Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROOT MARKING HOOK MENISCAL

Facility

$3,475.00

Hospital Charge Code	270688312
Hospital Revenue Code	272
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,042.50
Rate for Payer: Oxford Commercial	$695.00
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Commercial	$695.00
Rate for Payer: UnitedHealthcare Community & State	$83.75
Rate for Payer: Wellpoint Medicaid Managed Care	$92.09

ROPINIROLE 1MG TAB

Facility

$9.55

Hospital Charge Code	60629855
Hospital Revenue Code	250
Min. Negotiated Rate	$0.23
Max. Negotiated Rate	$4.78
Rate for Payer: Aetna Commercial	$3.63
Rate for Payer: Aetna Medicare Advantage	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.44
Rate for Payer: Cigna Commercial	$4.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.87
Rate for Payer: Oxford Commercial	$1.91
Rate for Payer: Qualcare PPO/HMO/WC	$1.43
Rate for Payer: UnitedHealthcare Commercial	$1.91
Rate for Payer: UnitedHealthcare Community & State	$0.23
Rate for Payer: Wellpoint Medicaid Managed Care	$0.25

ROPINIROLE 1MG TAB

Facility

$9.55

Hospital Charge Code	60629855
Hospital Revenue Code	250
Min. Negotiated Rate	$1.43
Max. Negotiated Rate	$1.43
Rate for Payer: Qualcare PPO/HMO/WC	$1.43

ROPINIROLE HCL 0.5MG TAB

Facility

$7.28

Hospital Charge Code	606350918
Hospital Revenue Code	250
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

ROPINIROLE HCL 0.5MG TAB

Facility

$7.28

Hospital Charge Code	606350918
Hospital Revenue Code	250
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.64
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.18
Rate for Payer: Oxford Commercial	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.46
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ROPIVACAINE 0.2% 20ML 2MG/ML

Facility

$46.90

Service Code	HCPCS J2795
Hospital Charge Code	606390514
Hospital Revenue Code	636
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$23.45
Rate for Payer: Aetna Commercial	$17.82
Rate for Payer: Aetna Medicare Advantage	$14.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.96
Rate for Payer: Cigna Commercial	$23.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.04
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

ROPIVACAINE 0.2% 20ML 2MG/ML

Facility

$46.90

Service Code	HCPCS J2795
Hospital Charge Code	606390514
Hospital Revenue Code	636
Min. Negotiated Rate	$7.04
Max. Negotiated Rate	$11.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$7.04

ROPIVACAINE 0.2% SOL

Facility

$231.25

Hospital Charge Code	60628971
Hospital Revenue Code	250
Min. Negotiated Rate	$5.57
Max. Negotiated Rate	$115.62
Rate for Payer: Aetna Commercial	$87.88
Rate for Payer: Aetna Medicare Advantage	$69.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.97
Rate for Payer: Cigna Commercial	$115.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.38
Rate for Payer: Oxford Commercial	$46.25
Rate for Payer: Qualcare PPO/HMO/WC	$34.69
Rate for Payer: UnitedHealthcare Commercial	$46.25
Rate for Payer: UnitedHealthcare Community & State	$5.57
Rate for Payer: Wellpoint Medicaid Managed Care	$6.13

ROPIVACAINE 0.2% SOL

Facility

$231.25

Hospital Charge Code	60628971
Hospital Revenue Code	250
Min. Negotiated Rate	$34.69
Max. Negotiated Rate	$34.69
Rate for Payer: Qualcare PPO/HMO/WC	$34.69

ROPIVACAINE 0.5% PF 20ML

Facility

$45.02

Service Code	HCPCS J2795
Hospital Charge Code	60639601
Hospital Revenue Code	636
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$22.51
Rate for Payer: Aetna Commercial	$17.11
Rate for Payer: Aetna Medicare Advantage	$13.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.48
Rate for Payer: Cigna Commercial	$22.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Community & State	$1.08
Rate for Payer: Wellpoint Medicaid Managed Care	$1.19

ROPIVACAINE 0.5% PF 20ML

Facility

$45.02

Service Code	HCPCS J2795
Hospital Charge Code	60639601
Hospital Revenue Code	636
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$10.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.89
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

ROPIVACAINE 2 MG/ML INJ

Facility

$141.65

Hospital Charge Code	60628981
Hospital Revenue Code	636
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.12
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

ROPIVACAINE 2 MG/ML INJ

Facility

$141.65

Hospital Charge Code	60628981
Hospital Revenue Code	636
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$34.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.28
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

ROPIVACAINE 5% 30ML

Facility

$5.83

Service Code	NDC 63323028631
Hospital Charge Code	6063943240
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

