Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE CONDYLAR 4.5MM 14H RT

Facility

$8,241.05

Hospital Charge Code	270677614
Hospital Revenue Code	278
Min. Negotiated Rate	$1,236.16
Max. Negotiated Rate	$1,994.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,648.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,994.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,813.03
Rate for Payer: Qualcare PPO/HMO/WC	$1,236.16

PLATE CONDYLAR 4.5MM 16H LT

Facility

$8,401.70

Service Code	HCPCS C1713
Hospital Charge Code	270677617
Hospital Revenue Code	278
Min. Negotiated Rate	$1,260.26
Max. Negotiated Rate	$2,033.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,680.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,033.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,848.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.26

PLATE CONDYLAR 4.5MM 16H LT

Facility

$8,401.70

Service Code	HCPCS C1713
Hospital Charge Code	270677617
Hospital Revenue Code	278
Min. Negotiated Rate	$202.48
Max. Negotiated Rate	$4,200.85
Rate for Payer: Aetna Commercial	$3,192.65
Rate for Payer: Aetna Medicare Advantage	$2,520.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,142.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,142.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,680.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,142.43
Rate for Payer: Cigna Commercial	$4,200.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,033.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,848.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.26
Rate for Payer: UnitedHealthcare Community & State	$202.48
Rate for Payer: Wellpoint Medicaid Managed Care	$222.65

PLATE CONDYLAR 4.5MM 16H RT

Facility

$8,401.70

Hospital Charge Code	270677616
Hospital Revenue Code	278
Min. Negotiated Rate	$1,260.26
Max. Negotiated Rate	$2,033.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,680.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,033.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,848.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.26

PLATE CONDYLAR 4.5MM 16H RT

Facility

$8,401.70

Hospital Charge Code	270677616
Hospital Revenue Code	278
Min. Negotiated Rate	$202.48
Max. Negotiated Rate	$4,200.85
Rate for Payer: Aetna Commercial	$3,192.65
Rate for Payer: Aetna Medicare Advantage	$2,520.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,142.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,142.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,680.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,142.43
Rate for Payer: Cigna Commercial	$4,200.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,033.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,848.37
Rate for Payer: Qualcare PPO/HMO/WC	$1,260.26
Rate for Payer: UnitedHealthcare Community & State	$202.48
Rate for Payer: Wellpoint Medicaid Managed Care	$222.65

PLATE CONDYLAR 4.5MM 6H LT

Facility

$7,088.45

Hospital Charge Code	270677608
Hospital Revenue Code	278
Min. Negotiated Rate	$170.83
Max. Negotiated Rate	$3,544.22
Rate for Payer: Aetna Commercial	$2,693.61
Rate for Payer: Aetna Medicare Advantage	$2,126.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,417.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,807.55
Rate for Payer: Cigna Commercial	$3,544.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,715.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,559.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,063.27
Rate for Payer: UnitedHealthcare Community & State	$170.83
Rate for Payer: Wellpoint Medicaid Managed Care	$187.84

PLATE CONDYLAR 4.5MM 6H LT

Facility

$7,088.45

Hospital Charge Code	270677608
Hospital Revenue Code	278
Min. Negotiated Rate	$1,063.27
Max. Negotiated Rate	$1,715.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,417.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,715.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,559.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,063.27

PLATE CONDYLAR 4.5MM 6H RT

Facility

$7,088.45

Hospital Charge Code	270677607
Hospital Revenue Code	278
Min. Negotiated Rate	$1,063.27
Max. Negotiated Rate	$1,715.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,417.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,715.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,559.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,063.27

PLATE CONDYLAR 4.5MM 6H RT

Facility

$7,088.45

Hospital Charge Code	270677607
Hospital Revenue Code	278
Min. Negotiated Rate	$170.83
Max. Negotiated Rate	$3,544.22
Rate for Payer: Aetna Commercial	$2,693.61
Rate for Payer: Aetna Medicare Advantage	$2,126.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,807.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,417.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,807.55
Rate for Payer: Cigna Commercial	$3,544.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,715.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,559.46
Rate for Payer: Qualcare PPO/HMO/WC	$1,063.27
Rate for Payer: UnitedHealthcare Community & State	$170.83
Rate for Payer: Wellpoint Medicaid Managed Care	$187.84

