Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE RECON 3.5MM 22H

Facility

$3,057.65

Hospital Charge Code	270604383
Hospital Revenue Code	278
Min. Negotiated Rate	$458.65
Max. Negotiated Rate	$739.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$672.68
Rate for Payer: Qualcare PPO/HMO/WC	$458.65

PLATE RECON 3.5MM 22H

Facility

$3,057.65

Hospital Charge Code	270604383
Hospital Revenue Code	278
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$1,528.83
Rate for Payer: Aetna Commercial	$1,161.91
Rate for Payer: Aetna Medicare Advantage	$917.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$779.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$779.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$611.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$779.70
Rate for Payer: Cigna Commercial	$1,528.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$739.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$672.68
Rate for Payer: Qualcare PPO/HMO/WC	$458.65
Rate for Payer: UnitedHealthcare Community & State	$73.69
Rate for Payer: Wellpoint Medicaid Managed Care	$81.03

PLATE RECON 3.5MM 4H

Facility

$1,142.45

Hospital Charge Code	270604368
Hospital Revenue Code	278
Min. Negotiated Rate	$171.37
Max. Negotiated Rate	$276.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37

PLATE RECON 3.5MM 4H

Facility

$1,142.45

Hospital Charge Code	270604368
Hospital Revenue Code	278
Min. Negotiated Rate	$27.53
Max. Negotiated Rate	$571.23
Rate for Payer: Aetna Commercial	$434.13
Rate for Payer: Aetna Medicare Advantage	$342.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$291.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$228.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$291.32
Rate for Payer: Cigna Commercial	$571.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$251.34
Rate for Payer: Qualcare PPO/HMO/WC	$171.37
Rate for Payer: UnitedHealthcare Community & State	$27.53
Rate for Payer: Wellpoint Medicaid Managed Care	$30.27

PLATE RECON 3.5MM 6H

Facility

$1,535.00

Hospital Charge Code	270604370
Hospital Revenue Code	278
Min. Negotiated Rate	$230.25
Max. Negotiated Rate	$371.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$371.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$337.70
Rate for Payer: Qualcare PPO/HMO/WC	$230.25

PLATE RECON 3.5MM 6H

Facility

$1,535.00

Hospital Charge Code	270604370
Hospital Revenue Code	278
Min. Negotiated Rate	$36.99
Max. Negotiated Rate	$767.50
Rate for Payer: Aetna Commercial	$583.30
Rate for Payer: Aetna Medicare Advantage	$460.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$391.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$307.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$391.43
Rate for Payer: Cigna Commercial	$767.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$371.47
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$337.70
Rate for Payer: Qualcare PPO/HMO/WC	$230.25
Rate for Payer: UnitedHealthcare Community & State	$36.99
Rate for Payer: Wellpoint Medicaid Managed Care	$40.68

PLATE RECON 3.5mm 6 HOLE

Facility

$795.60

Hospital Charge Code	270671857
Hospital Revenue Code	278
Min. Negotiated Rate	$119.34
Max. Negotiated Rate	$192.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.34

PLATE RECON 3.5mm 6 HOLE

Facility

$795.60

Hospital Charge Code	270671857
Hospital Revenue Code	278
Min. Negotiated Rate	$19.17
Max. Negotiated Rate	$397.80
Rate for Payer: Aetna Commercial	$302.33
Rate for Payer: Aetna Medicare Advantage	$238.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$202.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$202.88
Rate for Payer: Cigna Commercial	$397.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$192.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.03
Rate for Payer: Qualcare PPO/HMO/WC	$119.34
Rate for Payer: UnitedHealthcare Community & State	$19.17
Rate for Payer: Wellpoint Medicaid Managed Care	$21.08

PLATE RECON 3.5MM 7H

Facility

$1,602.15

Hospital Charge Code	270604371
Hospital Revenue Code	278
Min. Negotiated Rate	$240.32
Max. Negotiated Rate	$387.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$352.47
Rate for Payer: Qualcare PPO/HMO/WC	$240.32

