Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OSTEOCALCIN (SERUM)

Facility

$307.25

Service Code	HCPCS 83937
Hospital Charge Code	3008935
Hospital Revenue Code	301
Min. Negotiated Rate	$46.09
Max. Negotiated Rate	$46.09
Rate for Payer: Qualcare PPO/HMO/WC	$46.09

OSTEOCALCIN (SERUM)

Facility

$307.25

Service Code	HCPCS 83937
Hospital Charge Code	3008935
Hospital Revenue Code	301
Min. Negotiated Rate	$8.14
Max. Negotiated Rate	$153.62
Rate for Payer: Aetna Commercial	$81.19
Rate for Payer: Aetna Medicare Advantage	$96.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.75
Rate for Payer: Cigna Commercial	$153.62
Rate for Payer: Cigna Medicare Advantage	$29.85
Rate for Payer: Clover Medicare Advantage	$28.36
Rate for Payer: EmblemHealth Commercial	$89.55
Rate for Payer: Humana Medicare Advantage	$30.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$92.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$46.09
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$23.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.85
Rate for Payer: Wellcare Medicare Advantage	$29.85
Rate for Payer: Wellpoint Medicaid Managed Care	$8.14

OSTEOCEL 10CC

Facility

$23,100.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$556.71
Max. Negotiated Rate	$11,550.00
Rate for Payer: Aetna Commercial	$8,778.00
Rate for Payer: Aetna Medicare Advantage	$6,930.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,890.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,890.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,890.50
Rate for Payer: Cigna Commercial	$11,550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,930.00
Rate for Payer: Oxford Commercial	$4,620.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,465.00
Rate for Payer: UnitedHealthcare Commercial	$4,620.00
Rate for Payer: UnitedHealthcare Community & State	$556.71
Rate for Payer: Wellpoint Medicaid Managed Care	$612.15

OSTEOCEL 10CC

Facility

$23,100.00

Hospital Charge Code	270657287
Hospital Revenue Code	272
Min. Negotiated Rate	$3,465.00
Max. Negotiated Rate	$3,465.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,465.00

OSTEOCEL 15CC

Facility

$28,350.00

Hospital Charge Code	270657313
Hospital Revenue Code	272
Min. Negotiated Rate	$4,252.50
Max. Negotiated Rate	$4,252.50
Rate for Payer: Qualcare PPO/HMO/WC	$4,252.50

OSTEOCEL 15CC

Facility

$28,350.00

Hospital Charge Code	270657313
Hospital Revenue Code	272
Min. Negotiated Rate	$683.24
Max. Negotiated Rate	$14,175.00
Rate for Payer: Aetna Commercial	$10,773.00
Rate for Payer: Aetna Medicare Advantage	$8,505.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,229.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,229.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,229.25
Rate for Payer: Cigna Commercial	$14,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,505.00
Rate for Payer: Oxford Commercial	$5,670.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,252.50
Rate for Payer: UnitedHealthcare Commercial	$5,670.00
Rate for Payer: UnitedHealthcare Community & State	$683.24
Rate for Payer: Wellpoint Medicaid Managed Care	$751.27

OSTEOCEL 5CC

Facility

$13,250.00

Hospital Charge Code	270657288
Hospital Revenue Code	278
Min. Negotiated Rate	$1,987.50
Max. Negotiated Rate	$3,206.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50

OSTEOCEL 5CC

Facility

$13,250.00

Hospital Charge Code	270657288
Hospital Revenue Code	278
Min. Negotiated Rate	$319.32
Max. Negotiated Rate	$6,625.00
Rate for Payer: Aetna Commercial	$5,035.00
Rate for Payer: Aetna Medicare Advantage	$3,975.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,378.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,378.75
Rate for Payer: Cigna Commercial	$6,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,206.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,915.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,987.50
Rate for Payer: UnitedHealthcare Community & State	$319.32
Rate for Payer: Wellpoint Medicaid Managed Care	$351.12

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$300.65
Max. Negotiated Rate	$6,237.50
Rate for Payer: Aetna Commercial	$4,740.50
Rate for Payer: Aetna Medicare Advantage	$3,742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,181.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,181.12
Rate for Payer: Cigna Commercial	$6,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,744.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25
Rate for Payer: UnitedHealthcare Community & State	$300.65
Rate for Payer: Wellpoint Medicaid Managed Care	$330.59

OSTEOCHONDRAL CORE 10 MM

Facility

$12,475.00

Service Code	HCPCS C1713
Hospital Charge Code	270673913
Hospital Revenue Code	278
Min. Negotiated Rate	$1,871.25
Max. Negotiated Rate	$3,018.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,018.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,744.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,871.25

