Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEOSPORIN OPTH OINT/1/8OZ

Facility

$71.00

Hospital Charge Code	60634598
Hospital Revenue Code	250
Min. Negotiated Rate	$1.71
Max. Negotiated Rate	$35.50
Rate for Payer: Aetna Commercial	$26.98
Rate for Payer: Aetna Medicare Advantage	$21.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.11
Rate for Payer: Cigna Commercial	$35.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.30
Rate for Payer: Oxford Commercial	$14.20
Rate for Payer: Qualcare PPO/HMO/WC	$10.65
Rate for Payer: UnitedHealthcare Commercial	$14.20
Rate for Payer: UnitedHealthcare Community & State	$1.71
Rate for Payer: Wellpoint Medicaid Managed Care	$1.88

NEOSTGM METHYL INJ 1MG/ML 10ML

Facility

$95.40

Hospital Charge Code	6003933
Hospital Revenue Code	250
Min. Negotiated Rate	$2.30
Max. Negotiated Rate	$47.70
Rate for Payer: Aetna Commercial	$36.25
Rate for Payer: Aetna Medicare Advantage	$28.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.33
Rate for Payer: Cigna Commercial	$47.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.62
Rate for Payer: Oxford Commercial	$19.08
Rate for Payer: Qualcare PPO/HMO/WC	$14.31
Rate for Payer: UnitedHealthcare Commercial	$19.08
Rate for Payer: UnitedHealthcare Community & State	$2.30
Rate for Payer: Wellpoint Medicaid Managed Care	$2.53

NEOSTGM METHYL INJ 1MG/ML 10ML

Facility

$95.40

Hospital Charge Code	6003933
Hospital Revenue Code	250
Min. Negotiated Rate	$14.31
Max. Negotiated Rate	$14.31
Rate for Payer: Qualcare PPO/HMO/WC	$14.31

NEOSTIGMINE

Facility

$47.35

Hospital Charge Code	270656760
Hospital Revenue Code	270
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.68
Rate for Payer: Aetna Commercial	$17.99
Rate for Payer: Aetna Medicare Advantage	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.07
Rate for Payer: Cigna Commercial	$23.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.21
Rate for Payer: Oxford Commercial	$9.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.10
Rate for Payer: UnitedHealthcare Commercial	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

NEOSTIGMINE

Facility

$47.35

Hospital Charge Code	270656760
Hospital Revenue Code	270
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.10

NEOSTIGMINE 1 1000 (1MG ML) IV

Facility

$114.24

Service Code	HCPCS J2710
Hospital Charge Code	60630060
Hospital Revenue Code	636
Min. Negotiated Rate	$2.75
Max. Negotiated Rate	$57.12
Rate for Payer: Aetna Commercial	$43.41
Rate for Payer: Aetna Medicare Advantage	$34.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.13
Rate for Payer: Cigna Commercial	$57.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.14
Rate for Payer: UnitedHealthcare Community & State	$2.75
Rate for Payer: Wellpoint Medicaid Managed Care	$3.03

NEOSTIGMINE 1 1000 (1MG ML) IV

Facility

$114.24

Service Code	HCPCS J2710
Hospital Charge Code	60630060
Hospital Revenue Code	636
Min. Negotiated Rate	$17.14
Max. Negotiated Rate	$27.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.65
Rate for Payer: Qualcare PPO/HMO/WC	$17.14

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$8.23
Max. Negotiated Rate	$170.85
Rate for Payer: Aetna Commercial	$129.85
Rate for Payer: Aetna Medicare Advantage	$102.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.13
Rate for Payer: Cigna Commercial	$170.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26
Rate for Payer: UnitedHealthcare Community & State	$8.23
Rate for Payer: Wellpoint Medicaid Managed Care	$9.06

NEOSTIGMINE 1MG/ML (5ML) SYR

Facility

$341.70

Service Code	HCPCS J2710
Hospital Charge Code	6063943336
Hospital Revenue Code	636
Min. Negotiated Rate	$51.26
Max. Negotiated Rate	$82.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.69
Rate for Payer: Qualcare PPO/HMO/WC	$51.26

