Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MITOXANTRONE HYDROCHL 5MG

Facility

$3,174.00

Hospital Charge Code	60633555
Hospital Revenue Code	636
Min. Negotiated Rate	$76.49
Max. Negotiated Rate	$1,587.00
Rate for Payer: Aetna Commercial	$1,206.12
Rate for Payer: Aetna Medicare Advantage	$952.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$809.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$809.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$809.37
Rate for Payer: Cigna Commercial	$1,587.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.11
Rate for Payer: Qualcare PPO/HMO/WC	$476.10
Rate for Payer: UnitedHealthcare Community & State	$76.49
Rate for Payer: Wellpoint Medicaid Managed Care	$84.11

MITOXANTRONE HYDROCHL 5MG

Facility

$3,174.00

Hospital Charge Code	60633555
Hospital Revenue Code	636
Min. Negotiated Rate	$476.10
Max. Negotiated Rate	$768.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$768.11
Rate for Payer: Qualcare PPO/HMO/WC	$476.10

MITOXANTRONE INJ 20MG

Facility

$3,282.60

Hospital Charge Code	6000343
Hospital Revenue Code	636
Min. Negotiated Rate	$79.11
Max. Negotiated Rate	$1,641.30
Rate for Payer: Aetna Commercial	$1,247.39
Rate for Payer: Aetna Medicare Advantage	$984.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$837.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$837.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$837.06
Rate for Payer: Cigna Commercial	$1,641.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.39
Rate for Payer: Qualcare PPO/HMO/WC	$492.39
Rate for Payer: UnitedHealthcare Community & State	$79.11
Rate for Payer: Wellpoint Medicaid Managed Care	$86.99

MITOXANTRONE INJ 20MG

Facility

$3,282.60

Hospital Charge Code	6000343
Hospital Revenue Code	636
Min. Negotiated Rate	$492.39
Max. Negotiated Rate	$794.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$794.39
Rate for Payer: Qualcare PPO/HMO/WC	$492.39

MITOXANTRONE INJ 25MG

Facility

$3,417.00

Hospital Charge Code	6017131
Hospital Revenue Code	636
Min. Negotiated Rate	$82.35
Max. Negotiated Rate	$1,708.50
Rate for Payer: Aetna Commercial	$1,298.46
Rate for Payer: Aetna Medicare Advantage	$1,025.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$871.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$871.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$871.34
Rate for Payer: Cigna Commercial	$1,708.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.91
Rate for Payer: Qualcare PPO/HMO/WC	$512.55
Rate for Payer: UnitedHealthcare Community & State	$82.35
Rate for Payer: Wellpoint Medicaid Managed Care	$90.55

MITOXANTRONE INJ 25MG

Facility

$3,417.00

Hospital Charge Code	6017131
Hospital Revenue Code	636
Min. Negotiated Rate	$512.55
Max. Negotiated Rate	$826.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$826.91
Rate for Payer: Qualcare PPO/HMO/WC	$512.55

MITOXANTRONE INJ 30MG

Facility

$3,836.20

Hospital Charge Code	6017149
Hospital Revenue Code	636
Min. Negotiated Rate	$575.43
Max. Negotiated Rate	$928.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$928.36
Rate for Payer: Qualcare PPO/HMO/WC	$575.43

MITOXANTRONE INJ 30MG

Facility

$3,836.20

Hospital Charge Code	6017149
Hospital Revenue Code	636
Min. Negotiated Rate	$92.45
Max. Negotiated Rate	$1,918.10
Rate for Payer: Aetna Commercial	$1,457.76
Rate for Payer: Aetna Medicare Advantage	$1,150.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$978.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$978.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$978.23
Rate for Payer: Cigna Commercial	$1,918.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$928.36
Rate for Payer: Qualcare PPO/HMO/WC	$575.43
Rate for Payer: UnitedHealthcare Community & State	$92.45
Rate for Payer: Wellpoint Medicaid Managed Care	$101.66

MITTEN FINGER & HAND PADDED

Facility

$83.55

Hospital Charge Code	270652202
Hospital Revenue Code	271
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.77
Rate for Payer: Aetna Commercial	$31.75
Rate for Payer: Aetna Medicare Advantage	$25.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.31
Rate for Payer: Cigna Commercial	$41.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.07
Rate for Payer: Oxford Commercial	$16.71
Rate for Payer: Qualcare PPO/HMO/WC	$12.53
Rate for Payer: UnitedHealthcare Commercial	$16.71
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

MITTEN FINGER & HAND PADDED

Facility

$83.55

Hospital Charge Code	270652202
Hospital Revenue Code	271
Min. Negotiated Rate	$12.53
Max. Negotiated Rate	$12.53
Rate for Payer: Qualcare PPO/HMO/WC	$12.53

