Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CARTICEL BIOPSY TRANSPORT KIT

Facility

$2,475.00

Hospital Charge Code	270657891
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CARTICEL BIOPSY TRANSPORT KIT

Facility

$2,475.00

Hospital Charge Code	270657144
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CARTICEL BIOPSY TRANSPORT KIT

Facility

$2,475.00

Hospital Charge Code	270657144
Hospital Revenue Code	272
Min. Negotiated Rate	$59.65
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$742.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$59.65
Rate for Payer: Wellpoint Medicaid Managed Care	$65.59

CARTICEL BIOPSY TRANSPT KIT

Facility

$2,475.00

Hospital Charge Code	270657145
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

CARTICEL BIOPSY TRANSPT KIT

Facility

$2,475.00

Hospital Charge Code	270657145
Hospital Revenue Code	272
Min. Negotiated Rate	$59.65
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$742.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$59.65
Rate for Payer: Wellpoint Medicaid Managed Care	$65.59

CARTIFORM 10MM DISC

Facility

$16,050.00

Hospital Charge Code	270677959
Hospital Revenue Code	278
Min. Negotiated Rate	$2,407.50
Max. Negotiated Rate	$3,884.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,884.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,531.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50

CARTIFORM 10MM DISC

Facility

$16,050.00

Hospital Charge Code	270677959
Hospital Revenue Code	278
Min. Negotiated Rate	$386.81
Max. Negotiated Rate	$8,025.00
Rate for Payer: Aetna Commercial	$6,099.00
Rate for Payer: Aetna Medicare Advantage	$4,815.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,092.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,092.75
Rate for Payer: Cigna Commercial	$8,025.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,884.10
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,531.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,407.50
Rate for Payer: UnitedHealthcare Community & State	$386.81
Rate for Payer: Wellpoint Medicaid Managed Care	$425.32

CARTILAGE COAST SL 1.5x3 LCASM

Facility

$3,224.00

Hospital Charge Code	270632873
Hospital Revenue Code	278
Min. Negotiated Rate	$483.60
Max. Negotiated Rate	$780.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$709.28
Rate for Payer: Qualcare PPO/HMO/WC	$483.60

CARTILAGE COAST SL 1.5x3 LCASM

Facility

$3,224.00

Hospital Charge Code	270632873
Hospital Revenue Code	278
Min. Negotiated Rate	$77.70
Max. Negotiated Rate	$1,612.00
Rate for Payer: Aetna Commercial	$1,225.12
Rate for Payer: Aetna Medicare Advantage	$967.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$822.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$644.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$822.12
Rate for Payer: Cigna Commercial	$1,612.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$780.21
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$709.28
Rate for Payer: Qualcare PPO/HMO/WC	$483.60
Rate for Payer: UnitedHealthcare Community & State	$77.70
Rate for Payer: Wellpoint Medicaid Managed Care	$85.44

CARTILAGE COSTAL 15X25 950500

Facility

$1,478.45

Hospital Charge Code	270623484
Hospital Revenue Code	272
Min. Negotiated Rate	$35.63
Max. Negotiated Rate	$739.23
Rate for Payer: Aetna Commercial	$561.81
Rate for Payer: Aetna Medicare Advantage	$443.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$377.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$377.00
Rate for Payer: Cigna Commercial	$739.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.54
Rate for Payer: Oxford Commercial	$295.69
Rate for Payer: Qualcare PPO/HMO/WC	$221.77
Rate for Payer: UnitedHealthcare Commercial	$295.69
Rate for Payer: UnitedHealthcare Community & State	$35.63
Rate for Payer: Wellpoint Medicaid Managed Care	$39.18

CARTILAGE COSTAL 15X25 950500

Facility

$1,478.45

Hospital Charge Code	270623484
Hospital Revenue Code	272
Min. Negotiated Rate	$221.77
Max. Negotiated Rate	$221.77
Rate for Payer: Qualcare PPO/HMO/WC	$221.77

CARTILAGE COSTAL 4CM

Facility

$1,755.00

Hospital Charge Code	270638536
Hospital Revenue Code	272
Min. Negotiated Rate	$42.30
Max. Negotiated Rate	$877.50
Rate for Payer: Aetna Commercial	$666.90
Rate for Payer: Aetna Medicare Advantage	$526.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$447.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$447.52
Rate for Payer: Cigna Commercial	$877.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$526.50
Rate for Payer: Oxford Commercial	$351.00
Rate for Payer: Qualcare PPO/HMO/WC	$263.25
Rate for Payer: UnitedHealthcare Commercial	$351.00
Rate for Payer: UnitedHealthcare Community & State	$42.30
Rate for Payer: Wellpoint Medicaid Managed Care	$46.51

CARTILAGE COSTAL 4CM

Facility

$1,755.00

Hospital Charge Code	270638536
Hospital Revenue Code	272
Min. Negotiated Rate	$263.25
Max. Negotiated Rate	$263.25
Rate for Payer: Qualcare PPO/HMO/WC	$263.25

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638983
Hospital Revenue Code	272
Min. Negotiated Rate	$38.68
Max. Negotiated Rate	$802.50
Rate for Payer: Aetna Commercial	$609.90
Rate for Payer: Aetna Medicare Advantage	$481.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.27
Rate for Payer: Cigna Commercial	$802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.50
Rate for Payer: Oxford Commercial	$321.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.75
Rate for Payer: UnitedHealthcare Commercial	$321.00
Rate for Payer: UnitedHealthcare Community & State	$38.68
Rate for Payer: Wellpoint Medicaid Managed Care	$42.53

