Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CENTRALIZER ZIM VS 14MM 785514

Facility

$346.45

Hospital Charge Code	270610797
Hospital Revenue Code	278
Min. Negotiated Rate	$8.35
Max. Negotiated Rate	$173.22
Rate for Payer: Aetna Commercial	$131.65
Rate for Payer: Aetna Medicare Advantage	$103.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$88.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$88.34
Rate for Payer: Cigna Commercial	$173.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.97
Rate for Payer: UnitedHealthcare Community & State	$8.35
Rate for Payer: Wellpoint Medicaid Managed Care	$9.18

CENTRALIZER ZIM VS 14MM 785514

Facility

$346.45

Hospital Charge Code	270610797
Hospital Revenue Code	278
Min. Negotiated Rate	$51.97
Max. Negotiated Rate	$83.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$69.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.84
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$76.22
Rate for Payer: Qualcare PPO/HMO/WC	$51.97

CENTRALIZER ZIM VS 14MM 785914

Facility

$461.65

Hospital Charge Code	270612221
Hospital Revenue Code	278
Min. Negotiated Rate	$69.25
Max. Negotiated Rate	$111.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.56
Rate for Payer: Qualcare PPO/HMO/WC	$69.25

CENTRALIZER ZIM VS 14MM 785914

Facility

$461.65

Hospital Charge Code	270612221
Hospital Revenue Code	278
Min. Negotiated Rate	$11.13
Max. Negotiated Rate	$230.82
Rate for Payer: Aetna Commercial	$175.43
Rate for Payer: Aetna Medicare Advantage	$138.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$92.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.72
Rate for Payer: Cigna Commercial	$230.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$111.72
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$101.56
Rate for Payer: Qualcare PPO/HMO/WC	$69.25
Rate for Payer: UnitedHealthcare Community & State	$11.13
Rate for Payer: Wellpoint Medicaid Managed Care	$12.23

CENTRALIZER ZIM VS 15MM 785915

Facility

$769.65

Hospital Charge Code	270608928
Hospital Revenue Code	278
Min. Negotiated Rate	$18.55
Max. Negotiated Rate	$384.82
Rate for Payer: Aetna Commercial	$292.47
Rate for Payer: Aetna Medicare Advantage	$230.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$196.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$196.26
Rate for Payer: Cigna Commercial	$384.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$169.32
Rate for Payer: Qualcare PPO/HMO/WC	$115.45
Rate for Payer: UnitedHealthcare Community & State	$18.55
Rate for Payer: Wellpoint Medicaid Managed Care	$20.40

CENTRALIZER ZIM VS 15MM 785915

Facility

$769.65

Hospital Charge Code	270608928
Hospital Revenue Code	278
Min. Negotiated Rate	$115.45
Max. Negotiated Rate	$186.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$153.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$186.26
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$169.32
Rate for Payer: Qualcare PPO/HMO/WC	$115.45

CENTRALIZER ZIM VS 16MM 785916

Facility

$568.00

Hospital Charge Code	270619569
Hospital Revenue Code	278
Min. Negotiated Rate	$85.20
Max. Negotiated Rate	$137.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20

CENTRALIZER ZIM VS 16MM 785916

Facility

$568.00

Hospital Charge Code	270619569
Hospital Revenue Code	278
Min. Negotiated Rate	$13.69
Max. Negotiated Rate	$284.00
Rate for Payer: Aetna Commercial	$215.84
Rate for Payer: Aetna Medicare Advantage	$170.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.84
Rate for Payer: Cigna Commercial	$284.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.46
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.96
Rate for Payer: Qualcare PPO/HMO/WC	$85.20
Rate for Payer: UnitedHealthcare Community & State	$13.69
Rate for Payer: Wellpoint Medicaid Managed Care	$15.05

CENTRAL PARENTERAL NUTRITION

Facility

$851.25

Hospital Charge Code	6007116
Hospital Revenue Code	250
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$425.62
Rate for Payer: Aetna Commercial	$323.48
Rate for Payer: Aetna Medicare Advantage	$255.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$217.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$217.07
Rate for Payer: Cigna Commercial	$425.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$255.38
Rate for Payer: Oxford Commercial	$170.25
Rate for Payer: Qualcare PPO/HMO/WC	$127.69
Rate for Payer: UnitedHealthcare Commercial	$170.25
Rate for Payer: UnitedHealthcare Community & State	$20.52
Rate for Payer: Wellpoint Medicaid Managed Care	$22.56

CENTRAL PARENTERAL NUTRITION

Facility

$851.25

Hospital Charge Code	6007116
Hospital Revenue Code	250
Min. Negotiated Rate	$127.69
Max. Negotiated Rate	$127.69
Rate for Payer: Qualcare PPO/HMO/WC	$127.69