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$3.67
Max. Negotiated Rate	$76.22
Rate for Payer: Aetna Commercial	$57.92
Rate for Payer: Aetna Medicare Advantage	$45.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.87
Rate for Payer: Cigna Commercial	$76.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86
Rate for Payer: UnitedHealthcare Community & State	$3.67
Rate for Payer: Wellpoint Medicaid Managed Care	$4.04

NEOSTIGMINE 2MG/2ML SYRINGE

Facility

$152.43

Service Code	HCPCS J2710
Hospital Charge Code	606380027
Hospital Revenue Code	636
Min. Negotiated Rate	$22.86
Max. Negotiated Rate	$36.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Qualcare PPO/HMO/WC	$22.86

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$110.55
Rate for Payer: Aetna Commercial	$84.02
Rate for Payer: Aetna Medicare Advantage	$66.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.38
Rate for Payer: Cigna Commercial	$110.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16
Rate for Payer: UnitedHealthcare Community & State	$5.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5.86

NEOSTIGMINE 3MG/3ML SYRINGE

Facility

$221.10

Service Code	HCPCS J2710
Hospital Charge Code	6063943361
Hospital Revenue Code	636
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$53.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$34.34
Rate for Payer: Aetna Commercial	$26.10
Rate for Payer: Aetna Medicare Advantage	$20.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.51
Rate for Payer: Cigna Commercial	$34.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30
Rate for Payer: UnitedHealthcare Community & State	$1.66
Rate for Payer: Wellpoint Medicaid Managed Care	$1.82

NEOSTIGMINE 3MG/3ML VIAL

Facility

$68.68

Service Code	HCPCS J2710
Hospital Charge Code	606390265
Hospital Revenue Code	636
Min. Negotiated Rate	$10.30
Max. Negotiated Rate	$16.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Qualcare PPO/HMO/WC	$10.30

NEOSTIGMINE VIAL 10ML

Facility

$7.70

Hospital Charge Code	6013023
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.85
Rate for Payer: Aetna Commercial	$2.93
Rate for Payer: Aetna Medicare Advantage	$2.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.96
Rate for Payer: Cigna Commercial	$3.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.31
Rate for Payer: Oxford Commercial	$1.54
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.54
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

NEOSTIGMINE VIAL 10ML

Facility

$7.70

Hospital Charge Code	6013023
Hospital Revenue Code	250
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

NEO-SYNALAR CREAM 0.025%

Facility

$61.00

Hospital Charge Code	60634772
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$23.18
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.30
Rate for Payer: Oxford Commercial	$12.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$12.20
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

NEO-SYNALAR CREAM 0.025%

Facility

$61.00

Hospital Charge Code	60634772
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

NEOSYNEPHINE INJ/10MG/ML

Facility

$28.00

Hospital Charge Code	60634264
Hospital Revenue Code	250
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

NEOSYNEPHINE INJ/10MG/ML

Facility

$28.00

Hospital Charge Code	60634264
Hospital Revenue Code	250
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

NEOSYNEPH NOSE GTTS 0.25%

Facility

$34.60

Hospital Charge Code	6006696
Hospital Revenue Code	251
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.38
Rate for Payer: Oxford Commercial	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$6.92
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

NEOSYNEPH NOSE GTTS 0.25%

Facility

$34.60

Hospital Charge Code	6006696
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

NEOSYNEPH NOSE GTTS 0.5%

Facility

$34.60

Hospital Charge Code	6006704
Hospital Revenue Code	251
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.30
Rate for Payer: Aetna Commercial	$13.15
Rate for Payer: Aetna Medicare Advantage	$10.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.82
Rate for Payer: Cigna Commercial	$17.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.38
Rate for Payer: Oxford Commercial	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.19
Rate for Payer: UnitedHealthcare Commercial	$6.92
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.92

NEOSYNEPH NOSE GTTS 0.5%

Facility

$34.60

Hospital Charge Code	6006704
Hospital Revenue Code	251
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$5.19
Rate for Payer: Qualcare PPO/HMO/WC	$5.19

Know your out-of-pocket cost for care.

All Charges