Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE RECON 2.7MM 16H

Facility

$1,456.00

Hospital Charge Code	270604347
Hospital Revenue Code	278
Min. Negotiated Rate	$218.40
Max. Negotiated Rate	$352.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$352.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$320.32
Rate for Payer: Qualcare PPO/HMO/WC	$218.40

PLATE RECON 2.7MM 6H

Facility

$936.85

Hospital Charge Code	270604342
Hospital Revenue Code	278
Min. Negotiated Rate	$22.58
Max. Negotiated Rate	$468.43
Rate for Payer: Aetna Commercial	$356.00
Rate for Payer: Aetna Medicare Advantage	$281.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$238.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$238.90
Rate for Payer: Cigna Commercial	$468.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53
Rate for Payer: UnitedHealthcare Community & State	$22.58
Rate for Payer: Wellpoint Medicaid Managed Care	$24.83

PLATE RECON 2.7MM 6H

Facility

$936.85

Hospital Charge Code	270604342
Hospital Revenue Code	278
Min. Negotiated Rate	$140.53
Max. Negotiated Rate	$226.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$187.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$226.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$206.11
Rate for Payer: Qualcare PPO/HMO/WC	$140.53

PLATE RECON 2.7MM 8H

Facility

$1,299.25

Hospital Charge Code	270604343
Hospital Revenue Code	278
Min. Negotiated Rate	$31.31
Max. Negotiated Rate	$649.62
Rate for Payer: Aetna Commercial	$493.71
Rate for Payer: Aetna Medicare Advantage	$389.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$331.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$331.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$331.31
Rate for Payer: Cigna Commercial	$649.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.83
Rate for Payer: Qualcare PPO/HMO/WC	$194.89
Rate for Payer: UnitedHealthcare Community & State	$31.31
Rate for Payer: Wellpoint Medicaid Managed Care	$34.43

PLATE RECON 2.7MM 8H

Facility

$1,299.25

Hospital Charge Code	270604343
Hospital Revenue Code	278
Min. Negotiated Rate	$194.89
Max. Negotiated Rate	$314.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$259.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$314.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$285.83
Rate for Payer: Qualcare PPO/HMO/WC	$194.89

PLATE RECON 3.5MM 10H

Facility

$1,875.00

Hospital Charge Code	270602970
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

PLATE RECON 3.5MM 10H

Facility

$2,003.25

Hospital Charge Code	270604374
Hospital Revenue Code	278
Min. Negotiated Rate	$300.49
Max. Negotiated Rate	$484.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.71
Rate for Payer: Qualcare PPO/HMO/WC	$300.49

PLATE RECON 3.5MM 10H

Facility

$1,875.00

Hospital Charge Code	270602970
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

PLATE RECON 3.5MM 10H

Facility

$2,003.25

Hospital Charge Code	270604374
Hospital Revenue Code	278
Min. Negotiated Rate	$48.28
Max. Negotiated Rate	$1,001.62
Rate for Payer: Aetna Commercial	$761.24
Rate for Payer: Aetna Medicare Advantage	$600.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$510.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$510.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$400.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$510.83
Rate for Payer: Cigna Commercial	$1,001.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$440.71
Rate for Payer: Qualcare PPO/HMO/WC	$300.49
Rate for Payer: UnitedHealthcare Community & State	$48.28
Rate for Payer: Wellpoint Medicaid Managed Care	$53.09

PLATE RECON 3.5MM 11H

Facility

$1,579.25

Hospital Charge Code	270604375
Hospital Revenue Code	278
Min. Negotiated Rate	$38.06
Max. Negotiated Rate	$789.62
Rate for Payer: Aetna Commercial	$600.12
Rate for Payer: Aetna Medicare Advantage	$473.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$402.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$402.71
Rate for Payer: Cigna Commercial	$789.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$347.44
Rate for Payer: Qualcare PPO/HMO/WC	$236.89
Rate for Payer: UnitedHealthcare Community & State	$38.06
Rate for Payer: Wellpoint Medicaid Managed Care	$41.85

PLATE RECON 3.5MM 11H

Facility

$1,579.25

Hospital Charge Code	270604375
Hospital Revenue Code	278
Min. Negotiated Rate	$236.89
Max. Negotiated Rate	$382.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$315.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$382.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$347.44
Rate for Payer: Qualcare PPO/HMO/WC	$236.89

PLATE RECON 3.5MM 12H

Facility

$1,732.85

Hospital Charge Code	270604376
Hospital Revenue Code	278
Min. Negotiated Rate	$259.93
Max. Negotiated Rate	$419.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$346.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$381.23
Rate for Payer: Qualcare PPO/HMO/WC	$259.93

PLATE RECON 3.5MM 12H

Facility

$1,732.85

Hospital Charge Code	270604376
Hospital Revenue Code	278
Min. Negotiated Rate	$41.76
Max. Negotiated Rate	$866.42
Rate for Payer: Aetna Commercial	$658.48
Rate for Payer: Aetna Medicare Advantage	$519.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$441.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$441.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$346.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$441.88
Rate for Payer: Cigna Commercial	$866.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$419.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$381.23
Rate for Payer: Qualcare PPO/HMO/WC	$259.93
Rate for Payer: UnitedHealthcare Community & State	$41.76
Rate for Payer: Wellpoint Medicaid Managed Care	$45.92

PLATE RECON 3.5MM 13H

Facility

$2,309.65

Hospital Charge Code	270604377
Hospital Revenue Code	278
Min. Negotiated Rate	$346.45
Max. Negotiated Rate	$558.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.12
Rate for Payer: Qualcare PPO/HMO/WC	$346.45

