Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

INSUFFLATOR HIGH FLOW PNEUMO

Facility

$213.29

Hospital Charge Code	270667863
Hospital Revenue Code	272
Min. Negotiated Rate	$5.14
Max. Negotiated Rate	$106.64
Rate for Payer: Aetna Commercial	$81.05
Rate for Payer: Aetna Medicare Advantage	$63.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.39
Rate for Payer: Cigna Commercial	$106.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.99
Rate for Payer: Oxford Commercial	$42.66
Rate for Payer: Qualcare PPO/HMO/WC	$31.99
Rate for Payer: UnitedHealthcare Commercial	$42.66
Rate for Payer: UnitedHealthcare Community & State	$5.14
Rate for Payer: Wellpoint Medicaid Managed Care	$5.65

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$584.42
Max. Negotiated Rate	$12,125.00
Rate for Payer: Aetna Commercial	$9,215.00
Rate for Payer: Aetna Medicare Advantage	$7,275.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6,183.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6,183.75
Rate for Payer: Cigna Commercial	$12,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,275.00
Rate for Payer: Oxford Commercial	$4,850.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50
Rate for Payer: UnitedHealthcare Commercial	$4,850.00
Rate for Payer: UnitedHealthcare Community & State	$584.42
Rate for Payer: Wellpoint Medicaid Managed Care	$642.62

INSUFFLATOR PNEUMO SURE XL

Facility

$24,250.00

Hospital Charge Code	270676435
Hospital Revenue Code	272
Min. Negotiated Rate	$3,637.50
Max. Negotiated Rate	$3,637.50
Rate for Payer: Qualcare PPO/HMO/WC	$3,637.50

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$364.24
Max. Negotiated Rate	$364.24
Rate for Payer: Qualcare PPO/HMO/WC	$364.24

INSULATED SUCTION CAUTRY TUBE

Facility

$2,428.25

Hospital Charge Code	270662644
Hospital Revenue Code	272
Min. Negotiated Rate	$58.52
Max. Negotiated Rate	$1,214.12
Rate for Payer: Aetna Commercial	$922.74
Rate for Payer: Aetna Medicare Advantage	$728.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$619.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$619.20
Rate for Payer: Cigna Commercial	$1,214.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$728.48
Rate for Payer: Oxford Commercial	$485.65
Rate for Payer: Qualcare PPO/HMO/WC	$364.24
Rate for Payer: UnitedHealthcare Commercial	$485.65
Rate for Payer: UnitedHealthcare Community & State	$58.52
Rate for Payer: Wellpoint Medicaid Managed Care	$64.35

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$61.50
Max. Negotiated Rate	$61.50
Rate for Payer: Qualcare PPO/HMO/WC	$61.50

INSULIN AB

Facility

$410.00

Service Code	HCPCS 86337
Hospital Charge Code	38476019
Hospital Revenue Code	302
Min. Negotiated Rate	$10.87
Max. Negotiated Rate	$205.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.28
Rate for Payer: Cigna Commercial	$205.00
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$123.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$61.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$10.87

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.28
Rate for Payer: Cigna Commercial	$73.58
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.15
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$22.07
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.90

INSULIN AB, RIA

Facility

$147.15

Service Code	HCPCS 86337
Hospital Charge Code	39900217
Hospital Revenue Code	302
Min. Negotiated Rate	$22.07
Max. Negotiated Rate	$22.07
Rate for Payer: Qualcare PPO/HMO/WC	$22.07

INSULIN ANTIBODY, SERUM

Facility

$179.25

Service Code	HCPCS 86337
Hospital Charge Code	3001666
Hospital Revenue Code	302
Min. Negotiated Rate	$26.89
Max. Negotiated Rate	$26.89
Rate for Payer: Qualcare PPO/HMO/WC	$26.89

INSULIN ANTIBODY, SERUM

Facility

$179.25

Service Code	HCPCS 86337
Hospital Charge Code	3001666
Hospital Revenue Code	302
Min. Negotiated Rate	$4.75
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.28
Rate for Payer: Cigna Commercial	$89.62
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.89
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$4.75

INSULIN ASPART 100UNITS ML SOL

Facility

$439.50

Hospital Charge Code	60629910
Hospital Revenue Code	636
Min. Negotiated Rate	$65.92
Max. Negotiated Rate	$106.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.92

