Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SCREW ZIM LAG 80MM 1181-01032

Facility

$910.50

Hospital Charge Code	270601778
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 85MM 1181-01035

Facility

$902.75

Hospital Charge Code	270601779
Hospital Revenue Code	278
Min. Negotiated Rate	$21.76
Max. Negotiated Rate	$451.38
Rate for Payer: Aetna Commercial	$343.05
Rate for Payer: Aetna Medicare Advantage	$270.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$230.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$230.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$230.20
Rate for Payer: Cigna Commercial	$451.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.41
Rate for Payer: UnitedHealthcare Community & State	$21.76
Rate for Payer: Wellpoint Medicaid Managed Care	$23.92

SCREW ZIM LAG 85MM 1181-01035

Facility

$902.75

Hospital Charge Code	270601779
Hospital Revenue Code	278
Min. Negotiated Rate	$135.41
Max. Negotiated Rate	$218.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$218.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.60
Rate for Payer: Qualcare PPO/HMO/WC	$135.41

SCREW ZIM LAG 90MM 1181-01037

Facility

$910.50

Hospital Charge Code	270601780
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 90MM 1181-01037

Facility

$910.50

Hospital Charge Code	270601780
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 95MM 1181-01040

Facility

$946.90

Hospital Charge Code	270601781
Hospital Revenue Code	278
Min. Negotiated Rate	$142.03
Max. Negotiated Rate	$229.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.32
Rate for Payer: Qualcare PPO/HMO/WC	$142.03

SCREW ZIM LAG 95MM 1181-01040

Facility

$946.90

Hospital Charge Code	270601781
Hospital Revenue Code	278
Min. Negotiated Rate	$22.82
Max. Negotiated Rate	$473.45
Rate for Payer: Aetna Commercial	$359.82
Rate for Payer: Aetna Medicare Advantage	$284.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$241.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$189.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$241.46
Rate for Payer: Cigna Commercial	$473.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$208.32
Rate for Payer: Qualcare PPO/HMO/WC	$142.03
Rate for Payer: UnitedHealthcare Community & State	$22.82
Rate for Payer: Wellpoint Medicaid Managed Care	$25.09

SCREW ZIM LAG SHT 11810522

Facility

$1,142.45

Hospital Charge Code	270601441
Hospital Revenue Code	278
Min. Negotiated Rate	$27.53
Max. Negotiated Rate	$571.23
Rate for Payer: Aetna Commercial	$434.13
Rate for Payer: Aetna Medicare Advantage	$342.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.32
Rate for Payer: Cigna Commercial	$571.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37
Rate for Payer: UnitedHealthcare Community & State	$27.53
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

SCREW ZIM LAG SHT 11810522

Facility

$1,142.45

Hospital Charge Code	270601441
Hospital Revenue Code	278
Min. Negotiated Rate	$171.37
Max. Negotiated Rate	$276.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37

SCREW ZIM LAG SHT 65 11810525

Facility

$1,142.45

Hospital Charge Code	270601442
Hospital Revenue Code	278
Min. Negotiated Rate	$27.53
Max. Negotiated Rate	$571.23
Rate for Payer: Aetna Commercial	$434.13
Rate for Payer: Aetna Medicare Advantage	$342.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.32
Rate for Payer: Cigna Commercial	$571.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37
Rate for Payer: UnitedHealthcare Community & State	$27.53
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

SCREW ZIM LAG SHT 65 11810525

Facility

$1,142.45

Hospital Charge Code	270601442
Hospital Revenue Code	278
Min. Negotiated Rate	$171.37
Max. Negotiated Rate	$276.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37

SCREW ZIM LAG SHT 80 11810532

Facility

$951.25

Hospital Charge Code	270616360
Hospital Revenue Code	278
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$475.62
Rate for Payer: Aetna Commercial	$361.48
Rate for Payer: Aetna Medicare Advantage	$285.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.57
Rate for Payer: Cigna Commercial	$475.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.28
Rate for Payer: Qualcare PPO/HMO/WC	$142.69
Rate for Payer: UnitedHealthcare Community & State	$22.93
Rate for Payer: Wellpoint Medicaid Managed Care	$25.21

SCREW ZIM LAG SHT 80 11810532

Facility

$951.25

Hospital Charge Code	270616360
Hospital Revenue Code	278
Min. Negotiated Rate	$142.69
Max. Negotiated Rate	$230.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.28
Rate for Payer: Qualcare PPO/HMO/WC	$142.69

