Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CRESCENTIC BLADE 21MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674689
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 21MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674689
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENTIC BLADE 24MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674690
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 24MM 45x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674690
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENTIC BLADE 27MM 50x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674691
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENTIC BLADE 27MM 50x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674691
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 30MM 50x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674692
Hospital Revenue Code	272
Min. Negotiated Rate	$317.62
Max. Negotiated Rate	$317.62
Rate for Payer: Qualcare PPO/HMO/WC	$317.62

CRESCENTIC BLADE 30MM 50x0.6MM

Facility

$2,117.50

Hospital Charge Code	270674692
Hospital Revenue Code	272
Min. Negotiated Rate	$51.03
Max. Negotiated Rate	$1,058.75
Rate for Payer: Aetna Commercial	$804.65
Rate for Payer: Aetna Medicare Advantage	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$539.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$539.96
Rate for Payer: Cigna Commercial	$1,058.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Oxford Commercial	$423.50
Rate for Payer: Qualcare PPO/HMO/WC	$317.62
Rate for Payer: UnitedHealthcare Commercial	$423.50
Rate for Payer: UnitedHealthcare Community & State	$51.03
Rate for Payer: Wellpoint Medicaid Managed Care	$56.11

CRESCENT SNARE

Facility

$495.00

Hospital Charge Code	270325501
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

CRESCENT SNARE

Facility

$495.00

Hospital Charge Code	270325501
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

CRESEMBRA 372MG VAIL

Facility

$2,366.30

Hospital Charge Code	606390585
Hospital Revenue Code	250
Min. Negotiated Rate	$57.03
Max. Negotiated Rate	$1,183.15
Rate for Payer: Aetna Commercial	$899.19
Rate for Payer: Aetna Medicare Advantage	$709.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$603.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$603.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$603.41
Rate for Payer: Cigna Commercial	$1,183.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$709.89
Rate for Payer: Oxford Commercial	$473.26
Rate for Payer: Qualcare PPO/HMO/WC	$354.94
Rate for Payer: UnitedHealthcare Commercial	$473.26
Rate for Payer: UnitedHealthcare Community & State	$57.03
Rate for Payer: Wellpoint Medicaid Managed Care	$62.71

CRESEMBRA 372MG VAIL

Facility

$2,366.30

Hospital Charge Code	606390585
Hospital Revenue Code	250
Min. Negotiated Rate	$354.94
Max. Negotiated Rate	$354.94
Rate for Payer: Qualcare PPO/HMO/WC	$354.94

CRESENT KNIFE OPHTHALMIC

Facility

$178.00

Hospital Charge Code	270330801
Hospital Revenue Code	272
Min. Negotiated Rate	$26.70
Max. Negotiated Rate	$26.70
Rate for Payer: Qualcare PPO/HMO/WC	$26.70

CRESENT KNIFE OPHTHALMIC

Facility

$178.00

Hospital Charge Code	270330801
Hospital Revenue Code	272
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$89.00
Rate for Payer: Aetna Commercial	$67.64
Rate for Payer: Aetna Medicare Advantage	$53.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.39
Rate for Payer: Cigna Commercial	$89.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.40
Rate for Payer: Oxford Commercial	$35.60
Rate for Payer: Qualcare PPO/HMO/WC	$26.70
Rate for Payer: UnitedHealthcare Commercial	$35.60
Rate for Payer: UnitedHealthcare Community & State	$4.29
Rate for Payer: Wellpoint Medicaid Managed Care	$4.72

CRESTOR 10MG TABLET

Facility

$55.14

Service Code	NDC 310075139
Hospital Charge Code	60635616
Hospital Revenue Code	250
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.54
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

CRESTOR 10MG TABLET

Facility

$55.14

Service Code	NDC 310075139
Hospital Charge Code	60635616
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 20MG TABLET

Facility

$55.14

Service Code	NDC 310075239
Hospital Charge Code	60635617
Hospital Revenue Code	250
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.54
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

CRESTOR 20MG TABLET

Facility

$55.14

Service Code	NDC 310075239
Hospital Charge Code	60635617
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 2.5 TAB

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	606351004
Hospital Revenue Code	250
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.54
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

CRESTOR 2.5 TAB

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	606351004
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRESTOR 40MG TABLET

Facility

$16.00

Hospital Charge Code	60635618
Hospital Revenue Code	250
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.00
Rate for Payer: Aetna Commercial	$6.08
Rate for Payer: Aetna Medicare Advantage	$4.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.08
Rate for Payer: Cigna Commercial	$8.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.80
Rate for Payer: Oxford Commercial	$3.20
Rate for Payer: Qualcare PPO/HMO/WC	$2.40
Rate for Payer: UnitedHealthcare Commercial	$3.20
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

CRESTOR 40MG TABLET

Facility

$16.00

Hospital Charge Code	60635618
Hospital Revenue Code	250
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

CRESTOR 5MG TABLET

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	60635620
Hospital Revenue Code	250
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.57
Rate for Payer: Aetna Commercial	$20.95
Rate for Payer: Aetna Medicare Advantage	$16.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.06
Rate for Payer: Cigna Commercial	$27.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.54
Rate for Payer: Oxford Commercial	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$8.27
Rate for Payer: UnitedHealthcare Commercial	$11.03
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.46

CRESTOR 5MG TABLET

Facility

$55.14

Service Code	NDC 310756090
Hospital Charge Code	60635620
Hospital Revenue Code	250
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$8.27
Rate for Payer: Qualcare PPO/HMO/WC	$8.27

CRE WG 12-15MM/180

Facility

$1,067.35

Service Code	HCPCS C1726
Hospital Charge Code	270680629
Hospital Revenue Code	278
Min. Negotiated Rate	$25.72
Max. Negotiated Rate	$533.67
Rate for Payer: Aetna Commercial	$405.59
Rate for Payer: Aetna Medicare Advantage	$320.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$272.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$213.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$272.17
Rate for Payer: Cigna Commercial	$533.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$258.30
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$234.82
Rate for Payer: Qualcare PPO/HMO/WC	$160.10
Rate for Payer: UnitedHealthcare Community & State	$25.72
Rate for Payer: Wellpoint Medicaid Managed Care	$28.28

Know your out-of-pocket cost for care.

All Charges