Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PLATE SYN RECON TITN 11H

Facility

$2,493.65

Hospital Charge Code	270603395
Hospital Revenue Code	278
Min. Negotiated Rate	$374.05
Max. Negotiated Rate	$603.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$603.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$548.60
Rate for Payer: Qualcare PPO/HMO/WC	$374.05

PLATE SYN RECON TITN 11H

Facility

$2,493.65

Hospital Charge Code	270603395
Hospital Revenue Code	278
Min. Negotiated Rate	$60.10
Max. Negotiated Rate	$1,246.83
Rate for Payer: Aetna Commercial	$947.59
Rate for Payer: Aetna Medicare Advantage	$748.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$635.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$635.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$498.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$635.88
Rate for Payer: Cigna Commercial	$1,246.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$603.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$548.60
Rate for Payer: Qualcare PPO/HMO/WC	$374.05
Rate for Payer: UnitedHealthcare Community & State	$60.10
Rate for Payer: Wellpoint Medicaid Managed Care	$66.08

PLATE SYN RECON TITN 8H

Facility

$1,747.25

Hospital Charge Code	270603392
Hospital Revenue Code	278
Min. Negotiated Rate	$42.11
Max. Negotiated Rate	$873.62
Rate for Payer: Aetna Commercial	$663.96
Rate for Payer: Aetna Medicare Advantage	$524.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$445.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$445.55
Rate for Payer: Cigna Commercial	$873.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$384.39
Rate for Payer: Qualcare PPO/HMO/WC	$262.09
Rate for Payer: UnitedHealthcare Community & State	$42.11
Rate for Payer: Wellpoint Medicaid Managed Care	$46.30

PLATE SYN RECON TITN 8H

Facility

$1,747.25

Hospital Charge Code	270603392
Hospital Revenue Code	278
Min. Negotiated Rate	$262.09
Max. Negotiated Rate	$422.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$349.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$422.83
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$384.39
Rate for Payer: Qualcare PPO/HMO/WC	$262.09

PLATE SYN SM T OBLIQ 3H

Facility

$897.65

Hospital Charge Code	270601902
Hospital Revenue Code	278
Min. Negotiated Rate	$21.63
Max. Negotiated Rate	$448.82
Rate for Payer: Aetna Commercial	$341.11
Rate for Payer: Aetna Medicare Advantage	$269.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$228.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$228.90
Rate for Payer: Cigna Commercial	$448.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$197.48
Rate for Payer: Qualcare PPO/HMO/WC	$134.65
Rate for Payer: UnitedHealthcare Community & State	$21.63
Rate for Payer: Wellpoint Medicaid Managed Care	$23.79

PLATE SYN SM T OBLIQ 3H

Facility

$897.65

Hospital Charge Code	270601902
Hospital Revenue Code	278
Min. Negotiated Rate	$134.65
Max. Negotiated Rate	$217.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$179.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.23
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$197.48
Rate for Payer: Qualcare PPO/HMO/WC	$134.65

PLATE SYN SM T OBLIQ 4H

Facility

$944.85

Hospital Charge Code	270601903
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 SM T OBLIQ 4H

Facility

$944.85

Hospital Charge Code	270601903
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 SM T OBLIQ 5H

Facility

$944.85

Hospital Charge Code	270601904
Hospital Revenue Code	274
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 SM T OBLIQ 5H

Facility

$944.85

Hospital Charge Code	270601904
Hospital Revenue Code	274
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 SM T OBLIQ H3-S 3H

Facility

$744.00

Hospital Charge Code	270604313
Hospital Revenue Code	278
Min. Negotiated Rate	$17.93
Max. Negotiated Rate	$372.00
Rate for Payer: Aetna Commercial	$282.72
Rate for Payer: Aetna Medicare Advantage	$223.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$189.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$189.72
Rate for Payer: Cigna Commercial	$372.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.68
Rate for Payer: Qualcare PPO/HMO/WC	$111.60
Rate for Payer: UnitedHealthcare Community & State	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$19.72

PLATE SYN SM T OBLIQ H3-S 3H

Facility

$744.00

Hospital Charge Code	270604313
Hospital Revenue Code	278
Min. Negotiated Rate	$111.60
Max. Negotiated Rate	$180.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$148.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$163.68
Rate for Payer: Qualcare PPO/HMO/WC	$111.60

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$944.85

Hospital Charge Code	270603406
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 SM T OBLIQ H3-S 4H

Facility

$791.25

Hospital Charge Code	270604314
Hospital Revenue Code	278
Min. Negotiated Rate	$19.07
Max. Negotiated Rate	$395.62
Rate for Payer: Aetna Commercial	$300.68
Rate for Payer: Aetna Medicare Advantage	$237.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$201.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$201.77
Rate for Payer: Cigna Commercial	$395.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.07
Rate for Payer: Qualcare PPO/HMO/WC	$118.69
Rate for Payer: UnitedHealthcare Community & State	$19.07
Rate for Payer: Wellpoint Medicaid Managed Care	$20.97

