Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

METAPROTERNL .4% INH SOL 2.5ML

Facility

$3.20

Hospital Charge Code	6022685
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

METAPROTERNL .4% INH SOL 2.5ML

Facility

$3.20

Hospital Charge Code	6022685
Hospital Revenue Code	250
Min. Negotiated Rate	$0.08
Max. Negotiated Rate	$1.60
Rate for Payer: Aetna Commercial	$1.22
Rate for Payer: Aetna Medicare Advantage	$0.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.82
Rate for Payer: Cigna Commercial	$1.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.96
Rate for Payer: Oxford Commercial	$0.64
Rate for Payer: Qualcare PPO/HMO/WC	$0.48
Rate for Payer: UnitedHealthcare Commercial	$0.64
Rate for Payer: UnitedHealthcare Community & State	$0.08
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

METAPROTERONOL LIQ/16OZ

Facility

$13.00

Hospital Charge Code	60634588
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

METAPROTERONOL LIQ/16OZ

Facility

$13.00

Hospital Charge Code	60634588
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

METARAMINOL INJ 1%

Facility

$5.36

Hospital Charge Code	60627461
Hospital Revenue Code	636
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.68
Rate for Payer: Aetna Commercial	$2.04
Rate for Payer: Aetna Medicare Advantage	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.37
Rate for Payer: Cigna Commercial	$2.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

METARAMINOL INJ 1%

Facility

$5.36

Hospital Charge Code	60627461
Hospital Revenue Code	636
Min. Negotiated Rate	$0.80
Max. Negotiated Rate	$1.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$0.80

METASUL ADAPTER L+4 0100185147

Facility

$664.00

Hospital Charge Code	270638548
Hospital Revenue Code	272
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$332.00
Rate for Payer: Aetna Commercial	$252.32
Rate for Payer: Aetna Medicare Advantage	$199.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.32
Rate for Payer: Cigna Commercial	$332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.20
Rate for Payer: Oxford Commercial	$132.80
Rate for Payer: Qualcare PPO/HMO/WC	$99.60
Rate for Payer: UnitedHealthcare Commercial	$132.80
Rate for Payer: UnitedHealthcare Community & State	$16.00
Rate for Payer: Wellpoint Medicaid Managed Care	$17.60

METASUL ADAPTER L+4 0100185147

Facility

$664.00

Hospital Charge Code	270638548
Hospital Revenue Code	272
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

METASUL LDH LRG DIA 0100181500

Facility

$7,381.95

Hospital Charge Code	270638716
Hospital Revenue Code	272
Min. Negotiated Rate	$1,107.29
Max. Negotiated Rate	$1,107.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.29

METASUL LDH LRG DIA 0100181500

Facility

$7,381.95

Hospital Charge Code	270638716
Hospital Revenue Code	272
Min. Negotiated Rate	$177.90
Max. Negotiated Rate	$3,690.97
Rate for Payer: Aetna Commercial	$2,805.14
Rate for Payer: Aetna Medicare Advantage	$2,214.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,882.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,882.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,882.40
Rate for Payer: Cigna Commercial	$3,690.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,214.59
Rate for Payer: Oxford Commercial	$1,476.39
Rate for Payer: Qualcare PPO/HMO/WC	$1,107.29
Rate for Payer: UnitedHealthcare Commercial	$1,476.39
Rate for Payer: UnitedHealthcare Community & State	$177.90
Rate for Payer: Wellpoint Medicaid Managed Care	$195.62

METASUL LDH LRG HD 0100181540

Facility

$7,030.40

Hospital Charge Code	270639259
Hospital Revenue Code	272
Min. Negotiated Rate	$1,054.56
Max. Negotiated Rate	$1,054.56
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.56

METASUL LDH LRG HD 0100181540

Facility

$7,030.40

Hospital Charge Code	270639259
Hospital Revenue Code	272
Min. Negotiated Rate	$169.43
Max. Negotiated Rate	$3,515.20
Rate for Payer: Aetna Commercial	$2,671.55
Rate for Payer: Aetna Medicare Advantage	$2,109.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,792.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,792.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,792.75
Rate for Payer: Cigna Commercial	$3,515.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,109.12
Rate for Payer: Oxford Commercial	$1,406.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,054.56
Rate for Payer: UnitedHealthcare Commercial	$1,406.08
Rate for Payer: UnitedHealthcare Community & State	$169.43
Rate for Payer: Wellpoint Medicaid Managed Care	$186.31

METASUL LRG 52R 0100181520

Facility

$6,760.00

Hospital Charge Code	270638547
Hospital Revenue Code	272
Min. Negotiated Rate	$1,014.00
Max. Negotiated Rate	$1,014.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.00