PLATE RECON 3.5MM 7H

Facility

$1,602.15

Hospital Charge Code	270604371
Hospital Revenue Code	278
Min. Negotiated Rate	$38.61
Max. Negotiated Rate	$801.08
Rate for Payer: Aetna Commercial	$608.82
Rate for Payer: Aetna Medicare Advantage	$480.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$408.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$320.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$408.55
Rate for Payer: Cigna Commercial	$801.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$387.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$352.47
Rate for Payer: Qualcare PPO/HMO/WC	$240.32
Rate for Payer: UnitedHealthcare Community & State	$38.61
Rate for Payer: Wellpoint Medicaid Managed Care	$42.46

PLATE RECON 3.5MM 8H

Facility

$1,517.65

Hospital Charge Code	270604372
Hospital Revenue Code	278
Min. Negotiated Rate	$227.65
Max. Negotiated Rate	$367.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.88
Rate for Payer: Qualcare PPO/HMO/WC	$227.65

PLATE RECON 3.5MM 8H

Facility

$1,517.65

Hospital Charge Code	270604372
Hospital Revenue Code	278
Min. Negotiated Rate	$36.58
Max. Negotiated Rate	$758.83
Rate for Payer: Aetna Commercial	$576.71
Rate for Payer: Aetna Medicare Advantage	$455.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$387.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$303.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$387.00
Rate for Payer: Cigna Commercial	$758.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$367.27
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$333.88
Rate for Payer: Qualcare PPO/HMO/WC	$227.65
Rate for Payer: UnitedHealthcare Community & State	$36.58
Rate for Payer: Wellpoint Medicaid Managed Care	$40.22

PLATE RECON 3.5x106MM 9HOLE

Facility

$1,881.80

Service Code	HCPCS C1713
Hospital Charge Code	270604373
Hospital Revenue Code	278
Min. Negotiated Rate	$45.35
Max. Negotiated Rate	$940.90
Rate for Payer: Aetna Commercial	$715.08
Rate for Payer: Aetna Medicare Advantage	$564.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$479.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$479.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$479.86
Rate for Payer: Cigna Commercial	$940.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.27
Rate for Payer: UnitedHealthcare Community & State	$45.35
Rate for Payer: Wellpoint Medicaid Managed Care	$49.87

PLATE RECON 3.5x106MM 9HOLE

Facility

$1,881.80

Service Code	HCPCS C1713
Hospital Charge Code	270604373
Hospital Revenue Code	278
Min. Negotiated Rate	$282.27
Max. Negotiated Rate	$455.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$376.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$455.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$414.00
Rate for Payer: Qualcare PPO/HMO/WC	$282.27

PLATE RECON 3.5x58MM 5HOLE

Facility

$1,464.65

Service Code	HCPCS C1713
Hospital Charge Code	270604369
Hospital Revenue Code	278
Min. Negotiated Rate	$35.30
Max. Negotiated Rate	$732.33
Rate for Payer: Aetna Commercial	$556.57
Rate for Payer: Aetna Medicare Advantage	$439.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.49
Rate for Payer: Cigna Commercial	$732.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.22
Rate for Payer: Qualcare PPO/HMO/WC	$219.70
Rate for Payer: UnitedHealthcare Community & State	$35.30
Rate for Payer: Wellpoint Medicaid Managed Care	$38.81

PLATE RECON 3.5x58MM 5HOLE

Facility

$1,464.65

Service Code	HCPCS C1713
Hospital Charge Code	270604369
Hospital Revenue Code	278
Min. Negotiated Rate	$219.70
Max. Negotiated Rate	$354.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$292.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$354.45
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$322.22
Rate for Payer: Qualcare PPO/HMO/WC	$219.70

