Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

PARIETEX PLUG 6.5 CM ROUND

Facility

$507.65

Service Code	HCPCS C1781
Hospital Charge Code	270689837
Hospital Revenue Code	278
Min. Negotiated Rate	$76.15
Max. Negotiated Rate	$122.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$101.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$122.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$111.68
Rate for Payer: Qualcare PPO/HMO/WC	$76.15

PARIETEX PLUG 8 CM ROUND

Facility

$533.40

Service Code	HCPCS C1781
Hospital Charge Code	270689840
Hospital Revenue Code	278
Min. Negotiated Rate	$12.85
Max. Negotiated Rate	$266.70
Rate for Payer: Aetna Commercial	$202.69
Rate for Payer: Aetna Medicare Advantage	$160.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$136.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$136.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$136.02
Rate for Payer: Cigna Commercial	$266.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.35
Rate for Payer: Qualcare PPO/HMO/WC	$80.01
Rate for Payer: UnitedHealthcare Community & State	$12.85
Rate for Payer: Wellpoint Medicaid Managed Care	$14.14

PARIETEX PLUG 8 CM ROUND

Facility

$533.40

Service Code	HCPCS C1781
Hospital Charge Code	270689840
Hospital Revenue Code	278
Min. Negotiated Rate	$80.01
Max. Negotiated Rate	$129.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$106.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$129.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$117.35
Rate for Payer: Qualcare PPO/HMO/WC	$80.01

PARIETEX PROGRIP MESH 15X9

Facility

$1,680.95

Hospital Charge Code	270657132
Hospital Revenue Code	278
Min. Negotiated Rate	$40.51
Max. Negotiated Rate	$840.48
Rate for Payer: Aetna Commercial	$638.76
Rate for Payer: Aetna Medicare Advantage	$504.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$428.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$428.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$428.64
Rate for Payer: Cigna Commercial	$840.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.81
Rate for Payer: Qualcare PPO/HMO/WC	$252.14
Rate for Payer: UnitedHealthcare Community & State	$40.51
Rate for Payer: Wellpoint Medicaid Managed Care	$44.55

PARIETEX PROGRIP MESH 15X9

Facility

$1,680.95

Hospital Charge Code	270657132
Hospital Revenue Code	278
Min. Negotiated Rate	$252.14
Max. Negotiated Rate	$406.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$336.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$406.79
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$369.81
Rate for Payer: Qualcare PPO/HMO/WC	$252.14

PARITAL CARE INDIV 75-80 MIN

Facility

$920.00

Service Code	HCPCS 90822
Hospital Charge Code	84310055
Hospital Revenue Code	912
Min. Negotiated Rate	$22.17
Max. Negotiated Rate	$460.00
Rate for Payer: Aetna Commercial	$349.60
Rate for Payer: Aetna Medicare Advantage	$276.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$234.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$234.60
Rate for Payer: Cigna Commercial	$460.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$276.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00
Rate for Payer: UnitedHealthcare Community & State	$22.17
Rate for Payer: Wellpoint Medicaid Managed Care	$24.38

PARITAL CARE INDIV 75-80 MIN

Facility

$920.00

Service Code	HCPCS 90822
Hospital Charge Code	84310055
Hospital Revenue Code	912
Min. Negotiated Rate	$138.00
Max. Negotiated Rate	$138.00
Rate for Payer: Qualcare PPO/HMO/WC	$138.00

PARLODEL/2.5MG/TAB

Facility

$8.00

Hospital Charge Code	60633613
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.20

PARLODEL/2.5MG/TAB

Facility

$8.00

Hospital Charge Code	60633613
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.00
Rate for Payer: Aetna Commercial	$3.04
Rate for Payer: Aetna Medicare Advantage	$2.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.04
Rate for Payer: Cigna Commercial	$4.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.40
Rate for Payer: Oxford Commercial	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.20
Rate for Payer: UnitedHealthcare Commercial	$1.60
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

PARNATE/10MG

Facility

$3.00

Hospital Charge Code	60634939
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

PARNATE/10MG

Facility

$3.00

Hospital Charge Code	60634939
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

PAROMOMYCIN CAP 250MG

Facility

$19.85

Hospital Charge Code	6010359
Hospital Revenue Code	252
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$9.93
Rate for Payer: Aetna Commercial	$7.54
Rate for Payer: Aetna Medicare Advantage	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.06
Rate for Payer: Cigna Commercial	$9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.96
Rate for Payer: Oxford Commercial	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$3.97
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

PAROMOMYCIN CAP 250MG

Facility

$19.85

Hospital Charge Code	6010359
Hospital Revenue Code	252
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

PAROXETINE 10 MG TAB

Facility

$49.51

Service Code	NDC 60505366303
Hospital Charge Code	60628677
Hospital Revenue Code	250
Min. Negotiated Rate	$7.43
Max. Negotiated Rate	$7.43
Rate for Payer: Qualcare PPO/HMO/WC	$7.43

