Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM ATTUNE SZ 4 CEM POROCOAT

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690792
Hospital Revenue Code	278
Min. Negotiated Rate	$1,050.00
Max. Negotiated Rate	$1,694.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,540.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00

STEM ATTUNE SZ 4 CEM POROCOAT

Facility

$7,000.00

Service Code	HCPCS C1776
Hospital Charge Code	270690792
Hospital Revenue Code	278
Min. Negotiated Rate	$168.70
Max. Negotiated Rate	$3,500.00
Rate for Payer: Aetna Commercial	$2,660.00
Rate for Payer: Aetna Medicare Advantage	$2,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,785.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,785.00
Rate for Payer: Cigna Commercial	$3,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,694.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,540.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,050.00
Rate for Payer: UnitedHealthcare Community & State	$168.70
Rate for Payer: Wellpoint Medicaid Managed Care	$185.50

STEM AVENIR CMPL HA SZ3

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270688362
Hospital Revenue Code	278
Min. Negotiated Rate	$2,218.13
Max. Negotiated Rate	$3,578.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,253.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13

STEM AVENIR CMPL HA SZ3

Facility

$14,787.55

Service Code	HCPCS C1776
Hospital Charge Code	270688362
Hospital Revenue Code	278
Min. Negotiated Rate	$356.38
Max. Negotiated Rate	$7,393.77
Rate for Payer: Aetna Commercial	$5,619.27
Rate for Payer: Aetna Medicare Advantage	$4,436.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,770.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,957.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,770.83
Rate for Payer: Cigna Commercial	$7,393.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,578.59
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,253.26
Rate for Payer: Qualcare PPO/HMO/WC	$2,218.13
Rate for Payer: UnitedHealthcare Community & State	$356.38
Rate for Payer: Wellpoint Medicaid Managed Care	$391.87

STEM BIMETR POR 15x155 X180315

Facility

$21,865.00

Hospital Charge Code	270642279
Hospital Revenue Code	278
Min. Negotiated Rate	$526.95
Max. Negotiated Rate	$10,932.50
Rate for Payer: Aetna Commercial	$8,308.70
Rate for Payer: Aetna Medicare Advantage	$6,559.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,575.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,575.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,373.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,575.57
Rate for Payer: Cigna Commercial	$10,932.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,291.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,810.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,279.75
Rate for Payer: UnitedHealthcare Community & State	$526.95
Rate for Payer: Wellpoint Medicaid Managed Care	$579.42

STEM BIMETR POR 15x155 X180315

Facility

$21,865.00

Hospital Charge Code	270642279
Hospital Revenue Code	278
Min. Negotiated Rate	$3,279.75
Max. Negotiated Rate	$5,291.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,373.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,291.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,810.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,279.75

STEM BMT FEM 10 130 162670

Facility

$19,505.00

Hospital Charge Code	270628128
Hospital Revenue Code	278
Min. Negotiated Rate	$470.07
Max. Negotiated Rate	$9,752.50
Rate for Payer: Aetna Commercial	$7,411.90
Rate for Payer: Aetna Medicare Advantage	$5,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,973.77
Rate for Payer: Cigna Commercial	$9,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,291.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75
Rate for Payer: UnitedHealthcare Community & State	$470.07
Rate for Payer: Wellpoint Medicaid Managed Care	$516.88

STEM BMT FEM 10 130 162670

Facility

$19,505.00

Hospital Charge Code	270628128
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$4,720.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,291.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 10 130 162671

Facility

$14,440.00

Hospital Charge Code	270622513
Hospital Revenue Code	278
Min. Negotiated Rate	$348.00
Max. Negotiated Rate	$7,220.00
Rate for Payer: Aetna Commercial	$5,487.20
Rate for Payer: Aetna Medicare Advantage	$4,332.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,682.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,682.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,888.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,682.20
Rate for Payer: Cigna Commercial	$7,220.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,494.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,176.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.00
Rate for Payer: UnitedHealthcare Community & State	$348.00
Rate for Payer: Wellpoint Medicaid Managed Care	$382.66

