Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MILAGRO SCREW 10MM X 30MM

Facility

$1,950.00

Hospital Charge Code	270658625
Hospital Revenue Code	278
Min. Negotiated Rate	$292.50
Max. Negotiated Rate	$471.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$390.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$471.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$429.00
Rate for Payer: Qualcare PPO/HMO/WC	$292.50

MILAGRO SCREW 10 X 30

Facility

$1,645.00

Hospital Charge Code	270657368
Hospital Revenue Code	278
Min. Negotiated Rate	$39.64
Max. Negotiated Rate	$822.50
Rate for Payer: Aetna Commercial	$625.10
Rate for Payer: Aetna Medicare Advantage	$493.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$419.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$419.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$329.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$419.48
Rate for Payer: Cigna Commercial	$822.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$361.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.75
Rate for Payer: UnitedHealthcare Community & State	$39.64
Rate for Payer: Wellpoint Medicaid Managed Care	$43.59

MILAGRO SCREW 10 X 30

Facility

$1,645.00

Hospital Charge Code	270657368
Hospital Revenue Code	278
Min. Negotiated Rate	$246.75
Max. Negotiated Rate	$398.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$329.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$398.09
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$361.90
Rate for Payer: Qualcare PPO/HMO/WC	$246.75

MILD KIT DEVICE MIN INVASIVE 2

Facility

$17,500.00

Hospital Charge Code	270704246
Hospital Revenue Code	279
Min. Negotiated Rate	$2,625.00
Max. Negotiated Rate	$2,625.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00

MILD KIT DEVICE MIN INVASIVE 2

Facility

$17,500.00

Hospital Charge Code	270704246
Hospital Revenue Code	279
Min. Negotiated Rate	$421.75
Max. Negotiated Rate	$8,750.00
Rate for Payer: Aetna Commercial	$6,650.00
Rate for Payer: Aetna Medicare Advantage	$5,250.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,462.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,462.50
Rate for Payer: Cigna Commercial	$8,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,250.00
Rate for Payer: Oxford Commercial	$3,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,625.00
Rate for Payer: UnitedHealthcare Commercial	$3,500.00
Rate for Payer: UnitedHealthcare Community & State	$421.75
Rate for Payer: Wellpoint Medicaid Managed Care	$463.75

MILK HINGE FREE LUBE

Facility

$76.25

Hospital Charge Code	270665153
Hospital Revenue Code	270
Min. Negotiated Rate	$11.44
Max. Negotiated Rate	$11.44
Rate for Payer: Qualcare PPO/HMO/WC	$11.44

MILK HINGE FREE LUBE

Facility

$76.25

Hospital Charge Code	270665153
Hospital Revenue Code	270
Min. Negotiated Rate	$1.84
Max. Negotiated Rate	$38.12
Rate for Payer: Aetna Commercial	$28.98
Rate for Payer: Aetna Medicare Advantage	$22.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.44
Rate for Payer: Cigna Commercial	$38.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.88
Rate for Payer: Oxford Commercial	$15.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.44
Rate for Payer: UnitedHealthcare Commercial	$15.25
Rate for Payer: UnitedHealthcare Community & State	$1.84
Rate for Payer: Wellpoint Medicaid Managed Care	$2.02

MILK OF MAGNESIA 8%/30ML

Facility

$1.00

Hospital Charge Code	60633431
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

MILK OF MAGNESIA 8%/30ML

Facility

$1.00

Hospital Charge Code	60633431
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

MILLER TYPE FOOT REVIS

Facility

$57,834.50

Service Code	HCPCS 28737
Hospital Charge Code	1600000815
Hospital Revenue Code	360
Min. Negotiated Rate	$8,675.17
Max. Negotiated Rate	$8,675.17
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17

MILLER TYPE FOOT REVIS

Facility

$57,834.50

Service Code	HCPCS 28737
Hospital Charge Code	1600000815
Hospital Revenue Code	360
Min. Negotiated Rate	$1,393.81
Max. Negotiated Rate	$55,057.64
Rate for Payer: Aetna Commercial	$41,487.32
Rate for Payer: Aetna Medicare Advantage	$49,418.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,057.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,252.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,057.64
Rate for Payer: Cigna Commercial	$30,573.98
Rate for Payer: Cigna Medicare Advantage	$15,252.69
Rate for Payer: Clover Medicare Advantage	$14,490.06
Rate for Payer: EmblemHealth Commercial	$45,758.07
Rate for Payer: Humana Medicare Advantage	$15,710.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,252.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17,350.35
Rate for Payer: Oxford Commercial	$8,679.00
Rate for Payer: Qualcare PPO/HMO/WC	$8,675.17
Rate for Payer: UnitedHealthcare Commercial	$14,834.00
Rate for Payer: UnitedHealthcare Community & State	$1,393.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,252.69
Rate for Payer: Wellcare Medicare Advantage	$15,252.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1,532.61

