
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$148.96
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.24
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

SCREW ZIM CORT 4.5 34 231934

Facility

$392.00

Hospital Charge Code	270601790
Hospital Revenue Code	278
Min. Negotiated Rate	$58.80
Max. Negotiated Rate	$94.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.24
Rate for Payer: Qualcare PPO/HMO/WC	$58.80

SCREW ZIM CORT 4.5 34 23472334

Facility

$133.65

Hospital Charge Code	270611499
Hospital Revenue Code	278
Min. Negotiated Rate	$20.05
Max. Negotiated Rate	$32.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.05

SCREW ZIM CORT 4.5 34 23472334

Facility

$133.65

Hospital Charge Code	270611499
Hospital Revenue Code	278
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$66.83
Rate for Payer: Aetna Commercial	$50.79
Rate for Payer: Aetna Medicare Advantage	$40.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$26.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.08
Rate for Payer: Cigna Commercial	$66.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.05
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$3.54

SCREW ZIM CORT 4.5 36 230637

Facility

$52.00

Hospital Charge Code	270601797
Hospital Revenue Code	278
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$12.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

SCREW ZIM CORT 4.5 36 230637

Facility

$52.00

Hospital Charge Code	270601797
Hospital Revenue Code	278
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$26.00
Rate for Payer: Aetna Commercial	$19.76
Rate for Payer: Aetna Medicare Advantage	$15.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$10.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.26
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Community & State	$1.25
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

SCREW ZIM CORT 4.5 36 231936

Facility

$67.25

Hospital Charge Code	270601796
Hospital Revenue Code	278
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$33.62
Rate for Payer: Aetna Commercial	$25.55
Rate for Payer: Aetna Medicare Advantage	$20.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.15
Rate for Payer: Cigna Commercial	$33.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$10.09
Rate for Payer: UnitedHealthcare Community & State	$1.62
Rate for Payer: Wellpoint Medicaid Managed Care	$1.78

Know your out-of-pocket cost for care.

All Charges