Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NASH FIBROSURE VIII

Facility

$47.25

Service Code	HCPCS 84450
Hospital Charge Code	3038530H
Hospital Revenue Code	301
Min. Negotiated Rate	$7.09
Max. Negotiated Rate	$7.09
Rate for Payer: Qualcare PPO/HMO/WC	$7.09

NASH FIBROSURE X

Facility

$77.65

Service Code	HCPCS 84478
Hospital Charge Code	3038530J
Hospital Revenue Code	301
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

NASH FIBROSURE X

Facility

$77.65

Service Code	HCPCS 84478
Hospital Charge Code	3038530J
Hospital Revenue Code	301
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$15.61
Rate for Payer: Aetna Medicare Advantage	$18.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.72
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: Cigna Medicare Advantage	$5.74
Rate for Payer: Clover Medicare Advantage	$5.45
Rate for Payer: EmblemHealth Commercial	$17.22
Rate for Payer: Humana Medicare Advantage	$5.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$4.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.74
Rate for Payer: Wellcare Medicare Advantage	$5.74
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$51.16
Max. Negotiated Rate	$51.16
Rate for Payer: Qualcare PPO/HMO/WC	$51.16

NASOTRACHEAL ASPIRATION

Facility

$341.10

Service Code	HCPCS 31720
Hospital Charge Code	16000230
Hospital Revenue Code	360
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$707.61
Rate for Payer: Aetna Medicare Advantage	$842.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$939.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$260.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$939.06
Rate for Payer: Cigna Commercial	$521.47
Rate for Payer: Cigna Medicare Advantage	$260.15
Rate for Payer: Clover Medicare Advantage	$247.14
Rate for Payer: EmblemHealth Commercial	$780.45
Rate for Payer: Humana Medicare Advantage	$267.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$260.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.33
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.16
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$8.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$260.15
Rate for Payer: Wellcare Medicare Advantage	$260.15
Rate for Payer: Wellpoint Medicaid Managed Care	$9.04

NATALIZUMAB 300MG VIAL

Facility

$24,723.00

Service Code	HCPCS J2323
Hospital Charge Code	60630029
Hospital Revenue Code	636
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$5,982.97
Rate for Payer: Aetna Commercial	$66.15
Rate for Payer: Aetna Medicare Advantage	$78.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$25.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.79
Rate for Payer: Cigna Medicare Advantage	$24.32
Rate for Payer: Clover Medicare Advantage	$23.10
Rate for Payer: EmblemHealth Commercial	$72.96
Rate for Payer: Humana Medicare Advantage	$25.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,982.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,708.45
Rate for Payer: UnitedHealthcare Community & State	$595.82
Rate for Payer: UnitedHealthcare Medicare Advantage	$24.32
Rate for Payer: Wellcare Medicare Advantage	$24.32
Rate for Payer: Wellpoint Medicaid Managed Care	$655.16

NATALIZUMAB 300MG VIAL

Facility

$24,723.00

Service Code	HCPCS J2323
Hospital Charge Code	60630029
Hospital Revenue Code	636
Min. Negotiated Rate	$3,708.45
Max. Negotiated Rate	$5,982.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,982.97
Rate for Payer: Qualcare PPO/HMO/WC	$3,708.45

NATEGLINIDE 60 MG TAB

Facility

$20.90

Service Code	NDC 78035105
Hospital Charge Code	60629187
Hospital Revenue Code	250
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.45
Rate for Payer: Aetna Commercial	$7.94
Rate for Payer: Aetna Medicare Advantage	$6.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.33
Rate for Payer: Cigna Commercial	$10.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.27
Rate for Payer: Oxford Commercial	$4.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.13
Rate for Payer: UnitedHealthcare Commercial	$4.18
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

NATEGLINIDE 60 MG TAB

Facility

$20.90

Service Code	NDC 78035105
Hospital Charge Code	60629187
Hospital Revenue Code	250
Min. Negotiated Rate	$3.13
Max. Negotiated Rate	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.13

NAT KILLER CELLS,TOTAL COUNT

Facility

$267.15

Service Code	HCPCS 86357
Hospital Charge Code	38477201
Hospital Revenue Code	302
Min. Negotiated Rate	$40.07
Max. Negotiated Rate	$40.07
Rate for Payer: Qualcare PPO/HMO/WC	$40.07