PLATE RECON CVD 3.5MM 10H

Facility

$1,656.85

Hospital Charge Code	270604389
Hospital Revenue Code	278
Min. Negotiated Rate	$39.93
Max. Negotiated Rate	$828.42
Rate for Payer: Aetna Commercial	$629.60
Rate for Payer: Aetna Medicare Advantage	$497.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$422.50
Rate for Payer: Cigna Commercial	$828.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$364.51
Rate for Payer: Qualcare PPO/HMO/WC	$248.53
Rate for Payer: UnitedHealthcare Community & State	$39.93
Rate for Payer: Wellpoint Medicaid Managed Care	$43.91

PLATE RECON CVD 3.5MM 10H

Facility

$1,656.85

Hospital Charge Code	270604389
Hospital Revenue Code	278
Min. Negotiated Rate	$248.53
Max. Negotiated Rate	$400.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$331.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$400.96
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$364.51
Rate for Payer: Qualcare PPO/HMO/WC	$248.53

PLATE RECON CVD 3.5MM 12H

Facility

$1,724.85

Hospital Charge Code	270604390
Hospital Revenue Code	278
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.42
Rate for Payer: Aetna Commercial	$655.44
Rate for Payer: Aetna Medicare Advantage	$517.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.84
Rate for Payer: Cigna Commercial	$862.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$258.73
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

PLATE RECON CVD 3.5MM 12H

Facility

$1,724.85

Hospital Charge Code	270604390
Hospital Revenue Code	278
Min. Negotiated Rate	$258.73
Max. Negotiated Rate	$417.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$344.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$417.41
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$379.47
Rate for Payer: Qualcare PPO/HMO/WC	$258.73

PLATE RECON CVD 3.5MM 14H

Facility

$1,940.00

Hospital Charge Code	270604391
Hospital Revenue Code	278
Min. Negotiated Rate	$46.75
Max. Negotiated Rate	$970.00
Rate for Payer: Aetna Commercial	$737.20
Rate for Payer: Aetna Medicare Advantage	$582.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.70
Rate for Payer: Cigna Commercial	$970.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$426.80
Rate for Payer: Qualcare PPO/HMO/WC	$291.00
Rate for Payer: UnitedHealthcare Community & State	$46.75
Rate for Payer: Wellpoint Medicaid Managed Care	$51.41

PLATE RECON CVD 3.5MM 14H

Facility

$1,940.00

Hospital Charge Code	270604391
Hospital Revenue Code	278
Min. Negotiated Rate	$291.00
Max. Negotiated Rate	$469.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$388.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$469.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$426.80
Rate for Payer: Qualcare PPO/HMO/WC	$291.00

PLATE RECON CVD 3.5MM 16H

Facility

$2,076.85

Hospital Charge Code	270604392
Hospital Revenue Code	278
Min. Negotiated Rate	$50.05
Max. Negotiated Rate	$1,038.42
Rate for Payer: Aetna Commercial	$789.20
Rate for Payer: Aetna Medicare Advantage	$623.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$529.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$529.60
Rate for Payer: Cigna Commercial	$1,038.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$456.91
Rate for Payer: Qualcare PPO/HMO/WC	$311.53
Rate for Payer: UnitedHealthcare Community & State	$50.05
Rate for Payer: Wellpoint Medicaid Managed Care	$55.04

PLATE RECON CVD 3.5MM 16H

Facility

$2,076.85

Hospital Charge Code	270604392
Hospital Revenue Code	278
Min. Negotiated Rate	$311.53
Max. Negotiated Rate	$502.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$415.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$502.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$456.91
Rate for Payer: Qualcare PPO/HMO/WC	$311.53

PLATE RECON CVD 3.5MM 18H

Facility

$2,269.65

Hospital Charge Code	270604393
Hospital Revenue Code	278
Min. Negotiated Rate	$340.45
Max. Negotiated Rate	$549.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$453.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$549.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$499.32
Rate for Payer: Qualcare PPO/HMO/WC	$340.45

Know your out-of-pocket cost for care.

All Charges