Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RAABE GUIDING SHEATH 7FR 55cm

Facility

$277.50

Hospital Charge Code	2709003589
Hospital Revenue Code	272
Min. Negotiated Rate	$6.69
Max. Negotiated Rate	$138.75
Rate for Payer: Aetna Commercial	$105.45
Rate for Payer: Aetna Medicare Advantage	$83.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.76
Rate for Payer: Cigna Commercial	$138.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.25
Rate for Payer: Oxford Commercial	$55.50
Rate for Payer: Qualcare PPO/HMO/WC	$41.62
Rate for Payer: UnitedHealthcare Commercial	$55.50
Rate for Payer: UnitedHealthcare Community & State	$6.69
Rate for Payer: Wellpoint Medicaid Managed Care	$7.35

RAABE GUIDING SHEATH 7FR 70CM

Facility

$220.50

Hospital Charge Code	2709003238
Hospital Revenue Code	272
Min. Negotiated Rate	$33.08
Max. Negotiated Rate	$33.08
Rate for Payer: Qualcare PPO/HMO/WC	$33.08

RAABE GUIDING SHEATH 7FR 70CM

Facility

$220.50

Hospital Charge Code	2709003238
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$110.25
Rate for Payer: Aetna Commercial	$83.79
Rate for Payer: Aetna Medicare Advantage	$66.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.23
Rate for Payer: Cigna Commercial	$110.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.15
Rate for Payer: Oxford Commercial	$44.10
Rate for Payer: Qualcare PPO/HMO/WC	$33.08
Rate for Payer: UnitedHealthcare Commercial	$44.10
Rate for Payer: UnitedHealthcare Community & State	$5.31
Rate for Payer: Wellpoint Medicaid Managed Care	$5.84

RAABE GUIDING SHEATH 9FR 70CM

Facility

$375.00

Hospital Charge Code	270658314
Hospital Revenue Code	278
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$90.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

RAABE GUIDING SHEATH 9FR 70CM

Facility

$375.00

Hospital Charge Code	270658314
Hospital Revenue Code	278
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$82.50
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

RABAXISAL/TAB

Facility

$3.00

Hospital Charge Code	60634394
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

RABAXISAL/TAB

Facility

$3.00

Hospital Charge Code	60634394
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

RABEPRAZOLE 20 MG ER TAB

Facility

$7.15

Hospital Charge Code	60629121
Hospital Revenue Code	250
Min. Negotiated Rate	$1.07
Max. Negotiated Rate	$1.07
Rate for Payer: Qualcare PPO/HMO/WC	$1.07

RABEPRAZOLE 20 MG ER TAB

Facility

$7.15

Hospital Charge Code	60629121
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.58
Rate for Payer: Aetna Commercial	$2.72
Rate for Payer: Aetna Medicare Advantage	$2.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.82
Rate for Payer: Cigna Commercial	$3.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.15
Rate for Payer: Oxford Commercial	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.07
Rate for Payer: UnitedHealthcare Commercial	$1.43
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

RABIES ANTIBODY

Facility

$343.25

Service Code	HCPCS 86382
Hospital Charge Code	3006875
Hospital Revenue Code	302
Min. Negotiated Rate	$9.10
Max. Negotiated Rate	$171.62
Rate for Payer: Aetna Commercial	$46.00
Rate for Payer: Aetna Medicare Advantage	$54.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$61.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$61.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$38.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$61.04
Rate for Payer: Cigna Commercial	$171.62
Rate for Payer: Cigna Medicare Advantage	$16.91
Rate for Payer: Clover Medicare Advantage	$16.06
Rate for Payer: EmblemHealth Commercial	$50.73
Rate for Payer: Humana Medicare Advantage	$17.42
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.97
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$51.49
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$13.53
Rate for Payer: UnitedHealthcare Medicare Advantage	$16.91
Rate for Payer: Wellcare Medicare Advantage	$16.91
Rate for Payer: Wellpoint Medicaid Managed Care	$9.10

RABIES ANTIBODY

Facility

$343.25

Service Code	HCPCS 86382
Hospital Charge Code	3006875
Hospital Revenue Code	302
Min. Negotiated Rate	$51.49
Max. Negotiated Rate	$51.49
Rate for Payer: Qualcare PPO/HMO/WC	$51.49

RABIES IG 300 IU/ML (1ML)

Facility

$3,510.20

Service Code	HCPCS 90375
Hospital Charge Code	606390187
Hospital Revenue Code	636
Min. Negotiated Rate	$526.53
Max. Negotiated Rate	$849.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$849.47
Rate for Payer: Qualcare PPO/HMO/WC	$526.53

