Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CEMENT ZIM BONE DOUGH 1102-022

Facility

$548.00

Hospital Charge Code	270612869
Hospital Revenue Code	274
Min. Negotiated Rate	$13.21
Max. Negotiated Rate	$274.00
Rate for Payer: Aetna Commercial	$208.24
Rate for Payer: Aetna Medicare Advantage	$164.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$139.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$139.74
Rate for Payer: Cigna Commercial	$274.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$120.56
Rate for Payer: Qualcare PPO/HMO/WC	$82.20
Rate for Payer: UnitedHealthcare Community & State	$13.21
Rate for Payer: Wellpoint Medicaid Managed Care	$14.52

CEMENT ZIM BONE DOUGH 1102-022

Facility

$548.00

Hospital Charge Code	270612869
Hospital Revenue Code	274
Min. Negotiated Rate	$82.20
Max. Negotiated Rate	$132.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$109.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$132.62
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$120.56
Rate for Payer: Qualcare PPO/HMO/WC	$82.20

CEMENT ZIM BONE DOUGH 1102-12

Facility

$578.45

Hospital Charge Code	270618497
Hospital Revenue Code	278
Min. Negotiated Rate	$13.94
Max. Negotiated Rate	$289.23
Rate for Payer: Aetna Commercial	$219.81
Rate for Payer: Aetna Medicare Advantage	$173.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.50
Rate for Payer: Cigna Commercial	$289.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.26
Rate for Payer: Qualcare PPO/HMO/WC	$86.77
Rate for Payer: UnitedHealthcare Community & State	$13.94
Rate for Payer: Wellpoint Medicaid Managed Care	$15.33

CEMENT ZIM BONE DOUGH 1102-12

Facility

$578.45

Hospital Charge Code	270618497
Hospital Revenue Code	278
Min. Negotiated Rate	$86.77
Max. Negotiated Rate	$139.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$115.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$127.26
Rate for Payer: Qualcare PPO/HMO/WC	$86.77

CEMENT ZIM BONE LVC 1102-023

Facility

$449.00

Hospital Charge Code	270600349
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$224.50
Rate for Payer: Aetna Commercial	$170.62
Rate for Payer: Aetna Medicare Advantage	$134.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.50
Rate for Payer: Cigna Commercial	$224.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.70
Rate for Payer: Oxford Commercial	$89.80
Rate for Payer: Qualcare PPO/HMO/WC	$67.35
Rate for Payer: UnitedHealthcare Commercial	$89.80
Rate for Payer: UnitedHealthcare Community & State	$10.82
Rate for Payer: Wellpoint Medicaid Managed Care	$11.90

CEMENT ZIM BONE LVC 1102-023

Facility

$449.00

Hospital Charge Code	270600349
Hospital Revenue Code	272
Min. Negotiated Rate	$67.35
Max. Negotiated Rate	$67.35
Rate for Payer: Qualcare PPO/HMO/WC	$67.35

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$28.27
Max. Negotiated Rate	$15,581.09
Rate for Payer: Aetna Commercial	$80.95
Rate for Payer: Aetna Medicare Advantage	$96.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.42
Rate for Payer: Cigna Medicare Advantage	$29.76
Rate for Payer: Clover Medicare Advantage	$28.27
Rate for Payer: EmblemHealth Commercial	$89.28
Rate for Payer: Humana Medicare Advantage	$30.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70
Rate for Payer: UnitedHealthcare Community & State	$1,551.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.76
Rate for Payer: Wellcare Medicare Advantage	$29.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,706.19

CEMIPLIMAB-RWLC 50MG/ML

Facility

$64,384.66

Service Code	HCPCS J9119
Hospital Charge Code	606390550
Hospital Revenue Code	636
Min. Negotiated Rate	$9,657.70
Max. Negotiated Rate	$15,581.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15,581.09
Rate for Payer: Qualcare PPO/HMO/WC	$9,657.70

CENTER BLADE

Facility

$465.50

Hospital Charge Code	270665055
Hospital Revenue Code	270
Min. Negotiated Rate	$11.22
Max. Negotiated Rate	$232.75
Rate for Payer: Aetna Commercial	$176.89
Rate for Payer: Aetna Medicare Advantage	$139.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$118.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$118.70
Rate for Payer: Cigna Commercial	$232.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$139.65
Rate for Payer: Oxford Commercial	$93.10
Rate for Payer: Qualcare PPO/HMO/WC	$69.83
Rate for Payer: UnitedHealthcare Commercial	$93.10
Rate for Payer: UnitedHealthcare Community & State	$11.22
Rate for Payer: Wellpoint Medicaid Managed Care	$12.34

CENTER BLADE

Facility

$465.50

Hospital Charge Code	270665055
Hospital Revenue Code	270
Min. Negotiated Rate	$69.83
Max. Negotiated Rate	$69.83
Rate for Payer: Qualcare PPO/HMO/WC	$69.83

CENTERLINE DIPOSABLE KIT

Facility

$1,000.00

Hospital Charge Code	270662180
Hospital Revenue Code	270
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CENTERLINE DIPOSABLE KIT

Facility

$1,000.00

Hospital Charge Code	270662180
Hospital Revenue Code	270
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

CENTER LINE TRAY - RENTAL

Facility

$1,000.00

Hospital Charge Code	270658833
Hospital Revenue Code	272
Min. Negotiated Rate	$150.00
Max. Negotiated Rate	$150.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00