MITT LOOK EASY

Facility

$52.11

Hospital Charge Code	270649615
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$26.05
Rate for Payer: Aetna Commercial	$19.80
Rate for Payer: Aetna Medicare Advantage	$15.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.29
Rate for Payer: Cigna Commercial	$26.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.63
Rate for Payer: Oxford Commercial	$10.42
Rate for Payer: Qualcare PPO/HMO/WC	$7.82
Rate for Payer: UnitedHealthcare Commercial	$10.42
Rate for Payer: UnitedHealthcare Community & State	$1.26
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

MITT LOOK EASY

Facility

$52.11

Hospital Charge Code	270649615
Hospital Revenue Code	272
Min. Negotiated Rate	$7.82
Max. Negotiated Rate	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$7.82

MITTS FINGER CNTRL POSEY 2816

Facility

$124.85

Hospital Charge Code	270613229
Hospital Revenue Code	270
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

MITTS FINGER CNTRL POSEY 2816

Facility

$124.85

Hospital Charge Code	270613229
Hospital Revenue Code	270
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

MITTS HAND CONTROL LG

Facility

$72.53

Hospital Charge Code	270301260
Hospital Revenue Code	270
Min. Negotiated Rate	$10.88
Max. Negotiated Rate	$10.88
Rate for Payer: Qualcare PPO/HMO/WC	$10.88

MITTS HAND CONTROL LG

Facility

$72.53

Hospital Charge Code	270301260
Hospital Revenue Code	270
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$36.27
Rate for Payer: Aetna Commercial	$27.56
Rate for Payer: Aetna Medicare Advantage	$21.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.50
Rate for Payer: Cigna Commercial	$36.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.76
Rate for Payer: Oxford Commercial	$14.51
Rate for Payer: Qualcare PPO/HMO/WC	$10.88
Rate for Payer: UnitedHealthcare Commercial	$14.51
Rate for Payer: UnitedHealthcare Community & State	$1.75
Rate for Payer: Wellpoint Medicaid Managed Care	$1.92

MITY VAC

Facility

$408.85

Hospital Charge Code	1800226
Hospital Revenue Code	270
Min. Negotiated Rate	$9.85
Max. Negotiated Rate	$204.43
Rate for Payer: Aetna Commercial	$155.36
Rate for Payer: Aetna Medicare Advantage	$122.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.26
Rate for Payer: Cigna Commercial	$204.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.66
Rate for Payer: Oxford Commercial	$81.77
Rate for Payer: Qualcare PPO/HMO/WC	$61.33
Rate for Payer: UnitedHealthcare Commercial	$81.77
Rate for Payer: UnitedHealthcare Community & State	$9.85
Rate for Payer: Wellpoint Medicaid Managed Care	$10.83

MITY VAC

Facility

$408.85

Hospital Charge Code	1800226
Hospital Revenue Code	270
Min. Negotiated Rate	$61.33
Max. Negotiated Rate	$61.33
Rate for Payer: Qualcare PPO/HMO/WC	$61.33

MITY VAC I BELL 10018

Facility

$118.60

Hospital Charge Code	270628624
Hospital Revenue Code	272
Min. Negotiated Rate	$2.86
Max. Negotiated Rate	$59.30
Rate for Payer: Aetna Commercial	$45.07
Rate for Payer: Aetna Medicare Advantage	$35.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.24
Rate for Payer: Cigna Commercial	$59.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.58
Rate for Payer: Oxford Commercial	$23.72
Rate for Payer: Qualcare PPO/HMO/WC	$17.79
Rate for Payer: UnitedHealthcare Commercial	$23.72
Rate for Payer: UnitedHealthcare Community & State	$2.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.14

MITY VAC I BELL 10018

Facility

$118.60

Hospital Charge Code	270628624
Hospital Revenue Code	272
Min. Negotiated Rate	$17.79
Max. Negotiated Rate	$17.79
Rate for Payer: Qualcare PPO/HMO/WC	$17.79

MITY-VAC VACUUM DEL KIT

Facility

$161.65

Hospital Charge Code	270604798
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$32.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$32.33
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

MITY-VAC VACUUM DEL KIT

Facility

$161.65

Hospital Charge Code	270604798
Hospital Revenue Code	270
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

MIVACRON INJ

Facility

$60.00

Hospital Charge Code	60634808
Hospital Revenue Code	250
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.00
Rate for Payer: Aetna Commercial	$22.80
Rate for Payer: Aetna Medicare Advantage	$18.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.30
Rate for Payer: Cigna Commercial	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.00
Rate for Payer: Oxford Commercial	$12.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00
Rate for Payer: UnitedHealthcare Commercial	$12.00
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.59

MIVACRON INJ

Facility

$60.00

Hospital Charge Code	60634808
Hospital Revenue Code	250
Min. Negotiated Rate	$9.00
Max. Negotiated Rate	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$9.00

MIVACURIUM 2 MG/ML INJ

Facility

$536.00

Hospital Charge Code	60627488
Hospital Revenue Code	250
Min. Negotiated Rate	$80.40
Max. Negotiated Rate	$80.40
Rate for Payer: Qualcare PPO/HMO/WC	$80.40

Know your out-of-pocket cost for care.

All Charges