Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CRASH CART-MEDS

Facility

$573.00

Hospital Charge Code	60635246
Hospital Revenue Code	250
Min. Negotiated Rate	$13.81
Max. Negotiated Rate	$286.50
Rate for Payer: Aetna Commercial	$217.74
Rate for Payer: Aetna Medicare Advantage	$171.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$146.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$146.12
Rate for Payer: Cigna Commercial	$286.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$171.90
Rate for Payer: Oxford Commercial	$114.60
Rate for Payer: Qualcare PPO/HMO/WC	$85.95
Rate for Payer: UnitedHealthcare Commercial	$114.60
Rate for Payer: UnitedHealthcare Community & State	$13.81
Rate for Payer: Wellpoint Medicaid Managed Care	$15.18

CRASH CART PEDIATRIC

Facility

$2,804.85

Hospital Charge Code	270607546
Hospital Revenue Code	270
Min. Negotiated Rate	$67.60
Max. Negotiated Rate	$1,402.42
Rate for Payer: Aetna Commercial	$1,065.84
Rate for Payer: Aetna Medicare Advantage	$841.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$715.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$715.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$715.24
Rate for Payer: Cigna Commercial	$1,402.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$841.46
Rate for Payer: Oxford Commercial	$560.97
Rate for Payer: Qualcare PPO/HMO/WC	$420.73
Rate for Payer: UnitedHealthcare Commercial	$560.97
Rate for Payer: UnitedHealthcare Community & State	$67.60
Rate for Payer: Wellpoint Medicaid Managed Care	$74.33

CRASH CART PEDIATRIC

Facility

$2,804.85

Hospital Charge Code	270607546
Hospital Revenue Code	270
Min. Negotiated Rate	$420.73
Max. Negotiated Rate	$420.73
Rate for Payer: Qualcare PPO/HMO/WC	$420.73

CRAYOLA CLASSPACK REGULAR MARK

Facility

$324.95

Hospital Charge Code	270663154
Hospital Revenue Code	270
Min. Negotiated Rate	$48.74
Max. Negotiated Rate	$48.74
Rate for Payer: Qualcare PPO/HMO/WC	$48.74

CRAYOLA CLASSPACK REGULAR MARK

Facility

$324.95

Hospital Charge Code	270663154
Hospital Revenue Code	270
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$162.47
Rate for Payer: Aetna Commercial	$123.48
Rate for Payer: Aetna Medicare Advantage	$97.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.86
Rate for Payer: Cigna Commercial	$162.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.48
Rate for Payer: Oxford Commercial	$64.99
Rate for Payer: Qualcare PPO/HMO/WC	$48.74
Rate for Payer: UnitedHealthcare Commercial	$64.99
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

C REACTIVE PROTEIN

Facility

$240.00

Service Code	HCPCS 86140
Hospital Charge Code	38476009
Hospital Revenue Code	302
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$120.00
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$6.36

C REACTIVE PROTEIN

Facility

$240.00

Service Code	HCPCS 86140
Hospital Charge Code	38476009
Hospital Revenue Code	302
Min. Negotiated Rate	$36.00
Max. Negotiated Rate	$36.00
Rate for Payer: Qualcare PPO/HMO/WC	$36.00

C-REACTIVE PROTEIN

Facility

$35.55

Service Code	HCPCS 86140
Hospital Charge Code	39900193
Hospital Revenue Code	302
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$17.77
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.66
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

C-REACTIVE PROTEIN

Facility

$35.55

Service Code	HCPCS 86140
Hospital Charge Code	39900193
Hospital Revenue Code	302
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$5.33
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

C-REACTIVE PROTEIN, CRP

Facility

$77.65

Service Code	HCPCS 86140
Hospital Charge Code	3004728
Hospital Revenue Code	302
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

C-REACTIVE PROTEIN, CRP

Facility

$77.65

Service Code	HCPCS 86140
Hospital Charge Code	3004728
Hospital Revenue Code	302
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

C-Reactive Protein, Quant

Facility

$667.59

Service Code	HCPCS 86140
Hospital Charge Code	39888006
Hospital Revenue Code	302
Min. Negotiated Rate	$4.14
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$14.09
Rate for Payer: Aetna Medicare Advantage	$16.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.70
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$5.18
Rate for Payer: Clover Medicare Advantage	$4.92
Rate for Payer: EmblemHealth Commercial	$15.54
Rate for Payer: Humana Medicare Advantage	$5.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.18
Rate for Payer: Wellcare Medicare Advantage	$5.18
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

C-Reactive Protein, Quant

Facility

$667.59

Service Code	HCPCS 86140
Hospital Charge Code	39888006
Hospital Revenue Code	302
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