INSULIN ASPART 100UNITS ML SOL

Facility

$439.50

Hospital Charge Code	60629910
Hospital Revenue Code	636
Min. Negotiated Rate	$10.59
Max. Negotiated Rate	$219.75
Rate for Payer: Aetna Commercial	$167.01
Rate for Payer: Aetna Medicare Advantage	$131.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$112.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$112.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$112.07
Rate for Payer: Cigna Commercial	$219.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$106.36
Rate for Payer: Qualcare PPO/HMO/WC	$65.92
Rate for Payer: UnitedHealthcare Community & State	$10.59
Rate for Payer: Wellpoint Medicaid Managed Care	$11.65

INSULIN ASPART 30-70 UNITS/mLS

Facility

$204.10

Hospital Charge Code	60629959
Hospital Revenue Code	250
Min. Negotiated Rate	$30.61
Max. Negotiated Rate	$30.61
Rate for Payer: Qualcare PPO/HMO/WC	$30.61

INSULIN ASPART 30-70 UNITS/mLS

Facility

$204.10

Hospital Charge Code	60629959
Hospital Revenue Code	250
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$102.05
Rate for Payer: Aetna Commercial	$77.56
Rate for Payer: Aetna Medicare Advantage	$61.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52.05
Rate for Payer: Cigna Commercial	$102.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$61.23
Rate for Payer: Oxford Commercial	$40.82
Rate for Payer: Qualcare PPO/HMO/WC	$30.61
Rate for Payer: UnitedHealthcare Commercial	$40.82
Rate for Payer: UnitedHealthcare Community & State	$4.92
Rate for Payer: Wellpoint Medicaid Managed Care	$5.41

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Insulin Autoantibody

Facility

$390.00

Service Code	HCPCS 86337
Hospital Charge Code	401186337
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$58.24
Rate for Payer: Aetna Medicare Advantage	$69.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77.28
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$21.41
Rate for Payer: Clover Medicare Advantage	$20.34
Rate for Payer: EmblemHealth Commercial	$64.23
Rate for Payer: Humana Medicare Advantage	$22.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21.41
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	$17.13
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.41
Rate for Payer: Wellcare Medicare Advantage	$21.41
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

INSULIN BEEF/PORK REG INJ U100

Facility

$133.15

Hospital Charge Code	60628223
Hospital Revenue Code	250
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$66.58
Rate for Payer: Aetna Commercial	$50.60
Rate for Payer: Aetna Medicare Advantage	$39.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.95
Rate for Payer: Cigna Commercial	$66.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.95
Rate for Payer: Oxford Commercial	$26.63
Rate for Payer: Qualcare PPO/HMO/WC	$19.97
Rate for Payer: UnitedHealthcare Commercial	$26.63
Rate for Payer: UnitedHealthcare Community & State	$3.21
Rate for Payer: Wellpoint Medicaid Managed Care	$3.53

INSULIN BEEF/PORK REG INJ U100

Facility

$133.15

Hospital Charge Code	60628223
Hospital Revenue Code	250
Min. Negotiated Rate	$19.97
Max. Negotiated Rate	$19.97
Rate for Payer: Qualcare PPO/HMO/WC	$19.97

INSULIN COVERAGE

Facility

$61.00

Hospital Charge Code	60634694
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

INSULIN COVERAGE

Facility

$61.00

Hospital Charge Code	60634694
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$23.18
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.30
Rate for Payer: Oxford Commercial	$12.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$12.20
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$12.20
Max. Negotiated Rate	$253.12
Rate for Payer: Aetna Commercial	$192.38
Rate for Payer: Aetna Medicare Advantage	$151.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$129.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$129.09
Rate for Payer: Cigna Commercial	$253.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.88
Rate for Payer: Oxford Commercial	$101.25
Rate for Payer: Qualcare PPO/HMO/WC	$75.94
Rate for Payer: UnitedHealthcare Commercial	$101.25
Rate for Payer: UnitedHealthcare Community & State	$12.20
Rate for Payer: Wellpoint Medicaid Managed Care	$13.42

INSULINE GLARGINE-YFGB INJ 100

Facility

$506.25

Service Code	NDC 83257001111
Hospital Charge Code	606390579
Hospital Revenue Code	250
Min. Negotiated Rate	$75.94
Max. Negotiated Rate	$75.94
Rate for Payer: Qualcare PPO/HMO/WC	$75.94

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
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	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

INSULIN FREE BIOACTIVE

Facility

$390.00

Service Code	HCPCS 83527
Hospital Charge Code	38477111
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

Know your out-of-pocket cost for care.

All Charges