Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MYRIAD ECM MATRIX 10X10 SR5

Facility

$6,354.65

Hospital Charge Code	270692101
Hospital Revenue Code	272
Min. Negotiated Rate	$153.15
Max. Negotiated Rate	$3,177.32
Rate for Payer: Aetna Commercial	$2,414.77
Rate for Payer: Aetna Medicare Advantage	$1,906.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,620.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,620.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,620.44
Rate for Payer: Cigna Commercial	$3,177.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,906.39
Rate for Payer: Oxford Commercial	$1,270.93
Rate for Payer: Qualcare PPO/HMO/WC	$953.20
Rate for Payer: UnitedHealthcare Commercial	$1,270.93
Rate for Payer: UnitedHealthcare Community & State	$153.15
Rate for Payer: Wellpoint Medicaid Managed Care	$168.40

MYRINGOTOMY BLADE

Facility

$75.00

Hospital Charge Code	270335209
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$28.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.50
Rate for Payer: Oxford Commercial	$15.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$15.00
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

MYRINGOTOMY BLADE

Facility

$75.00

Hospital Charge Code	270335209
Hospital Revenue Code	272
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

MYSOLINE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60633479
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

MYSOLINE/250MG/TAB

Facility

$3.00

Hospital Charge Code	60633479
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MYSOLINE/50MG/TAB

Facility

$3.00

Hospital Charge Code	60633480
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

MYSOLINE/50MG/TAB

Facility

$3.00

Hospital Charge Code	60633480
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

MYXREDLIN INSULIN HUMAN 100UM/

Facility

$210.00

Hospital Charge Code	606390575
Hospital Revenue Code	250
Min. Negotiated Rate	$5.06
Max. Negotiated Rate	$105.00
Rate for Payer: Aetna Commercial	$79.80
Rate for Payer: Aetna Medicare Advantage	$63.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.55
Rate for Payer: Cigna Commercial	$105.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.00
Rate for Payer: Oxford Commercial	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$31.50
Rate for Payer: UnitedHealthcare Commercial	$42.00
Rate for Payer: UnitedHealthcare Community & State	$5.06
Rate for Payer: Wellpoint Medicaid Managed Care	$5.57

MYXREDLIN INSULIN HUMAN 100UM/

Facility

$210.00

Hospital Charge Code	606390575
Hospital Revenue Code	250
Min. Negotiated Rate	$31.50
Max. Negotiated Rate	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$31.50

Facility

$409.25

Hospital Charge Code	270622422
Hospital Revenue Code	272
Min. Negotiated Rate	$61.39
Max. Negotiated Rate	$61.39
Rate for Payer: Qualcare PPO/HMO/WC	$61.39

Facility

$409.25

Hospital Charge Code	270622422
Hospital Revenue Code	272
Min. Negotiated Rate	$9.86
Max. Negotiated Rate	$204.62
Rate for Payer: Aetna Commercial	$155.51
Rate for Payer: Aetna Medicare Advantage	$122.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104.36
Rate for Payer: Cigna Commercial	$204.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.78
Rate for Payer: Oxford Commercial	$81.85
Rate for Payer: Qualcare PPO/HMO/WC	$61.39
Rate for Payer: UnitedHealthcare Commercial	$81.85
Rate for Payer: UnitedHealthcare Community & State	$9.86
Rate for Payer: Wellpoint Medicaid Managed Care	$10.85

N300 LEAD ANCHOR KIT

Facility

$125.00

Hospital Charge Code	270703935
Hospital Revenue Code	279
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

N300 LEAD ANCHOR KIT

Facility

$125.00

Hospital Charge Code	270703935
Hospital Revenue Code	279
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

NABFERON ANTIBODY TEST

Facility

$343.25

Service Code	HCPCS 86382
Hospital Charge Code	3008903
Hospital Revenue Code	302
Min. Negotiated Rate	$51.49
Max. Negotiated Rate	$51.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.49

