Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$3.31
Max. Negotiated Rate	$68.62
Rate for Payer: Aetna Commercial	$52.16
Rate for Payer: Aetna Medicare Advantage	$41.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.00
Rate for Payer: Cigna Commercial	$68.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.17
Rate for Payer: Oxford Commercial	$27.45
Rate for Payer: Qualcare PPO/HMO/WC	$20.59
Rate for Payer: UnitedHealthcare Commercial	$27.45
Rate for Payer: UnitedHealthcare Community & State	$3.31
Rate for Payer: Wellpoint Medicaid Managed Care	$3.64

THERM. DIGITAL MOUNT

Facility

$137.25

Hospital Charge Code	270665869
Hospital Revenue Code	270
Min. Negotiated Rate	$20.59
Max. Negotiated Rate	$20.59
Rate for Payer: Qualcare PPO/HMO/WC	$20.59

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$31.50
Rate for Payer: Aetna Commercial	$23.94
Rate for Payer: Aetna Medicare Advantage	$18.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.07
Rate for Payer: Cigna Commercial	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.90
Rate for Payer: Oxford Commercial	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$9.45
Rate for Payer: UnitedHealthcare Commercial	$12.60
Rate for Payer: UnitedHealthcare Community & State	$1.52
Rate for Payer: Wellpoint Medicaid Managed Care	$1.67

THERMO GUARD ADHESIVE PAD

Facility

$63.00

Hospital Charge Code	270335113
Hospital Revenue Code	272
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$9.45
Rate for Payer: Qualcare PPO/HMO/WC	$9.45

THERMOMETER DIGITAL

Facility

$101.70

Hospital Charge Code	270646237
Hospital Revenue Code	271
Min. Negotiated Rate	$15.26
Max. Negotiated Rate	$15.26
Rate for Payer: Qualcare PPO/HMO/WC	$15.26

THERMOMETER DIGITAL

Facility

$101.70

Hospital Charge Code	270646237
Hospital Revenue Code	271
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$50.85
Rate for Payer: Aetna Commercial	$38.65
Rate for Payer: Aetna Medicare Advantage	$30.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.93
Rate for Payer: Cigna Commercial	$50.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.51
Rate for Payer: Oxford Commercial	$20.34
Rate for Payer: Qualcare PPO/HMO/WC	$15.26
Rate for Payer: UnitedHealthcare Commercial	$20.34
Rate for Payer: UnitedHealthcare Community & State	$2.45
Rate for Payer: Wellpoint Medicaid Managed Care	$2.70

THERMOMETER LIQUID CRYSTAL SUR

Facility

$78.33

Hospital Charge Code	270655711
Hospital Revenue Code	271
Min. Negotiated Rate	$11.75
Max. Negotiated Rate	$11.75
Rate for Payer: Qualcare PPO/HMO/WC	$11.75

THERMOMETER LIQUID CRYSTAL SUR

Facility

$78.33

Hospital Charge Code	270655711
Hospital Revenue Code	271
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$39.16
Rate for Payer: Aetna Commercial	$29.77
Rate for Payer: Aetna Medicare Advantage	$23.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.97
Rate for Payer: Cigna Commercial	$39.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.50
Rate for Payer: Oxford Commercial	$15.67
Rate for Payer: Qualcare PPO/HMO/WC	$11.75
Rate for Payer: UnitedHealthcare Commercial	$15.67
Rate for Payer: UnitedHealthcare Community & State	$1.89
Rate for Payer: Wellpoint Medicaid Managed Care	$2.08

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$5.83
Max. Negotiated Rate	$5.83
Rate for Payer: Qualcare PPO/HMO/WC	$5.83

THERMOMETER STRIP TEMPA-DOT

Facility

$38.85

Hospital Charge Code	270652809
Hospital Revenue Code	270
Min. Negotiated Rate	$0.94
Max. Negotiated Rate	$19.43
Rate for Payer: Aetna Commercial	$14.76
Rate for Payer: Aetna Medicare Advantage	$11.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.91
Rate for Payer: Cigna Commercial	$19.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.65
Rate for Payer: Oxford Commercial	$7.77
Rate for Payer: Qualcare PPO/HMO/WC	$5.83
Rate for Payer: UnitedHealthcare Commercial	$7.77
Rate for Payer: UnitedHealthcare Community & State	$0.94
Rate for Payer: Wellpoint Medicaid Managed Care	$1.03

THERMOMETER (TEMP CARE)