PLATE CONDYLAR 4.5MM 6H RT ST

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270676982
Hospital Revenue Code	278
Min. Negotiated Rate	$1,062.45
Max. Negotiated Rate	$1,714.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,558.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45

PLATE CONDYLAR 4.5MM 6H RT ST

Facility

$7,083.00

Service Code	HCPCS C1713
Hospital Charge Code	270676982
Hospital Revenue Code	278
Min. Negotiated Rate	$170.70
Max. Negotiated Rate	$3,541.50
Rate for Payer: Aetna Commercial	$2,691.54
Rate for Payer: Aetna Medicare Advantage	$2,124.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,806.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,416.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,806.16
Rate for Payer: Cigna Commercial	$3,541.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,714.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,558.26
Rate for Payer: Qualcare PPO/HMO/WC	$1,062.45
Rate for Payer: UnitedHealthcare Community & State	$170.70
Rate for Payer: Wellpoint Medicaid Managed Care	$187.70

PLATE CONDYLAR 4.5MM 8H LT

Facility

$7,227.50

Hospital Charge Code	270677610
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$1,749.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,590.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H LT

Facility

$7,227.50

Hospital Charge Code	270677610
Hospital Revenue Code	278
Min. Negotiated Rate	$174.18
Max. Negotiated Rate	$3,613.75
Rate for Payer: Aetna Commercial	$2,746.45
Rate for Payer: Aetna Medicare Advantage	$2,168.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,843.01
Rate for Payer: Cigna Commercial	$3,613.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,590.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12
Rate for Payer: UnitedHealthcare Community & State	$174.18
Rate for Payer: Wellpoint Medicaid Managed Care	$191.53

PLATE CONDYLAR 4.5MM 8H LT ST

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270677413
Hospital Revenue Code	278
Min. Negotiated Rate	$181.83
Max. Negotiated Rate	$3,772.50
Rate for Payer: Aetna Commercial	$2,867.10
Rate for Payer: Aetna Medicare Advantage	$2,263.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,923.97
Rate for Payer: Cigna Commercial	$3,772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,659.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75
Rate for Payer: UnitedHealthcare Community & State	$181.83
Rate for Payer: Wellpoint Medicaid Managed Care	$199.94

PLATE CONDYLAR 4.5MM 8H LT ST

Facility

$7,545.00

Service Code	HCPCS C1713
Hospital Charge Code	270677413
Hospital Revenue Code	278
Min. Negotiated Rate	$1,131.75
Max. Negotiated Rate	$1,825.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,659.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75

PLATE CONDYLAR 4.5MM 8H RT

Facility

$7,227.50

Service Code	HCPCS C1713
Hospital Charge Code	270677609
Hospital Revenue Code	278
Min. Negotiated Rate	$1,084.12
Max. Negotiated Rate	$1,749.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,590.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12

PLATE CONDYLAR 4.5MM 8H RT

Facility

$7,227.50

Service Code	HCPCS C1713
Hospital Charge Code	270677609
Hospital Revenue Code	278
Min. Negotiated Rate	$174.18
Max. Negotiated Rate	$3,613.75
Rate for Payer: Aetna Commercial	$2,746.45
Rate for Payer: Aetna Medicare Advantage	$2,168.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,843.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,445.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,843.01
Rate for Payer: Cigna Commercial	$3,613.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,749.06
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,590.05
Rate for Payer: Qualcare PPO/HMO/WC	$1,084.12
Rate for Payer: UnitedHealthcare Community & State	$174.18
Rate for Payer: Wellpoint Medicaid Managed Care	$191.53

PLATE CONDYLAR 4.5MM 8H RT ST

Facility

$7,218.00

Service Code	HCPCS C1713
Hospital Charge Code	270677136
Hospital Revenue Code	278
Min. Negotiated Rate	$1,082.70
Max. Negotiated Rate	$1,746.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,443.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,587.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.70

