Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NALBUPHINE 10 MG/ML INJ

Facility

$10.45

Hospital Charge Code	6008965
Hospital Revenue Code	250
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

NALBUPHINE 20MG/ML

Facility

$96.88

Hospital Charge Code	60635830
Hospital Revenue Code	250
Min. Negotiated Rate	$14.53
Max. Negotiated Rate	$14.53
Rate for Payer: Qualcare PPO/HMO/WC	$14.53

NALBUPHINE 20MG/ML

Facility

$96.88

Hospital Charge Code	60635830
Hospital Revenue Code	250
Min. Negotiated Rate	$2.33
Max. Negotiated Rate	$48.44
Rate for Payer: Aetna Commercial	$36.81
Rate for Payer: Aetna Medicare Advantage	$29.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.70
Rate for Payer: Cigna Commercial	$48.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.06
Rate for Payer: Oxford Commercial	$19.38
Rate for Payer: Qualcare PPO/HMO/WC	$14.53
Rate for Payer: UnitedHealthcare Commercial	$19.38
Rate for Payer: UnitedHealthcare Community & State	$2.33
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$17.78
Rate for Payer: Aetna Commercial	$13.51
Rate for Payer: Aetna Medicare Advantage	$10.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.07
Rate for Payer: Cigna Commercial	$17.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33
Rate for Payer: UnitedHealthcare Community & State	$0.86
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

Nalbuphine 20mg/ml (1ml) amp

Facility

$35.56

Hospital Charge Code	606361044
Hospital Revenue Code	636
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$8.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Qualcare PPO/HMO/WC	$5.33

NALBUPHINE 20 MG/ML AMP

Facility

$32.32

Hospital Charge Code	606380008
Hospital Revenue Code	636
Min. Negotiated Rate	$4.85
Max. Negotiated Rate	$7.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.85

NALBUPHINE 20 MG/ML AMP

Facility

$32.32

Hospital Charge Code	606380008
Hospital Revenue Code	636
Min. Negotiated Rate	$0.78
Max. Negotiated Rate	$16.16
Rate for Payer: Aetna Commercial	$12.28
Rate for Payer: Aetna Medicare Advantage	$9.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.24
Rate for Payer: Cigna Commercial	$16.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.82
Rate for Payer: Qualcare PPO/HMO/WC	$4.85
Rate for Payer: UnitedHealthcare Community & State	$0.78
Rate for Payer: Wellpoint Medicaid Managed Care	$0.86

NALBUPHINE 20MG/ML AMPUL

Facility

$37.11

Hospital Charge Code	60631806
Hospital Revenue Code	636
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$8.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.57

NALBUPHINE 20MG/ML AMPUL

Facility

$37.11

Hospital Charge Code	60631806
Hospital Revenue Code	636
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$18.55
Rate for Payer: Aetna Commercial	$14.10
Rate for Payer: Aetna Medicare Advantage	$11.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.46
Rate for Payer: Cigna Commercial	$18.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.98
Rate for Payer: Qualcare PPO/HMO/WC	$5.57
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

NALBUPHINE 20 MG/ML INJ (10 ML

Facility

$301.59

Hospital Charge Code	6063943218
Hospital Revenue Code	636
Min. Negotiated Rate	$45.24
Max. Negotiated Rate	$72.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.98
Rate for Payer: Qualcare PPO/HMO/WC	$45.24

NALBUPHINE 20 MG/ML INJ (10 ML

Facility

$301.59

Hospital Charge Code	6063943218
Hospital Revenue Code	636
Min. Negotiated Rate	$7.27
Max. Negotiated Rate	$150.79
Rate for Payer: Aetna Commercial	$114.60
Rate for Payer: Aetna Medicare Advantage	$90.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.91
Rate for Payer: Cigna Commercial	$150.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.98
Rate for Payer: Qualcare PPO/HMO/WC	$45.24
Rate for Payer: UnitedHealthcare Community & State	$7.27
Rate for Payer: Wellpoint Medicaid Managed Care	$7.99

NALBUPHINE 20 MG/ML INJ (1 ML)

