Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

TRANXENE T-TAB/3.75MG/TAB

Facility

$6.00

Hospital Charge Code	60634051
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TRANXENE T-TAB/3.75MG/TAB

Facility

$6.00

Hospital Charge Code	60634051
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

TRANXENE T-TAB/3.75MG/TAB

Facility

$6.00

Hospital Charge Code	60634049
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TRANXENE T-TAB/3.75MG/TAB

Facility

$6.00

Hospital Charge Code	60634049
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

TRANXENE T-TAB/7.5MG/TAB

Facility

$5.00

Hospital Charge Code	60634050
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

TRANXENE T-TAB/7.5MG/TAB

Facility

$6.00

Hospital Charge Code	60634052
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

TRANXENE T-TAB/7.5MG/TAB

Facility

$6.00

Hospital Charge Code	60634052
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TRANXENE T-TAB/7.5MG/TAB

Facility

$5.00

Hospital Charge Code	60634050
Hospital Revenue Code	250
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

TRANYLCYPROMINE 10 MG TAB

Facility

$8.05

Hospital Charge Code	60627782
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.03
Rate for Payer: Aetna Commercial	$3.06
Rate for Payer: Aetna Medicare Advantage	$2.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.05
Rate for Payer: Cigna Commercial	$4.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.42
Rate for Payer: Oxford Commercial	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Commercial	$1.61
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

TRANYLCYPROMINE 10 MG TAB

Facility

$8.05

Hospital Charge Code	60627782
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

TRAPEASE VENACAVA FILTER

Facility

$5,913.70

Hospital Charge Code	270CH0137
Hospital Revenue Code	278
Min. Negotiated Rate	$887.05
Max. Negotiated Rate	$1,431.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,182.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,431.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,301.01
Rate for Payer: Qualcare PPO/HMO/WC	$887.05

TRAPEASE VENACAVA FILTER

Facility

$5,913.70

Hospital Charge Code	270CH0137
Hospital Revenue Code	278
Min. Negotiated Rate	$142.52
Max. Negotiated Rate	$2,956.85
Rate for Payer: Aetna Commercial	$2,247.21
Rate for Payer: Aetna Medicare Advantage	$1,774.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,507.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,507.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,182.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,507.99
Rate for Payer: Cigna Commercial	$2,956.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,431.12
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,301.01
Rate for Payer: Qualcare PPO/HMO/WC	$887.05
Rate for Payer: UnitedHealthcare Community & State	$142.52
Rate for Payer: Wellpoint Medicaid Managed Care	$156.71

TRAPEASE VENACAVA FLITER

Facility

$5,913.70

Hospital Charge Code	2703111106
Hospital Revenue Code	272
Min. Negotiated Rate	$887.05
Max. Negotiated Rate	$887.05
Rate for Payer: Qualcare PPO/HMO/WC	$887.05

TRAPEASE VENACAVA FLITER

Facility

$5,913.70

Hospital Charge Code	2703111106
Hospital Revenue Code	272
Min. Negotiated Rate	$142.52
Max. Negotiated Rate	$2,956.85
Rate for Payer: Aetna Commercial	$2,247.21
Rate for Payer: Aetna Medicare Advantage	$1,774.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,507.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,507.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,507.99
Rate for Payer: Cigna Commercial	$2,956.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,774.11
Rate for Payer: Oxford Commercial	$1,182.74
Rate for Payer: Qualcare PPO/HMO/WC	$887.05
Rate for Payer: UnitedHealthcare Commercial	$1,182.74
Rate for Payer: UnitedHealthcare Community & State	$142.52
Rate for Payer: Wellpoint Medicaid Managed Care	$156.71

TRAPEZOID 2cm

Facility

$2,743.10

Hospital Charge Code	270674941
Hospital Revenue Code	272
Min. Negotiated Rate	$411.46
Max. Negotiated Rate	$411.46
Rate for Payer: Qualcare PPO/HMO/WC	$411.46

TRAPEZOID 2cm

Facility

$2,743.10

Hospital Charge Code	270674941
Hospital Revenue Code	272
Min. Negotiated Rate	$66.11
Max. Negotiated Rate	$1,371.55
Rate for Payer: Aetna Commercial	$1,042.38
Rate for Payer: Aetna Medicare Advantage	$822.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$699.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$699.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$699.49
Rate for Payer: Cigna Commercial	$1,371.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$822.93
Rate for Payer: Oxford Commercial	$548.62
Rate for Payer: Qualcare PPO/HMO/WC	$411.46
Rate for Payer: UnitedHealthcare Commercial	$548.62
Rate for Payer: UnitedHealthcare Community & State	$66.11
Rate for Payer: Wellpoint Medicaid Managed Care	$72.69

TRAP MUCOUS SPECIMEN 80cc

Facility

$6.54

Hospital Charge Code	270649870
Hospital Revenue Code	272
Min. Negotiated Rate	$0.98
Max. Negotiated Rate	$0.98
Rate for Payer: Qualcare PPO/HMO/WC	$0.98

TRAP MUCOUS SPECIMEN 80cc

Facility

$6.54

Hospital Charge Code	270649870
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.27
Rate for Payer: Aetna Commercial	$2.49
Rate for Payer: Aetna Medicare Advantage	$1.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.67
Rate for Payer: Cigna Commercial	$3.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.96
Rate for Payer: Oxford Commercial	$1.31
Rate for Payer: Qualcare PPO/HMO/WC	$0.98
Rate for Payer: UnitedHealthcare Commercial	$1.31
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

TRAP MUCOUS SPECIMEN STERILE

Facility

$8.18

Hospital Charge Code	270649775
Hospital Revenue Code	270
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.09
Rate for Payer: Aetna Commercial	$3.11
Rate for Payer: Aetna Medicare Advantage	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.09
Rate for Payer: Cigna Commercial	$4.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.45
Rate for Payer: Oxford Commercial	$1.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$1.64
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

TRAP MUCOUS SPECIMEN STERILE

Facility

$8.18

Hospital Charge Code	270649775
Hospital Revenue Code	270
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

TRAP SPECIMEN

Facility

$7.52

Hospital Charge Code	270302215
Hospital Revenue Code	270
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$1.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.13

TRAP SPECIMEN

Facility

$7.52

Hospital Charge Code	270302215
Hospital Revenue Code	270
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.76
Rate for Payer: Aetna Commercial	$2.86
Rate for Payer: Aetna Medicare Advantage	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.92
Rate for Payer: Cigna Commercial	$3.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.26
Rate for Payer: Oxford Commercial	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.13
Rate for Payer: UnitedHealthcare Commercial	$1.50
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

TRAP SPECIMEN STER 40cc

Facility

$5.86

Hospital Charge Code	270651478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

TRAP SPECIMEN STER 40cc

Facility

$5.86

Hospital Charge Code	270651478
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.93
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$1.76
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	$2.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

TRAP SPUTUM****

Facility

$30.00

Hospital Charge Code	8001588
Hospital Revenue Code	279
Min. Negotiated Rate	$4.50
Max. Negotiated Rate	$4.50
Rate for Payer: Qualcare PPO/HMO/WC	$4.50

Know your out-of-pocket cost for care.

All Charges