RABIES IG 300 IU/ML (1ML)

Facility

$3,510.20

Service Code	HCPCS 90375
Hospital Charge Code	606390187
Hospital Revenue Code	636
Min. Negotiated Rate	$84.60
Max. Negotiated Rate	$993.32
Rate for Payer: Aetna Commercial	$748.49
Rate for Payer: Aetna Medicare Advantage	$891.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$993.32
Rate for Payer: Cigna Medicare Advantage	$275.18
Rate for Payer: Clover Medicare Advantage	$261.42
Rate for Payer: EmblemHealth Commercial	$825.54
Rate for Payer: Humana Medicare Advantage	$283.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$275.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$849.47
Rate for Payer: Qualcare PPO/HMO/WC	$526.53
Rate for Payer: UnitedHealthcare Community & State	$84.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$275.18
Rate for Payer: Wellcare Medicare Advantage	$275.18
Rate for Payer: Wellpoint Medicaid Managed Care	$93.02

RABIES IG 300 IU/ML (5ML)

Facility

$17,268.25

Service Code	HCPCS 90375
Hospital Charge Code	606390186
Hospital Revenue Code	636
Min. Negotiated Rate	$2,590.24
Max. Negotiated Rate	$4,178.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,178.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,590.24

RABIES IG 300 IU/ML (5ML)

Facility

$17,268.25

Service Code	HCPCS 90375
Hospital Charge Code	606390186
Hospital Revenue Code	636
Min. Negotiated Rate	$261.42
Max. Negotiated Rate	$4,178.92
Rate for Payer: Aetna Commercial	$748.49
Rate for Payer: Aetna Medicare Advantage	$891.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$993.32
Rate for Payer: Cigna Medicare Advantage	$275.18
Rate for Payer: Clover Medicare Advantage	$261.42
Rate for Payer: EmblemHealth Commercial	$825.54
Rate for Payer: Humana Medicare Advantage	$283.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$275.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,178.92
Rate for Payer: Qualcare PPO/HMO/WC	$2,590.24
Rate for Payer: UnitedHealthcare Community & State	$416.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$275.18
Rate for Payer: Wellcare Medicare Advantage	$275.18
Rate for Payer: Wellpoint Medicaid Managed Care	$457.61

RABIES IMMUNE GLOBULIN

Facility

$194.00

Service Code	HCPCS 90376
Hospital Charge Code	60635489
Hospital Revenue Code	636
Min. Negotiated Rate	$29.10
Max. Negotiated Rate	$46.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$29.10

RABIES IMMUNE GLOBULIN

Facility

$194.00

Service Code	HCPCS 90376
Hospital Charge Code	60635489
Hospital Revenue Code	636
Min. Negotiated Rate	$4.68
Max. Negotiated Rate	$1,272.20
Rate for Payer: Aetna Commercial	$958.64
Rate for Payer: Aetna Medicare Advantage	$1,141.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,272.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,272.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$352.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$373.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,272.20
Rate for Payer: Cigna Medicare Advantage	$352.44
Rate for Payer: Clover Medicare Advantage	$334.82
Rate for Payer: EmblemHealth Commercial	$1,057.32
Rate for Payer: Humana Medicare Advantage	$363.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$352.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.95
Rate for Payer: Qualcare PPO/HMO/WC	$29.10
Rate for Payer: UnitedHealthcare Community & State	$4.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$352.44
Rate for Payer: Wellcare Medicare Advantage	$352.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5.14

RABIES IMMUNE GLOBULIN 2 ML

Facility

$4,825.54

Service Code	HCPCS 90375
Hospital Charge Code	606350973
Hospital Revenue Code	636
Min. Negotiated Rate	$116.30
Max. Negotiated Rate	$1,167.78
Rate for Payer: Aetna Commercial	$748.49
Rate for Payer: Aetna Medicare Advantage	$891.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$993.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$275.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$291.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$993.32
Rate for Payer: Cigna Medicare Advantage	$275.18
Rate for Payer: Clover Medicare Advantage	$261.42
Rate for Payer: EmblemHealth Commercial	$825.54
Rate for Payer: Humana Medicare Advantage	$283.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$275.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.78
Rate for Payer: Qualcare PPO/HMO/WC	$723.83
Rate for Payer: UnitedHealthcare Community & State	$116.30
Rate for Payer: UnitedHealthcare Medicare Advantage	$275.18
Rate for Payer: Wellcare Medicare Advantage	$275.18
Rate for Payer: Wellpoint Medicaid Managed Care	$127.88

