Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

METHYLPREDISOLONE SD SUCC 1GM

Facility

$48.00

Hospital Charge Code	6016208
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$24.00
Rate for Payer: Aetna Commercial	$18.24
Rate for Payer: Aetna Medicare Advantage	$14.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.24
Rate for Payer: Cigna Commercial	$24.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.40
Rate for Payer: Oxford Commercial	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$7.20
Rate for Payer: UnitedHealthcare Commercial	$9.60
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

METHYLPREDISOLONE SD SUCC 1GM

Facility

$48.00

Hospital Charge Code	6016208
Hospital Revenue Code	250
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$7.20

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$9.99
Max. Negotiated Rate	$16.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99

METHYLPREDN DEPO 40 MG/ML INJ

Facility

$66.60

Service Code	HCPCS J1010
Hospital Charge Code	60628203
Hospital Revenue Code	636
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.30
Rate for Payer: Aetna Commercial	$25.31
Rate for Payer: Aetna Medicare Advantage	$19.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.98
Rate for Payer: Cigna Commercial	$33.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Qualcare PPO/HMO/WC	$9.99
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.76

METHYLPREDNISOL INJ 400MG/5ML

Facility

$129.30

Hospital Charge Code	60628202
Hospital Revenue Code	250
Min. Negotiated Rate	$19.39
Max. Negotiated Rate	$19.39
Rate for Payer: Qualcare PPO/HMO/WC	$19.39

METHYLPREDNISOL INJ 400MG/5ML

Facility

$129.30

Hospital Charge Code	60628202
Hospital Revenue Code	250
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$64.65
Rate for Payer: Aetna Commercial	$49.13
Rate for Payer: Aetna Medicare Advantage	$38.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.97
Rate for Payer: Cigna Commercial	$64.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.79
Rate for Payer: Oxford Commercial	$25.86
Rate for Payer: Qualcare PPO/HMO/WC	$19.39
Rate for Payer: UnitedHealthcare Commercial	$25.86
Rate for Payer: UnitedHealthcare Community & State	$3.12
Rate for Payer: Wellpoint Medicaid Managed Care	$3.43

METHYLPREDNISOL INJ 500MG

Facility

$49.30

Hospital Charge Code	60629120
Hospital Revenue Code	250
Min. Negotiated Rate	$7.39
Max. Negotiated Rate	$7.39
Rate for Payer: Qualcare PPO/HMO/WC	$7.39

METHYLPREDNISOL INJ 500MG

Facility

$49.30

Hospital Charge Code	60629120
Hospital Revenue Code	250
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.65
Rate for Payer: Aetna Commercial	$18.73
Rate for Payer: Aetna Medicare Advantage	$14.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.57
Rate for Payer: Cigna Commercial	$24.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Oxford Commercial	$9.86
Rate for Payer: Qualcare PPO/HMO/WC	$7.39
Rate for Payer: UnitedHealthcare Commercial	$9.86
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

METHYLPREDNISOL INJ IM 40MG/1M

Facility

$43.55

Hospital Charge Code	6003636
Hospital Revenue Code	250
Min. Negotiated Rate	$6.53
Max. Negotiated Rate	$6.53
Rate for Payer: Qualcare PPO/HMO/WC	$6.53

METHYLPREDNISOL INJ IM 40MG/1M

Facility

$43.55

Hospital Charge Code	6003636
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$21.77
Rate for Payer: Aetna Commercial	$16.55
Rate for Payer: Aetna Medicare Advantage	$13.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.11
Rate for Payer: Cigna Commercial	$21.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.06
Rate for Payer: Oxford Commercial	$8.71
Rate for Payer: Qualcare PPO/HMO/WC	$6.53
Rate for Payer: UnitedHealthcare Commercial	$8.71
Rate for Payer: UnitedHealthcare Community & State	$1.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.15

METHYLPREDNISOL INJ IV 125MG

Facility

$10.90

Hospital Charge Code	6003651
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

METHYLPREDNISOL INJ IV 125MG

Facility

$10.90

Hospital Charge Code	6003651
Hospital Revenue Code	250
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$2.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.64
Rate for Payer: UnitedHealthcare Commercial	$2.18
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

METHYLPREDNISOL INJ IV 500MG

Facility

$64.00

Hospital Charge Code	6003669
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$32.00
Rate for Payer: Aetna Commercial	$24.32
Rate for Payer: Aetna Medicare Advantage	$19.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.32
Rate for Payer: Cigna Commercial	$32.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.20
Rate for Payer: Oxford Commercial	$12.80
Rate for Payer: Qualcare PPO/HMO/WC	$9.60
Rate for Payer: UnitedHealthcare Commercial	$12.80
Rate for Payer: UnitedHealthcare Community & State	$1.54
Rate for Payer: Wellpoint Medicaid Managed Care	$1.70