NABFERON ANTIBODY TEST

Facility

$343.25

Service Code	HCPCS 86382
Hospital Charge Code	3008903
Hospital Revenue Code	302
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$171.62
Rate for Payer: Aetna Commercial	$46.00
Rate for Payer: Aetna Medicare Advantage	$54.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.04
Rate for Payer: Cigna Commercial	$171.62
Rate for Payer: Cigna Medicare Advantage	$16.91
Rate for Payer: Clover Medicare Advantage	$16.06
Rate for Payer: EmblemHealth Commercial	$50.73
Rate for Payer: Humana Medicare Advantage	$17.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.91
Rate for Payer: Wellcare Medicare Advantage	$16.91
Rate for Payer: Wellpoint Medicaid Managed Care	$9.10

NABUMETONE 500 MG TAB

Facility

$12.85

Hospital Charge Code	60627690
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$4.88
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$2.57
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

NABUMETONE 500 MG TAB

Facility

$12.85

Hospital Charge Code	60627690
Hospital Revenue Code	250
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

NABUMETONE 500MG TAB

Facility

$8.71

Service Code	NDC 115165701
Hospital Charge Code	6063943141
Hospital Revenue Code	250
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.36
Rate for Payer: Aetna Commercial	$3.31
Rate for Payer: Aetna Medicare Advantage	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.22
Rate for Payer: Cigna Commercial	$4.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.61
Rate for Payer: Oxford Commercial	$1.74
Rate for Payer: Qualcare PPO/HMO/WC	$1.31
Rate for Payer: UnitedHealthcare Commercial	$1.74
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

NABUMETONE 500MG TAB

Facility

$8.71

Service Code	NDC 115165701
Hospital Charge Code	6063943141
Hospital Revenue Code	250
Min. Negotiated Rate	$1.31
Max. Negotiated Rate	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.31

NABUMETONE 750MG TAB

Facility

$10.25

Service Code	NDC 115165801
Hospital Charge Code	6063943142
Hospital Revenue Code	250
Min. Negotiated Rate	$1.54
Max. Negotiated Rate	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.54

NABUMETONE 750MG TAB

Facility

$10.25

Service Code	NDC 115165801
Hospital Charge Code	6063943142
Hospital Revenue Code	250
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.12
Rate for Payer: Aetna Commercial	$3.90
Rate for Payer: Aetna Medicare Advantage	$3.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.61
Rate for Payer: Cigna Commercial	$5.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.08
Rate for Payer: Oxford Commercial	$2.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.54
Rate for Payer: UnitedHealthcare Commercial	$2.05
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

N-ACETYL PROCAINAMIDE (NAPA)

Facility

$161.65

Service Code	HCPCS 80192
Hospital Charge Code	3008901
Hospital Revenue Code	301
Min. Negotiated Rate	$4.28
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$45.56
Rate for Payer: Aetna Medicare Advantage	$54.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.46
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: Cigna Medicare Advantage	$16.75
Rate for Payer: Clover Medicare Advantage	$15.91
Rate for Payer: EmblemHealth Commercial	$50.25
Rate for Payer: Humana Medicare Advantage	$17.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.75
Rate for Payer: Wellcare Medicare Advantage	$16.75
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

N-ACETYL PROCAINAMIDE (NAPA)

Facility

$161.65

Service Code	HCPCS 80192
Hospital Charge Code	3008901
Hospital Revenue Code	301
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

NACL 0.45% 1000ML

Facility

$9.65

Hospital Charge Code	270040210
Hospital Revenue Code	258
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.45

NACL 0.45% 1000ML

Facility

$9.65

Hospital Charge Code	270040210
Hospital Revenue Code	258
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.83
Rate for Payer: Aetna Commercial	$3.67
Rate for Payer: Aetna Medicare Advantage	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.46
Rate for Payer: Cigna Commercial	$4.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.90
Rate for Payer: Oxford Commercial	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.45
Rate for Payer: UnitedHealthcare Commercial	$1.93
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

Know your out-of-pocket cost for care.

All Charges