Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM IM 3.5 100 225210055

Facility

$844.00

Hospital Charge Code	270620528
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$204.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.68
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM IM 3.5 100 225210055

Facility

$844.00

Hospital Charge Code	270620528
Hospital Revenue Code	278
Min. Negotiated Rate	$20.34
Max. Negotiated Rate	$422.00
Rate for Payer: Aetna Commercial	$320.72
Rate for Payer: Aetna Medicare Advantage	$253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.22
Rate for Payer: Cigna Commercial	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.68
Rate for Payer: Qualcare PPO/HMO/WC	$126.60
Rate for Payer: UnitedHealthcare Community & State	$20.34
Rate for Payer: Wellpoint Medicaid Managed Care	$22.37

SCREW ZIM IM 3.5 90 22529055

Facility

$844.00

Hospital Charge Code	270620527
Hospital Revenue Code	278
Min. Negotiated Rate	$126.60
Max. Negotiated Rate	$204.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.68
Rate for Payer: Qualcare PPO/HMO/WC	$126.60

SCREW ZIM IM 3.5 90 22529055

Facility

$844.00

Hospital Charge Code	270620527
Hospital Revenue Code	278
Min. Negotiated Rate	$20.34
Max. Negotiated Rate	$422.00
Rate for Payer: Aetna Commercial	$320.72
Rate for Payer: Aetna Medicare Advantage	$253.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$215.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$168.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$215.22
Rate for Payer: Cigna Commercial	$422.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$204.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$185.68
Rate for Payer: Qualcare PPO/HMO/WC	$126.60
Rate for Payer: UnitedHealthcare Community & State	$20.34
Rate for Payer: Wellpoint Medicaid Managed Care	$22.37

SCREW ZIM LAG 100MM 1181-01042

Facility

$903.25

Hospital Charge Code	270601782
Hospital Revenue Code	278
Min. Negotiated Rate	$21.77
Max. Negotiated Rate	$451.62
Rate for Payer: Aetna Commercial	$343.24
Rate for Payer: Aetna Medicare Advantage	$270.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.33
Rate for Payer: Cigna Commercial	$451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.72
Rate for Payer: Qualcare PPO/HMO/WC	$135.49
Rate for Payer: UnitedHealthcare Community & State	$21.77
Rate for Payer: Wellpoint Medicaid Managed Care	$23.94

SCREW ZIM LAG 100MM 1181-01042

Facility

$903.25

Hospital Charge Code	270601782
Hospital Revenue Code	278
Min. Negotiated Rate	$135.49
Max. Negotiated Rate	$218.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.72
Rate for Payer: Qualcare PPO/HMO/WC	$135.49

SCREW ZIM LAG 105MM 1181-010**

Facility

$457.36

Hospital Charge Code	2706012004
Hospital Revenue Code	278
Min. Negotiated Rate	$11.02
Max. Negotiated Rate	$228.68
Rate for Payer: Aetna Commercial	$173.80
Rate for Payer: Aetna Medicare Advantage	$137.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.63
Rate for Payer: Cigna Commercial	$228.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.62
Rate for Payer: Qualcare PPO/HMO/WC	$68.60
Rate for Payer: UnitedHealthcare Community & State	$11.02
Rate for Payer: Wellpoint Medicaid Managed Care	$12.12

SCREW ZIM LAG 105MM 1181-010**

Facility

$457.36

Hospital Charge Code	2706012004
Hospital Revenue Code	278
Min. Negotiated Rate	$68.60
Max. Negotiated Rate	$110.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.62
Rate for Payer: Qualcare PPO/HMO/WC	$68.60

SCREW ZIM LAG 105MM 1181-10-45

Facility

$877.65

Hospital Charge Code	270602004
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$438.82
Rate for Payer: Aetna Commercial	$333.51
Rate for Payer: Aetna Medicare Advantage	$263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.80
Rate for Payer: Cigna Commercial	$438.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.08
Rate for Payer: Qualcare PPO/HMO/WC	$131.65
Rate for Payer: UnitedHealthcare Community & State	$21.15
Rate for Payer: Wellpoint Medicaid Managed Care	$23.26

SCREW ZIM LAG 105MM 1181-10-45

Facility

$877.65

Hospital Charge Code	270602004
Hospital Revenue Code	278
Min. Negotiated Rate	$131.65
Max. Negotiated Rate	$212.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.08
Rate for Payer: Qualcare PPO/HMO/WC	$131.65

SCREW ZIM LAG 110MM 1181-01047

Facility

$813.65

Hospital Charge Code	270601783
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW ZIM LAG 110MM 1181-01047

Facility

$813.65

Hospital Charge Code	270601783
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW ZIM LAG 115MM 1181-01050

Facility

$910.50

Hospital Charge Code	270601784
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$455.25
Rate for Payer: Aetna Commercial	$345.99
Rate for Payer: Aetna Medicare Advantage	$273.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.18
Rate for Payer: Cigna Commercial	$455.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.57
Rate for Payer: UnitedHealthcare Community & State	$21.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.13

SCREW ZIM LAG 115MM 1181-01050

Facility

$910.50

Hospital Charge Code	270601784
Hospital Revenue Code	278
Min. Negotiated Rate	$136.57
Max. Negotiated Rate	$220.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.57