RABIES IMMUNE GLOBULIN 2 ML

Facility

$4,825.54

Service Code	HCPCS 90375
Hospital Charge Code	606350973
Hospital Revenue Code	636
Min. Negotiated Rate	$723.83
Max. Negotiated Rate	$1,167.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,167.78
Rate for Payer: Qualcare PPO/HMO/WC	$723.83

RABIES VACCINE 2.5 IU PDR

Facility

$1,019.15

Service Code	HCPCS 90675
Hospital Charge Code	60630111
Hospital Revenue Code	636
Min. Negotiated Rate	$24.56
Max. Negotiated Rate	$1,137.85
Rate for Payer: Aetna Commercial	$857.40
Rate for Payer: Aetna Medicare Advantage	$1,021.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$315.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$334.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.85
Rate for Payer: Cigna Medicare Advantage	$315.22
Rate for Payer: Clover Medicare Advantage	$299.46
Rate for Payer: EmblemHealth Commercial	$945.66
Rate for Payer: Humana Medicare Advantage	$324.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$315.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.87
Rate for Payer: UnitedHealthcare Community & State	$24.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$315.22
Rate for Payer: Wellcare Medicare Advantage	$315.22
Rate for Payer: Wellpoint Medicaid Managed Care	$27.01

RABIES VACCINE 2.5 IU PDR

Facility

$1,019.15

Service Code	HCPCS 90675
Hospital Charge Code	60630111
Hospital Revenue Code	636
Min. Negotiated Rate	$152.87
Max. Negotiated Rate	$246.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$246.63
Rate for Payer: Qualcare PPO/HMO/WC	$152.87

RABIES VACCINE (IMOVAX)

Facility

$722.00

Service Code	HCPCS 90675
Hospital Charge Code	60634532
Hospital Revenue Code	636
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$1,137.85
Rate for Payer: Aetna Commercial	$857.40
Rate for Payer: Aetna Medicare Advantage	$1,021.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$315.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$334.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.85
Rate for Payer: Cigna Medicare Advantage	$315.22
Rate for Payer: Clover Medicare Advantage	$299.46
Rate for Payer: EmblemHealth Commercial	$945.66
Rate for Payer: Humana Medicare Advantage	$324.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$315.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.72
Rate for Payer: Qualcare PPO/HMO/WC	$108.30
Rate for Payer: UnitedHealthcare Community & State	$17.40
Rate for Payer: UnitedHealthcare Medicare Advantage	$315.22
Rate for Payer: Wellcare Medicare Advantage	$315.22
Rate for Payer: Wellpoint Medicaid Managed Care	$19.13

RABIES VACCINE (IMOVAX)

Facility

$722.00

Service Code	HCPCS 90675
Hospital Charge Code	60634532
Hospital Revenue Code	636
Min. Negotiated Rate	$108.30
Max. Negotiated Rate	$174.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$174.72
Rate for Payer: Qualcare PPO/HMO/WC	$108.30

RABIES VACCINE - INJ

Facility

$1,437.65

Service Code	HCPCS 90675
Hospital Charge Code	60628309
Hospital Revenue Code	636
Min. Negotiated Rate	$34.65
Max. Negotiated Rate	$1,137.85
Rate for Payer: Aetna Commercial	$857.40
Rate for Payer: Aetna Medicare Advantage	$1,021.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,137.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$315.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$334.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,137.85
Rate for Payer: Cigna Medicare Advantage	$315.22
Rate for Payer: Clover Medicare Advantage	$299.46
Rate for Payer: EmblemHealth Commercial	$945.66
Rate for Payer: Humana Medicare Advantage	$324.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$315.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.91
Rate for Payer: Qualcare PPO/HMO/WC	$215.65
Rate for Payer: UnitedHealthcare Community & State	$34.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$315.22
Rate for Payer: Wellcare Medicare Advantage	$315.22
Rate for Payer: Wellpoint Medicaid Managed Care	$38.10

RABIES VACCINE - INJ

Facility

$1,437.65

Service Code	HCPCS 90675
Hospital Charge Code	60628309
Hospital Revenue Code	636
Min. Negotiated Rate	$215.65
Max. Negotiated Rate	$347.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$347.91
Rate for Payer: Qualcare PPO/HMO/WC	$215.65

Know your out-of-pocket cost for care.

All Charges