MILRINONE 1 MG/ML INJ

Facility

$78.52

Service Code	HCPCS J2260
Hospital Charge Code	60627585
Hospital Revenue Code	636
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$39.26
Rate for Payer: Aetna Commercial	$29.84
Rate for Payer: Aetna Medicare Advantage	$23.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.02
Rate for Payer: Cigna Commercial	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.78
Rate for Payer: UnitedHealthcare Community & State	$1.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

MILRINONE 1 MG/ML INJ

Facility

$78.52

Service Code	HCPCS J2260
Hospital Charge Code	60627585
Hospital Revenue Code	636
Min. Negotiated Rate	$11.78
Max. Negotiated Rate	$19.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.78

MINERAL OIL

Facility

$9.00

Hospital Charge Code	6012850
Hospital Revenue Code	250
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

MINERAL OIL

Facility

$9.00

Hospital Charge Code	6012850
Hospital Revenue Code	250
Min. Negotiated Rate	$0.22
Max. Negotiated Rate	$4.50
Rate for Payer: Aetna Commercial	$3.42
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.29
Rate for Payer: Cigna Commercial	$4.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.70
Rate for Payer: Oxford Commercial	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.35
Rate for Payer: UnitedHealthcare Commercial	$1.80
Rate for Payer: UnitedHealthcare Community & State	$0.22
Rate for Payer: Wellpoint Medicaid Managed Care	$0.24

MINERAL OIL/180ML

Facility

$15.00

Hospital Charge Code	60633433
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

MINERAL OIL/180ML

Facility

$15.00

Hospital Charge Code	60633433
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

MINERAL OIL 1 ENEMA

Facility

$23.58

Service Code	NDC 132030140
Hospital Charge Code	60628131
Hospital Revenue Code	250
Min. Negotiated Rate	$3.54
Max. Negotiated Rate	$3.54
Rate for Payer: Qualcare PPO/HMO/WC	$3.54

MINERAL OIL 1 ENEMA

Facility

$23.58

Service Code	NDC 132030140
Hospital Charge Code	60628131
Hospital Revenue Code	250
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.79
Rate for Payer: Aetna Commercial	$8.96
Rate for Payer: Aetna Medicare Advantage	$7.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.01
Rate for Payer: Cigna Commercial	$11.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.07
Rate for Payer: Oxford Commercial	$4.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.54
Rate for Payer: UnitedHealthcare Commercial	$4.72
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

MINERAL OIL/30ML

Facility

$43.82

Service Code	NDC 54162018501
Hospital Charge Code	60633432
Hospital Revenue Code	250
Min. Negotiated Rate	$6.57
Max. Negotiated Rate	$6.57
Rate for Payer: Qualcare PPO/HMO/WC	$6.57

MINERAL OIL/30ML

Facility

$43.82

Service Code	NDC 54162018501
Hospital Charge Code	60633432
Hospital Revenue Code	250
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$21.91
Rate for Payer: Aetna Commercial	$16.65
Rate for Payer: Aetna Medicare Advantage	$13.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.17
Rate for Payer: Cigna Commercial	$21.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.15
Rate for Payer: Oxford Commercial	$8.76
Rate for Payer: Qualcare PPO/HMO/WC	$6.57
Rate for Payer: UnitedHealthcare Commercial	$8.76
Rate for Payer: UnitedHealthcare Community & State	$1.06
Rate for Payer: Wellpoint Medicaid Managed Care	$1.16

MINERAL OIL 30 ML OIL

Facility

$36.52

Service Code	NDC 54162018525
Hospital Charge Code	60628132
Hospital Revenue Code	250
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$18.26
Rate for Payer: Aetna Commercial	$13.88
Rate for Payer: Aetna Medicare Advantage	$10.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.31
Rate for Payer: Cigna Commercial	$18.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.96
Rate for Payer: Oxford Commercial	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$5.48
Rate for Payer: UnitedHealthcare Commercial	$7.30
Rate for Payer: UnitedHealthcare Community & State	$0.88
Rate for Payer: Wellpoint Medicaid Managed Care	$0.97

MINERAL OIL 30 ML OIL

Facility

$36.52

Service Code	NDC 54162018525
Hospital Charge Code	60628132
Hospital Revenue Code	250
Min. Negotiated Rate	$5.48
Max. Negotiated Rate	$5.48
Rate for Payer: Qualcare PPO/HMO/WC	$5.48

MINERAL OIL LQ 30ML

Facility

$3.20

Hospital Charge Code	6023329
Hospital Revenue Code	251
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

MINERAL OIL LQ 30ML

Facility

$3.20

Hospital Charge Code	6023329
Hospital Revenue Code	251
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

Know your out-of-pocket cost for care.

All Charges