Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CELL FRAGILITY ERYTHRO***

Facility

$56.00

Hospital Charge Code	3010725
Hospital Revenue Code	309
Min. Negotiated Rate	$8.40
Max. Negotiated Rate	$8.40
Rate for Payer: Qualcare PPO/HMO/WC	$8.40

CELL FRAGILITY ERYTHRO***

Facility

$56.00

Hospital Charge Code	3010725
Hospital Revenue Code	309
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$21.28
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.28
Rate for Payer: Cigna Commercial	$28.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$8.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$1.35
Rate for Payer: Wellpoint Medicaid Managed Care	$1.48

CELL SAVER AUTOTRANSFUSION

Facility

$3,792.85

Hospital Charge Code	1604495
Hospital Revenue Code	270
Min. Negotiated Rate	$91.41
Max. Negotiated Rate	$1,896.42
Rate for Payer: Aetna Commercial	$1,441.28
Rate for Payer: Aetna Medicare Advantage	$1,137.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$967.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$967.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$967.18
Rate for Payer: Cigna Commercial	$1,896.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.86
Rate for Payer: Oxford Commercial	$758.57
Rate for Payer: Qualcare PPO/HMO/WC	$568.93
Rate for Payer: UnitedHealthcare Commercial	$758.57
Rate for Payer: UnitedHealthcare Community & State	$91.41
Rate for Payer: Wellpoint Medicaid Managed Care	$100.51

CELL SAVER AUTOTRANSFUSION

Facility

$3,792.85

Hospital Charge Code	1604495
Hospital Revenue Code	270
Min. Negotiated Rate	$568.93
Max. Negotiated Rate	$568.93
Rate for Payer: Qualcare PPO/HMO/WC	$568.93

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$8.77
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$138.22
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.12
Rate for Payer: Oxford Commercial	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: UnitedHealthcare Community & State	$8.77
Rate for Payer: Wellpoint Medicaid Managed Care	$9.64

CELL SAVER PACK

Facility

$363.75

Hospital Charge Code	270661410
Hospital Revenue Code	272
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$8.77
Max. Negotiated Rate	$181.88
Rate for Payer: Aetna Commercial	$138.22
Rate for Payer: Aetna Medicare Advantage	$109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$92.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$92.76
Rate for Payer: Cigna Commercial	$181.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$109.12
Rate for Payer: Oxford Commercial	$72.75
Rate for Payer: Qualcare PPO/HMO/WC	$54.56
Rate for Payer: UnitedHealthcare Commercial	$72.75
Rate for Payer: UnitedHealthcare Community & State	$8.77
Rate for Payer: Wellpoint Medicaid Managed Care	$9.64

CELL SAVER SORIN PACK 55ML

Facility

$363.75

Hospital Charge Code	270659421
Hospital Revenue Code	270
Min. Negotiated Rate	$54.56
Max. Negotiated Rate	$54.56
Rate for Payer: Qualcare PPO/HMO/WC	$54.56

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$250.78
Max. Negotiated Rate	$250.78
Rate for Payer: Qualcare PPO/HMO/WC	$250.78

CELLSERCH CIRC TUMRCELLS COLON

Facility

$1,671.85

Hospital Charge Code	397043303
Hospital Revenue Code	301
Min. Negotiated Rate	$40.29
Max. Negotiated Rate	$835.92
Rate for Payer: Aetna Commercial	$635.30
Rate for Payer: Aetna Medicare Advantage	$501.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$426.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$426.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$426.32
Rate for Payer: Cigna Commercial	$835.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$501.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$250.78
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$40.29
Rate for Payer: Wellpoint Medicaid Managed Care	$44.30

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$382.59
Max. Negotiated Rate	$7,937.50
Rate for Payer: Aetna Commercial	$6,032.50
Rate for Payer: Aetna Medicare Advantage	$4,762.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,048.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,048.12
Rate for Payer: Cigna Commercial	$7,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,492.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25
Rate for Payer: UnitedHealthcare Community & State	$382.59
Rate for Payer: Wellpoint Medicaid Managed Care	$420.69

CELLULAR BONE MARTIX MED.

Facility

$15,875.00

Service Code	HCPCS C1762
Hospital Charge Code	270667698
Hospital Revenue Code	278
Min. Negotiated Rate	$2,381.25
Max. Negotiated Rate	$3,841.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,841.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,492.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,381.25

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$5,440.05

Service Code	APR-DRG 3831
Min. Negotiated Rate	$5,333.38
Max. Negotiated Rate	$5,440.05
Rate for Payer: UnitedHealthcare Community & State	$5,333.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,440.05
Rate for Payer: Wellpoint Medicaid Managed Care	$5,333.38

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$7,411.29

Service Code	APR-DRG 3832
Min. Negotiated Rate	$7,265.97
Max. Negotiated Rate	$7,411.29
Rate for Payer: UnitedHealthcare Community & State	$7,265.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,411.29
Rate for Payer: Wellpoint Medicaid Managed Care	$7,265.97

