Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEXGEN KNEE REPLACEMENT EXTENS

Facility

$1,320.00

Hospital Charge Code	270657045
Hospital Revenue Code	278
Min. Negotiated Rate	$31.81
Max. Negotiated Rate	$660.00
Rate for Payer: Aetna Commercial	$501.60
Rate for Payer: Aetna Medicare Advantage	$396.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$336.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$264.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$336.60
Rate for Payer: Cigna Commercial	$660.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$319.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$290.40
Rate for Payer: Qualcare PPO/HMO/WC	$198.00
Rate for Payer: UnitedHealthcare Community & State	$31.81
Rate for Payer: Wellpoint Medicaid Managed Care	$34.98

NEXGEN LCCK ART SURG, CD 3-

Facility

$9,270.00

Hospital Charge Code	270665816
Hospital Revenue Code	278
Min. Negotiated Rate	$1,390.50
Max. Negotiated Rate	$2,243.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.50

NEXGEN LCCK ART SURG, CD 3-

Facility

$9,270.00

Hospital Charge Code	270665816
Hospital Revenue Code	278
Min. Negotiated Rate	$223.41
Max. Negotiated Rate	$4,635.00
Rate for Payer: Aetna Commercial	$3,522.60
Rate for Payer: Aetna Medicare Advantage	$2,781.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,363.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,854.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,363.85
Rate for Payer: Cigna Commercial	$4,635.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,243.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,039.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,390.50
Rate for Payer: UnitedHealthcare Community & State	$223.41
Rate for Payer: Wellpoint Medicaid Managed Care	$245.66

NEXGEN LCCK FEMORAL SIZE D-

Facility

$28,660.00

Hospital Charge Code	270665817
Hospital Revenue Code	278
Min. Negotiated Rate	$690.71
Max. Negotiated Rate	$14,330.00
Rate for Payer: Aetna Commercial	$10,890.80
Rate for Payer: Aetna Medicare Advantage	$8,598.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,308.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,308.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,732.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,308.30
Rate for Payer: Cigna Commercial	$14,330.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,935.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,305.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,299.00
Rate for Payer: UnitedHealthcare Community & State	$690.71
Rate for Payer: Wellpoint Medicaid Managed Care	$759.49

NEXGEN LCCK FEMORAL SIZE D-

Facility

$28,660.00

Hospital Charge Code	270665817
Hospital Revenue Code	278
Min. Negotiated Rate	$4,299.00
Max. Negotiated Rate	$6,935.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5,732.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,935.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,305.20
Rate for Payer: Qualcare PPO/HMO/WC	$4,299.00

NEXGEN LPS FLEX FIXED 17MM

Facility

$5,860.00

Hospital Charge Code	270667443
Hospital Revenue Code	278
Min. Negotiated Rate	$879.00
Max. Negotiated Rate	$1,418.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.20
Rate for Payer: Qualcare PPO/HMO/WC	$879.00

NEXGEN LPS FLEX FIXED 17MM

Facility

$5,860.00

Hospital Charge Code	270667443
Hospital Revenue Code	278
Min. Negotiated Rate	$141.23
Max. Negotiated Rate	$2,930.00
Rate for Payer: Aetna Commercial	$2,226.80
Rate for Payer: Aetna Medicare Advantage	$1,758.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.30
Rate for Payer: Cigna Commercial	$2,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.20
Rate for Payer: Qualcare PPO/HMO/WC	$879.00
Rate for Payer: UnitedHealthcare Community & State	$141.23
Rate for Payer: Wellpoint Medicaid Managed Care	$155.29

NEXGEN LPS-FLEX FIXED CD 17

Facility

$5,860.00

Hospital Charge Code	270667170
Hospital Revenue Code	278
Min. Negotiated Rate	$141.23
Max. Negotiated Rate	$2,930.00
Rate for Payer: Aetna Commercial	$2,226.80
Rate for Payer: Aetna Medicare Advantage	$1,758.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.30
Rate for Payer: Cigna Commercial	$2,930.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.20
Rate for Payer: Qualcare PPO/HMO/WC	$879.00
Rate for Payer: UnitedHealthcare Community & State	$141.23
Rate for Payer: Wellpoint Medicaid Managed Care	$155.29

NEXGEN LPS-FLEX FIXED CD 17

Facility

$5,860.00

Hospital Charge Code	270667170
Hospital Revenue Code	278
Min. Negotiated Rate	$879.00
Max. Negotiated Rate	$1,418.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.20
Rate for Payer: Qualcare PPO/HMO/WC	$879.00

