Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM CORT 4.5 58 2306-159

Facility

$36.00

Hospital Charge Code	270610346
Hospital Revenue Code	278
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

SCREW ZIM CORT 4.5 58 231959

Facility

$65.65

Hospital Charge Code	270613664
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 58 231959

Facility

$65.65

Hospital Charge Code	270613664
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 60 230661

Facility

$43.25

Hospital Charge Code	270610348
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 4.5 60 230661

Facility

$43.25

Hospital Charge Code	270610348
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 4.5 61 231961

Facility

$65.65

Hospital Charge Code	270613665
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 61 231961

Facility

$65.65

Hospital Charge Code	270613665
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 64 230665

Facility

$25.65

Hospital Charge Code	270610349
Hospital Revenue Code	278
Min. Negotiated Rate	$3.85
Max. Negotiated Rate	$6.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.64
Rate for Payer: Qualcare PPO/HMO/WC	$3.85

SCREW ZIM CORT 4.5 64 230665

Facility

$25.65

Hospital Charge Code	270610349
Hospital Revenue Code	278
Min. Negotiated Rate	$0.62
Max. Negotiated Rate	$12.82
Rate for Payer: Aetna Commercial	$9.75
Rate for Payer: Aetna Medicare Advantage	$7.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.54
Rate for Payer: Cigna Commercial	$12.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.64
Rate for Payer: Qualcare PPO/HMO/WC	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.62
Rate for Payer: Wellpoint Medicaid Managed Care	$0.68

SCREW ZIM CORT 5.5 35 22533555

Facility

$615.95

Hospital Charge Code	270625706
Hospital Revenue Code	278
Min. Negotiated Rate	$92.39
Max. Negotiated Rate	$149.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.51
Rate for Payer: Qualcare PPO/HMO/WC	$92.39

SCREW ZIM CORT 5.5 35 22533555

Facility

$615.95

Hospital Charge Code	270625706
Hospital Revenue Code	278
Min. Negotiated Rate	$14.84
Max. Negotiated Rate	$307.98
Rate for Payer: Aetna Commercial	$234.06
Rate for Payer: Aetna Medicare Advantage	$184.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$157.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$123.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$157.07
Rate for Payer: Cigna Commercial	$307.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$135.51
Rate for Payer: Qualcare PPO/HMO/WC	$92.39
Rate for Payer: UnitedHealthcare Community & State	$14.84
Rate for Payer: Wellpoint Medicaid Managed Care	$16.32

SCREW ZIM CORT 5.5 40 22534050

Facility

$491.25

Hospital Charge Code	270628471
Hospital Revenue Code	278
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$186.68
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.02

SCREW ZIM CORT 5.5 40 22534050

Facility

$491.25

Hospital Charge Code	270628471
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 5.5 45 22534555

Facility

$640.60

Hospital Charge Code	270625704
Hospital Revenue Code	278
Min. Negotiated Rate	$96.09
Max. Negotiated Rate	$155.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$96.09

SCREW ZIM CORT 5.5 45 22534555

Facility

$640.60

Hospital Charge Code	270625704
Hospital Revenue Code	278
Min. Negotiated Rate	$15.44
Max. Negotiated Rate	$320.30
Rate for Payer: Aetna Commercial	$243.43
Rate for Payer: Aetna Medicare Advantage	$192.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.35
Rate for Payer: Cigna Commercial	$320.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$140.93
Rate for Payer: Qualcare PPO/HMO/WC	$96.09
Rate for Payer: UnitedHealthcare Community & State	$15.44
Rate for Payer: Wellpoint Medicaid Managed Care	$16.98

SCREW ZIM CORT 5.5 50 22538555

Facility

$491.25

Hospital Charge Code	270628470
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$118.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69