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$62.66
Max. Negotiated Rate	$1,300.00
Rate for Payer: Aetna Commercial	$988.00
Rate for Payer: Aetna Medicare Advantage	$780.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$663.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$663.00
Rate for Payer: Cigna Commercial	$1,300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.00
Rate for Payer: Oxford Commercial	$520.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00
Rate for Payer: UnitedHealthcare Commercial	$520.00
Rate for Payer: UnitedHealthcare Community & State	$62.66
Rate for Payer: Wellpoint Medicaid Managed Care	$68.90

OSTEOCHONDRAL FLAP REPAIR SET

Facility

$2,600.00

Hospital Charge Code	270675207
Hospital Revenue Code	272
Min. Negotiated Rate	$390.00
Max. Negotiated Rate	$390.00
Rate for Payer: Qualcare PPO/HMO/WC	$390.00

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

OSTEOCURE BRILL SLEEVE SZ B9MM

Facility

$495.00

Hospital Charge Code	270335937
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
Min. Negotiated Rate	$1,687.50
Max. Negotiated Rate	$2,722.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50

OSTEOFACTOR PRO 5CC

Facility

$11,250.00

Service Code	HCPCS C1765
Hospital Charge Code	270705430
Hospital Revenue Code	278
Min. Negotiated Rate	$271.12
Max. Negotiated Rate	$5,625.00
Rate for Payer: Aetna Commercial	$4,275.00
Rate for Payer: Aetna Medicare Advantage	$3,375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,868.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,868.75
Rate for Payer: Cigna Commercial	$5,625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,722.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,475.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,687.50
Rate for Payer: UnitedHealthcare Community & State	$271.12
Rate for Payer: Wellpoint Medicaid Managed Care	$298.12

OSTEOFIL BONE PASTE 5CC 002405

Facility

$4,137.65

Hospital Charge Code	270616298
Hospital Revenue Code	278
Min. Negotiated Rate	$620.65
Max. Negotiated Rate	$1,001.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65

OSTEOFIL BONE PASTE 5CC 002405

Facility

$4,137.65

Hospital Charge Code	270616298
Hospital Revenue Code	278
Min. Negotiated Rate	$99.72
Max. Negotiated Rate	$2,068.82
Rate for Payer: Aetna Commercial	$1,572.31
Rate for Payer: Aetna Medicare Advantage	$1,241.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,055.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$827.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,055.10
Rate for Payer: Cigna Commercial	$2,068.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,001.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$910.28
Rate for Payer: Qualcare PPO/HMO/WC	$620.65
Rate for Payer: UnitedHealthcare Community & State	$99.72
Rate for Payer: Wellpoint Medicaid Managed Care	$109.65

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$169.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

OSTEOFLEX BONE CEMENT

Facility

$700.00

Hospital Charge Code	270703448
Hospital Revenue Code	278
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$140.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$154.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$206.25
Max. Negotiated Rate	$332.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25

OSTEOFLEX CEMENT/SYSTEM

Facility

$1,375.00

Hospital Charge Code	270703066
Hospital Revenue Code	278
Min. Negotiated Rate	$33.14
Max. Negotiated Rate	$687.50
Rate for Payer: Aetna Commercial	$522.50
Rate for Payer: Aetna Medicare Advantage	$412.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$350.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$350.62
Rate for Payer: Cigna Commercial	$687.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$332.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$302.50
Rate for Payer: Qualcare PPO/HMO/WC	$206.25
Rate for Payer: UnitedHealthcare Community & State	$33.14
Rate for Payer: Wellpoint Medicaid Managed Care	$36.44

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$113.27
Max. Negotiated Rate	$2,350.00
Rate for Payer: Aetna Commercial	$1,786.00
Rate for Payer: Aetna Medicare Advantage	$1,410.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,198.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,198.50
Rate for Payer: Cigna Commercial	$2,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$705.00
Rate for Payer: UnitedHealthcare Community & State	$113.27
Rate for Payer: Wellpoint Medicaid Managed Care	$124.55

OSTEOFLO NANOPUTTY 2.5CC

Facility

$4,700.00

Service Code	HCPCS C1713
Hospital Charge Code	270693126
Hospital Revenue Code	278
Min. Negotiated Rate	$705.00
Max. Negotiated Rate	$1,137.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$940.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,137.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,034.00
Rate for Payer: Qualcare PPO/HMO/WC	$705.00

OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS

Facility

$15,106.03

Service Code	APR-DRG 3443
Min. Negotiated Rate	$14,809.83
Max. Negotiated Rate	$15,106.03
Rate for Payer: UnitedHealthcare Community & State	$14,809.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,106.03
Rate for Payer: Wellpoint Medicaid Managed Care	$14,809.83

Know your out-of-pocket cost for care.

All Charges