Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEXIUM 40 MG IV

Facility

$13.00

Hospital Charge Code	60635539
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

NEX SIZE E,F 17MM 3,4 POLY INS

Facility

$5,862.10

Hospital Charge Code	270657040
Hospital Revenue Code	278
Min. Negotiated Rate	$879.32
Max. Negotiated Rate	$1,418.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32

NEX SIZE E,F 17MM 3,4 POLY INS

Facility

$5,862.10

Hospital Charge Code	270657040
Hospital Revenue Code	278
Min. Negotiated Rate	$141.28
Max. Negotiated Rate	$2,931.05
Rate for Payer: Aetna Commercial	$2,227.60
Rate for Payer: Aetna Medicare Advantage	$1,758.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,494.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,172.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,494.84
Rate for Payer: Cigna Commercial	$2,931.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,418.63
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,289.66
Rate for Payer: Qualcare PPO/HMO/WC	$879.32
Rate for Payer: UnitedHealthcare Community & State	$141.28
Rate for Payer: Wellpoint Medicaid Managed Care	$155.35

NEXUSSHORTTIPANDTUBING 1.9MM

Facility

$3,262.71

Hospital Charge Code	270692353
Hospital Revenue Code	272
Min. Negotiated Rate	$489.41
Max. Negotiated Rate	$489.41
Rate for Payer: Qualcare PPO/HMO/WC	$489.41

NEXUSSHORTTIPANDTUBING 1.9MM

Facility

$3,262.71

Hospital Charge Code	270692353
Hospital Revenue Code	272
Min. Negotiated Rate	$78.63
Max. Negotiated Rate	$1,631.36
Rate for Payer: Aetna Commercial	$1,239.83
Rate for Payer: Aetna Medicare Advantage	$978.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$831.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$831.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$831.99
Rate for Payer: Cigna Commercial	$1,631.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$978.81
Rate for Payer: Oxford Commercial	$652.54
Rate for Payer: Qualcare PPO/HMO/WC	$489.41
Rate for Payer: UnitedHealthcare Commercial	$652.54
Rate for Payer: UnitedHealthcare Community & State	$78.63
Rate for Payer: Wellpoint Medicaid Managed Care	$86.46

NEXUS SONICVAC TUBESET U/S TIP

Facility

$3,230.00

Hospital Charge Code	270693179
Hospital Revenue Code	272
Min. Negotiated Rate	$484.50
Max. Negotiated Rate	$484.50
Rate for Payer: Qualcare PPO/HMO/WC	$484.50

NEXUS SONICVAC TUBESET U/S TIP

Facility

$3,230.00

Hospital Charge Code	270693179
Hospital Revenue Code	272
Min. Negotiated Rate	$77.84
Max. Negotiated Rate	$1,615.00
Rate for Payer: Aetna Commercial	$1,227.40
Rate for Payer: Aetna Medicare Advantage	$969.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$823.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$823.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$823.65
Rate for Payer: Cigna Commercial	$1,615.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$969.00
Rate for Payer: Oxford Commercial	$646.00
Rate for Payer: Qualcare PPO/HMO/WC	$484.50
Rate for Payer: UnitedHealthcare Commercial	$646.00
Rate for Payer: UnitedHealthcare Community & State	$77.84
Rate for Payer: Wellpoint Medicaid Managed Care	$85.59

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.00
Rate for Payer: Oxford Commercial	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Commercial	$44.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

NEZHAT DORSY TUBING SET

Facility

$220.00

Hospital Charge Code	270338792
Hospital Revenue Code	272
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$33.00
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

NFCT DS BV RNA VAG FLU ALG

Facility

$82.96

Service Code	HCPCS 81513
Hospital Charge Code	401910123C
Hospital Revenue Code	310
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$514.85
Rate for Payer: Aetna Commercial	$387.95
Rate for Payer: Aetna Medicare Advantage	$462.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$514.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$514.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$142.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$514.85
Rate for Payer: Cigna Commercial	$41.48
Rate for Payer: Cigna Medicare Advantage	$142.63
Rate for Payer: Clover Medicare Advantage	$135.50
Rate for Payer: EmblemHealth Commercial	$427.89
Rate for Payer: Humana Medicare Advantage	$146.91
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$142.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$114.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$142.63
Rate for Payer: Wellcare Medicare Advantage	$142.63
Rate for Payer: Wellpoint Medicaid Managed Care	$2.20

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$2.20
Max. Negotiated Rate	$126.66
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$41.48
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.89
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.44
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$2.20