Facility

$19.25

Hospital Charge Code	270302195
Hospital Revenue Code	270
Min. Negotiated Rate	$2.89
Max. Negotiated Rate	$2.89
Rate for Payer: Qualcare PPO/HMO/WC	$2.89

THERMOMETER (TEMP CARE)

Facility

$19.25

Hospital Charge Code	270302195
Hospital Revenue Code	270
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.62
Rate for Payer: Aetna Commercial	$7.32
Rate for Payer: Aetna Medicare Advantage	$5.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.91
Rate for Payer: Cigna Commercial	$9.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.78
Rate for Payer: Oxford Commercial	$3.85
Rate for Payer: Qualcare PPO/HMO/WC	$2.89
Rate for Payer: UnitedHealthcare Commercial	$3.85
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$232.67
Rate for Payer: Aetna Medicare Advantage	$277.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$308.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$308.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$85.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$308.77
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: Cigna Medicare Advantage	$85.54
Rate for Payer: Clover Medicare Advantage	$81.26
Rate for Payer: EmblemHealth Commercial	$256.62
Rate for Payer: Humana Medicare Advantage	$88.11
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$85.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.94
Rate for Payer: Qualcare PPO/HMO/WC	$74.97
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$85.54
Rate for Payer: Wellcare Medicare Advantage	$85.54
Rate for Payer: Wellpoint Medicaid Managed Care	$13.24

THER/PROPH/DIAG INJ SC/IM

Facility

$499.80

Service Code	HCPCS 96372
Hospital Charge Code	1600000648
Hospital Revenue Code	360
Min. Negotiated Rate	$74.97
Max. Negotiated Rate	$74.97
Rate for Payer: Qualcare PPO/HMO/WC	$74.97

THIABENDAZOLE LIQ 500MG/5ML SP

Facility

$174.75

Hospital Charge Code	6005292
Hospital Revenue Code	252
Min. Negotiated Rate	$4.21
Max. Negotiated Rate	$87.38
Rate for Payer: Aetna Commercial	$66.41
Rate for Payer: Aetna Medicare Advantage	$52.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.56
Rate for Payer: Cigna Commercial	$87.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.42
Rate for Payer: Oxford Commercial	$34.95
Rate for Payer: Qualcare PPO/HMO/WC	$26.21
Rate for Payer: UnitedHealthcare Commercial	$34.95
Rate for Payer: UnitedHealthcare Community & State	$4.21
Rate for Payer: Wellpoint Medicaid Managed Care	$4.63

THIABENDAZOLE LIQ 500MG/5ML SP

Facility

$174.75

Hospital Charge Code	6005292
Hospital Revenue Code	252
Min. Negotiated Rate	$26.21
Max. Negotiated Rate	$26.21
Rate for Payer: Qualcare PPO/HMO/WC	$26.21

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$12.50
Max. Negotiated Rate	$20.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50

THIAMINE 100 MG/ML INJ

Facility

$83.35

Service Code	HCPCS J3411
Hospital Charge Code	6009096
Hospital Revenue Code	636
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$41.67
Rate for Payer: Aetna Commercial	$31.67
Rate for Payer: Aetna Medicare Advantage	$25.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.25
Rate for Payer: Cigna Commercial	$41.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.17
Rate for Payer: Qualcare PPO/HMO/WC	$12.50
Rate for Payer: UnitedHealthcare Community & State	$2.01
Rate for Payer: Wellpoint Medicaid Managed Care	$2.21

THIAMINE 100 MG TAB

Facility

$4.00

Service Code	NDC 10135013210
Hospital Charge Code	60628487
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

THIAMINE 100 MG TAB

Facility

$4.00

Service Code	NDC 10135013210
Hospital Charge Code	60628487
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

THIAMINE/100MG/TAB

Facility

$1.00

Hospital Charge Code	60634017
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

THIAMINE/100MG/TAB

Facility

$1.00

Hospital Charge Code	60634017
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

THIAMINE 50 MG TAB UD

Facility

$4.00

Service Code	NDC 10135013101
Hospital Charge Code	60628488
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

THIAMINE 50 MG TAB UD

Facility

$4.00

Service Code	NDC 10135013101
Hospital Charge Code	60628488
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

THIMOLOL OPH .25% 5ML

Facility

$19.85

Hospital Charge Code	6006134
Hospital Revenue Code	251
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

Know your out-of-pocket cost for care.

All Charges