Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE DHS 2H/46mm 130 DEG

Facility

$2,409.00

Hospital Charge Code	270671816
Hospital Revenue Code	278
Min. Negotiated Rate	$361.35
Max. Negotiated Rate	$582.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$529.98
Rate for Payer: Qualcare PPO/HMO/WC	$361.35

PLATE DHS 2H/46mm 130 DEG

Facility

$2,409.00

Hospital Charge Code	270671816
Hospital Revenue Code	278
Min. Negotiated Rate	$58.06
Max. Negotiated Rate	$1,204.50
Rate for Payer: Aetna Commercial	$915.42
Rate for Payer: Aetna Medicare Advantage	$722.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$614.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$614.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$481.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$614.29
Rate for Payer: Cigna Commercial	$1,204.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$582.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$529.98
Rate for Payer: Qualcare PPO/HMO/WC	$361.35
Rate for Payer: UnitedHealthcare Community & State	$58.06
Rate for Payer: Wellpoint Medicaid Managed Care	$63.84

PLATE DHS 38 6H 135DEG 281.16

Facility

$2,576.00

Hospital Charge Code	270603809
Hospital Revenue Code	278
Min. Negotiated Rate	$62.08
Max. Negotiated Rate	$1,288.00
Rate for Payer: Aetna Commercial	$978.88
Rate for Payer: Aetna Medicare Advantage	$772.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$656.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$656.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$656.88
Rate for Payer: Cigna Commercial	$1,288.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$566.72
Rate for Payer: Qualcare PPO/HMO/WC	$386.40
Rate for Payer: UnitedHealthcare Community & State	$62.08
Rate for Payer: Wellpoint Medicaid Managed Care	$68.26

PLATE DHS 38 6H 135DEG 281.16

Facility

$2,576.00

Hospital Charge Code	270603809
Hospital Revenue Code	278
Min. Negotiated Rate	$386.40
Max. Negotiated Rate	$623.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$515.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$623.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$566.72
Rate for Payer: Qualcare PPO/HMO/WC	$386.40

PLATE DHS 38MM 10 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603811
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 10 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603811
Hospital Revenue Code	278
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$984.67
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69
Rate for Payer: UnitedHealthcare Community & State	$62.45
Rate for Payer: Wellpoint Medicaid Managed Care	$68.67

PLATE DHS 38MM 10 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603829
Hospital Revenue Code	278
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$984.67
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69
Rate for Payer: UnitedHealthcare Community & State	$62.45
Rate for Payer: Wellpoint Medicaid Managed Care	$68.67

PLATE DHS 38MM 10 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603829
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 12 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603812
Hospital Revenue Code	278
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$984.67
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69
Rate for Payer: UnitedHealthcare Community & State	$62.45
Rate for Payer: Wellpoint Medicaid Managed Care	$68.67

PLATE DHS 38MM 12 HL 135 DEG

Facility

$2,591.25

Hospital Charge Code	270603812
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 12 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603830
Hospital Revenue Code	278
Min. Negotiated Rate	$62.45
Max. Negotiated Rate	$1,295.62
Rate for Payer: Aetna Commercial	$984.67
Rate for Payer: Aetna Medicare Advantage	$777.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$660.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$660.77
Rate for Payer: Cigna Commercial	$1,295.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69
Rate for Payer: UnitedHealthcare Community & State	$62.45
Rate for Payer: Wellpoint Medicaid Managed Care	$68.67

PLATE DHS 38MM 12 HL 150 DEG

Facility

$2,591.25

Hospital Charge Code	270603830
Hospital Revenue Code	278
Min. Negotiated Rate	$388.69
Max. Negotiated Rate	$627.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$518.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$627.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$570.08
Rate for Payer: Qualcare PPO/HMO/WC	$388.69

PLATE DHS 38MM 14 HL 135 DEG

Facility

$3,456.85

Hospital Charge Code	270603813
Hospital Revenue Code	278
Min. Negotiated Rate	$83.31
Max. Negotiated Rate	$1,728.42
Rate for Payer: Aetna Commercial	$1,313.60
Rate for Payer: Aetna Medicare Advantage	$1,037.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.50
Rate for Payer: Cigna Commercial	$1,728.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.51
Rate for Payer: Qualcare PPO/HMO/WC	$518.53
Rate for Payer: UnitedHealthcare Community & State	$83.31
Rate for Payer: Wellpoint Medicaid Managed Care	$91.61