PAROXETINE 10 MG TAB

Facility

$49.51

Service Code	NDC 60505366303
Hospital Charge Code	60628677
Hospital Revenue Code	250
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$24.75
Rate for Payer: Aetna Commercial	$18.81
Rate for Payer: Aetna Medicare Advantage	$14.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.63
Rate for Payer: Cigna Commercial	$24.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.85
Rate for Payer: Oxford Commercial	$9.90
Rate for Payer: Qualcare PPO/HMO/WC	$7.43
Rate for Payer: UnitedHealthcare Commercial	$9.90
Rate for Payer: UnitedHealthcare Community & State	$1.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.31

PAROXETINE 12.5 MG CR

Facility

$21.20

Hospital Charge Code	60629872
Hospital Revenue Code	250
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.60
Rate for Payer: Aetna Commercial	$8.06
Rate for Payer: Aetna Medicare Advantage	$6.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.41
Rate for Payer: Cigna Commercial	$10.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.36
Rate for Payer: Oxford Commercial	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$3.18
Rate for Payer: UnitedHealthcare Commercial	$4.24
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

PAROXETINE 12.5 MG CR

Facility

$21.20

Hospital Charge Code	60629872
Hospital Revenue Code	250
Min. Negotiated Rate	$3.18
Max. Negotiated Rate	$3.18
Rate for Payer: Qualcare PPO/HMO/WC	$3.18

PAROXETINE 20 MG TAB

Facility

$18.29

Service Code	NDC 68382009816
Hospital Charge Code	6017701
Hospital Revenue Code	250
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$9.14
Rate for Payer: Aetna Commercial	$6.95
Rate for Payer: Aetna Medicare Advantage	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.66
Rate for Payer: Cigna Commercial	$9.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.49
Rate for Payer: Oxford Commercial	$3.66
Rate for Payer: Qualcare PPO/HMO/WC	$2.74
Rate for Payer: UnitedHealthcare Commercial	$3.66
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

PAROXETINE 20 MG TAB

Facility

$18.29

Service Code	NDC 68382009816
Hospital Charge Code	6017701
Hospital Revenue Code	250
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$2.74
Rate for Payer: Qualcare PPO/HMO/WC	$2.74

PAROXETINE 25 MG CR

Facility

$22.15

Hospital Charge Code	60629873
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$11.07
Rate for Payer: Aetna Commercial	$8.42
Rate for Payer: Aetna Medicare Advantage	$6.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.65
Rate for Payer: Cigna Commercial	$11.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.64
Rate for Payer: Oxford Commercial	$4.43
Rate for Payer: Qualcare PPO/HMO/WC	$3.32
Rate for Payer: UnitedHealthcare Commercial	$4.43
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

PAROXETINE 25 MG CR

Facility

$22.15

Hospital Charge Code	60629873
Hospital Revenue Code	250
Min. Negotiated Rate	$3.32
Max. Negotiated Rate	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$3.32

PAROXETINE 30 MG TAB

Facility

$53.27

Service Code	NDC 60505366503
Hospital Charge Code	60627774
Hospital Revenue Code	250
Min. Negotiated Rate	$7.99
Max. Negotiated Rate	$7.99
Rate for Payer: Qualcare PPO/HMO/WC	$7.99

PAROXETINE 30 MG TAB

Facility

$53.27

Service Code	NDC 60505366503
Hospital Charge Code	60627774
Hospital Revenue Code	250
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$26.64
Rate for Payer: Aetna Commercial	$20.24
Rate for Payer: Aetna Medicare Advantage	$15.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.58
Rate for Payer: Cigna Commercial	$26.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.98
Rate for Payer: Oxford Commercial	$10.65
Rate for Payer: Qualcare PPO/HMO/WC	$7.99
Rate for Payer: UnitedHealthcare Commercial	$10.65
Rate for Payer: UnitedHealthcare Community & State	$1.28
Rate for Payer: Wellpoint Medicaid Managed Care	$1.41

PAROXETINE HCL 10MG/5ML L 60ML

Facility

$197.65

Hospital Charge Code	60628845
Hospital Revenue Code	250
Min. Negotiated Rate	$29.65
Max. Negotiated Rate	$29.65
Rate for Payer: Qualcare PPO/HMO/WC	$29.65

PAROXETINE HCL 10MG/5ML L 60ML

Facility

$197.65

Hospital Charge Code	60628845
Hospital Revenue Code	250
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.83
Rate for Payer: Aetna Commercial	$75.11
Rate for Payer: Aetna Medicare Advantage	$59.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.40
Rate for Payer: Cigna Commercial	$98.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.30
Rate for Payer: Oxford Commercial	$39.53
Rate for Payer: Qualcare PPO/HMO/WC	$29.65
Rate for Payer: UnitedHealthcare Commercial	$39.53
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.24

Know your out-of-pocket cost for care.

All Charges