SCREW ZIM LAG SHT 85 11810535

Facility

$951.25

Hospital Charge Code	270617525
Hospital Revenue Code	278
Min. Negotiated Rate	$22.93
Max. Negotiated Rate	$475.62
Rate for Payer: Aetna Commercial	$361.48
Rate for Payer: Aetna Medicare Advantage	$285.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.57
Rate for Payer: Cigna Commercial	$475.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.28
Rate for Payer: Qualcare PPO/HMO/WC	$142.69
Rate for Payer: UnitedHealthcare Community & State	$22.93
Rate for Payer: Wellpoint Medicaid Managed Care	$25.21

SCREW ZIM LAG SHT 85 11810535

Facility

$951.25

Hospital Charge Code	270617525
Hospital Revenue Code	278
Min. Negotiated Rate	$142.69
Max. Negotiated Rate	$230.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$230.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.28
Rate for Payer: Qualcare PPO/HMO/WC	$142.69

SCREW ZIM MAGNA 4 50 1142-4150

Facility

$548.00

Hospital Charge Code	270613429
Hospital Revenue Code	278
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$120.56
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

SCREW ZIM MAGNA 4 50 1142-4150

Facility

$548.00

Hospital Charge Code	270613429
Hospital Revenue Code	278
Min. Negotiated Rate	$13.21
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$208.24
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$120.56
Rate for Payer: Qualcare PPO/HMO/WC	$82.20
Rate for Payer: UnitedHealthcare Community & State	$13.21
Rate for Payer: Wellpoint Medicaid Managed Care	$14.52

SCREW ZIM MAGNA 7 32 114210032

Facility

$756.00

Hospital Charge Code	270617848
Hospital Revenue Code	278
Min. Negotiated Rate	$18.22
Max. Negotiated Rate	$378.00
Rate for Payer: Aetna Commercial	$287.28
Rate for Payer: Aetna Medicare Advantage	$226.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$192.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$192.78
Rate for Payer: Cigna Commercial	$378.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40
Rate for Payer: UnitedHealthcare Community & State	$18.22
Rate for Payer: Wellpoint Medicaid Managed Care	$20.03

SCREW ZIM MAGNA 7 32 114210032

Facility

$756.00

Hospital Charge Code	270617848
Hospital Revenue Code	278
Min. Negotiated Rate	$113.40
Max. Negotiated Rate	$182.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$151.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$182.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$166.32
Rate for Payer: Qualcare PPO/HMO/WC	$113.40

SCREW ZIM MALL 4.5 45 2334-046

Facility

$85.65

Hospital Charge Code	270610355
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$20.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.84
Rate for Payer: Qualcare PPO/HMO/WC	$12.85

SCREW ZIM MALL 4.5 45 2334-046

Facility

$85.65

Hospital Charge Code	270610355
Hospital Revenue Code	278
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$42.83
Rate for Payer: Aetna Commercial	$32.55
Rate for Payer: Aetna Medicare Advantage	$25.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.84
Rate for Payer: Cigna Commercial	$42.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.73
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$18.84
Rate for Payer: Qualcare PPO/HMO/WC	$12.85
Rate for Payer: UnitedHealthcare Community & State	$2.06
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

SCREW ZIM MGNA CANN 16 7 95

Facility

$751.95

Hospital Charge Code	270606472
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 MGNA CANN 16 7 95

Facility

$751.95

Hospital Charge Code	270606472
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 MGNA FIX

Facility

$892.85

Hospital Charge Code	270610407
Hospital Revenue Code	278
Min. Negotiated Rate	$133.93
Max. Negotiated Rate	$216.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$178.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$216.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$196.43
Rate for Payer: Qualcare PPO/HMO/WC	$133.93

SCREW ZIM MGNA FIX

Facility

$464.28

Hospital Charge Code	207610407
Hospital Revenue Code	278
Min. Negotiated Rate	$11.19
Max. Negotiated Rate	$232.14
Rate for Payer: Aetna Commercial	$176.43
Rate for Payer: Aetna Medicare Advantage	$139.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.39
Rate for Payer: Cigna Commercial	$232.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$102.14
Rate for Payer: Qualcare PPO/HMO/WC	$69.64
Rate for Payer: UnitedHealthcare Community & State	$11.19
Rate for Payer: Wellpoint Medicaid Managed Care	$12.30

Know your out-of-pocket cost for care.

All Charges