PLATE DHS 38MM 14 HL 135 DEG

Facility

$3,456.85

Hospital Charge Code	270603813
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$836.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.51
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 16 HL

Facility

$3,456.85

Hospital Charge Code	270603814
Hospital Revenue Code	278
Min. Negotiated Rate	$518.53
Max. Negotiated Rate	$836.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.51
Rate for Payer: Qualcare PPO/HMO/WC	$518.53

PLATE DHS 38MM 16 HL

Facility

$3,456.85

Hospital Charge Code	270603814
Hospital Revenue Code	278
Min. Negotiated Rate	$83.31
Max. Negotiated Rate	$1,728.42
Rate for Payer: Aetna Commercial	$1,313.60
Rate for Payer: Aetna Medicare Advantage	$1,037.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$881.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$691.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$881.50
Rate for Payer: Cigna Commercial	$1,728.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$836.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$760.51
Rate for Payer: Qualcare PPO/HMO/WC	$518.53
Rate for Payer: UnitedHealthcare Community & State	$83.31
Rate for Payer: Wellpoint Medicaid Managed Care	$91.61

PLATE DHS 38MM 2 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603824
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 38MM 2 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603824
Hospital Revenue Code	278
Min. Negotiated Rate	$46.56
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$734.16
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80
Rate for Payer: UnitedHealthcare Community & State	$46.56
Rate for Payer: Wellpoint Medicaid Managed Care	$51.20

PLATE DHS 38MM 4 HL 140 DEG

Facility

$2,000.85

Hospital Charge Code	270603819
Hospital Revenue Code	278
Min. Negotiated Rate	$48.22
Max. Negotiated Rate	$1,000.42
Rate for Payer: Aetna Commercial	$760.32
Rate for Payer: Aetna Medicare Advantage	$600.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.22
Rate for Payer: Cigna Commercial	$1,000.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.19
Rate for Payer: Qualcare PPO/HMO/WC	$300.13
Rate for Payer: UnitedHealthcare Community & State	$48.22
Rate for Payer: Wellpoint Medicaid Managed Care	$53.02

PLATE DHS 38MM 4 HL 140 DEG

Facility

$2,000.85

Hospital Charge Code	270603819
Hospital Revenue Code	278
Min. Negotiated Rate	$300.13
Max. Negotiated Rate	$484.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.19
Rate for Payer: Qualcare PPO/HMO/WC	$300.13

PLATE DHS 38MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603821
Hospital Revenue Code	278
Min. Negotiated Rate	$46.56
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$734.16
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80
Rate for Payer: UnitedHealthcare Community & State	$46.56
Rate for Payer: Wellpoint Medicaid Managed Care	$51.20

PLATE DHS 38MM 4 HL 145 DEG

Facility

$1,932.00

Hospital Charge Code	270603821
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 38MM 4 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603825
Hospital Revenue Code	278
Min. Negotiated Rate	$289.80
Max. Negotiated Rate	$467.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80

PLATE DHS 38MM 4 HL 150 DEG

Facility

$1,932.00

Hospital Charge Code	270603825
Hospital Revenue Code	278
Min. Negotiated Rate	$46.56
Max. Negotiated Rate	$966.00
Rate for Payer: Aetna Commercial	$734.16
Rate for Payer: Aetna Medicare Advantage	$579.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$386.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.66
Rate for Payer: Cigna Commercial	$966.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$467.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$425.04
Rate for Payer: Qualcare PPO/HMO/WC	$289.80
Rate for Payer: UnitedHealthcare Community & State	$46.56
Rate for Payer: Wellpoint Medicaid Managed Care	$51.20

PLATE DHS 38mm 4HOLE 135

Facility

$2,208.00

Hospital Charge Code	270603807
Hospital Revenue Code	278
Min. Negotiated Rate	$53.21
Max. Negotiated Rate	$1,104.00
Rate for Payer: Aetna Commercial	$839.04
Rate for Payer: Aetna Medicare Advantage	$662.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$563.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$563.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$441.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$563.04
Rate for Payer: Cigna Commercial	$1,104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$534.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$485.76
Rate for Payer: Qualcare PPO/HMO/WC	$331.20
Rate for Payer: UnitedHealthcare Community & State	$53.21
Rate for Payer: Wellpoint Medicaid Managed Care	$58.51

Know your out-of-pocket cost for care.

All Charges