Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

BONE MARROW CONC SYSTEM 60ML

Facility

$17,250.00

Hospital Charge Code	270672818
Hospital Revenue Code	272
Min. Negotiated Rate	$2,587.50
Max. Negotiated Rate	$2,587.50
Rate for Payer: Qualcare PPO/HMO/WC	$2,587.50

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$5,624.10
Max. Negotiated Rate	$5,624.10
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10

BONE MARROW HARVEST AUTOLOG

Facility

$37,494.00

Service Code	HCPCS 38232
Hospital Charge Code	16000740
Hospital Revenue Code	360
Min. Negotiated Rate	$903.61
Max. Negotiated Rate	$18,678.21
Rate for Payer: Aetna Commercial	$14,074.50
Rate for Payer: Aetna Medicare Advantage	$16,765.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,678.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,678.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,174.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,678.21
Rate for Payer: Cigna Commercial	$10,372.18
Rate for Payer: Cigna Medicare Advantage	$5,174.45
Rate for Payer: Clover Medicare Advantage	$4,915.73
Rate for Payer: EmblemHealth Commercial	$15,523.35
Rate for Payer: Humana Medicare Advantage	$5,329.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,174.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,248.20
Rate for Payer: Oxford Commercial	$7,559.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,624.10
Rate for Payer: UnitedHealthcare Commercial	$12,870.00
Rate for Payer: UnitedHealthcare Community & State	$903.61
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,174.45
Rate for Payer: Wellcare Medicare Advantage	$5,174.45
Rate for Payer: Wellpoint Medicaid Managed Care	$993.59

BONE MARROW HARVEST KIT

Facility

$11,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$1,721.25
Max. Negotiated Rate	$1,721.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25

BONE MARROW HARVEST KIT

Facility

$11,475.00

Hospital Charge Code	270669061
Hospital Revenue Code	272
Min. Negotiated Rate	$276.55
Max. Negotiated Rate	$5,737.50
Rate for Payer: Aetna Commercial	$4,360.50
Rate for Payer: Aetna Medicare Advantage	$3,442.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,926.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,926.12
Rate for Payer: Cigna Commercial	$5,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,442.50
Rate for Payer: Oxford Commercial	$2,295.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,721.25
Rate for Payer: UnitedHealthcare Commercial	$2,295.00
Rate for Payer: UnitedHealthcare Community & State	$276.55
Rate for Payer: Wellpoint Medicaid Managed Care	$304.09

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$129.95
Max. Negotiated Rate	$12,456.64
Rate for Payer: Aetna Commercial	$9,386.39
Rate for Payer: Aetna Medicare Advantage	$11,180.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12,456.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,450.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12,456.64
Rate for Payer: Cigna Commercial	$6,917.28
Rate for Payer: Cigna Medicare Advantage	$3,450.88
Rate for Payer: Clover Medicare Advantage	$3,278.34
Rate for Payer: EmblemHealth Commercial	$10,352.64
Rate for Payer: Humana Medicare Advantage	$3,554.41
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,450.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,617.64
Rate for Payer: Oxford Commercial	$3,248.00
Rate for Payer: Qualcare PPO/HMO/WC	$808.82
Rate for Payer: UnitedHealthcare Commercial	$5,311.00
Rate for Payer: UnitedHealthcare Community & State	$129.95
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,450.88
Rate for Payer: Wellcare Medicare Advantage	$3,450.88
Rate for Payer: Wellpoint Medicaid Managed Care	$142.89

BONE MARROW HARV TRANSPLANT

Facility

$5,392.12

Service Code	HCPCS 38222
Hospital Charge Code	16000355
Hospital Revenue Code	360
Min. Negotiated Rate	$808.82
Max. Negotiated Rate	$808.82
Rate for Payer: Qualcare PPO/HMO/WC	$808.82

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$36.85
Max. Negotiated Rate	$7,082.74
Rate for Payer: Aetna Commercial	$5,337.02
Rate for Payer: Aetna Medicare Advantage	$6,357.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7,082.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,962.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7,082.74
Rate for Payer: Cigna Commercial	$3,933.12
Rate for Payer: Cigna Medicare Advantage	$1,962.14
Rate for Payer: Clover Medicare Advantage	$1,864.03
Rate for Payer: EmblemHealth Commercial	$5,886.42
Rate for Payer: Humana Medicare Advantage	$2,021.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,962.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.70
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$36.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,962.14
Rate for Payer: Wellcare Medicare Advantage	$1,962.14
Rate for Payer: Wellpoint Medicaid Managed Care	$40.52

BONE MARROW NEEDLE BIOPSY

Facility

$1,529.00

Service Code	HCPCS 38221
Hospital Charge Code	3407005
Hospital Revenue Code	361
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$229.35
Max. Negotiated Rate	$229.35
Rate for Payer: Qualcare PPO/HMO/WC	$229.35

BONE MARROW NEEDLE BIOPSY-STAI

Facility

$1,529.00

Service Code	HCPCS 88313
Hospital Charge Code	38474076
Hospital Revenue Code	310
Min. Negotiated Rate	$40.52
Max. Negotiated Rate	$570.55
Rate for Payer: Aetna Commercial	$429.92
Rate for Payer: Aetna Medicare Advantage	$512.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$570.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$158.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$570.55
Rate for Payer: Cigna Commercial	$316.85
Rate for Payer: Cigna Medicare Advantage	$158.06
Rate for Payer: Clover Medicare Advantage	$150.16
Rate for Payer: EmblemHealth Commercial	$474.18
Rate for Payer: Humana Medicare Advantage	$162.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$158.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$458.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$229.35
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$68.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$158.06
Rate for Payer: Wellcare Medicare Advantage	$158.06
Rate for Payer: Wellpoint Medicaid Managed Care	$40.52