SCREW ZIM CORT 5.5 50 22538555

Facility

$491.25

Hospital Charge Code	270628470
Hospital Revenue Code	278
Min. Negotiated Rate	$11.84
Max. Negotiated Rate	$245.62
Rate for Payer: Aetna Commercial	$186.68
Rate for Payer: Aetna Medicare Advantage	$147.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.27
Rate for Payer: Cigna Commercial	$245.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$118.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.08
Rate for Payer: Qualcare PPO/HMO/WC	$73.69
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$13.02

SCREW ZIM CORT 6.5 20 65206520

Facility

$581.65

Hospital Charge Code	270605999
Hospital Revenue Code	274
Min. Negotiated Rate	$14.02
Max. Negotiated Rate	$290.82
Rate for Payer: Aetna Commercial	$221.03
Rate for Payer: Aetna Medicare Advantage	$174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.32
Rate for Payer: Cigna Commercial	$290.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.96
Rate for Payer: Qualcare PPO/HMO/WC	$87.25
Rate for Payer: UnitedHealthcare Community & State	$14.02
Rate for Payer: Wellpoint Medicaid Managed Care	$15.41

SCREW ZIM CORT 6.5 20 65206520

Facility

$581.65

Hospital Charge Code	270605999
Hospital Revenue Code	274
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.96
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5 25 62506525

Facility

$581.65

Hospital Charge Code	270605658
Hospital Revenue Code	278
Min. Negotiated Rate	$87.25
Max. Negotiated Rate	$140.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.96
Rate for Payer: Qualcare PPO/HMO/WC	$87.25

SCREW ZIM CORT 6.5 25 62506525

Facility

$581.65

Hospital Charge Code	270605658
Hospital Revenue Code	278
Min. Negotiated Rate	$14.02
Max. Negotiated Rate	$290.82
Rate for Payer: Aetna Commercial	$221.03
Rate for Payer: Aetna Medicare Advantage	$174.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$148.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$148.32
Rate for Payer: Cigna Commercial	$290.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$140.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.96
Rate for Payer: Qualcare PPO/HMO/WC	$87.25
Rate for Payer: UnitedHealthcare Community & State	$14.02
Rate for Payer: Wellpoint Medicaid Managed Care	$15.41

SCREW ZIM CORT 6.5X15MM

Facility

$621.65

Service Code	HCPCS C1713
Hospital Charge Code	270608925
Hospital Revenue Code	278
Min. Negotiated Rate	$93.25
Max. Negotiated Rate	$150.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25

SCREW ZIM CORT 6.5X15MM

Facility

$621.65

Service Code	HCPCS C1713
Hospital Charge Code	270608925
Hospital Revenue Code	278
Min. Negotiated Rate	$14.98
Max. Negotiated Rate	$310.82
Rate for Payer: Aetna Commercial	$236.23
Rate for Payer: Aetna Medicare Advantage	$186.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$158.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$124.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$158.52
Rate for Payer: Cigna Commercial	$310.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$136.76
Rate for Payer: Qualcare PPO/HMO/WC	$93.25
Rate for Payer: UnitedHealthcare Community & State	$14.98
Rate for Payer: Wellpoint Medicaid Managed Care	$16.47

SCREW ZIM HEADED 48 5791-41

Facility

$391.90

Hospital Charge Code	270626741
Hospital Revenue Code	278
Min. Negotiated Rate	$58.78
Max. Negotiated Rate	$94.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.22
Rate for Payer: Qualcare PPO/HMO/WC	$58.78

SCREW ZIM HEADED 48 5791-41

Facility

$391.90

Hospital Charge Code	270626741
Hospital Revenue Code	278
Min. Negotiated Rate	$9.44
Max. Negotiated Rate	$195.95
Rate for Payer: Aetna Commercial	$148.92
Rate for Payer: Aetna Medicare Advantage	$117.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$78.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.93
Rate for Payer: Cigna Commercial	$195.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$86.22
Rate for Payer: Qualcare PPO/HMO/WC	$58.78
Rate for Payer: UnitedHealthcare Community & State	$9.44
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

Know your out-of-pocket cost for care.

All Charges