Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE NARROW 16H 4.5x296MM

Facility

$3,417.00

Hospital Charge Code	270675500
Hospital Revenue Code	278
Min. Negotiated Rate	$512.55
Max. Negotiated Rate	$826.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$683.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$751.74
Rate for Payer: Qualcare PPO/HMO/WC	$512.55

PLATE NARROW 4H 4.5x80MM

Facility

$1,428.00

Hospital Charge Code	270675504
Hospital Revenue Code	278
Min. Negotiated Rate	$34.41
Max. Negotiated Rate	$714.00
Rate for Payer: Aetna Commercial	$542.64
Rate for Payer: Aetna Medicare Advantage	$428.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$364.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$364.14
Rate for Payer: Cigna Commercial	$714.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20
Rate for Payer: UnitedHealthcare Community & State	$34.41
Rate for Payer: Wellpoint Medicaid Managed Care	$37.84

PLATE NARROW 4H 4.5x80MM

Facility

$1,428.00

Hospital Charge Code	270675504
Hospital Revenue Code	278
Min. Negotiated Rate	$214.20
Max. Negotiated Rate	$345.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$285.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$345.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$314.16
Rate for Payer: Qualcare PPO/HMO/WC	$214.20

PLATE NARROW LCP 8H/4.5x152MM

Facility

$2,100.60

Service Code	HCPCS C1713
Hospital Charge Code	270666770
Hospital Revenue Code	278
Min. Negotiated Rate	$315.09
Max. Negotiated Rate	$508.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$462.13
Rate for Payer: Qualcare PPO/HMO/WC	$315.09

PLATE NARROW LCP 8H/4.5x152MM

Facility

$2,100.60

Service Code	HCPCS C1713
Hospital Charge Code	270666770
Hospital Revenue Code	278
Min. Negotiated Rate	$50.62
Max. Negotiated Rate	$1,050.30
Rate for Payer: Aetna Commercial	$798.23
Rate for Payer: Aetna Medicare Advantage	$630.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$535.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$535.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$420.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$535.65
Rate for Payer: Cigna Commercial	$1,050.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$508.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$462.13
Rate for Payer: Qualcare PPO/HMO/WC	$315.09
Rate for Payer: UnitedHealthcare Community & State	$50.62
Rate for Payer: Wellpoint Medicaid Managed Care	$55.67

PLATE NARROW LOCK 6H 2X34MM

Facility

$4,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270700736
Hospital Revenue Code	278
Min. Negotiated Rate	$627.00
Max. Negotiated Rate	$1,011.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$836.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$919.60
Rate for Payer: Qualcare PPO/HMO/WC	$627.00

PLATE NARROW LOCK 6H 2X34MM

Facility

$4,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270700736
Hospital Revenue Code	278
Min. Negotiated Rate	$100.74
Max. Negotiated Rate	$2,090.00
Rate for Payer: Aetna Commercial	$1,588.40
Rate for Payer: Aetna Medicare Advantage	$1,254.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$836.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.90
Rate for Payer: Cigna Commercial	$2,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$919.60
Rate for Payer: Qualcare PPO/HMO/WC	$627.00
Rate for Payer: UnitedHealthcare Community & State	$100.74
Rate for Payer: Wellpoint Medicaid Managed Care	$110.77

PLATE NARROW LOCK 8H 2X46MM

Facility

$4,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270700737
Hospital Revenue Code	278
Min. Negotiated Rate	$627.00
Max. Negotiated Rate	$1,011.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$836.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$919.60
Rate for Payer: Qualcare PPO/HMO/WC	$627.00

PLATE NARROW LOCK 8H 2X46MM

Facility

$4,180.00

Service Code	HCPCS C1713
Hospital Charge Code	270700737
Hospital Revenue Code	278
Min. Negotiated Rate	$100.74
Max. Negotiated Rate	$2,090.00
Rate for Payer: Aetna Commercial	$1,588.40
Rate for Payer: Aetna Medicare Advantage	$1,254.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,065.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$836.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,065.90
Rate for Payer: Cigna Commercial	$2,090.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,011.56
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$919.60
Rate for Payer: Qualcare PPO/HMO/WC	$627.00
Rate for Payer: UnitedHealthcare Community & State	$100.74
Rate for Payer: Wellpoint Medicaid Managed Care	$110.77

