Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SDK CERV 57.5MM 876-157

Facility

$4,424.00

Hospital Charge Code	270616042
Hospital Revenue Code	278
Min. Negotiated Rate	$106.62
Max. Negotiated Rate	$2,212.00
Rate for Payer: Aetna Commercial	$1,681.12
Rate for Payer: Aetna Medicare Advantage	$1,327.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,128.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$884.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,128.12
Rate for Payer: Cigna Commercial	$2,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,070.61
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$973.28
Rate for Payer: Qualcare PPO/HMO/WC	$663.60
Rate for Payer: UnitedHealthcare Community & State	$106.62
Rate for Payer: Wellpoint Medicaid Managed Care	$117.24

PLATE SDK CNVGT 15.0MM 870-294

Facility

$3,432.85

Hospital Charge Code	270614967
Hospital Revenue Code	278
Min. Negotiated Rate	$514.93
Max. Negotiated Rate	$830.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$755.23
Rate for Payer: Qualcare PPO/HMO/WC	$514.93

PLATE SDK CNVGT 15.0MM 870-294

Facility

$3,432.85

Hospital Charge Code	270614967
Hospital Revenue Code	278
Min. Negotiated Rate	$82.73
Max. Negotiated Rate	$1,716.42
Rate for Payer: Aetna Commercial	$1,304.48
Rate for Payer: Aetna Medicare Advantage	$1,029.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$875.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$875.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$686.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$875.38
Rate for Payer: Cigna Commercial	$1,716.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$830.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$755.23
Rate for Payer: Qualcare PPO/HMO/WC	$514.93
Rate for Payer: UnitedHealthcare Community & State	$82.73
Rate for Payer: Wellpoint Medicaid Managed Care	$90.97

PLATE SDK CNVGT 30.0MM 871-130

Facility

$2,903.25

Hospital Charge Code	270609814
Hospital Revenue Code	278
Min. Negotiated Rate	$69.97
Max. Negotiated Rate	$1,451.62
Rate for Payer: Aetna Commercial	$1,103.23
Rate for Payer: Aetna Medicare Advantage	$870.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.33
Rate for Payer: Cigna Commercial	$1,451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49
Rate for Payer: UnitedHealthcare Community & State	$69.97
Rate for Payer: Wellpoint Medicaid Managed Care	$76.94

PLATE SDK CNVGT 30.0MM 871-130

Facility

$2,903.25

Hospital Charge Code	270609814
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 40.0MM 871-140

Facility

$3,089.65

Hospital Charge Code	270613168
Hospital Revenue Code	278
Min. Negotiated Rate	$463.45
Max. Negotiated Rate	$747.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$617.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$679.72
Rate for Payer: Qualcare PPO/HMO/WC	$463.45

PLATE SDK CNVGT 40.0MM 871-140

Facility

$3,089.65

Hospital Charge Code	270613168
Hospital Revenue Code	278
Min. Negotiated Rate	$74.46
Max. Negotiated Rate	$1,544.83
Rate for Payer: Aetna Commercial	$1,174.07
Rate for Payer: Aetna Medicare Advantage	$926.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$787.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$787.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$617.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$787.86
Rate for Payer: Cigna Commercial	$1,544.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$747.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$679.72
Rate for Payer: Qualcare PPO/HMO/WC	$463.45
Rate for Payer: UnitedHealthcare Community & State	$74.46
Rate for Payer: Wellpoint Medicaid Managed Care	$81.88

PLATE SDK CNVGT 42.5MM 871-142

Facility

$3,707.25

Hospital Charge Code	270614653
Hospital Revenue Code	278
Min. Negotiated Rate	$89.34
Max. Negotiated Rate	$1,853.62
Rate for Payer: Aetna Commercial	$1,408.76
Rate for Payer: Aetna Medicare Advantage	$1,112.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$945.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$945.35
Rate for Payer: Cigna Commercial	$1,853.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$815.60
Rate for Payer: Qualcare PPO/HMO/WC	$556.09
Rate for Payer: UnitedHealthcare Community & State	$89.34
Rate for Payer: Wellpoint Medicaid Managed Care	$98.24