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$11,164.86

Service Code	APR-DRG 3833
Min. Negotiated Rate	$10,945.94
Max. Negotiated Rate	$11,164.86
Rate for Payer: UnitedHealthcare Community & State	$10,945.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,164.86
Rate for Payer: Wellpoint Medicaid Managed Care	$10,945.94

CELLULITIS AND OTHER SKIN INFECTIONS

Facility

$21,412.94

Service Code	APR-DRG 3834
Min. Negotiated Rate	$20,993.08
Max. Negotiated Rate	$21,412.94
Rate for Payer: UnitedHealthcare Community & State	$20,993.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,412.94
Rate for Payer: Wellpoint Medicaid Managed Care	$20,993.08

CELLULITIS WITH MCC

Facility

$48,072.84

Service Code	MSDRG 602
Min. Negotiated Rate	$14,637.56
Max. Negotiated Rate	$48,072.84
Rate for Payer: Aetna Commercial	$33,288.85
Rate for Payer: Aetna Medicare Advantage	$48,072.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,407.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,658.89
Rate for Payer: Cigna Commercial	$26,598.21
Rate for Payer: Cigna Medicare Advantage	$15,407.96
Rate for Payer: Clover Medicare Advantage	$14,637.56
Rate for Payer: EmblemHealth Commercial	$46,223.88
Rate for Payer: Humana Medicare Advantage	$15,870.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,407.96
Rate for Payer: Oxford Commercial	$19,116.49
Rate for Payer: UnitedHealthcare Commercial	$33,521.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,407.96
Rate for Payer: Wellcare Medicare Advantage	$15,407.96

CELLULITIS WITHOUT MCC

Facility

$30,283.00

Service Code	MSDRG 603
Min. Negotiated Rate	$9,220.79
Max. Negotiated Rate	$30,283.00
Rate for Payer: Aetna Commercial	$21,065.18
Rate for Payer: Aetna Medicare Advantage	$30,283.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,469.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,469.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,706.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,469.68
Rate for Payer: Cigna Commercial	$16,298.02
Rate for Payer: Cigna Medicare Advantage	$9,706.09
Rate for Payer: Clover Medicare Advantage	$9,220.79
Rate for Payer: EmblemHealth Commercial	$29,118.27
Rate for Payer: Humana Medicare Advantage	$9,997.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,706.09
Rate for Payer: Oxford Commercial	$11,713.60
Rate for Payer: UnitedHealthcare Commercial	$20,540.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,706.09
Rate for Payer: Wellcare Medicare Advantage	$9,706.09

CELL WASHING charge

Facility

$304.85

Service Code	HCPCS 86960
Hospital Charge Code	3100070
Hospital Revenue Code	309
Min. Negotiated Rate	$8.08
Max. Negotiated Rate	$730.60
Rate for Payer: Aetna Commercial	$550.53
Rate for Payer: Aetna Medicare Advantage	$655.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$730.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$202.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$730.60
Rate for Payer: Cigna Commercial	$405.73
Rate for Payer: Cigna Medicare Advantage	$202.40
Rate for Payer: Clover Medicare Advantage	$192.28
Rate for Payer: EmblemHealth Commercial	$607.20
Rate for Payer: Humana Medicare Advantage	$208.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$202.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$91.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.73
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$25.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$202.40
Rate for Payer: Wellcare Medicare Advantage	$202.40
Rate for Payer: Wellpoint Medicaid Managed Care	$8.08

CELL WASHING charge

Facility

$304.85

Service Code	HCPCS 86960
Hospital Charge Code	3100070
Hospital Revenue Code	309
Min. Negotiated Rate	$45.73
Max. Negotiated Rate	$45.73
Rate for Payer: Qualcare PPO/HMO/WC	$45.73

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$216.66
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,977.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$216.66
Rate for Payer: Wellpoint Medicaid Managed Care	$238.24

CEMELESS EXT STEM 12MM/ 105 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687683
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,977.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,348.50
Max. Negotiated Rate	$2,175.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,977.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50

CEMELESS EXT STEM 13 MM/ 150MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687962
Hospital Revenue Code	278
Min. Negotiated Rate	$216.66
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,977.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$216.66
Rate for Payer: Wellpoint Medicaid Managed Care	$238.24

CEMELESS EXT STEM 14MM/ 150 MM

Facility

$8,990.00

Service Code	HCPCS C1776
Hospital Charge Code	270687682
Hospital Revenue Code	278
Min. Negotiated Rate	$216.66
Max. Negotiated Rate	$4,495.00
Rate for Payer: Aetna Commercial	$3,416.20
Rate for Payer: Aetna Medicare Advantage	$2,697.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,292.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,798.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,292.45
Rate for Payer: Cigna Commercial	$4,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,175.58
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,977.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,348.50
Rate for Payer: UnitedHealthcare Community & State	$216.66
Rate for Payer: Wellpoint Medicaid Managed Care	$238.24

Know your out-of-pocket cost for care.

All Charges