METASUL LRG 52R 0100181520

Facility

$6,760.00

Hospital Charge Code	270638547
Hospital Revenue Code	272
Min. Negotiated Rate	$162.92
Max. Negotiated Rate	$3,380.00
Rate for Payer: Aetna Commercial	$2,568.80
Rate for Payer: Aetna Medicare Advantage	$2,028.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,723.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,723.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,723.80
Rate for Payer: Cigna Commercial	$3,380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,028.00
Rate for Payer: Oxford Commercial	$1,352.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,014.00
Rate for Payer: UnitedHealthcare Commercial	$1,352.00
Rate for Payer: UnitedHealthcare Community & State	$162.92
Rate for Payer: Wellpoint Medicaid Managed Care	$179.14

METATARSAL DECOMPR IMPLANT SZ3

Facility

$13,830.00

Hospital Charge Code	270661602
Hospital Revenue Code	278
Min. Negotiated Rate	$2,074.50
Max. Negotiated Rate	$3,346.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,766.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,346.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,042.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,074.50

METATARSAL DECOMPR IMPLANT SZ3

Facility

$13,830.00

Hospital Charge Code	270661602
Hospital Revenue Code	278
Min. Negotiated Rate	$333.30
Max. Negotiated Rate	$6,915.00
Rate for Payer: Aetna Commercial	$5,255.40
Rate for Payer: Aetna Medicare Advantage	$4,149.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,526.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,526.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,766.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,526.65
Rate for Payer: Cigna Commercial	$6,915.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,346.86
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3,042.60
Rate for Payer: Qualcare PPO/HMO/WC	$2,074.50
Rate for Payer: UnitedHealthcare Community & State	$333.30
Rate for Payer: Wellpoint Medicaid Managed Care	$366.50

METATARSOPHALANGEAL LEFT

Facility

$1,725.00

Hospital Charge Code	270637496
Hospital Revenue Code	272
Min. Negotiated Rate	$41.57
Max. Negotiated Rate	$862.50
Rate for Payer: Aetna Commercial	$655.50
Rate for Payer: Aetna Medicare Advantage	$517.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$439.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$439.88
Rate for Payer: Cigna Commercial	$862.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$517.50
Rate for Payer: Oxford Commercial	$345.00
Rate for Payer: Qualcare PPO/HMO/WC	$258.75
Rate for Payer: UnitedHealthcare Commercial	$345.00
Rate for Payer: UnitedHealthcare Community & State	$41.57
Rate for Payer: Wellpoint Medicaid Managed Care	$45.71

METATARSOPHALANGEAL LEFT

Facility

$1,725.00

Hospital Charge Code	270637496
Hospital Revenue Code	272
Min. Negotiated Rate	$258.75
Max. Negotiated Rate	$258.75
Rate for Payer: Qualcare PPO/HMO/WC	$258.75

METER PEAK FLOW 60-880 PF339X

Facility

$130.00

Hospital Charge Code	270641332
Hospital Revenue Code	270
Min. Negotiated Rate	$19.50
Max. Negotiated Rate	$19.50
Rate for Payer: Qualcare PPO/HMO/WC	$19.50

METER PEAK FLOW 60-880 PF339X

Facility

$130.00

Hospital Charge Code	270641332
Hospital Revenue Code	270
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$65.00
Rate for Payer: Aetna Commercial	$49.40
Rate for Payer: Aetna Medicare Advantage	$39.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.15
Rate for Payer: Cigna Commercial	$65.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.00
Rate for Payer: Oxford Commercial	$26.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.50
Rate for Payer: UnitedHealthcare Commercial	$26.00
Rate for Payer: UnitedHealthcare Community & State	$3.13
Rate for Payer: Wellpoint Medicaid Managed Care	$3.44

METER PEAKFLOW TRUZONE

Facility

$103.25

Hospital Charge Code	270600743
Hospital Revenue Code	272
Min. Negotiated Rate	$15.49
Max. Negotiated Rate	$15.49
Rate for Payer: Qualcare PPO/HMO/WC	$15.49

METER PEAKFLOW TRUZONE

Facility

$103.25

Hospital Charge Code	270600743
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$51.62
Rate for Payer: Aetna Commercial	$39.23
Rate for Payer: Aetna Medicare Advantage	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.33
Rate for Payer: Cigna Commercial	$51.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.98
Rate for Payer: Oxford Commercial	$20.65
Rate for Payer: Qualcare PPO/HMO/WC	$15.49
Rate for Payer: UnitedHealthcare Commercial	$20.65
Rate for Payer: UnitedHealthcare Community & State	$2.49
Rate for Payer: Wellpoint Medicaid Managed Care	$2.74

METER PEAKFLOW TRUZONE P

Facility

$77.65

Hospital Charge Code	270607311
Hospital Revenue Code	270
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$15.53
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

METER PEAKFLOW TRUZONE P

Facility

$77.65

Hospital Charge Code	270607311
Hospital Revenue Code	270
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

METFORMIN 1000MG TAB

Facility

$6.00

Hospital Charge Code	60635629
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

Know your out-of-pocket cost for care.

All Charges