CREAM ALOE VESTA ANTIFUNGL 2oz

Facility

$12.30

Hospital Charge Code	270649389
Hospital Revenue Code	272
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$1.84
Rate for Payer: Qualcare PPO/HMO/WC	$1.84

CREAM ALOE VESTA ANTIFUNGL 2oz

Facility

$12.30

Hospital Charge Code	270649389
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.15
Rate for Payer: Aetna Commercial	$4.67
Rate for Payer: Aetna Medicare Advantage	$3.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.14
Rate for Payer: Cigna Commercial	$6.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.69
Rate for Payer: Oxford Commercial	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.84
Rate for Payer: UnitedHealthcare Commercial	$2.46
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

CREAM ALOE VEST PROTECT 2oz

Facility

$6.59

Hospital Charge Code	270649390
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.29
Rate for Payer: Aetna Commercial	$2.50
Rate for Payer: Aetna Medicare Advantage	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.68
Rate for Payer: Cigna Commercial	$3.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.98
Rate for Payer: Oxford Commercial	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$0.99
Rate for Payer: UnitedHealthcare Commercial	$1.32
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

CREAM ALOE VEST PROTECT 2oz

Facility

$6.59

Hospital Charge Code	270649390
Hospital Revenue Code	272
Min. Negotiated Rate	$0.99
Max. Negotiated Rate	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.99

CREAM BASE 454 GM

Facility

$93.45

Hospital Charge Code	6001408
Hospital Revenue Code	252
Min. Negotiated Rate	$14.02
Max. Negotiated Rate	$14.02
Rate for Payer: Qualcare PPO/HMO/WC	$14.02

CREAM BASE 454 GM

Facility

$93.45

Hospital Charge Code	6001408
Hospital Revenue Code	252
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$46.73
Rate for Payer: Aetna Commercial	$35.51
Rate for Payer: Aetna Medicare Advantage	$28.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.83
Rate for Payer: Cigna Commercial	$46.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.04
Rate for Payer: Oxford Commercial	$18.69
Rate for Payer: Qualcare PPO/HMO/WC	$14.02
Rate for Payer: UnitedHealthcare Commercial	$18.69
Rate for Payer: UnitedHealthcare Community & State	$2.25
Rate for Payer: Wellpoint Medicaid Managed Care	$2.48

CREAM OMNI PREP 4OZ

Facility

$69.40

Hospital Charge Code	270654267
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.70
Rate for Payer: Aetna Commercial	$26.37
Rate for Payer: Aetna Medicare Advantage	$20.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.70
Rate for Payer: Cigna Commercial	$34.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.82
Rate for Payer: Oxford Commercial	$13.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.41
Rate for Payer: UnitedHealthcare Commercial	$13.88
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

CREAM OMNI PREP 4OZ

Facility

$69.40

Hospital Charge Code	270654267
Hospital Revenue Code	272
Min. Negotiated Rate	$10.41
Max. Negotiated Rate	$10.41
Rate for Payer: Qualcare PPO/HMO/WC	$10.41

CREAM SENSI-CARE BARRIER 2oz

Facility

$16.70

Hospital Charge Code	270649391
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

CREAM SENSI-CARE BARRIER 2oz

Facility

$16.70

Hospital Charge Code	270649391
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.35
Rate for Payer: Aetna Commercial	$6.35
Rate for Payer: Aetna Medicare Advantage	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.26
Rate for Payer: Cigna Commercial	$8.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.01
Rate for Payer: Oxford Commercial	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

CREATE AV FISTLA,AUTOGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36825
Hospital Charge Code	1600000757
Hospital Revenue Code	360
Min. Negotiated Rate	$936.47
Max. Negotiated Rate	$23,862.86
Rate for Payer: Aetna Commercial	$17,981.27
Rate for Payer: Aetna Medicare Advantage	$21,418.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,862.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,610.76
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	$23,862.86
Rate for Payer: Cigna Commercial	$13,251.23
Rate for Payer: Cigna Medicare Advantage	$6,610.76
Rate for Payer: Clover Medicare Advantage	$6,280.22
Rate for Payer: EmblemHealth Commercial	$19,832.28
Rate for Payer: Humana Medicare Advantage	$6,809.08
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,610.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,657.28
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$936.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,610.76
Rate for Payer: Wellcare Medicare Advantage	$6,610.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1,029.73

CREATE AV FISTLA,AUTOGENS GRFT

Facility

$38,857.60

Service Code	HCPCS 36825
Hospital Charge Code	1600000757
Hospital Revenue Code	360
Min. Negotiated Rate	$5,828.64
Max. Negotiated Rate	$5,828.64
Rate for Payer: Qualcare PPO/HMO/WC	$5,828.64

Know your out-of-pocket cost for care.

All Charges