SCREW ZIM LAG 120MM 1181-01052

Facility

$956.85

Hospital Charge Code	270610671
Hospital Revenue Code	278
Min. Negotiated Rate	$143.53
Max. Negotiated Rate	$231.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$210.51
Rate for Payer: Qualcare PPO/HMO/WC	$143.53

SCREW ZIM LAG 120MM 1181-01052

Facility

$956.85

Hospital Charge Code	270610671
Hospital Revenue Code	278
Min. Negotiated Rate	$23.06
Max. Negotiated Rate	$478.43
Rate for Payer: Aetna Commercial	$363.60
Rate for Payer: Aetna Medicare Advantage	$287.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$191.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.00
Rate for Payer: Cigna Commercial	$478.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$231.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$210.51
Rate for Payer: Qualcare PPO/HMO/WC	$143.53
Rate for Payer: UnitedHealthcare Community & State	$23.06
Rate for Payer: Wellpoint Medicaid Managed Care	$25.36

SCREW ZIM LAG 130MM 1181-01057

Facility

$811.25

Hospital Charge Code	270613439
Hospital Revenue Code	278
Min. Negotiated Rate	$19.55
Max. Negotiated Rate	$405.62
Rate for Payer: Aetna Commercial	$308.27
Rate for Payer: Aetna Medicare Advantage	$243.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$206.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$206.87
Rate for Payer: Cigna Commercial	$405.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.47
Rate for Payer: Qualcare PPO/HMO/WC	$121.69
Rate for Payer: UnitedHealthcare Community & State	$19.55
Rate for Payer: Wellpoint Medicaid Managed Care	$21.50

SCREW ZIM LAG 130MM 1181-01057

Facility

$811.25

Hospital Charge Code	270613439
Hospital Revenue Code	278
Min. Negotiated Rate	$121.69
Max. Negotiated Rate	$196.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$178.47
Rate for Payer: Qualcare PPO/HMO/WC	$121.69

SCREW ZIM LAG 65MM 1181-01025

Facility

$877.65

Hospital Charge Code	270601774
Hospital Revenue Code	278
Min. Negotiated Rate	$131.65
Max. Negotiated Rate	$212.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.08
Rate for Payer: Qualcare PPO/HMO/WC	$131.65

SCREW ZIM LAG 65MM 1181-01025

Facility

$877.65

Hospital Charge Code	270601774
Hospital Revenue Code	278
Min. Negotiated Rate	$21.15
Max. Negotiated Rate	$438.82
Rate for Payer: Aetna Commercial	$333.51
Rate for Payer: Aetna Medicare Advantage	$263.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$175.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.80
Rate for Payer: Cigna Commercial	$438.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$212.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$193.08
Rate for Payer: Qualcare PPO/HMO/WC	$131.65
Rate for Payer: UnitedHealthcare Community & State	$21.15
Rate for Payer: Wellpoint Medicaid Managed Care	$23.26

SCREW ZIM LAG 70MM 1181-01027

Facility

$910.50

Hospital Charge Code	270601775
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$455.25
Rate for Payer: Aetna Commercial	$345.99
Rate for Payer: Aetna Medicare Advantage	$273.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.18
Rate for Payer: Cigna Commercial	$455.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.57
Rate for Payer: UnitedHealthcare Community & State	$21.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.13

SCREW ZIM LAG 70MM 1181-01027

Facility

$910.50

Hospital Charge Code	270601775
Hospital Revenue Code	278
Min. Negotiated Rate	$136.57
Max. Negotiated Rate	$220.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.57

SCREW ZIM LAG 75MM 1181-01030

Facility

$813.65

Hospital Charge Code	270601777
Hospital Revenue Code	278
Min. Negotiated Rate	$122.05
Max. Negotiated Rate	$196.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05

SCREW ZIM LAG 75MM 1181-01030

Facility

$813.65

Hospital Charge Code	270601777
Hospital Revenue Code	278
Min. Negotiated Rate	$19.61
Max. Negotiated Rate	$406.82
Rate for Payer: Aetna Commercial	$309.19
Rate for Payer: Aetna Medicare Advantage	$244.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$207.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$162.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$207.48
Rate for Payer: Cigna Commercial	$406.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$196.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$179.00
Rate for Payer: Qualcare PPO/HMO/WC	$122.05
Rate for Payer: UnitedHealthcare Community & State	$19.61
Rate for Payer: Wellpoint Medicaid Managed Care	$21.56

SCREW ZIM LAG 80MM 1181-01032

Facility

$910.50

Hospital Charge Code	270601778
Hospital Revenue Code	278
Min. Negotiated Rate	$21.94
Max. Negotiated Rate	$455.25
Rate for Payer: Aetna Commercial	$345.99
Rate for Payer: Aetna Medicare Advantage	$273.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$232.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$182.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$232.18
Rate for Payer: Cigna Commercial	$455.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$220.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$200.31
Rate for Payer: Qualcare PPO/HMO/WC	$136.57
Rate for Payer: UnitedHealthcare Community & State	$21.94
Rate for Payer: Wellpoint Medicaid Managed Care	$24.13

Know your out-of-pocket cost for care.

All Charges