PLATE NARROW VDR

Facility

$6,150.00

Hospital Charge Code	270665815
Hospital Revenue Code	278
Min. Negotiated Rate	$922.50
Max. Negotiated Rate	$1,488.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,353.00
Rate for Payer: Qualcare PPO/HMO/WC	$922.50

PLATE NARROW VDR

Facility

$6,150.00

Hospital Charge Code	270665815
Hospital Revenue Code	278
Min. Negotiated Rate	$148.22
Max. Negotiated Rate	$3,075.00
Rate for Payer: Aetna Commercial	$2,337.00
Rate for Payer: Aetna Medicare Advantage	$1,845.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,568.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,568.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,230.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,568.25
Rate for Payer: Cigna Commercial	$3,075.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,488.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,353.00
Rate for Payer: Qualcare PPO/HMO/WC	$922.50
Rate for Payer: UnitedHealthcare Community & State	$148.22
Rate for Payer: Wellpoint Medicaid Managed Care	$162.97

PLATE NATERIOE 2.7MM

Facility

$4,166.00

Service Code	HCPCS C1713
Hospital Charge Code	270682403
Hospital Revenue Code	278
Min. Negotiated Rate	$100.40
Max. Negotiated Rate	$2,083.00
Rate for Payer: Aetna Commercial	$1,583.08
Rate for Payer: Aetna Medicare Advantage	$1,249.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,062.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,062.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,062.33
Rate for Payer: Cigna Commercial	$2,083.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,008.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$916.52
Rate for Payer: Qualcare PPO/HMO/WC	$624.90
Rate for Payer: UnitedHealthcare Community & State	$100.40
Rate for Payer: Wellpoint Medicaid Managed Care	$110.40

PLATE NATERIOE 2.7MM

Facility

$4,166.00

Service Code	HCPCS C1713
Hospital Charge Code	270682403
Hospital Revenue Code	278
Min. Negotiated Rate	$624.90
Max. Negotiated Rate	$1,008.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$833.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,008.17
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$916.52
Rate for Payer: Qualcare PPO/HMO/WC	$624.90

PLATE NAVCULR 2.4X2.7MM VA-LCK

Facility

$5,133.65

Service Code	HCPCS C1713
Hospital Charge Code	270686482
Hospital Revenue Code	278
Min. Negotiated Rate	$123.72
Max. Negotiated Rate	$2,566.82
Rate for Payer: Aetna Commercial	$1,950.79
Rate for Payer: Aetna Medicare Advantage	$1,540.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,309.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,309.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,309.08
Rate for Payer: Cigna Commercial	$2,566.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,129.40
Rate for Payer: Qualcare PPO/HMO/WC	$770.05
Rate for Payer: UnitedHealthcare Community & State	$123.72
Rate for Payer: Wellpoint Medicaid Managed Care	$136.04

PLATE NAVCULR 2.4X2.7MM VA-LCK

Facility

$5,133.65

Service Code	HCPCS C1713
Hospital Charge Code	270686482
Hospital Revenue Code	278
Min. Negotiated Rate	$770.05
Max. Negotiated Rate	$1,242.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,026.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,242.34
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,129.40
Rate for Payer: Qualcare PPO/HMO/WC	$770.05

PLATE NCB PP DIST FEM 278MM

Facility

$13,074.90

Hospital Charge Code	270702816
Hospital Revenue Code	278
Min. Negotiated Rate	$1,961.23
Max. Negotiated Rate	$3,164.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,614.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,876.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.23

