Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN LC TT 3.5 4H 423.54*

Facility

$681.00

Hospital Charge Code	27060339
Hospital Revenue Code	274
Min. Negotiated Rate	$102.15
Max. Negotiated Rate	$164.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$164.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$149.82
Rate for Payer: Qualcare PPO/HMO/WC	$102.15

PLATE SYN LIG FIX 21MM

Facility

$797.65

Hospital Charge Code	270604296
Hospital Revenue Code	278
Min. Negotiated Rate	$119.65
Max. Negotiated Rate	$193.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.65

PLATE SYN LIG FIX 21MM

Facility

$797.65

Hospital Charge Code	270604296
Hospital Revenue Code	278
Min. Negotiated Rate	$19.22
Max. Negotiated Rate	$398.82
Rate for Payer: Aetna Commercial	$303.11
Rate for Payer: Aetna Medicare Advantage	$239.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$203.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$159.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$203.40
Rate for Payer: Cigna Commercial	$398.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$193.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$175.48
Rate for Payer: Qualcare PPO/HMO/WC	$119.65
Rate for Payer: UnitedHealthcare Community & State	$19.22
Rate for Payer: Wellpoint Medicaid Managed Care	$21.14

PLATE SYN L LT 2.0MM

Facility

$192.85

Hospital Charge Code	270604338
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L LT 2.0MM

Facility

$192.85

Hospital Charge Code	270604338
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PLATE SYN L LT 2.7MM

Facility

$192.85

Hospital Charge Code	270604323
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PLATE SYN L LT 2.7MM

Facility

$192.85

Hospital Charge Code	270604323
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L OBLIQ 1.3 421.50

Facility

$644.85

Hospital Charge Code	270627895
Hospital Revenue Code	278
Min. Negotiated Rate	$15.54
Max. Negotiated Rate	$322.43
Rate for Payer: Aetna Commercial	$245.04
Rate for Payer: Aetna Medicare Advantage	$193.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$164.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$164.44
Rate for Payer: Cigna Commercial	$322.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.87
Rate for Payer: Qualcare PPO/HMO/WC	$96.73
Rate for Payer: UnitedHealthcare Community & State	$15.54
Rate for Payer: Wellpoint Medicaid Managed Care	$17.09

PLATE SYN L OBLIQ 1.3 421.50

Facility

$644.85

Hospital Charge Code	270627895
Hospital Revenue Code	278
Min. Negotiated Rate	$96.73
Max. Negotiated Rate	$156.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$156.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$141.87
Rate for Payer: Qualcare PPO/HMO/WC	$96.73

PLATE SYN L OBLIQ LT 7H 421.52

Facility

$873.65

Hospital Charge Code	270617342
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN L OBLIQ LT 7H 421.52

Facility

$873.65

Hospital Charge Code	270617342
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

PLATE SYN L OBLIQ RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604341
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L OBLIQ RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604341
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PLATE SYN L RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604339
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L RT 2.0MM

Facility

$192.85

Hospital Charge Code	270604339
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PLATE SYN L RT 2.7MM

Facility

$192.85

Hospital Charge Code	270604324
Hospital Revenue Code	278
Min. Negotiated Rate	$28.93
Max. Negotiated Rate	$46.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93

PLATE SYN L RT 2.7MM

Facility

$192.85

Hospital Charge Code	270604324
Hospital Revenue Code	278
Min. Negotiated Rate	$4.65
Max. Negotiated Rate	$96.42
Rate for Payer: Aetna Commercial	$73.28
Rate for Payer: Aetna Medicare Advantage	$57.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.18
Rate for Payer: Cigna Commercial	$96.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.67
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$42.43
Rate for Payer: Qualcare PPO/HMO/WC	$28.93
Rate for Payer: UnitedHealthcare Community & State	$4.65
Rate for Payer: Wellpoint Medicaid Managed Care	$5.11

PLATE SYN MINI CHON 1.5MM

Facility

$990.45

Hospital Charge Code	270604357
Hospital Revenue Code	278
Min. Negotiated Rate	$23.87
Max. Negotiated Rate	$495.23
Rate for Payer: Aetna Commercial	$376.37
Rate for Payer: Aetna Medicare Advantage	$297.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.56
Rate for Payer: Cigna Commercial	$495.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$217.90
Rate for Payer: Qualcare PPO/HMO/WC	$148.57
Rate for Payer: UnitedHealthcare Community & State	$23.87
Rate for Payer: Wellpoint Medicaid Managed Care	$26.25

PLATE SYN MINI CHON 1.5MM

Facility

$990.45

Hospital Charge Code	270604357
Hospital Revenue Code	278
Min. Negotiated Rate	$148.57
Max. Negotiated Rate	$239.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$239.69
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$217.90
Rate for Payer: Qualcare PPO/HMO/WC	$148.57

PLATE SYN MINI CHON 2.0MM

Facility

$944.85

Hospital Charge Code	270604356
Hospital Revenue Code	278
Min. Negotiated Rate	$22.77
Max. Negotiated Rate	$472.43
Rate for Payer: Aetna Commercial	$359.04
Rate for Payer: Aetna Medicare Advantage	$283.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.94
Rate for Payer: Cigna Commercial	$472.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.87
Rate for Payer: Qualcare PPO/HMO/WC	$141.73
Rate for Payer: UnitedHealthcare Community & State	$22.77
Rate for Payer: Wellpoint Medicaid Managed Care	$25.04

PLATE SYN MINI CHON 2.0MM

Facility

$944.85

Hospital Charge Code	270604356
Hospital Revenue Code	278
Min. Negotiated Rate	$141.73
Max. Negotiated Rate	$228.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$188.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$228.65
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$207.87
Rate for Payer: Qualcare PPO/HMO/WC	$141.73

PLATE SYN MULTI FRAGMENT

Facility

$233.65

Hospital Charge Code	270604322
Hospital Revenue Code	278
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$116.83
Rate for Payer: Aetna Commercial	$88.79
Rate for Payer: Aetna Medicare Advantage	$70.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.58
Rate for Payer: Cigna Commercial	$116.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$35.05
Rate for Payer: UnitedHealthcare Community & State	$5.63
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

PLATE SYN MULTI FRAGMENT

Facility

$233.65

Hospital Charge Code	270604322
Hospital Revenue Code	278
Min. Negotiated Rate	$35.05
Max. Negotiated Rate	$56.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$56.54
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$51.40
Rate for Payer: Qualcare PPO/HMO/WC	$35.05

PLATE SYN ORB RIM 35 9H 421.21

Facility

$873.65

Hospital Charge Code	270617341
Hospital Revenue Code	278
Min. Negotiated Rate	$131.05
Max. Negotiated Rate	$211.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05

PLATE SYN ORB RIM 35 9H 421.21

Facility

$873.65

Hospital Charge Code	270617341
Hospital Revenue Code	278
Min. Negotiated Rate	$21.05
Max. Negotiated Rate	$436.82
Rate for Payer: Aetna Commercial	$331.99
Rate for Payer: Aetna Medicare Advantage	$262.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$222.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$174.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$222.78
Rate for Payer: Cigna Commercial	$436.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$211.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$192.20
Rate for Payer: Qualcare PPO/HMO/WC	$131.05
Rate for Payer: UnitedHealthcare Community & State	$21.05
Rate for Payer: Wellpoint Medicaid Managed Care	$23.15

Know your out-of-pocket cost for care.

All Charges