NAT KILLER CELLS,TOTAL COUNT

Facility

$267.15

Service Code	HCPCS 86357
Hospital Charge Code	38477201
Hospital Revenue Code	302
Min. Negotiated Rate	$7.08
Max. Negotiated Rate	$136.19
Rate for Payer: Aetna Commercial	$102.63
Rate for Payer: Aetna Medicare Advantage	$122.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$81.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.19
Rate for Payer: Cigna Commercial	$133.57
Rate for Payer: Cigna Medicare Advantage	$37.73
Rate for Payer: Clover Medicare Advantage	$35.84
Rate for Payer: EmblemHealth Commercial	$113.19
Rate for Payer: Humana Medicare Advantage	$38.86
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.14
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$40.07
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$30.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$37.73
Rate for Payer: Wellcare Medicare Advantage	$37.73
Rate for Payer: Wellpoint Medicaid Managed Care	$7.08

NATRIURETIC PEPTIDE

Facility

$340.75

Service Code	HCPCS 83880
Hospital Charge Code	3032050
Hospital Revenue Code	301
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$170.38
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.72
Rate for Payer: Cigna Commercial	$170.38
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.22
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.11
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$9.03

NATRIURETIC PEPTIDE

Facility

$340.75

Service Code	HCPCS 83880
Hospital Charge Code	3032050
Hospital Revenue Code	301
Min. Negotiated Rate	$51.11
Max. Negotiated Rate	$51.11
Rate for Payer: Qualcare PPO/HMO/WC	$51.11

NATURA DRAINABLE PUCH INVISICL

Facility

$13.99

Hospital Charge Code	270683664
Hospital Revenue Code	270
Min. Negotiated Rate	$2.10
Max. Negotiated Rate	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.10

NATURA DRAINABLE PUCH INVISICL

Facility

$13.99

Hospital Charge Code	270683664
Hospital Revenue Code	270
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$7.00
Rate for Payer: Aetna Commercial	$5.32
Rate for Payer: Aetna Medicare Advantage	$4.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.57
Rate for Payer: Cigna Commercial	$7.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.20
Rate for Payer: Oxford Commercial	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.10
Rate for Payer: UnitedHealthcare Commercial	$2.80
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

NATURALYTE 0K 2.25CA 1MG 1GAL

Facility

$9.00

Hospital Charge Code	270647856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.35
Max. Negotiated Rate	$1.35
Rate for Payer: Qualcare PPO/HMO/WC	$1.35

NATURALYTE 0K 2.25CA 1MG 1GAL

Facility

$9.00

Hospital Charge Code	270647856
Hospital Revenue Code	272
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

NATURALYTE ACID

Facility

$15.00

Hospital Charge Code	270657775
Hospital Revenue Code	272
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

NATURALYTE ACID

Facility

$15.00

Hospital Charge Code	270657775
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

NATURALYTE, ACID CONCENTRATE

Facility

$51.50

Hospital Charge Code	270658808
Hospital Revenue Code	270
Min. Negotiated Rate	$7.72
Max. Negotiated Rate	$7.72
Rate for Payer: Qualcare PPO/HMO/WC	$7.72

NATURALYTE, ACID CONCENTRATE

Facility

$51.50

Hospital Charge Code	270658808
Hospital Revenue Code	270
Min. Negotiated Rate	$1.24
Max. Negotiated Rate	$25.75
Rate for Payer: Aetna Commercial	$19.57
Rate for Payer: Aetna Medicare Advantage	$15.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.13
Rate for Payer: Cigna Commercial	$25.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.45
Rate for Payer: Oxford Commercial	$10.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.72
Rate for Payer: UnitedHealthcare Commercial	$10.30
Rate for Payer: UnitedHealthcare Community & State	$1.24
Rate for Payer: Wellpoint Medicaid Managed Care	$1.36

NATURALYTE ACID CONCENTRATE 2K

Facility

$11.88

Hospital Charge Code	270649619
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

NATURALYTE ACID CONCENTRATE 2K

Facility

$11.88

Hospital Charge Code	270649619
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.94
Rate for Payer: Aetna Commercial	$4.51
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.56
Rate for Payer: Oxford Commercial	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$2.38
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

NATURALYTE BICARBONATE LIQUID

Facility

$11.88

Hospital Charge Code	270649621
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$5.94
Rate for Payer: Aetna Commercial	$4.51
Rate for Payer: Aetna Medicare Advantage	$3.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.03
Rate for Payer: Cigna Commercial	$5.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.56
Rate for Payer: Oxford Commercial	$2.38
Rate for Payer: Qualcare PPO/HMO/WC	$1.78
Rate for Payer: UnitedHealthcare Commercial	$2.38
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

NATURALYTE BICARBONATE LIQUID

Facility

$11.88

Hospital Charge Code	270649621
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$1.78
Rate for Payer: Qualcare PPO/HMO/WC	$1.78

Know your out-of-pocket cost for care.

All Charges