Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ALDOSTERONE

Facility

$592.00

Service Code	HCPCS 82088
Hospital Charge Code	38472047
Hospital Revenue Code	307
Min. Negotiated Rate	$88.80
Max. Negotiated Rate	$88.80
Rate for Payer: Qualcare PPO/HMO/WC	$88.80

ALDOSTERONE

Facility

$592.00

Service Code	HCPCS 82088
Hospital Charge Code	38472047
Hospital Revenue Code	307
Min. Negotiated Rate	$15.69
Max. Negotiated Rate	$296.00
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$296.00
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$177.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$88.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$15.69

ALDOSTERONE 24-HOUR URINE

Facility

$390.00

Service Code	HCPCS 82088
Hospital Charge Code	39708044
Hospital Revenue Code	306
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
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	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ALDOSTERONE 24-HOUR URINE

Facility

$390.00

Service Code	HCPCS 82088
Hospital Charge Code	39708044
Hospital Revenue Code	306
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALDOSTERONE (BLOOD)***

Facility

$157.00

Hospital Charge Code	3010170
Hospital Revenue Code	309
Min. Negotiated Rate	$3.78
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$59.66
Rate for Payer: Aetna Medicare Advantage	$47.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.03
Rate for Payer: Cigna Commercial	$78.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.55
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.78
Rate for Payer: Wellpoint Medicaid Managed Care	$4.16

ALDOSTERONE (BLOOD)***

Facility

$157.00

Hospital Charge Code	3010170
Hospital Revenue Code	309
Min. Negotiated Rate	$23.55
Max. Negotiated Rate	$23.55
Rate for Payer: Qualcare PPO/HMO/WC	$23.55

ALDOSTERONE/PRA,LC/MS/MS I

Facility

$667.59

Service Code	HCPCS 82088
Hospital Charge Code	39990059A
Hospital Revenue Code	307
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

ALDOSTERONE/PRA,LC/MS/MS I

Facility

$667.59

Service Code	HCPCS 82088
Hospital Charge Code	39990059A
Hospital Revenue Code	307
Min. Negotiated Rate	$17.69
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
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	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

ALDOSTERONE/PRA,LC/MS/MS II

Facility

$667.59

Service Code	HCPCS 84244
Hospital Charge Code	39990059B
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

ALDOSTERONE/PRA,LC/MS/MS II

Facility

$667.59

Service Code	HCPCS 84244
Hospital Charge Code	39990059B
Hospital Revenue Code	301
Min. Negotiated Rate	$17.59
Max. Negotiated Rate	$333.80
Rate for Payer: Aetna Commercial	$59.81
Rate for Payer: Aetna Medicare Advantage	$71.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.38
Rate for Payer: Cigna Commercial	$333.80
Rate for Payer: Cigna Medicare Advantage	$21.99
Rate for Payer: Clover Medicare Advantage	$20.89
Rate for Payer: EmblemHealth Commercial	$65.97
Rate for Payer: Humana Medicare Advantage	$22.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.99
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	$17.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.99
Rate for Payer: Wellcare Medicare Advantage	$21.99
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

ALDOSTERONE SERUM

Facility

$256.00

Service Code	HCPCS 82088
Hospital Charge Code	3000171
Hospital Revenue Code	307
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$147.10
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

ALDOSTERONE SERUM

Facility

$256.00

Service Code	HCPCS 82088
Hospital Charge Code	3000171
Hospital Revenue Code	307
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

ALDOSTERONE, SERUM

Facility

$390.00

Service Code	HCPCS 82088
Hospital Charge Code	39900037
Hospital Revenue Code	307
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
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	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ALDOSTERONE, SERUM

Facility

$390.00

Service Code	HCPCS 82088
Hospital Charge Code	39900037
Hospital Revenue Code	307
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ALDOSTERONE URINE

Facility

$256.00

Service Code	HCPCS 82088
Hospital Charge Code	3006095
Hospital Revenue Code	307
Min. Negotiated Rate	$6.78
Max. Negotiated Rate	$147.10
Rate for Payer: Aetna Commercial	$110.84
Rate for Payer: Aetna Medicare Advantage	$132.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$147.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$40.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$147.10
Rate for Payer: Cigna Commercial	$128.00
Rate for Payer: Cigna Medicare Advantage	$40.75
Rate for Payer: Clover Medicare Advantage	$38.71
Rate for Payer: EmblemHealth Commercial	$122.25
Rate for Payer: Humana Medicare Advantage	$41.97
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$40.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$76.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$38.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$32.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$40.75
Rate for Payer: Wellcare Medicare Advantage	$40.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6.78

ALDOSTERONE URINE

Facility

$256.00

Service Code	HCPCS 82088
Hospital Charge Code	3006095
Hospital Revenue Code	307
Min. Negotiated Rate	$38.40
Max. Negotiated Rate	$38.40
Rate for Payer: Qualcare PPO/HMO/WC	$38.40

ALENDRONATE 10 MG TAB

Facility

$7.25

Hospital Charge Code	6015044
Hospital Revenue Code	252
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ALENDRONATE 10 MG TAB

Facility

$7.25

Hospital Charge Code	6015044
Hospital Revenue Code	252
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

ALENDRONATE 10MG TABLET

Facility

$19.63

Service Code	NDC 115167808
Hospital Charge Code	60631037
Hospital Revenue Code	250
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.81
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.01
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.89
Rate for Payer: Oxford Commercial	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.94
Rate for Payer: UnitedHealthcare Commercial	$3.93
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

ALENDRONATE 10MG TABLET

Facility

$19.63

Service Code	NDC 115167808
Hospital Charge Code	60631037
Hospital Revenue Code	250
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.94

ALENDRONATE 5 MG TAB

Facility

$16.00

Hospital Charge Code	60628919
Hospital Revenue Code	250
Min. Negotiated Rate	$2.40
Max. Negotiated Rate	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$2.40

ALENDRONATE 5 MG TAB

Facility

$16.00

Hospital Charge Code	60628919
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

ALENDRONATE 70MG TAB

Facility

$137.08

Service Code	NDC 51079094205
Hospital Charge Code	60631039
Hospital Revenue Code	250
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$68.54
Rate for Payer: Aetna Commercial	$52.09
Rate for Payer: Aetna Medicare Advantage	$41.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.96
Rate for Payer: Cigna Commercial	$68.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.12
Rate for Payer: Oxford Commercial	$27.42
Rate for Payer: Qualcare PPO/HMO/WC	$20.56
Rate for Payer: UnitedHealthcare Commercial	$27.42
Rate for Payer: UnitedHealthcare Community & State	$3.30
Rate for Payer: Wellpoint Medicaid Managed Care	$3.63

ALENDRONATE 70MG TAB

Facility

$137.08

Service Code	NDC 51079094205
Hospital Charge Code	60631039
Hospital Revenue Code	250
Min. Negotiated Rate	$20.56
Max. Negotiated Rate	$20.56
Rate for Payer: Qualcare PPO/HMO/WC	$20.56

ALENDRONATE SOD 35MG TAB

Facility

$138.22

Service Code	NDC 16714063201
Hospital Charge Code	606390411
Hospital Revenue Code	250
Min. Negotiated Rate	$20.73
Max. Negotiated Rate	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$20.73

Know your out-of-pocket cost for care.

All Charges