N.GONORRHOEAE DNA AMP PROB

Facility

$82.95

Service Code	HCPCS 87591
Hospital Charge Code	401910123B
Hospital Revenue Code	306
Min. Negotiated Rate	$12.44
Max. Negotiated Rate	$12.44
Rate for Payer: Qualcare PPO/HMO/WC	$12.44

N GONORRHOEAE, DNA PROBE

Facility

$92.50

Service Code	HCPCS 87590
Hospital Charge Code	3001535
Hospital Revenue Code	306
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$73.11
Rate for Payer: Aetna Medicare Advantage	$87.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$97.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$97.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$97.03
Rate for Payer: Cigna Commercial	$46.25
Rate for Payer: Cigna Medicare Advantage	$26.88
Rate for Payer: Clover Medicare Advantage	$25.54
Rate for Payer: EmblemHealth Commercial	$80.64
Rate for Payer: Humana Medicare Advantage	$27.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.75
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.88
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$21.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.88
Rate for Payer: Wellcare Medicare Advantage	$26.88
Rate for Payer: Wellpoint Medicaid Managed Care	$2.45

N GONORRHOEAE, DNA PROBE

Facility

$92.50

Service Code	HCPCS 87590
Hospital Charge Code	3001535
Hospital Revenue Code	306
Min. Negotiated Rate	$13.88
Max. Negotiated Rate	$13.88
Rate for Payer: Qualcare PPO/HMO/WC	$13.88

N. GONORRHOEAE DNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479098
Hospital Revenue Code	306
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$126.66
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$124.27
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

N. GONORRHOEAE DNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479098
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

N. GONORRHOEAE RNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479099
Hospital Revenue Code	306
Min. Negotiated Rate	$37.28
Max. Negotiated Rate	$37.28
Rate for Payer: Qualcare PPO/HMO/WC	$37.28

N. GONORRHOEAE RNA SDA

Facility

$248.54

Service Code	HCPCS 87591
Hospital Charge Code	38479099
Hospital Revenue Code	306
Min. Negotiated Rate	$6.59
Max. Negotiated Rate	$126.66
Rate for Payer: Aetna Commercial	$95.44
Rate for Payer: Aetna Medicare Advantage	$113.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$72.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.66
Rate for Payer: Cigna Commercial	$124.27
Rate for Payer: Cigna Medicare Advantage	$35.09
Rate for Payer: Clover Medicare Advantage	$33.34
Rate for Payer: EmblemHealth Commercial	$105.27
Rate for Payer: Humana Medicare Advantage	$36.14
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.56
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.28
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$28.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$35.09
Rate for Payer: Wellcare Medicare Advantage	$35.09
Rate for Payer: Wellpoint Medicaid Managed Care	$6.59

NGT 100MG/250 ML IN D5W

Facility

$197.72

Service Code	NDC 338105102
Hospital Charge Code	6063943380
Hospital Revenue Code	250
Min. Negotiated Rate	$4.77
Max. Negotiated Rate	$98.86
Rate for Payer: Aetna Commercial	$75.13
Rate for Payer: Aetna Medicare Advantage	$59.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.42
Rate for Payer: Cigna Commercial	$98.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.32
Rate for Payer: Oxford Commercial	$39.54
Rate for Payer: Qualcare PPO/HMO/WC	$29.66
Rate for Payer: UnitedHealthcare Commercial	$39.54
Rate for Payer: UnitedHealthcare Community & State	$4.77
Rate for Payer: Wellpoint Medicaid Managed Care	$5.24

NGT 100MG/250 ML IN D5W

Facility

$197.72

Service Code	NDC 338105102
Hospital Charge Code	6063943380
Hospital Revenue Code	250
Min. Negotiated Rate	$29.66
Max. Negotiated Rate	$29.66
Rate for Payer: Qualcare PPO/HMO/WC	$29.66

NIACIN 100 MG TAB

Facility

$4.00

Service Code	NDC 10135018601
Hospital Charge Code	60628483
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

NIACIN 100 MG TAB

Facility

$4.00

Service Code	NDC 10135018601
Hospital Charge Code	60628483
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACIN 250MG TABS

Facility

$4.00

Service Code	NDC 904062960
Hospital Charge Code	60635115
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

NIACIN 250MG TABS

Facility

$4.00

Service Code	NDC 904062960
Hospital Charge Code	60635115
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

Know your out-of-pocket cost for care.

All Charges