Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

STEM BMT HUMERAL 113757

Facility

$3,869.65

Hospital Charge Code	270610921
Hospital Revenue Code	278
Min. Negotiated Rate	$580.45
Max. Negotiated Rate	$936.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$773.93
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

STEM BMT HUMERAL 8MM 113704

Facility

$11,140.00

Hospital Charge Code	270627729
Hospital Revenue Code	278
Min. Negotiated Rate	$268.47
Max. Negotiated Rate	$5,570.00
Rate for Payer: Aetna Commercial	$4,233.20
Rate for Payer: Aetna Medicare Advantage	$3,342.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,840.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,840.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,228.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,840.70
Rate for Payer: Cigna Commercial	$5,570.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,695.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,450.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.00
Rate for Payer: UnitedHealthcare Community & State	$268.47
Rate for Payer: Wellpoint Medicaid Managed Care	$295.21

STEM BMT HUMERAL 8MM 113704

Facility

$11,140.00

Hospital Charge Code	270627729
Hospital Revenue Code	278
Min. Negotiated Rate	$1,671.00
Max. Negotiated Rate	$2,695.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,695.88
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,450.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,671.00

STEM BMT HUMERL 10MM 11-113706

Facility

$11,809.65

Hospital Charge Code	270615836
Hospital Revenue Code	278
Min. Negotiated Rate	$284.61
Max. Negotiated Rate	$5,904.82
Rate for Payer: Aetna Commercial	$4,487.67
Rate for Payer: Aetna Medicare Advantage	$3,542.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,361.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,011.46
Rate for Payer: Cigna Commercial	$5,904.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,857.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,598.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.45
Rate for Payer: UnitedHealthcare Community & State	$284.61
Rate for Payer: Wellpoint Medicaid Managed Care	$312.96

STEM BMT HUMERL 10MM 11-113706

Facility

$11,809.65

Hospital Charge Code	270615836
Hospital Revenue Code	278
Min. Negotiated Rate	$1,771.45
Max. Negotiated Rate	$2,857.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,361.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,857.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,598.12
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.45

STEM BMT I BEAM *******

Facility

$954.00

Hospital Charge Code	270606316
Hospital Revenue Code	272
Min. Negotiated Rate	$143.10
Max. Negotiated Rate	$143.10
Rate for Payer: Qualcare PPO/HMO/WC	$143.10

STEM BMT I BEAM *******

Facility

$954.00

Hospital Charge Code	270606316
Hospital Revenue Code	272
Min. Negotiated Rate	$22.99
Max. Negotiated Rate	$477.00
Rate for Payer: Aetna Commercial	$362.52
Rate for Payer: Aetna Medicare Advantage	$286.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$243.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$243.27
Rate for Payer: Cigna Commercial	$477.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.20
Rate for Payer: Oxford Commercial	$190.80
Rate for Payer: Qualcare PPO/HMO/WC	$143.10
Rate for Payer: UnitedHealthcare Commercial	$190.80
Rate for Payer: UnitedHealthcare Community & State	$22.99
Rate for Payer: Wellpoint Medicaid Managed Care	$25.28

STEM BMT I BEAM 40MM 141310

Facility

$2,437.65

Hospital Charge Code	270606914
Hospital Revenue Code	278
Min. Negotiated Rate	$365.65
Max. Negotiated Rate	$589.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$487.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$536.28
Rate for Payer: Qualcare PPO/HMO/WC	$365.65

STEM BMT I BEAM 40MM 141310

Facility

$2,437.65

Hospital Charge Code	270606914
Hospital Revenue Code	278
Min. Negotiated Rate	$58.75
Max. Negotiated Rate	$1,218.83
Rate for Payer: Aetna Commercial	$926.31
Rate for Payer: Aetna Medicare Advantage	$731.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$621.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$621.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$487.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$621.60
Rate for Payer: Cigna Commercial	$1,218.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$589.91
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$536.28
Rate for Payer: Qualcare PPO/HMO/WC	$365.65
Rate for Payer: UnitedHealthcare Community & State	$58.75
Rate for Payer: Wellpoint Medicaid Managed Care	$64.60

STEM BMT INT 12-162617

Facility

$7,675.00

Hospital Charge Code	270605339
Hospital Revenue Code	278
Min. Negotiated Rate	$184.97
Max. Negotiated Rate	$3,837.50
Rate for Payer: Aetna Commercial	$2,916.50
Rate for Payer: Aetna Medicare Advantage	$2,302.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,957.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,957.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,957.12
Rate for Payer: Cigna Commercial	$3,837.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,688.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.25
Rate for Payer: UnitedHealthcare Community & State	$184.97
Rate for Payer: Wellpoint Medicaid Managed Care	$203.39

STEM BMT INT 12-162617

Facility

$7,675.00

Hospital Charge Code	270605339
Hospital Revenue Code	278
Min. Negotiated Rate	$1,151.25
Max. Negotiated Rate	$1,857.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,535.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,857.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,688.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,151.25

STEM CELL APHERESIS

Facility

$3,726.00

Service Code	HCPCS 38231
Hospital Charge Code	3400231
Hospital Revenue Code	761
Min. Negotiated Rate	$89.80
Max. Negotiated Rate	$1,863.00
Rate for Payer: Aetna Commercial	$1,415.88
Rate for Payer: Aetna Medicare Advantage	$1,117.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$950.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$950.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$950.13
Rate for Payer: Cigna Commercial	$1,863.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,117.80
Rate for Payer: Oxford Commercial	$745.20
Rate for Payer: Qualcare PPO/HMO/WC	$558.90
Rate for Payer: UnitedHealthcare Commercial	$745.20
Rate for Payer: UnitedHealthcare Community & State	$89.80
Rate for Payer: Wellpoint Medicaid Managed Care	$98.74