METHYLPREDNISOL INJ IV 500MG

Facility

$64.00

Hospital Charge Code	6003669
Hospital Revenue Code	250
Min. Negotiated Rate	$9.60
Max. Negotiated Rate	$9.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.60

METHYLPREDNISOLONE 2MG TAB

Facility

$7.64

Service Code	NDC 9002001
Hospital Charge Code	606390546
Hospital Revenue Code	250
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.82
Rate for Payer: Aetna Commercial	$2.90
Rate for Payer: Aetna Medicare Advantage	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.95
Rate for Payer: Cigna Commercial	$3.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.29
Rate for Payer: Oxford Commercial	$1.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.15
Rate for Payer: UnitedHealthcare Commercial	$1.53
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

METHYLPREDNISOLONE 2MG TAB

Facility

$7.64

Service Code	NDC 9002001
Hospital Charge Code	606390546
Hospital Revenue Code	250
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$1.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.15

METHYLPREDNISOLONE 4 MG TAB

Facility

$14.41

Service Code	HCPCS J7509
Hospital Charge Code	60628200
Hospital Revenue Code	636
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$3.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

METHYLPREDNISOLONE 4 MG TAB

Facility

$14.41

Service Code	HCPCS J7509
Hospital Charge Code	60628200
Hospital Revenue Code	636
Min. Negotiated Rate	$0.35
Max. Negotiated Rate	$7.21
Rate for Payer: Aetna Commercial	$5.48
Rate for Payer: Aetna Medicare Advantage	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.67
Rate for Payer: Cigna Commercial	$7.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.16
Rate for Payer: UnitedHealthcare Community & State	$0.35
Rate for Payer: Wellpoint Medicaid Managed Care	$0.38

METHYLPREDNISOL SOD SUC INJ 1G

Facility

$198.59

Service Code	HCPCS J2919
Hospital Charge Code	60628206
Hospital Revenue Code	636
Min. Negotiated Rate	$29.79
Max. Negotiated Rate	$48.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.06
Rate for Payer: Qualcare PPO/HMO/WC	$29.79

METHYLPREDNISOL SOD SUC INJ 1G

Facility

$198.59

Service Code	HCPCS J2919
Hospital Charge Code	60628206
Hospital Revenue Code	636
Min. Negotiated Rate	$4.79
Max. Negotiated Rate	$99.30
Rate for Payer: Aetna Commercial	$75.46
Rate for Payer: Aetna Medicare Advantage	$59.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.64
Rate for Payer: Cigna Commercial	$99.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.06
Rate for Payer: Qualcare PPO/HMO/WC	$29.79
Rate for Payer: UnitedHealthcare Community & State	$4.79
Rate for Payer: Wellpoint Medicaid Managed Care	$5.26

METHYLPREDNISOLSODSUCINJ40/5MG

Facility

$28.01

Service Code	HCPCS J2919
Hospital Charge Code	60628205
Hospital Revenue Code	636
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$14.01
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

METHYLPREDNISOLSODSUCINJ40/5MG

Facility

$28.01

Service Code	HCPCS J2919
Hospital Charge Code	60628205
Hospital Revenue Code	636
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$6.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

METHYLPREDNISOL VL 40MG/ML

Facility

$21.15

Hospital Charge Code	6006209
Hospital Revenue Code	250
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$3.17

METHYLPREDNISOL VL 40MG/ML

Facility

$21.15

Hospital Charge Code	6006209
Hospital Revenue Code	250
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.57
Rate for Payer: Aetna Commercial	$8.04
Rate for Payer: Aetna Medicare Advantage	$6.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.39
Rate for Payer: Cigna Commercial	$10.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.34
Rate for Payer: Oxford Commercial	$4.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.17
Rate for Payer: UnitedHealthcare Commercial	$4.23
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

METHYLPRENISOLSODSUCINJ125/5MG

Facility

$72.03

Service Code	HCPCS J2919
Hospital Charge Code	60628204
Hospital Revenue Code	636
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.02
Rate for Payer: Aetna Commercial	$27.37
Rate for Payer: Aetna Medicare Advantage	$21.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.37
Rate for Payer: Cigna Commercial	$36.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.80
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

Know your out-of-pocket cost for care.

All Charges