Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VASOCON-A OPHTH/15ML

Facility

$61.00

Hospital Charge Code	60634128
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

VASOCON-A OPHTH/15ML

Facility

$61.00

Hospital Charge Code	60634128
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$23.18
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.30
Rate for Payer: Oxford Commercial	$12.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$12.20
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

VASODILAN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634129
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

VASODILAN/10MG/TAB

Facility

$3.00

Hospital Charge Code	60634129
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

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$47.39
Max. Negotiated Rate	$47.39
Rate for Payer: Qualcare PPO/HMO/WC	$47.39

vasolex ointment 60gm

Facility

$315.91

Hospital Charge Code	6063943321
Hospital Revenue Code	250
Min. Negotiated Rate	$7.61
Max. Negotiated Rate	$157.96
Rate for Payer: Aetna Commercial	$120.05
Rate for Payer: Aetna Medicare Advantage	$94.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80.56
Rate for Payer: Cigna Commercial	$157.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$94.77
Rate for Payer: Oxford Commercial	$63.18
Rate for Payer: Qualcare PPO/HMO/WC	$47.39
Rate for Payer: UnitedHealthcare Commercial	$63.18
Rate for Payer: UnitedHealthcare Community & State	$7.61
Rate for Payer: Wellpoint Medicaid Managed Care	$8.37

VASONEPHRINE

Facility

$86.40

Hospital Charge Code	6008304
Hospital Revenue Code	294
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$43.20
Rate for Payer: Aetna Commercial	$32.83
Rate for Payer: Aetna Medicare Advantage	$25.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.03
Rate for Payer: Cigna Commercial	$43.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.92
Rate for Payer: Qualcare PPO/HMO/WC	$12.96
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

VASONEPHRINE

Facility

$86.40

Hospital Charge Code	6008304
Hospital Revenue Code	294
Min. Negotiated Rate	$12.96
Max. Negotiated Rate	$12.96
Rate for Payer: Qualcare PPO/HMO/WC	$12.96

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.53
Rate for Payer: Aetna Commercial	$39.93
Rate for Payer: Aetna Medicare Advantage	$31.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.79
Rate for Payer: Cigna Commercial	$52.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.52
Rate for Payer: Oxford Commercial	$21.01
Rate for Payer: Qualcare PPO/HMO/WC	$15.76
Rate for Payer: UnitedHealthcare Commercial	$21.01
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

VASOPRESS CALF SLEEVE BARIATRI

Facility

$105.07

Hospital Charge Code	270650550
Hospital Revenue Code	272
Min. Negotiated Rate	$15.76
Max. Negotiated Rate	$15.76
Rate for Payer: Qualcare PPO/HMO/WC	$15.76

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$8.31
Max. Negotiated Rate	$8.31
Rate for Payer: Qualcare PPO/HMO/WC	$8.31

VASOPRESS CALF SLEEVE LG

Facility

$55.39

Hospital Charge Code	270650548
Hospital Revenue Code	270
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$27.70
Rate for Payer: Aetna Commercial	$21.05
Rate for Payer: Aetna Medicare Advantage	$16.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.12
Rate for Payer: Cigna Commercial	$27.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.62
Rate for Payer: Oxford Commercial	$11.08
Rate for Payer: Qualcare PPO/HMO/WC	$8.31
Rate for Payer: UnitedHealthcare Commercial	$11.08
Rate for Payer: UnitedHealthcare Community & State	$1.33
Rate for Payer: Wellpoint Medicaid Managed Care	$1.47

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634130
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634130
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634131
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

VASOPRESSIN/20U/1ML

Facility

$18.00

Hospital Charge Code	60634131
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$27.16
Max. Negotiated Rate	$563.40
Rate for Payer: Aetna Commercial	$428.19
Rate for Payer: Aetna Medicare Advantage	$338.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$287.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$287.34
Rate for Payer: Cigna Commercial	$563.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$338.04
Rate for Payer: Oxford Commercial	$225.36
Rate for Payer: Qualcare PPO/HMO/WC	$169.02
Rate for Payer: UnitedHealthcare Commercial	$225.36
Rate for Payer: UnitedHealthcare Community & State	$27.16
Rate for Payer: Wellpoint Medicaid Managed Care	$29.86

VASOPRESSIN 20 UNITS/ML INJ

Facility

$1,126.81

Service Code	NDC 63323030201
Hospital Charge Code	60628245
Hospital Revenue Code	250
Min. Negotiated Rate	$169.02
Max. Negotiated Rate	$169.02
Rate for Payer: Qualcare PPO/HMO/WC	$169.02

VASOPRESSIN INJ 20U/ML

Facility

$13.45

Hospital Charge Code	6005615
Hospital Revenue Code	250
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$5.11
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$2.69
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

VASOPRESSIN INJ 20U/ML

Facility

$13.45

Hospital Charge Code	6005615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

VASOPRESSIN INJ 5U/ML

Facility

$70.40

Hospital Charge Code	6005623
Hospital Revenue Code	250
Min. Negotiated Rate	$10.56
Max. Negotiated Rate	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$10.56

VASOPRESSIN INJ 5U/ML

Facility

$70.40

Hospital Charge Code	6005623
Hospital Revenue Code	250
Min. Negotiated Rate	$1.70
Max. Negotiated Rate	$35.20
Rate for Payer: Aetna Commercial	$26.75
Rate for Payer: Aetna Medicare Advantage	$21.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.95
Rate for Payer: Cigna Commercial	$35.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.12
Rate for Payer: Oxford Commercial	$14.08
Rate for Payer: Qualcare PPO/HMO/WC	$10.56
Rate for Payer: UnitedHealthcare Commercial	$14.08
Rate for Payer: UnitedHealthcare Community & State	$1.70
Rate for Payer: Wellpoint Medicaid Managed Care	$1.87

VASOPRESSIN VL 20U

Facility

$15.40

Hospital Charge Code	6013288
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$2.31

VASOPRESSIN VL 20U

Facility

$15.40

Hospital Charge Code	6013288
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$7.70
Rate for Payer: Aetna Commercial	$5.85
Rate for Payer: Aetna Medicare Advantage	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.93
Rate for Payer: Cigna Commercial	$7.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.62
Rate for Payer: Oxford Commercial	$3.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.31
Rate for Payer: UnitedHealthcare Commercial	$3.08
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

VASOSULF/5ML

Facility

$43.00

Hospital Charge Code	60634548
Hospital Revenue Code	250
Min. Negotiated Rate	$6.45
Max. Negotiated Rate	$6.45
Rate for Payer: Qualcare PPO/HMO/WC	$6.45

Know your out-of-pocket cost for care.

All Charges