PLATE NCB PP DIST FEM 278MM

Facility

$13,074.90

Hospital Charge Code	270702816
Hospital Revenue Code	278
Min. Negotiated Rate	$315.11
Max. Negotiated Rate	$6,537.45
Rate for Payer: Aetna Commercial	$4,968.46
Rate for Payer: Aetna Medicare Advantage	$3,922.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,334.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,614.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,334.10
Rate for Payer: Cigna Commercial	$6,537.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,164.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,876.48
Rate for Payer: Qualcare PPO/HMO/WC	$1,961.23
Rate for Payer: UnitedHealthcare Community & State	$315.11
Rate for Payer: Wellpoint Medicaid Managed Care	$346.48

PLATE NEURO BOX 4H 10x26MM

Facility

$1,460.00

Hospital Charge Code	270674575
Hospital Revenue Code	278
Min. Negotiated Rate	$35.19
Max. Negotiated Rate	$730.00
Rate for Payer: Aetna Commercial	$554.80
Rate for Payer: Aetna Medicare Advantage	$438.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$372.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$372.30
Rate for Payer: Cigna Commercial	$730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.20
Rate for Payer: Qualcare PPO/HMO/WC	$219.00
Rate for Payer: UnitedHealthcare Community & State	$35.19
Rate for Payer: Wellpoint Medicaid Managed Care	$38.69

PLATE NEURO BOX 4H 10x26MM

Facility

$1,460.00

Hospital Charge Code	270674575
Hospital Revenue Code	278
Min. Negotiated Rate	$219.00
Max. Negotiated Rate	$353.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$353.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$321.20
Rate for Payer: Qualcare PPO/HMO/WC	$219.00

PLATE NEXGEN ANT CERV 3L 61MM

Facility

$15,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694744
Hospital Revenue Code	278
Min. Negotiated Rate	$2,332.50
Max. Negotiated Rate	$3,763.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,421.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50

PLATE NEXGEN ANT CERV 3L 61MM

Facility

$15,550.00

Service Code	HCPCS C1713
Hospital Charge Code	270694744
Hospital Revenue Code	278
Min. Negotiated Rate	$374.75
Max. Negotiated Rate	$7,775.00
Rate for Payer: Aetna Commercial	$5,909.00
Rate for Payer: Aetna Medicare Advantage	$4,665.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,965.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,110.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,965.25
Rate for Payer: Cigna Commercial	$7,775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,763.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,421.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,332.50
Rate for Payer: UnitedHealthcare Community & State	$374.75
Rate for Payer: Wellpoint Medicaid Managed Care	$412.07

PLATENEXGEN PRECOAT STMMD SZ4

Facility

$6,156.70

Hospital Charge Code	270663481
Hospital Revenue Code	270
Min. Negotiated Rate	$923.50
Max. Negotiated Rate	$923.50
Rate for Payer: Qualcare PPO/HMO/WC	$923.50

PLATENEXGEN PRECOAT STMMD SZ4

Facility

$6,156.70

Hospital Charge Code	270663481
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

PLATE NXG PEG TIBIAL SZ 5

Facility

$7,855.25

Hospital Charge Code	270608589
Hospital Revenue Code	278
Min. Negotiated Rate	$189.31
Max. Negotiated Rate	$3,927.62
Rate for Payer: Aetna Commercial	$2,984.99
Rate for Payer: Aetna Medicare Advantage	$2,356.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,003.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,003.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,571.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,003.09
Rate for Payer: Cigna Commercial	$3,927.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,900.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,728.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,178.29
Rate for Payer: UnitedHealthcare Community & State	$189.31
Rate for Payer: Wellpoint Medicaid Managed Care	$208.16

PLATE NXG PEG TIBIAL SZ 5

Facility

$7,855.25

Hospital Charge Code	270608589
Hospital Revenue Code	278
Min. Negotiated Rate	$1,178.29
Max. Negotiated Rate	$1,900.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,571.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,900.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,728.15
Rate for Payer: Qualcare PPO/HMO/WC	$1,178.29

Know your out-of-pocket cost for care.

All Charges