NEXGEN LPS FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270663735
Hospital Revenue Code	270
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.63
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXGEN LPS FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270664940
Hospital Revenue Code	270
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.63
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXGEN LPS FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270664940
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN LPS FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270663735
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN LPS-FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270665484
Hospital Revenue Code	270
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.63
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXGEN LPS-FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270665484
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN LPS-FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270665483
Hospital Revenue Code	270
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,758.63
Rate for Payer: Oxford Commercial	$1,172.42
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Commercial	$1,172.42
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXGEN LPS-FLEX FIXED PROLONG

Facility

$5,862.10

Hospital Charge Code	270665483
Hospital Revenue Code	270
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$879.32
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEXGEN LPS -FLEX FIX POLONG

Facility

$17,040.00

Hospital Charge Code	270660824
Hospital Revenue Code	278
Min. Negotiated Rate	$2,556.00
Max. Negotiated Rate	$4,123.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,408.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,123.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,748.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,556.00

NEXGEN LPS -FLEX FIX POLONG

Facility

$17,040.00

Hospital Charge Code	270660824
Hospital Revenue Code	278
Min. Negotiated Rate	$410.66
Max. Negotiated Rate	$8,520.00
Rate for Payer: Aetna Commercial	$6,475.20
Rate for Payer: Aetna Medicare Advantage	$5,112.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,345.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,345.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,408.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,345.20
Rate for Payer: Cigna Commercial	$8,520.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,123.68
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,748.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,556.00
Rate for Payer: UnitedHealthcare Community & State	$410.66
Rate for Payer: Wellpoint Medicaid Managed Care	$451.56

NEXGEN LPS-FLEX OPTION FEMO

Facility

$11,725.00

Hospital Charge Code	270667444
Hospital Revenue Code	278
Min. Negotiated Rate	$282.57
Max. Negotiated Rate	$5,862.50
Rate for Payer: Aetna Commercial	$4,455.50
Rate for Payer: Aetna Medicare Advantage	$3,517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,989.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,989.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,345.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,989.88
Rate for Payer: Cigna Commercial	$5,862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,579.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.75
Rate for Payer: UnitedHealthcare Community & State	$282.57
Rate for Payer: Wellpoint Medicaid Managed Care	$310.71

NEXGEN LPS-FLEX OPTION FEMO

Facility

$11,725.00

Hospital Charge Code	270667444
Hospital Revenue Code	278
Min. Negotiated Rate	$1,758.75
Max. Negotiated Rate	$2,837.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,345.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,837.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,579.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,758.75

NEXGEN LPS FLX FIXED PROLONG

Facility

$2,297.75

Hospital Charge Code	270657851
Hospital Revenue Code	278
Min. Negotiated Rate	$344.66
Max. Negotiated Rate	$556.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$505.50
Rate for Payer: Qualcare PPO/HMO/WC	$344.66

NEXGEN LPS FLX FIXED PROLONG

Facility

$2,297.75

Hospital Charge Code	270657851
Hospital Revenue Code	278
Min. Negotiated Rate	$55.38
Max. Negotiated Rate	$1,148.88
Rate for Payer: Aetna Commercial	$873.14
Rate for Payer: Aetna Medicare Advantage	$689.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$585.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$585.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$459.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$585.93
Rate for Payer: Cigna Commercial	$1,148.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$556.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$505.50
Rate for Payer: Qualcare PPO/HMO/WC	$344.66
Rate for Payer: UnitedHealthcare Community & State	$55.38
Rate for Payer: Wellpoint Medicaid Managed Care	$60.89

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270664941
Hospital Revenue Code	278
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$1,489.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,231.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,489.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,354.47
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

NEXGEN PRECOAT STEMMED TIBIAL

Facility

$6,156.70

Hospital Charge Code	270663736
Hospital Revenue Code	270
Min. Negotiated Rate	$148.38
Max. Negotiated Rate	$3,078.35
Rate for Payer: Aetna Commercial	$2,339.55
Rate for Payer: Aetna Medicare Advantage	$1,847.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,569.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,569.96
Rate for Payer: Cigna Commercial	$3,078.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,847.01
Rate for Payer: Oxford Commercial	$1,231.34
Rate for Payer: Qualcare PPO/HMO/WC	$923.50
Rate for Payer: UnitedHealthcare Commercial	$1,231.34
Rate for Payer: UnitedHealthcare Community & State	$148.38
Rate for Payer: Wellpoint Medicaid Managed Care	$163.15

Know your out-of-pocket cost for care.

All Charges