CENTRAL VENOUS CATHETERIZATION

Facility

$129.67

Hospital Charge Code	270650291
Hospital Revenue Code	272
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$64.83
Rate for Payer: Aetna Commercial	$49.27
Rate for Payer: Aetna Medicare Advantage	$38.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.07
Rate for Payer: Cigna Commercial	$64.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.90
Rate for Payer: Oxford Commercial	$25.93
Rate for Payer: Qualcare PPO/HMO/WC	$19.45
Rate for Payer: UnitedHealthcare Commercial	$25.93
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

CENTRAL VENOUS CATHETERIZATION

Facility

$129.67

Hospital Charge Code	270650291
Hospital Revenue Code	272
Min. Negotiated Rate	$19.45
Max. Negotiated Rate	$19.45
Rate for Payer: Qualcare PPO/HMO/WC	$19.45

CENTROMERE ANTIBODIES

Facility

$409.00

Service Code	HCPCS 86038
Hospital Charge Code	38476191
Hospital Revenue Code	302
Min. Negotiated Rate	$61.35
Max. Negotiated Rate	$61.35
Rate for Payer: Qualcare PPO/HMO/WC	$61.35

CENTROMERE ANTIBODIES

Facility

$409.00

Service Code	HCPCS 86038
Hospital Charge Code	38476191
Hospital Revenue Code	302
Min. Negotiated Rate	$9.67
Max. Negotiated Rate	$204.50
Rate for Payer: Aetna Commercial	$32.88
Rate for Payer: Aetna Medicare Advantage	$39.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.64
Rate for Payer: Cigna Commercial	$204.50
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$11.49
Rate for Payer: EmblemHealth Commercial	$36.27
Rate for Payer: Humana Medicare Advantage	$12.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.09
Rate for Payer: Wellcare Medicare Advantage	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$10.84

CENTROMERE B AB

Facility

$390.00

Service Code	HCPCS 86038
Hospital Charge Code	39900191
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CENTROMERE B AB

Facility

$390.00

Service Code	HCPCS 86038
Hospital Charge Code	39900191
Hospital Revenue Code	302
Min. Negotiated Rate	$9.67
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$32.88
Rate for Payer: Aetna Medicare Advantage	$39.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$15.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.64
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.09
Rate for Payer: Clover Medicare Advantage	$11.49
Rate for Payer: EmblemHealth Commercial	$36.27
Rate for Payer: Humana Medicare Advantage	$12.45
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.09
Rate for Payer: Wellcare Medicare Advantage	$12.09
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CENTROMERE IGG AB (ANA TITER)

Facility

$164.85

Service Code	HCPCS 86235
Hospital Charge Code	3007952
Hospital Revenue Code	302
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$58.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$64.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17.93
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	$64.72
Rate for Payer: Cigna Commercial	$82.42
Rate for Payer: Cigna Medicare Advantage	$17.93
Rate for Payer: Clover Medicare Advantage	$17.03
Rate for Payer: EmblemHealth Commercial	$53.79
Rate for Payer: Humana Medicare Advantage	$18.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.45
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.73
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$14.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.93
Rate for Payer: Wellcare Medicare Advantage	$17.93
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

CENTROMERE IGG AB (ANA TITER)

Facility

$164.85

Service Code	HCPCS 86235
Hospital Charge Code	3007952
Hospital Revenue Code	302
Min. Negotiated Rate	$24.73
Max. Negotiated Rate	$24.73
Rate for Payer: Qualcare PPO/HMO/WC	$24.73

CEPACOL/10EACH

Facility

$2.00

Hospital Charge Code	60632665
Hospital Revenue Code	250
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$0.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.30

CEPACOL/10EACH

Facility

$2.00

Hospital Charge Code	60632665
Hospital Revenue Code	250
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.00
Rate for Payer: Aetna Commercial	$0.76
Rate for Payer: Aetna Medicare Advantage	$0.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.51
Rate for Payer: Cigna Commercial	$1.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.60
Rate for Payer: Oxford Commercial	$0.40
Rate for Payer: Qualcare PPO/HMO/WC	$0.30
Rate for Payer: UnitedHealthcare Commercial	$0.40
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

CEPACOL LOZENGE

Facility

$4.00

Service Code	NDC 363070008
Hospital Charge Code	60628588
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

CEPACOL LOZENGE

Facility

$4.00

Service Code	NDC 363070008
Hospital Charge Code	60628588
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

CEPHALEXIN/125MG/5ML

Facility

$18.00

Hospital Charge Code	60632668
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

CEPHALEXIN/125MG/5ML

Facility

$18.00

Hospital Charge Code	60632668
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

CEPHALEXIN/250MG/CAP

Facility

$3.00

Hospital Charge Code	60632666
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

Know your out-of-pocket cost for care.

All Charges