ROPIVACAINE 5% 30ML

Facility

$5.83

Service Code	NDC 63323028631
Hospital Charge Code	6063943240
Hospital Revenue Code	250
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

ROSETTE

Facility

$167.25

Service Code	HCPCS 85461
Hospital Charge Code	3100138A
Hospital Revenue Code	300
Min. Negotiated Rate	$25.09
Max. Negotiated Rate	$25.09
Rate for Payer: Qualcare PPO/HMO/WC	$25.09

ROSETTE

Facility

$167.25

Service Code	HCPCS 85461
Hospital Charge Code	3100138A
Hospital Revenue Code	300
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$25.46
Rate for Payer: Aetna Medicare Advantage	$30.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.79
Rate for Payer: Cigna Commercial	$83.62
Rate for Payer: Cigna Medicare Advantage	$9.36
Rate for Payer: Clover Medicare Advantage	$8.89
Rate for Payer: EmblemHealth Commercial	$28.08
Rate for Payer: Humana Medicare Advantage	$9.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.17
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.09
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.36
Rate for Payer: Wellcare Medicare Advantage	$9.36
Rate for Payer: Wellpoint Medicaid Managed Care	$4.43

ROSIDIAL SSB

Facility

$39.70

Hospital Charge Code	270636426
Hospital Revenue Code	271
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.85
Rate for Payer: Aetna Commercial	$15.09
Rate for Payer: Aetna Medicare Advantage	$11.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.12
Rate for Payer: Cigna Commercial	$19.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.91
Rate for Payer: Oxford Commercial	$7.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$7.94
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

ROSIDIAL SSB

Facility

$39.70

Hospital Charge Code	270636426
Hospital Revenue Code	271
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

ROSIDIAL SSB 10X

Facility

$75.25

Hospital Charge Code	270636427
Hospital Revenue Code	271
Min. Negotiated Rate	$11.29
Max. Negotiated Rate	$11.29
Rate for Payer: Qualcare PPO/HMO/WC	$11.29

ROSIDIAL SSB 10X

Facility

$75.25

Hospital Charge Code	270636427
Hospital Revenue Code	271
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.62
Rate for Payer: Aetna Commercial	$28.59
Rate for Payer: Aetna Medicare Advantage	$22.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.19
Rate for Payer: Cigna Commercial	$37.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.57
Rate for Payer: Oxford Commercial	$15.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.29
Rate for Payer: UnitedHealthcare Commercial	$15.05
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

ROSIDIAL SSB 12X

Facility

$48.70

Hospital Charge Code	270636428
Hospital Revenue Code	271
Min. Negotiated Rate	$7.30
Max. Negotiated Rate	$7.30
Rate for Payer: Qualcare PPO/HMO/WC	$7.30

ROSIDIAL SSB 12X

Facility

$48.70

Hospital Charge Code	270636428
Hospital Revenue Code	271
Min. Negotiated Rate	$1.17
Max. Negotiated Rate	$24.35
Rate for Payer: Aetna Commercial	$18.51
Rate for Payer: Aetna Medicare Advantage	$14.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.42
Rate for Payer: Cigna Commercial	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.61
Rate for Payer: Oxford Commercial	$9.74
Rate for Payer: Qualcare PPO/HMO/WC	$7.30
Rate for Payer: UnitedHealthcare Commercial	$9.74
Rate for Payer: UnitedHealthcare Community & State	$1.17
Rate for Payer: Wellpoint Medicaid Managed Care	$1.29

ROSIDIAL SSB 12X1

Facility

$89.95

Hospital Charge Code	270636429
Hospital Revenue Code	271
Min. Negotiated Rate	$2.17
Max. Negotiated Rate	$44.98
Rate for Payer: Aetna Commercial	$34.18
Rate for Payer: Aetna Medicare Advantage	$26.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.94
Rate for Payer: Cigna Commercial	$44.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.98
Rate for Payer: Oxford Commercial	$17.99
Rate for Payer: Qualcare PPO/HMO/WC	$13.49
Rate for Payer: UnitedHealthcare Commercial	$17.99
Rate for Payer: UnitedHealthcare Community & State	$2.17
Rate for Payer: Wellpoint Medicaid Managed Care	$2.38

ROSIDIAL SSB 12X1

Facility

$89.95

Hospital Charge Code	270636429
Hospital Revenue Code	271
Min. Negotiated Rate	$13.49
Max. Negotiated Rate	$13.49
Rate for Payer: Qualcare PPO/HMO/WC	$13.49

Know your out-of-pocket cost for care.

All Charges