STEM BMT FEM 10 130 162671

Facility

$14,440.00

Hospital Charge Code	270622513
Hospital Revenue Code	278
Min. Negotiated Rate	$2,166.00
Max. Negotiated Rate	$3,494.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,888.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,494.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,176.80
Rate for Payer: Qualcare PPO/HMO/WC	$2,166.00

STEM BMT FEM 13MM 162613

Facility

$18,783.60

Service Code	HCPCS C1776
Hospital Charge Code	270606921
Hospital Revenue Code	278
Min. Negotiated Rate	$452.68
Max. Negotiated Rate	$9,391.80
Rate for Payer: Aetna Commercial	$7,137.77
Rate for Payer: Aetna Medicare Advantage	$5,635.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,789.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,789.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,756.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,789.82
Rate for Payer: Cigna Commercial	$9,391.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,545.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,132.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,817.54
Rate for Payer: UnitedHealthcare Community & State	$452.68
Rate for Payer: Wellpoint Medicaid Managed Care	$497.77

STEM BMT FEM 13MM 162613

Facility

$18,783.60

Service Code	HCPCS C1776
Hospital Charge Code	270606921
Hospital Revenue Code	278
Min. Negotiated Rate	$2,817.54
Max. Negotiated Rate	$4,545.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,756.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,545.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,132.39
Rate for Payer: Qualcare PPO/HMO/WC	$2,817.54

STEM BMT FEM 14MM 162674

Facility

$19,505.00

Hospital Charge Code	270612160
Hospital Revenue Code	278
Min. Negotiated Rate	$470.07
Max. Negotiated Rate	$9,752.50
Rate for Payer: Aetna Commercial	$7,411.90
Rate for Payer: Aetna Medicare Advantage	$5,851.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,973.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,973.77
Rate for Payer: Cigna Commercial	$9,752.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,291.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75
Rate for Payer: UnitedHealthcare Community & State	$470.07
Rate for Payer: Wellpoint Medicaid Managed Care	$516.88

STEM BMT FEM 14MM 162674

Facility

$19,505.00

Hospital Charge Code	270612160
Hospital Revenue Code	278
Min. Negotiated Rate	$2,925.75
Max. Negotiated Rate	$4,720.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,901.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,720.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,291.10
Rate for Payer: Qualcare PPO/HMO/WC	$2,925.75

STEM BMT FEM 15MM 162615

Facility

$19,349.00

Hospital Charge Code	270616308
Hospital Revenue Code	278
Min. Negotiated Rate	$466.31
Max. Negotiated Rate	$9,674.50
Rate for Payer: Aetna Commercial	$7,352.62
Rate for Payer: Aetna Medicare Advantage	$5,804.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,933.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,933.99
Rate for Payer: Cigna Commercial	$9,674.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,256.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35
Rate for Payer: UnitedHealthcare Community & State	$466.31
Rate for Payer: Wellpoint Medicaid Managed Care	$512.75

STEM BMT FEM 15MM 162615

Facility

$19,349.00

Hospital Charge Code	270616308
Hospital Revenue Code	278
Min. Negotiated Rate	$2,902.35
Max. Negotiated Rate	$4,682.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,869.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,682.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,256.78
Rate for Payer: Qualcare PPO/HMO/WC	$2,902.35

STEM BMT FEM 16 160 162676

Facility

$17,519.25

Hospital Charge Code	270628864
Hospital Revenue Code	278
Min. Negotiated Rate	$422.21
Max. Negotiated Rate	$8,759.62
Rate for Payer: Aetna Commercial	$6,657.31
Rate for Payer: Aetna Medicare Advantage	$5,255.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,467.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,467.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,503.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,467.41
Rate for Payer: Cigna Commercial	$8,759.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,854.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,627.89
Rate for Payer: UnitedHealthcare Community & State	$422.21
Rate for Payer: Wellpoint Medicaid Managed Care	$464.26