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638983
Hospital Revenue Code	272
Min. Negotiated Rate	$240.75
Max. Negotiated Rate	$240.75
Rate for Payer: Qualcare PPO/HMO/WC	$240.75

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638982
Hospital Revenue Code	272
Min. Negotiated Rate	$240.75
Max. Negotiated Rate	$240.75
Rate for Payer: Qualcare PPO/HMO/WC	$240.75

CARTILAGE COSTAL APPROX 20CML

Facility

$1,605.00

Hospital Charge Code	270638982
Hospital Revenue Code	272
Min. Negotiated Rate	$38.68
Max. Negotiated Rate	$802.50
Rate for Payer: Aetna Commercial	$609.90
Rate for Payer: Aetna Medicare Advantage	$481.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$409.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$409.27
Rate for Payer: Cigna Commercial	$802.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$481.50
Rate for Payer: Oxford Commercial	$321.00
Rate for Payer: Qualcare PPO/HMO/WC	$240.75
Rate for Payer: UnitedHealthcare Commercial	$321.00
Rate for Payer: UnitedHealthcare Community & State	$38.68
Rate for Payer: Wellpoint Medicaid Managed Care	$42.53

CARTILAGE FRAFT,N SEPTUM

Facility

$26,848.40

Service Code	HCPCS 20912
Hospital Charge Code	1600000741
Hospital Revenue Code	360
Min. Negotiated Rate	$4,027.26
Max. Negotiated Rate	$4,027.26
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26

CARTILAGE FRAFT,N SEPTUM

Facility

$26,848.40

Service Code	HCPCS 20912
Hospital Charge Code	1600000741
Hospital Revenue Code	360
Min. Negotiated Rate	$647.05
Max. Negotiated Rate	$15,196.98
Rate for Payer: Aetna Commercial	$11,451.31
Rate for Payer: Aetna Medicare Advantage	$13,640.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,196.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,196.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,210.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,355.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,196.98
Rate for Payer: Cigna Commercial	$8,439.01
Rate for Payer: Cigna Medicare Advantage	$4,210.04
Rate for Payer: Clover Medicare Advantage	$3,999.54
Rate for Payer: EmblemHealth Commercial	$12,630.12
Rate for Payer: Humana Medicare Advantage	$4,336.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,210.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,054.52
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,027.26
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$647.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,210.04
Rate for Payer: Wellcare Medicare Advantage	$4,210.04
Rate for Payer: Wellpoint Medicaid Managed Care	$711.48

CARTILAGE REMOVER

Facility

$1,386.95

Hospital Charge Code	270691599
Hospital Revenue Code	272
Min. Negotiated Rate	$33.43
Max. Negotiated Rate	$693.48
Rate for Payer: Aetna Commercial	$527.04
Rate for Payer: Aetna Medicare Advantage	$416.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$353.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$353.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$353.67
Rate for Payer: Cigna Commercial	$693.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$416.08
Rate for Payer: Oxford Commercial	$277.39
Rate for Payer: Qualcare PPO/HMO/WC	$208.04
Rate for Payer: UnitedHealthcare Commercial	$277.39
Rate for Payer: UnitedHealthcare Community & State	$33.43
Rate for Payer: Wellpoint Medicaid Managed Care	$36.75

CARTILAGE REMOVER

Facility

$1,386.95

Hospital Charge Code	270691599
Hospital Revenue Code	272
Min. Negotiated Rate	$208.04
Max. Negotiated Rate	$208.04
Rate for Payer: Qualcare PPO/HMO/WC	$208.04

CARTIMAX VIABLE CARTIL ALLOGRA

Facility

$24,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270687924
Hospital Revenue Code	278
Min. Negotiated Rate	$596.48
Max. Negotiated Rate	$12,375.00
Rate for Payer: Aetna Commercial	$9,405.00
Rate for Payer: Aetna Medicare Advantage	$7,425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,311.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,311.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,950.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,311.25
Rate for Payer: Cigna Commercial	$12,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,989.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,712.50
Rate for Payer: UnitedHealthcare Community & State	$596.48
Rate for Payer: Wellpoint Medicaid Managed Care	$655.88

CARTIMAX VIABLE CARTIL ALLOGRA

Facility

$24,750.00

Service Code	HCPCS C1763
Hospital Charge Code	270687924
Hospital Revenue Code	278
Min. Negotiated Rate	$3,712.50
Max. Negotiated Rate	$5,989.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,989.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,445.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,712.50

CARTIVA MTP IMPLANT 8mm

Facility

$18,750.00

Service Code	HCPCS L8641
Hospital Charge Code	270679214
Hospital Revenue Code	278
Min. Negotiated Rate	$451.88
Max. Negotiated Rate	$9,375.00
Rate for Payer: Aetna Commercial	$7,125.00
Rate for Payer: Aetna Medicare Advantage	$5,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,781.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,781.25
Rate for Payer: Cigna Commercial	$9,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50
Rate for Payer: UnitedHealthcare Community & State	$451.88
Rate for Payer: Wellpoint Medicaid Managed Care	$496.88

CARTIVA MTP IMPLANT 8mm

Facility

$18,750.00

Service Code	HCPCS L8641
Hospital Charge Code	270679214
Hospital Revenue Code	278
Min. Negotiated Rate	$2,812.50
Max. Negotiated Rate	$4,537.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,537.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,125.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,812.50

Know your out-of-pocket cost for care.

All Charges