PLATE CONDYLAR 4.5MM 8H RT ST

Facility

$7,218.00

Service Code	HCPCS C1713
Hospital Charge Code	270677136
Hospital Revenue Code	278
Min. Negotiated Rate	$173.95
Max. Negotiated Rate	$3,609.00
Rate for Payer: Aetna Commercial	$2,742.84
Rate for Payer: Aetna Medicare Advantage	$2,165.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,840.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,840.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,443.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,840.59
Rate for Payer: Cigna Commercial	$3,609.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,746.76
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,587.96
Rate for Payer: Qualcare PPO/HMO/WC	$1,082.70
Rate for Payer: UnitedHealthcare Community & State	$173.95
Rate for Payer: Wellpoint Medicaid Managed Care	$191.28

PLATE CONDYLAR LCP 7H 2x54MM

Facility

$3,373.65

Service Code	HCPCS C1713
Hospital Charge Code	270672176
Hospital Revenue Code	278
Min. Negotiated Rate	$506.05
Max. Negotiated Rate	$816.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$674.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.20
Rate for Payer: Qualcare PPO/HMO/WC	$506.05

PLATE CONDYLAR LCP 7H 2x54MM

Facility

$3,373.65

Service Code	HCPCS C1713
Hospital Charge Code	270672176
Hospital Revenue Code	278
Min. Negotiated Rate	$81.30
Max. Negotiated Rate	$1,686.83
Rate for Payer: Aetna Commercial	$1,281.99
Rate for Payer: Aetna Medicare Advantage	$1,012.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$860.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$860.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$674.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$860.28
Rate for Payer: Cigna Commercial	$1,686.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$816.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$742.20
Rate for Payer: Qualcare PPO/HMO/WC	$506.05
Rate for Payer: UnitedHealthcare Community & State	$81.30
Rate for Payer: Wellpoint Medicaid Managed Care	$89.40

PLATE CONDY LCP 10H 230MM LT

Facility

$7,545.00

Hospital Charge Code	270676149
Hospital Revenue Code	278
Min. Negotiated Rate	$1,131.75
Max. Negotiated Rate	$1,825.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,659.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75

PLATE CONDY LCP 10H 230MM LT

Facility

$7,545.00

Hospital Charge Code	270676149
Hospital Revenue Code	278
Min. Negotiated Rate	$181.83
Max. Negotiated Rate	$3,772.50
Rate for Payer: Aetna Commercial	$2,867.10
Rate for Payer: Aetna Medicare Advantage	$2,263.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,923.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,509.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,923.97
Rate for Payer: Cigna Commercial	$3,772.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,825.89
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,659.90
Rate for Payer: Qualcare PPO/HMO/WC	$1,131.75
Rate for Payer: UnitedHealthcare Community & State	$181.83
Rate for Payer: Wellpoint Medicaid Managed Care	$199.94

PLATE CONNECTING 3 HOLE

Facility

$456.25

Hospital Charge Code	270693747
Hospital Revenue Code	272
Min. Negotiated Rate	$68.44
Max. Negotiated Rate	$68.44
Rate for Payer: Qualcare PPO/HMO/WC	$68.44

PLATE CONNECTING 3 HOLE

Facility

$456.25

Hospital Charge Code	270693747
Hospital Revenue Code	272
Min. Negotiated Rate	$11.00
Max. Negotiated Rate	$228.12
Rate for Payer: Aetna Commercial	$173.38
Rate for Payer: Aetna Medicare Advantage	$136.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.34
Rate for Payer: Cigna Commercial	$228.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$136.88
Rate for Payer: Oxford Commercial	$91.25
Rate for Payer: Qualcare PPO/HMO/WC	$68.44
Rate for Payer: UnitedHealthcare Commercial	$91.25
Rate for Payer: UnitedHealthcare Community & State	$11.00
Rate for Payer: Wellpoint Medicaid Managed Care	$12.09

Know your out-of-pocket cost for care.

All Charges