STEM BMT FEM 16 160 162676

Facility

$17,519.25

Hospital Charge Code	270628864
Hospital Revenue Code	278
Min. Negotiated Rate	$2,627.89
Max. Negotiated Rate	$4,239.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,503.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,239.66
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,854.24
Rate for Payer: Qualcare PPO/HMO/WC	$2,627.89

STEM BMT FEM 16MM 162904

Facility

$6,472.85

Hospital Charge Code	270615750
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$3,236.43
Rate for Payer: Aetna Commercial	$2,459.68
Rate for Payer: Aetna Medicare Advantage	$1,941.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.58
Rate for Payer: Cigna Commercial	$3,236.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.03
Rate for Payer: Qualcare PPO/HMO/WC	$970.93
Rate for Payer: UnitedHealthcare Community & State	$156.00
Rate for Payer: Wellpoint Medicaid Managed Care	$171.53

STEM BMT FEM 16MM 162904

Facility

$6,472.85

Hospital Charge Code	270615750
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$1,566.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.03
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT FEM 17 200MM 129118

Facility

$13,650.00

Hospital Charge Code	270612028
Hospital Revenue Code	278
Min. Negotiated Rate	$328.96
Max. Negotiated Rate	$6,825.00
Rate for Payer: Aetna Commercial	$5,187.00
Rate for Payer: Aetna Medicare Advantage	$4,095.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,480.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,480.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,730.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,480.75
Rate for Payer: Cigna Commercial	$6,825.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,303.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,003.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,047.50
Rate for Payer: UnitedHealthcare Community & State	$328.96
Rate for Payer: Wellpoint Medicaid Managed Care	$361.73

STEM BMT FEM 17 200MM 129118

Facility

$13,650.00

Hospital Charge Code	270612028
Hospital Revenue Code	278
Min. Negotiated Rate	$2,047.50
Max. Negotiated Rate	$3,303.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,730.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,303.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,003.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,047.50

STEM BMT HIP FIX 14MM 162903

Facility

$6,472.85

Hospital Charge Code	270608619
Hospital Revenue Code	278
Min. Negotiated Rate	$970.93
Max. Negotiated Rate	$1,566.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.03
Rate for Payer: Qualcare PPO/HMO/WC	$970.93

STEM BMT HIP FIX 14MM 162903

Facility

$6,472.85

Hospital Charge Code	270608619
Hospital Revenue Code	278
Min. Negotiated Rate	$156.00
Max. Negotiated Rate	$3,236.43
Rate for Payer: Aetna Commercial	$2,459.68
Rate for Payer: Aetna Medicare Advantage	$1,941.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,650.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,294.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,650.58
Rate for Payer: Cigna Commercial	$3,236.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,566.43
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,424.03
Rate for Payer: Qualcare PPO/HMO/WC	$970.93
Rate for Payer: UnitedHealthcare Community & State	$156.00
Rate for Payer: Wellpoint Medicaid Managed Care	$171.53

STEM BMT HUMERAL 113757

Facility

$3,869.65

Hospital Charge Code	270610921
Hospital Revenue Code	278
Min. Negotiated Rate	$93.26
Max. Negotiated Rate	$1,934.83
Rate for Payer: Aetna Commercial	$1,470.47
Rate for Payer: Aetna Medicare Advantage	$1,160.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$986.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$986.76
Rate for Payer: Cigna Commercial	$1,934.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$936.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$851.32
Rate for Payer: Qualcare PPO/HMO/WC	$580.45
Rate for Payer: UnitedHealthcare Community & State	$93.26
Rate for Payer: Wellpoint Medicaid Managed Care	$102.55

Know your out-of-pocket cost for care.

All Charges