Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MORPHINE 30MG IR TAB

Facility

$10.32

Service Code	NDC 54023624
Hospital Charge Code	60630164
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.16
Rate for Payer: Aetna Commercial	$3.92
Rate for Payer: Aetna Medicare Advantage	$3.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.63
Rate for Payer: Cigna Commercial	$5.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.10
Rate for Payer: Oxford Commercial	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.55
Rate for Payer: UnitedHealthcare Commercial	$2.06
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

MORPHINE 30MG IR TAB

Facility

$10.32

Service Code	NDC 54023624
Hospital Charge Code	60630164
Hospital Revenue Code	250
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.55

MORPHINE 4 MG INJ

Facility

$7.91

Service Code	HCPCS J2270
Hospital Charge Code	60639164
Hospital Revenue Code	636
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.96
Rate for Payer: Aetna Commercial	$3.01
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.02
Rate for Payer: Cigna Commercial	$3.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

MORPHINE 4 MG INJ

Facility

$7.91

Service Code	HCPCS J2270
Hospital Charge Code	60639164
Hospital Revenue Code	636
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

MORPHINE 500MG/20ML PF INJ

Facility

$718.45

Hospital Charge Code	60628822
Hospital Revenue Code	250
Min. Negotiated Rate	$107.77
Max. Negotiated Rate	$107.77
Rate for Payer: Qualcare PPO/HMO/WC	$107.77

MORPHINE 500MG/20ML PF INJ

Facility

$718.45

Hospital Charge Code	60628822
Hospital Revenue Code	250
Min. Negotiated Rate	$17.31
Max. Negotiated Rate	$359.23
Rate for Payer: Aetna Commercial	$273.01
Rate for Payer: Aetna Medicare Advantage	$215.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$183.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$183.20
Rate for Payer: Cigna Commercial	$359.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$215.53
Rate for Payer: Oxford Commercial	$143.69
Rate for Payer: Qualcare PPO/HMO/WC	$107.77
Rate for Payer: UnitedHealthcare Commercial	$143.69
Rate for Payer: UnitedHealthcare Community & State	$17.31
Rate for Payer: Wellpoint Medicaid Managed Care	$19.04

MORPHINE 5MG/ML VIALS

Facility

$12.19

Service Code	HCPCS J2270
Hospital Charge Code	60635016
Hospital Revenue Code	636
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.09
Rate for Payer: Aetna Commercial	$4.63
Rate for Payer: Aetna Medicare Advantage	$3.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.11
Rate for Payer: Cigna Commercial	$6.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.83
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

MORPHINE 5MG/ML VIALS

Facility

$12.19

Service Code	HCPCS J2270
Hospital Charge Code	60635016
Hospital Revenue Code	636
Min. Negotiated Rate	$1.83
Max. Negotiated Rate	$2.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.83

MORPHINE INJ 200MG/20ML PF

Facility

$957.45

Hospital Charge Code	60628658
Hospital Revenue Code	250
Min. Negotiated Rate	$23.07
Max. Negotiated Rate	$478.73
Rate for Payer: Aetna Commercial	$363.83
Rate for Payer: Aetna Medicare Advantage	$287.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$244.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$244.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$244.15
Rate for Payer: Cigna Commercial	$478.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$287.24
Rate for Payer: Oxford Commercial	$191.49
Rate for Payer: Qualcare PPO/HMO/WC	$143.62
Rate for Payer: UnitedHealthcare Commercial	$191.49
Rate for Payer: UnitedHealthcare Community & State	$23.07
Rate for Payer: Wellpoint Medicaid Managed Care	$25.37

MORPHINE INJ 200MG/20ML PF

Facility

$957.45

Hospital Charge Code	60628658
Hospital Revenue Code	250
Min. Negotiated Rate	$143.62
Max. Negotiated Rate	$143.62
Rate for Payer: Qualcare PPO/HMO/WC	$143.62