BONE MARROW SMEAR

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005355
Hospital Revenue Code	310
Min. Negotiated Rate	$39.73
Max. Negotiated Rate	$39.73
Rate for Payer: Qualcare PPO/HMO/WC	$39.73

BONE MARROW SMEAR

Facility

$264.85

Service Code	HCPCS 88104
Hospital Charge Code	3005355
Hospital Revenue Code	310
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$120.69
Rate for Payer: Aetna Medicare Advantage	$143.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.16
Rate for Payer: Cigna Commercial	$88.94
Rate for Payer: Cigna Medicare Advantage	$44.37
Rate for Payer: Clover Medicare Advantage	$42.15
Rate for Payer: EmblemHealth Commercial	$133.11
Rate for Payer: Humana Medicare Advantage	$45.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.73
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$61.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.37
Rate for Payer: Wellcare Medicare Advantage	$44.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7.02

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$70.95
Max. Negotiated Rate	$70.95
Rate for Payer: Qualcare PPO/HMO/WC	$70.95

BONE MARROW SMEAR INTERPRETATI

Facility

$473.00

Service Code	HCPCS 85097
Hospital Charge Code	38474013
Hospital Revenue Code	305
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$3,455.10
Rate for Payer: Aetna Commercial	$2,603.50
Rate for Payer: Aetna Medicare Advantage	$3,101.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,455.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$957.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$46.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,455.10
Rate for Payer: Cigna Commercial	$1,918.64
Rate for Payer: Cigna Medicare Advantage	$957.17
Rate for Payer: Clover Medicare Advantage	$909.31
Rate for Payer: EmblemHealth Commercial	$2,871.51
Rate for Payer: Humana Medicare Advantage	$985.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$957.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.90
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$70.95
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$55.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$957.17
Rate for Payer: Wellcare Medicare Advantage	$957.17
Rate for Payer: Wellpoint Medicaid Managed Care	$12.53

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$36.87
Max. Negotiated Rate	$765.00
Rate for Payer: Aetna Commercial	$581.40
Rate for Payer: Aetna Medicare Advantage	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$390.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$390.15
Rate for Payer: Cigna Commercial	$765.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.60
Rate for Payer: Qualcare PPO/HMO/WC	$229.50
Rate for Payer: UnitedHealthcare Community & State	$36.87
Rate for Payer: Wellpoint Medicaid Managed Care	$40.55

BONE MARTIX ALLOGRAFT 1CC

Facility

$1,530.00

Service Code	HCPCS C1762
Hospital Charge Code	270671093
Hospital Revenue Code	278
Min. Negotiated Rate	$229.50
Max. Negotiated Rate	$370.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$306.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$370.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$336.60
Rate for Payer: Qualcare PPO/HMO/WC	$229.50

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$443.06
Max. Negotiated Rate	$714.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$649.83
Rate for Payer: Qualcare PPO/HMO/WC	$443.06

BONE MARTIX ALLOGRAFT 2CC

Facility

$2,953.75

Service Code	HCPCS C1762
Hospital Charge Code	270671094
Hospital Revenue Code	278
Min. Negotiated Rate	$71.19
Max. Negotiated Rate	$1,476.88
Rate for Payer: Aetna Commercial	$1,122.42
Rate for Payer: Aetna Medicare Advantage	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$753.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$590.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$753.21
Rate for Payer: Cigna Commercial	$1,476.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$714.81
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$649.83
Rate for Payer: Qualcare PPO/HMO/WC	$443.06
Rate for Payer: UnitedHealthcare Community & State	$71.19
Rate for Payer: Wellpoint Medicaid Managed Care	$78.27

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$449.62
Max. Negotiated Rate	$725.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$449.62

BONE MATRIX

Facility

$2,997.50

Service Code	HCPCS C1713
Hospital Charge Code	270692209
Hospital Revenue Code	278
Min. Negotiated Rate	$72.24
Max. Negotiated Rate	$1,498.75
Rate for Payer: Aetna Commercial	$1,139.05
Rate for Payer: Aetna Medicare Advantage	$899.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$599.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.36
Rate for Payer: Cigna Commercial	$1,498.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$725.39
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$659.45
Rate for Payer: Qualcare PPO/HMO/WC	$449.62
Rate for Payer: UnitedHealthcare Community & State	$72.24
Rate for Payer: Wellpoint Medicaid Managed Care	$79.43

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$593.46
Max. Negotiated Rate	$12,312.50
Rate for Payer: Aetna Commercial	$9,357.50
Rate for Payer: Aetna Medicare Advantage	$7,387.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,279.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,279.38
Rate for Payer: Cigna Commercial	$12,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,417.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75
Rate for Payer: UnitedHealthcare Community & State	$593.46
Rate for Payer: Wellpoint Medicaid Managed Care	$652.56

BONE MATRIX 10CC

Facility

$24,625.00

Service Code	HCPCS C1713
Hospital Charge Code	270692703
Hospital Revenue Code	278
Min. Negotiated Rate	$3,693.75
Max. Negotiated Rate	$5,959.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,925.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,959.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,417.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,693.75

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$1,496.25
Max. Negotiated Rate	$2,413.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25

BONE MATRIX 2.5MM

Facility

$9,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270692490
Hospital Revenue Code	278
Min. Negotiated Rate	$240.40
Max. Negotiated Rate	$4,987.50
Rate for Payer: Aetna Commercial	$3,790.50
Rate for Payer: Aetna Medicare Advantage	$2,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,543.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,543.62
Rate for Payer: Cigna Commercial	$4,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,413.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,194.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,496.25
Rate for Payer: UnitedHealthcare Community & State	$240.40
Rate for Payer: Wellpoint Medicaid Managed Care	$264.34

Know your out-of-pocket cost for care.

All Charges