PLATE RECON 3.5MM 13H

Facility

$2,309.65

Hospital Charge Code	270604377
Hospital Revenue Code	278
Min. Negotiated Rate	$55.66
Max. Negotiated Rate	$1,154.83
Rate for Payer: Aetna Commercial	$877.67
Rate for Payer: Aetna Medicare Advantage	$692.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$588.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$588.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$461.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$588.96
Rate for Payer: Cigna Commercial	$1,154.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$558.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$508.12
Rate for Payer: Qualcare PPO/HMO/WC	$346.45
Rate for Payer: UnitedHealthcare Community & State	$55.66
Rate for Payer: Wellpoint Medicaid Managed Care	$61.21

PLATE RECON 3.5MM 14H

Facility

$1,810.45

Hospital Charge Code	270604378
Hospital Revenue Code	278
Min. Negotiated Rate	$271.57
Max. Negotiated Rate	$438.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.30
Rate for Payer: Qualcare PPO/HMO/WC	$271.57

PLATE RECON 3.5MM 14H

Facility

$1,810.45

Hospital Charge Code	270604378
Hospital Revenue Code	278
Min. Negotiated Rate	$43.63
Max. Negotiated Rate	$905.23
Rate for Payer: Aetna Commercial	$687.97
Rate for Payer: Aetna Medicare Advantage	$543.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$362.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.66
Rate for Payer: Cigna Commercial	$905.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$398.30
Rate for Payer: Qualcare PPO/HMO/WC	$271.57
Rate for Payer: UnitedHealthcare Community & State	$43.63
Rate for Payer: Wellpoint Medicaid Managed Care	$47.98

PLATE RECON 3.5MM 15H

Facility

$1,878.45

Hospital Charge Code	270604379
Hospital Revenue Code	278
Min. Negotiated Rate	$45.27
Max. Negotiated Rate	$939.23
Rate for Payer: Aetna Commercial	$713.81
Rate for Payer: Aetna Medicare Advantage	$563.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.00
Rate for Payer: Cigna Commercial	$939.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.26
Rate for Payer: Qualcare PPO/HMO/WC	$281.77
Rate for Payer: UnitedHealthcare Community & State	$45.27
Rate for Payer: Wellpoint Medicaid Managed Care	$49.78

PLATE RECON 3.5MM 15H

Facility

$1,878.45

Hospital Charge Code	270604379
Hospital Revenue Code	278
Min. Negotiated Rate	$281.77
Max. Negotiated Rate	$454.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$454.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$413.26
Rate for Payer: Qualcare PPO/HMO/WC	$281.77

PLATE RECON 3.5MM 16H

Facility

$1,954.45

Hospital Charge Code	270604380
Hospital Revenue Code	278
Min. Negotiated Rate	$293.17
Max. Negotiated Rate	$472.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$390.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$472.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$429.98
Rate for Payer: Qualcare PPO/HMO/WC	$293.17

PLATE RECON 3.5MM 16H

Facility

$1,954.45

Hospital Charge Code	270604380
Hospital Revenue Code	278
Min. Negotiated Rate	$47.10
Max. Negotiated Rate	$977.23
Rate for Payer: Aetna Commercial	$742.69
Rate for Payer: Aetna Medicare Advantage	$586.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$498.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$498.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$390.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$498.38
Rate for Payer: Cigna Commercial	$977.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$472.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$429.98
Rate for Payer: Qualcare PPO/HMO/WC	$293.17
Rate for Payer: UnitedHealthcare Community & State	$47.10
Rate for Payer: Wellpoint Medicaid Managed Care	$51.79

PLATE RECON 3.5MM 18H

Facility

$2,054.45

Hospital Charge Code	270604381
Hospital Revenue Code	278
Min. Negotiated Rate	$308.17
Max. Negotiated Rate	$497.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$497.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$451.98
Rate for Payer: Qualcare PPO/HMO/WC	$308.17

PLATE RECON 3.5MM 18H

Facility

$2,054.45

Hospital Charge Code	270604381
Hospital Revenue Code	278
Min. Negotiated Rate	$49.51
Max. Negotiated Rate	$1,027.22
Rate for Payer: Aetna Commercial	$780.69
Rate for Payer: Aetna Medicare Advantage	$616.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$523.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$523.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$410.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$523.88
Rate for Payer: Cigna Commercial	$1,027.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$497.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$451.98
Rate for Payer: Qualcare PPO/HMO/WC	$308.17
Rate for Payer: UnitedHealthcare Community & State	$49.51
Rate for Payer: Wellpoint Medicaid Managed Care	$54.44

PLATE RECON 3.5MM 20H

Facility

$2,499.25

Hospital Charge Code	270604382
Hospital Revenue Code	278
Min. Negotiated Rate	$374.89
Max. Negotiated Rate	$604.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$499.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$549.84
Rate for Payer: Qualcare PPO/HMO/WC	$374.89

PLATE RECON 3.5MM 20H

Facility

$2,499.25

Hospital Charge Code	270604382
Hospital Revenue Code	278
Min. Negotiated Rate	$60.23
Max. Negotiated Rate	$1,249.62
Rate for Payer: Aetna Commercial	$949.72
Rate for Payer: Aetna Medicare Advantage	$749.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$499.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.31
Rate for Payer: Cigna Commercial	$1,249.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$604.82
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$549.84
Rate for Payer: Qualcare PPO/HMO/WC	$374.89
Rate for Payer: UnitedHealthcare Community & State	$60.23
Rate for Payer: Wellpoint Medicaid Managed Care	$66.23

Know your out-of-pocket cost for care.

All Charges