CENTER LINE TRAY - RENTAL

Facility

$1,000.00

Hospital Charge Code	270658833
Hospital Revenue Code	272
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$500.00
Rate for Payer: Aetna Commercial	$380.00
Rate for Payer: Aetna Medicare Advantage	$300.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.00
Rate for Payer: Cigna Commercial	$500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.00
Rate for Payer: Oxford Commercial	$200.00
Rate for Payer: Qualcare PPO/HMO/WC	$150.00
Rate for Payer: UnitedHealthcare Commercial	$200.00
Rate for Payer: UnitedHealthcare Community & State	$24.10
Rate for Payer: Wellpoint Medicaid Managed Care	$26.50

CENTRAFLEX PLACENT MATRI 2X3CM

Facility

$8,500.00

Service Code	HCPCS C1762
Hospital Charge Code	270698091
Hospital Revenue Code	278
Min. Negotiated Rate	$1,275.00
Max. Negotiated Rate	$2,057.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,870.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00

CENTRAFLEX PLACENT MATRI 2X3CM

Facility

$8,500.00

Service Code	HCPCS C1762
Hospital Charge Code	270698091
Hospital Revenue Code	278
Min. Negotiated Rate	$204.85
Max. Negotiated Rate	$4,250.00
Rate for Payer: Aetna Commercial	$3,230.00
Rate for Payer: Aetna Medicare Advantage	$2,550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,167.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,167.50
Rate for Payer: Cigna Commercial	$4,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,057.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,870.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,275.00
Rate for Payer: UnitedHealthcare Community & State	$204.85
Rate for Payer: Wellpoint Medicaid Managed Care	$225.25

CENTRAFLEX PLACENT MATRI 3X3CM

Facility

$12,250.00

Service Code	HCPCS C1762
Hospital Charge Code	270698092
Hospital Revenue Code	278
Min. Negotiated Rate	$1,837.50
Max. Negotiated Rate	$2,964.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50

CENTRAFLEX PLACENT MATRI 3X3CM

Facility

$12,250.00

Service Code	HCPCS C1762
Hospital Charge Code	270698092
Hospital Revenue Code	278
Min. Negotiated Rate	$295.23
Max. Negotiated Rate	$6,125.00
Rate for Payer: Aetna Commercial	$4,655.00
Rate for Payer: Aetna Medicare Advantage	$3,675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,123.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,123.75
Rate for Payer: Cigna Commercial	$6,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,964.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,695.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,837.50
Rate for Payer: UnitedHealthcare Community & State	$295.23
Rate for Payer: Wellpoint Medicaid Managed Care	$324.62

CENTRALIZER 13MM

Facility

$525.00

Hospital Charge Code	270667720
Hospital Revenue Code	278
Min. Negotiated Rate	$78.75
Max. Negotiated Rate	$127.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75

CENTRALIZER 13MM

Facility

$525.00

Hospital Charge Code	270667720
Hospital Revenue Code	278
Min. Negotiated Rate	$12.65
Max. Negotiated Rate	$262.50
Rate for Payer: Aetna Commercial	$199.50
Rate for Payer: Aetna Medicare Advantage	$157.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$133.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$133.88
Rate for Payer: Cigna Commercial	$262.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.05
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$115.50
Rate for Payer: Qualcare PPO/HMO/WC	$78.75
Rate for Payer: UnitedHealthcare Community & State	$12.65
Rate for Payer: Wellpoint Medicaid Managed Care	$13.91

CENTRALIZER BMT 12-162611

Facility

$11,285.00

Hospital Charge Code	270606326
Hospital Revenue Code	278
Min. Negotiated Rate	$271.97
Max. Negotiated Rate	$5,642.50
Rate for Payer: Aetna Commercial	$4,288.30
Rate for Payer: Aetna Medicare Advantage	$3,385.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,877.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,877.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,257.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,877.68
Rate for Payer: Cigna Commercial	$5,642.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,730.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,482.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,692.75
Rate for Payer: UnitedHealthcare Community & State	$271.97
Rate for Payer: Wellpoint Medicaid Managed Care	$299.05

CENTRALIZER BMT 12-162611

Facility

$11,285.00

Hospital Charge Code	270606326
Hospital Revenue Code	278
Min. Negotiated Rate	$1,692.75
Max. Negotiated Rate	$2,730.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,257.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,730.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,482.70
Rate for Payer: Qualcare PPO/HMO/WC	$1,692.75

CENTRALIZER BMT 12-162613

Facility

$3,527.25

Hospital Charge Code	270605407
Hospital Revenue Code	278
Min. Negotiated Rate	$85.01
Max. Negotiated Rate	$1,763.62
Rate for Payer: Aetna Commercial	$1,340.36
Rate for Payer: Aetna Medicare Advantage	$1,058.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$899.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$899.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$899.45
Rate for Payer: Cigna Commercial	$1,763.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$776.00
Rate for Payer: Qualcare PPO/HMO/WC	$529.09
Rate for Payer: UnitedHealthcare Community & State	$85.01
Rate for Payer: Wellpoint Medicaid Managed Care	$93.47

CENTRALIZER BMT 12-162613

Facility

$3,527.25

Hospital Charge Code	270605407
Hospital Revenue Code	278
Min. Negotiated Rate	$529.09
Max. Negotiated Rate	$853.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$705.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$853.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$776.00
Rate for Payer: Qualcare PPO/HMO/WC	$529.09

CENTRALIZER BMT 12MM 12-162615

Facility

$8,719.75

Hospital Charge Code	270607973
Hospital Revenue Code	278
Min. Negotiated Rate	$1,307.96
Max. Negotiated Rate	$2,110.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,743.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,110.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,918.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,307.96

Know your out-of-pocket cost for care.

All Charges