MORPHINE OPIATES BLOOD

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009151
Hospital Revenue Code	301
Min. Negotiated Rate	$20.77
Max. Negotiated Rate	$20.77
Rate for Payer: Qualcare PPO/HMO/WC	$20.77

MORPHINE OPIATES BLOOD

Facility

$138.45

Service Code	HCPCS 80361
Hospital Charge Code	3009151
Hospital Revenue Code	301
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$52.61
Rate for Payer: Aetna Medicare Advantage	$41.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.30
Rate for Payer: Cigna Commercial	$69.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.53
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.77
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$22.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3.67

MORPHINE ORAL 20MG/10ML

Facility

$1.00

Hospital Charge Code	60635332
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

MORPHINE ORAL 20MG/10ML

Facility

$1.00

Hospital Charge Code	60635332
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

MORPHINE PCA 1 MG/ML (30ML)

Facility

$61.10

Service Code	HCPCS J2274
Hospital Charge Code	60627719
Hospital Revenue Code	636
Min. Negotiated Rate	$9.16
Max. Negotiated Rate	$14.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.16

MORPHINE PCA 1 MG/ML (30ML)

Facility

$61.10

Service Code	HCPCS J2274
Hospital Charge Code	60627719
Hospital Revenue Code	636
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.55
Rate for Payer: Aetna Commercial	$23.22
Rate for Payer: Aetna Medicare Advantage	$18.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.58
Rate for Payer: Cigna Commercial	$30.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.79
Rate for Payer: Qualcare PPO/HMO/WC	$9.16
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

MORPHINE PCA/30MG

Facility

$63.00

Hospital Charge Code	60634952
Hospital Revenue Code	250
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$23.94
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.90
Rate for Payer: Oxford Commercial	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$12.60
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

MORPHINE PCA/30MG

Facility

$63.00

Hospital Charge Code	60634952
Hospital Revenue Code	250
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

MORPHINE PRESER FREE 10ML

Facility

$57.62

Service Code	NDC 641602010
Hospital Charge Code	60632909
Hospital Revenue Code	250
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$8.64
Rate for Payer: Qualcare PPO/HMO/WC	$8.64

MORPHINE PRESER FREE 10ML

Facility

$57.62

Service Code	NDC 641602010
Hospital Charge Code	60632909
Hospital Revenue Code	250
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.81
Rate for Payer: Aetna Commercial	$21.90
Rate for Payer: Aetna Medicare Advantage	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.69
Rate for Payer: Cigna Commercial	$28.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.29
Rate for Payer: Oxford Commercial	$11.52
Rate for Payer: Qualcare PPO/HMO/WC	$8.64
Rate for Payer: UnitedHealthcare Commercial	$11.52
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.53

MORPHINE S04 5R 15MG(ORAMORPH)

Facility

$1.95

Hospital Charge Code	6023311
Hospital Revenue Code	251
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

MORPHINE S04 5R 15MG(ORAMORPH)

Facility

$1.95

Hospital Charge Code	6023311
Hospital Revenue Code	251
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$0.98
Rate for Payer: Aetna Commercial	$0.74
Rate for Payer: Aetna Medicare Advantage	$0.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.50
Rate for Payer: Cigna Commercial	$0.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.59
Rate for Payer: Oxford Commercial	$0.39
Rate for Payer: Qualcare PPO/HMO/WC	$0.29
Rate for Payer: UnitedHealthcare Commercial	$0.39
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.05

MORPHINE SO 2MG/ML

Facility

$4.50

Hospital Charge Code	6012066
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.68

MORPHINE SO 2MG/ML

Facility

$4.50

Hospital Charge Code	6012066
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.25
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.15
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.68
Rate for Payer: UnitedHealthcare Commercial	$0.90
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

MORPHINE SO I.R. 15MG

Facility

$1.95

Hospital Charge Code	6022040
Hospital Revenue Code	251
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$0.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.29

Know your out-of-pocket cost for care.

All Charges