STEM CELL APHERESIS

Facility

$3,726.00

Service Code	HCPCS 38231
Hospital Charge Code	3400231
Hospital Revenue Code	761
Min. Negotiated Rate	$558.90
Max. Negotiated Rate	$558.90
Rate for Payer: Qualcare PPO/HMO/WC	$558.90

STEM CELL APHERESIS KIT***

Facility

$1,146.00

Service Code	HCPCS 99999
Hospital Charge Code	3400249
Hospital Revenue Code	272
Min. Negotiated Rate	$171.90
Max. Negotiated Rate	$171.90
Rate for Payer: Qualcare PPO/HMO/WC	$171.90

STEM CELL APHERESIS KIT***

Facility

$1,146.00

Service Code	HCPCS 99999
Hospital Charge Code	3400249
Hospital Revenue Code	272
Min. Negotiated Rate	$27.62
Max. Negotiated Rate	$573.00
Rate for Payer: Aetna Commercial	$435.48
Rate for Payer: Aetna Medicare Advantage	$343.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$292.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$292.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$292.23
Rate for Payer: Cigna Commercial	$573.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$343.80
Rate for Payer: Oxford Commercial	$229.20
Rate for Payer: Qualcare PPO/HMO/WC	$171.90
Rate for Payer: UnitedHealthcare Commercial	$229.20
Rate for Payer: UnitedHealthcare Community & State	$27.62
Rate for Payer: Wellpoint Medicaid Managed Care	$30.37

STEM CEMENTED IM 11 X 225 MM

Facility

$15,252.00

Service Code	HCPCS C1776
Hospital Charge Code	270690276
Hospital Revenue Code	278
Min. Negotiated Rate	$367.57
Max. Negotiated Rate	$7,626.00
Rate for Payer: Aetna Commercial	$5,795.76
Rate for Payer: Aetna Medicare Advantage	$4,575.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,889.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,889.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,050.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,889.26
Rate for Payer: Cigna Commercial	$7,626.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,690.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,355.44
Rate for Payer: Qualcare PPO/HMO/WC	$2,287.80
Rate for Payer: UnitedHealthcare Community & State	$367.57
Rate for Payer: Wellpoint Medicaid Managed Care	$404.18

STEM CEMENTED IM 11 X 225 MM

Facility

$15,252.00

Service Code	HCPCS C1776
Hospital Charge Code	270690276
Hospital Revenue Code	278
Min. Negotiated Rate	$2,287.80
Max. Negotiated Rate	$3,690.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,050.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,690.98
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,355.44
Rate for Payer: Qualcare PPO/HMO/WC	$2,287.80

STEM CEMENTLESS FINNED 15MM

Facility

$4,575.00

Service Code	HCPCS C1776
Hospital Charge Code	270669578
Hospital Revenue Code	278
Min. Negotiated Rate	$686.25
Max. Negotiated Rate	$1,107.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,107.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,006.50
Rate for Payer: Qualcare PPO/HMO/WC	$686.25

STEM CEMENTLESS FINNED 15MM

Facility

$4,575.00

Service Code	HCPCS C1776
Hospital Charge Code	270669578
Hospital Revenue Code	278
Min. Negotiated Rate	$110.26
Max. Negotiated Rate	$2,287.50
Rate for Payer: Aetna Commercial	$1,738.50
Rate for Payer: Aetna Medicare Advantage	$1,372.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,166.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$915.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,166.62
Rate for Payer: Cigna Commercial	$2,287.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,107.15
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,006.50
Rate for Payer: Qualcare PPO/HMO/WC	$686.25
Rate for Payer: UnitedHealthcare Community & State	$110.26
Rate for Payer: Wellpoint Medicaid Managed Care	$121.24

STEM CEMENTLESS FINNED 19MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270675413
Hospital Revenue Code	278
Min. Negotiated Rate	$810.00
Max. Negotiated Rate	$1,306.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,188.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00

STEM CEMENTLESS FINNED 19MM

Facility

$5,400.00

Service Code	HCPCS C1776
Hospital Charge Code	270675413
Hospital Revenue Code	278
Min. Negotiated Rate	$130.14
Max. Negotiated Rate	$2,700.00
Rate for Payer: Aetna Commercial	$2,052.00
Rate for Payer: Aetna Medicare Advantage	$1,620.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,080.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,377.00
Rate for Payer: Cigna Commercial	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,306.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,188.00
Rate for Payer: Qualcare PPO/HMO/WC	$810.00
Rate for Payer: UnitedHealthcare Community & State	$130.14
Rate for Payer: Wellpoint Medicaid Managed Care	$143.10

STEM CEMENTRALIZER 10.0MM

Facility

$375.00

Service Code	HCPCS C1776
Hospital Charge Code	270691696
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

STEM CEMENTRALIZER 10.0MM

Facility

$375.00

Service Code	HCPCS C1776
Hospital Charge Code	270691696
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

STEM CEMENTRALIZER 8.5MM

Facility

$2,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270698952
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

STEM CEMENTRALIZER 8.5MM

Facility

$2,625.00

Service Code	HCPCS C1776
Hospital Charge Code	270698952
Hospital Revenue Code	278
Min. Negotiated Rate	$63.26
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$997.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$577.50
Rate for Payer: Qualcare PPO/HMO/WC	$393.75
Rate for Payer: UnitedHealthcare Community & State	$63.26
Rate for Payer: Wellpoint Medicaid Managed Care	$69.56

Know your out-of-pocket cost for care.

All Charges