PLATE SDK CNVGT 42.5MM 871-142

Facility

$3,707.25

Hospital Charge Code	270614653
Hospital Revenue Code	278
Min. Negotiated Rate	$556.09
Max. Negotiated Rate	$897.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$741.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$897.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$815.60
Rate for Payer: Qualcare PPO/HMO/WC	$556.09

PLATE SDK CNVGT 45.0MM 871-145

Facility

$2,903.25

Hospital Charge Code	270609020
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 45.0MM 871-145

Facility

$2,903.25

Hospital Charge Code	270609020
Hospital Revenue Code	278
Min. Negotiated Rate	$69.97
Max. Negotiated Rate	$1,451.62
Rate for Payer: Aetna Commercial	$1,103.23
Rate for Payer: Aetna Medicare Advantage	$870.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.33
Rate for Payer: Cigna Commercial	$1,451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49
Rate for Payer: UnitedHealthcare Community & State	$69.97
Rate for Payer: Wellpoint Medicaid Managed Care	$76.94

PLATE SDK CNVGT 47.5MM 871-147

Facility

$2,903.25

Hospital Charge Code	270609023
Hospital Revenue Code	278
Min. Negotiated Rate	$435.49
Max. Negotiated Rate	$702.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49

PLATE SDK CNVGT 47.5MM 871-147

Facility

$2,903.25

Hospital Charge Code	270609023
Hospital Revenue Code	278
Min. Negotiated Rate	$69.97
Max. Negotiated Rate	$1,451.62
Rate for Payer: Aetna Commercial	$1,103.23
Rate for Payer: Aetna Medicare Advantage	$870.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$740.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$580.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$740.33
Rate for Payer: Cigna Commercial	$1,451.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$702.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$638.72
Rate for Payer: Qualcare PPO/HMO/WC	$435.49
Rate for Payer: UnitedHealthcare Community & State	$69.97
Rate for Payer: Wellpoint Medicaid Managed Care	$76.94

PLATE SDK CNVGT 70.0MM 871-170

Facility

$4,392.85

Hospital Charge Code	270608797
Hospital Revenue Code	278
Min. Negotiated Rate	$658.93
Max. Negotiated Rate	$1,063.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$878.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$966.43
Rate for Payer: Qualcare PPO/HMO/WC	$658.93

PLATE SDK CNVGT 70.0MM 871-170

Facility

$4,392.85

Hospital Charge Code	270608797
Hospital Revenue Code	278
Min. Negotiated Rate	$105.87
Max. Negotiated Rate	$2,196.43
Rate for Payer: Aetna Commercial	$1,669.28
Rate for Payer: Aetna Medicare Advantage	$1,317.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,120.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,120.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$878.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,120.18
Rate for Payer: Cigna Commercial	$2,196.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,063.07
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$966.43
Rate for Payer: Qualcare PPO/HMO/WC	$658.93
Rate for Payer: UnitedHealthcare Community & State	$105.87
Rate for Payer: Wellpoint Medicaid Managed Care	$116.41

PLATE SDK DBL 3H 3H 5MM 015237

Facility

$1,035.25

Hospital Charge Code	270610687
Hospital Revenue Code	278
Min. Negotiated Rate	$24.95
Max. Negotiated Rate	$517.62
Rate for Payer: Aetna Commercial	$393.39
Rate for Payer: Aetna Medicare Advantage	$310.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$263.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$263.99
Rate for Payer: Cigna Commercial	$517.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.75
Rate for Payer: Qualcare PPO/HMO/WC	$155.29
Rate for Payer: UnitedHealthcare Community & State	$24.95
Rate for Payer: Wellpoint Medicaid Managed Care	$27.43

PLATE SDK DBL 3H 3H 5MM 015237

Facility

$1,035.25

Hospital Charge Code	270610687
Hospital Revenue Code	278
Min. Negotiated Rate	$155.29
Max. Negotiated Rate	$250.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$207.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$250.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$227.75
Rate for Payer: Qualcare PPO/HMO/WC	$155.29