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$791.25

Hospital Charge Code	270604314
Hospital Revenue Code	278
Min. Negotiated Rate	$118.69
Max. Negotiated Rate	$191.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$158.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$191.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$174.07
Rate for Payer: Qualcare PPO/HMO/WC	$118.69

PLATE SYN SM T OBLIQ H3-S 4H

Facility

$944.85

Hospital Charge Code	270603406
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 SM T OBLIQ H3-S 5H

Facility

$820.00

Hospital Charge Code	270604315
Hospital Revenue Code	278
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$410.00
Rate for Payer: Aetna Commercial	$311.60
Rate for Payer: Aetna Medicare Advantage	$246.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$209.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$209.10
Rate for Payer: Cigna Commercial	$410.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.40
Rate for Payer: Qualcare PPO/HMO/WC	$123.00
Rate for Payer: UnitedHealthcare Community & State	$19.76
Rate for Payer: Wellpoint Medicaid Managed Care	$21.73

PLATE SYN SM T OBLIQ H3-S 5H

Facility

$820.00

Hospital Charge Code	270604315
Hospital Revenue Code	278
Min. Negotiated Rate	$123.00
Max. Negotiated Rate	$198.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$164.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$198.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$180.40
Rate for Payer: Qualcare PPO/HMO/WC	$123.00

PLATE SYN SM T RT ANG 3H

Facility

$522.45

Hospital Charge Code	270601900
Hospital Revenue Code	278
Min. Negotiated Rate	$12.59
Max. Negotiated Rate	$261.23
Rate for Payer: Aetna Commercial	$198.53
Rate for Payer: Aetna Medicare Advantage	$156.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.22
Rate for Payer: Cigna Commercial	$261.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.94
Rate for Payer: Qualcare PPO/HMO/WC	$78.37
Rate for Payer: UnitedHealthcare Community & State	$12.59
Rate for Payer: Wellpoint Medicaid Managed Care	$13.84

PLATE SYN SM T RT ANG 3H

Facility

$522.45

Hospital Charge Code	270601900
Hospital Revenue Code	278
Min. Negotiated Rate	$78.37
Max. Negotiated Rate	$126.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$104.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$114.94
Rate for Payer: Qualcare PPO/HMO/WC	$78.37

PLATE SYN SM T RT ANG H3-S 3H

Facility

$435.25

Hospital Charge Code	270604309
Hospital Revenue Code	278
Min. Negotiated Rate	$10.49
Max. Negotiated Rate	$217.62
Rate for Payer: Aetna Commercial	$165.40
Rate for Payer: Aetna Medicare Advantage	$130.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110.99
Rate for Payer: Cigna Commercial	$217.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.29
Rate for Payer: UnitedHealthcare Community & State	$10.49
Rate for Payer: Wellpoint Medicaid Managed Care	$11.53

PLATE SYN SM T RT ANG H3-S 3H

Facility

$435.25

Hospital Charge Code	270604309
Hospital Revenue Code	278
Min. Negotiated Rate	$65.29
Max. Negotiated Rate	$105.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$87.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$105.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$95.75
Rate for Payer: Qualcare PPO/HMO/WC	$65.29

PLATE SYN SM T RT ANG H3-S 5H

Facility

$496.85

Hospital Charge Code	270604311
Hospital Revenue Code	278
Min. Negotiated Rate	$11.97
Max. Negotiated Rate	$248.43
Rate for Payer: Aetna Commercial	$188.80
Rate for Payer: Aetna Medicare Advantage	$149.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.70
Rate for Payer: Cigna Commercial	$248.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.31
Rate for Payer: Qualcare PPO/HMO/WC	$74.53
Rate for Payer: UnitedHealthcare Community & State	$11.97
Rate for Payer: Wellpoint Medicaid Managed Care	$13.17

PLATE SYN SM T RT ANG H3-S 5H

Facility

$496.85

Hospital Charge Code	270604311
Hospital Revenue Code	278
Min. Negotiated Rate	$74.53
Max. Negotiated Rate	$120.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$99.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$109.31
Rate for Payer: Qualcare PPO/HMO/WC	$74.53

PLATE SYN SM T RT ANG H4-S 6H

Facility

$607.25

Hospital Charge Code	270604312
Hospital Revenue Code	278
Min. Negotiated Rate	$91.09
Max. Negotiated Rate	$146.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$121.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$146.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$133.59
Rate for Payer: Qualcare PPO/HMO/WC	$91.09

Know your out-of-pocket cost for care.

All Charges