Facility

$41.81

Service Code	NDC 409146501
Hospital Charge Code	606380003
Hospital Revenue Code	250
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$6.27
Rate for Payer: Qualcare PPO/HMO/WC	$6.27

NALBUPHINE 20 MG/ML INJ (1 ML)

Facility

$41.81

Service Code	NDC 409146501
Hospital Charge Code	606380003
Hospital Revenue Code	250
Min. Negotiated Rate	$1.01
Max. Negotiated Rate	$20.91
Rate for Payer: Aetna Commercial	$15.89
Rate for Payer: Aetna Medicare Advantage	$12.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.66
Rate for Payer: Cigna Commercial	$20.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.54
Rate for Payer: Oxford Commercial	$8.36
Rate for Payer: Qualcare PPO/HMO/WC	$6.27
Rate for Payer: UnitedHealthcare Commercial	$8.36
Rate for Payer: UnitedHealthcare Community & State	$1.01
Rate for Payer: Wellpoint Medicaid Managed Care	$1.11

NALBUPHINE INJ AMP 10MG/ML

Facility

$10.90

Hospital Charge Code	6009617
Hospital Revenue Code	250
Min. Negotiated Rate	$1.64
Max. Negotiated Rate	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.64

NALBUPHINE INJ AMP 10MG/ML

Facility

$10.90

Hospital Charge Code	6009617
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

NALBUPHINE VIAL 10MG

Facility

$3.20

Hospital Charge Code	6022693
Hospital Revenue Code	250
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$0.48
Rate for Payer: Qualcare PPO/HMO/WC	$0.48

NALBUPHINE VIAL 10MG

Facility

$3.20

Hospital Charge Code	6022693
Hospital Revenue Code	250
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

NALDECON DX/30ML

Facility

$30.00

Hospital Charge Code	60633490
Hospital Revenue Code	250
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

NALDECON DX/30ML

Facility

$30.00

Hospital Charge Code	60633490
Hospital Revenue Code	250
Min. Negotiated Rate	$0.72
Max. Negotiated Rate	$15.00
Rate for Payer: Aetna Commercial	$11.40
Rate for Payer: Aetna Medicare Advantage	$9.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.65
Rate for Payer: Cigna Commercial	$15.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.00
Rate for Payer: Oxford Commercial	$6.00
Rate for Payer: Qualcare PPO/HMO/WC	$4.50
Rate for Payer: UnitedHealthcare Commercial	$6.00
Rate for Payer: UnitedHealthcare Community & State	$0.72
Rate for Payer: Wellpoint Medicaid Managed Care	$0.80

NALDECON DX PED SYRUP

Facility

$18.00

Hospital Charge Code	60634888
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

NALDECON DX PED SYRUP

Facility

$18.00

Hospital Charge Code	60634888
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

NALDECON EX DROPS

Facility

$26.00

Hospital Charge Code	60634957
Hospital Revenue Code	250
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

NALDECON EX DROPS

Facility

$26.00

Hospital Charge Code	60634957
Hospital Revenue Code	250
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$13.00
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$5.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$5.20
Rate for Payer: UnitedHealthcare Community & State	$0.63
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

NALDECON EX SYRP/16OZ

Facility

$81.00

Hospital Charge Code	60634617
Hospital Revenue Code	250
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$12.15
Rate for Payer: Qualcare PPO/HMO/WC	$12.15

NALDECON EX SYRP/16OZ

Facility

$81.00

Hospital Charge Code	60634617
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$40.50
Rate for Payer: Aetna Commercial	$30.78
Rate for Payer: Aetna Medicare Advantage	$24.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.66
Rate for Payer: Cigna Commercial	$40.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.30
Rate for Payer: Oxford Commercial	$16.20
Rate for Payer: Qualcare PPO/HMO/WC	$12.15
Rate for Payer: UnitedHealthcare Commercial	$16.20
Rate for Payer: UnitedHealthcare Community & State	$1.95
Rate for Payer: Wellpoint Medicaid Managed Care	$2.15

Know your out-of-pocket cost for care.

All Charges