PLATE SDK DYNLOK 5MM 8430034

Facility

$3,666.45

Hospital Charge Code	270616300
Hospital Revenue Code	278
Min. Negotiated Rate	$88.36
Max. Negotiated Rate	$1,833.22
Rate for Payer: Aetna Commercial	$1,393.25
Rate for Payer: Aetna Medicare Advantage	$1,099.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$934.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$934.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$934.94
Rate for Payer: Cigna Commercial	$1,833.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$806.62
Rate for Payer: Qualcare PPO/HMO/WC	$549.97
Rate for Payer: UnitedHealthcare Community & State	$88.36
Rate for Payer: Wellpoint Medicaid Managed Care	$97.16

PLATE SDK DYNLOK 5MM 8430034

Facility

$3,666.45

Hospital Charge Code	270616300
Hospital Revenue Code	278
Min. Negotiated Rate	$549.97
Max. Negotiated Rate	$887.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$733.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$887.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$806.62
Rate for Payer: Qualcare PPO/HMO/WC	$549.97

PLATE SDK DYNLOK 6MM 8430036

Facility

$4,456.00

Hospital Charge Code	270616287
Hospital Revenue Code	278
Min. Negotiated Rate	$107.39
Max. Negotiated Rate	$2,228.00
Rate for Payer: Aetna Commercial	$1,693.28
Rate for Payer: Aetna Medicare Advantage	$1,336.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,136.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,136.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$891.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,136.28
Rate for Payer: Cigna Commercial	$2,228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,078.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$980.32
Rate for Payer: Qualcare PPO/HMO/WC	$668.40
Rate for Payer: UnitedHealthcare Community & State	$107.39
Rate for Payer: Wellpoint Medicaid Managed Care	$118.08

PLATE SDK DYNLOK 6MM 8430036

Facility

$4,456.00

Hospital Charge Code	270616287
Hospital Revenue Code	278
Min. Negotiated Rate	$668.40
Max. Negotiated Rate	$1,078.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$891.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,078.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$980.32
Rate for Payer: Qualcare PPO/HMO/WC	$668.40

PLATE SDK FAN BUR 18MM 1526218

Facility

$1,149.65

Hospital Charge Code	270610688
Hospital Revenue Code	278
Min. Negotiated Rate	$27.71
Max. Negotiated Rate	$574.83
Rate for Payer: Aetna Commercial	$436.87
Rate for Payer: Aetna Medicare Advantage	$344.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$293.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$293.16
Rate for Payer: Cigna Commercial	$574.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.92
Rate for Payer: Qualcare PPO/HMO/WC	$172.45
Rate for Payer: UnitedHealthcare Community & State	$27.71
Rate for Payer: Wellpoint Medicaid Managed Care	$30.47

PLATE SDK FAN BUR 18MM 1526218

Facility

$1,149.65

Hospital Charge Code	270610688
Hospital Revenue Code	278
Min. Negotiated Rate	$172.45
Max. Negotiated Rate	$278.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$229.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$278.22
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$252.92
Rate for Payer: Qualcare PPO/HMO/WC	$172.45

PLATE SDK SPIN SYS 843.001

Facility

$652.00

Hospital Charge Code	270616297
Hospital Revenue Code	278
Min. Negotiated Rate	$97.80
Max. Negotiated Rate	$157.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.80

PLATE SDK SPIN SYS 843.001

Facility

$652.00

Hospital Charge Code	270616297
Hospital Revenue Code	278
Min. Negotiated Rate	$15.71
Max. Negotiated Rate	$326.00
Rate for Payer: Aetna Commercial	$247.76
Rate for Payer: Aetna Medicare Advantage	$195.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$130.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.26
Rate for Payer: Cigna Commercial	$326.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$157.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$143.44
Rate for Payer: Qualcare PPO/HMO/WC	$97.80
Rate for Payer: UnitedHealthcare Community & State	$15.71
Rate for Payer: Wellpoint Medicaid Managed Care	$17.28

Know your out-of-pocket cost for care.

All Charges