Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$19.20
Max. Negotiated Rate	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$19.20

VDRL,CSF

Facility

$128.00

Service Code	HCPCS 86682
Hospital Charge Code	38479122
Hospital Revenue Code	302
Min. Negotiated Rate	$3.39
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$35.39
Rate for Payer: Aetna Medicare Advantage	$42.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.96
Rate for Payer: Cigna Commercial	$64.00
Rate for Payer: Cigna Medicare Advantage	$13.01
Rate for Payer: Clover Medicare Advantage	$12.36
Rate for Payer: EmblemHealth Commercial	$39.03
Rate for Payer: Humana Medicare Advantage	$13.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.40
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$19.20
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.01
Rate for Payer: Wellcare Medicare Advantage	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.39

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$17.40
Max. Negotiated Rate	$17.40
Rate for Payer: Qualcare PPO/HMO/WC	$17.40

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

VDRL,CSF

Facility

$390.00

Service Code	HCPCS 86592
Hospital Charge Code	39900224
Hospital Revenue Code	302
Min. Negotiated Rate	$2.90
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

VDRL,CSF

Facility

$116.00

Service Code	HCPCS 86593
Hospital Charge Code	38476027
Hospital Revenue Code	302
Min. Negotiated Rate	$3.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.97
Rate for Payer: Aetna Medicare Advantage	$14.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.88
Rate for Payer: Cigna Commercial	$58.00
Rate for Payer: Cigna Medicare Advantage	$4.40
Rate for Payer: Clover Medicare Advantage	$4.18
Rate for Payer: EmblemHealth Commercial	$13.20
Rate for Payer: Humana Medicare Advantage	$4.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.80
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.40
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.40
Rate for Payer: Wellcare Medicare Advantage	$4.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.07

VDRL, SPINAL FLUID (CSF)

Facility

$80.85

Service Code	HCPCS 86592
Hospital Charge Code	3004702
Hospital Revenue Code	302
Min. Negotiated Rate	$12.13
Max. Negotiated Rate	$12.13
Rate for Payer: Qualcare PPO/HMO/WC	$12.13

VDRL, SPINAL FLUID (CSF)

Facility

$80.85

Service Code	HCPCS 86592
Hospital Charge Code	3004702
Hospital Revenue Code	302
Min. Negotiated Rate	$2.14
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.41
Rate for Payer: Cigna Commercial	$40.42
Rate for Payer: Cigna Medicare Advantage	$4.27
Rate for Payer: Clover Medicare Advantage	$4.06
Rate for Payer: EmblemHealth Commercial	$12.81
Rate for Payer: Humana Medicare Advantage	$4.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.25
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.13
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$3.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$4.27
Rate for Payer: Wellcare Medicare Advantage	$4.27
Rate for Payer: Wellpoint Medicaid Managed Care	$2.14

VECTOR TTS 15mm/45FR

Facility

$1,615.25

Hospital Charge Code	270600939
Hospital Revenue Code	270
Min. Negotiated Rate	$38.93
Max. Negotiated Rate	$807.62
Rate for Payer: Aetna Commercial	$613.79
Rate for Payer: Aetna Medicare Advantage	$484.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.89
Rate for Payer: Cigna Commercial	$807.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$484.57
Rate for Payer: Oxford Commercial	$323.05
Rate for Payer: Qualcare PPO/HMO/WC	$242.29
Rate for Payer: UnitedHealthcare Commercial	$323.05
Rate for Payer: UnitedHealthcare Community & State	$38.93
Rate for Payer: Wellpoint Medicaid Managed Care	$42.80

VECTOR TTS 15mm/45FR

Facility

$1,615.25

Hospital Charge Code	270600939
Hospital Revenue Code	270
Min. Negotiated Rate	$242.29
Max. Negotiated Rate	$242.29
Rate for Payer: Qualcare PPO/HMO/WC	$242.29

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$10.97
Max. Negotiated Rate	$10.97
Rate for Payer: Qualcare PPO/HMO/WC	$10.97

VECURONIUM 10 MG INJ

Facility

$73.16

Service Code	NDC 47335093140
Hospital Charge Code	60627492
Hospital Revenue Code	250
Min. Negotiated Rate	$1.76
Max. Negotiated Rate	$36.58
Rate for Payer: Aetna Commercial	$27.80
Rate for Payer: Aetna Medicare Advantage	$21.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.66
Rate for Payer: Cigna Commercial	$36.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.95
Rate for Payer: Oxford Commercial	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$10.97
Rate for Payer: UnitedHealthcare Commercial	$14.63
Rate for Payer: UnitedHealthcare Community & State	$1.76
Rate for Payer: Wellpoint Medicaid Managed Care	$1.94

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$10.00
Max. Negotiated Rate	$10.00
Rate for Payer: Qualcare PPO/HMO/WC	$10.00

VECURONIUM 200 MG VIAL

Facility

$66.69

Hospital Charge Code	606380010
Hospital Revenue Code	250
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$33.34
Rate for Payer: Aetna Commercial	$25.34
Rate for Payer: Aetna Medicare Advantage	$20.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.01
Rate for Payer: Cigna Commercial	$33.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.01
Rate for Payer: Oxford Commercial	$13.34
Rate for Payer: Qualcare PPO/HMO/WC	$10.00
Rate for Payer: UnitedHealthcare Commercial	$13.34
Rate for Payer: UnitedHealthcare Community & State	$1.61
Rate for Payer: Wellpoint Medicaid Managed Care	$1.77

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$20.50
Max. Negotiated Rate	$20.50
Rate for Payer: Qualcare PPO/HMO/WC	$20.50

VECURONIUM 20 MG VIAL

Facility

$136.68

Service Code	NDC 47335093240
Hospital Charge Code	606351018
Hospital Revenue Code	250
Min. Negotiated Rate	$3.29
Max. Negotiated Rate	$68.34
Rate for Payer: Aetna Commercial	$51.94
Rate for Payer: Aetna Medicare Advantage	$41.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.85
Rate for Payer: Cigna Commercial	$68.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.00
Rate for Payer: Oxford Commercial	$27.34
Rate for Payer: Qualcare PPO/HMO/WC	$20.50
Rate for Payer: UnitedHealthcare Commercial	$27.34
Rate for Payer: UnitedHealthcare Community & State	$3.29
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

VECURONIUM BRO INJ 1MG/ML 10ML

Facility

$176.65

Hospital Charge Code	6005631
Hospital Revenue Code	250
Min. Negotiated Rate	$26.50
Max. Negotiated Rate	$26.50
Rate for Payer: Qualcare PPO/HMO/WC	$26.50

VECURONIUM BRO INJ 1MG/ML 10ML

Facility

$176.65

Hospital Charge Code	6005631
Hospital Revenue Code	250
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$88.33
Rate for Payer: Aetna Commercial	$67.13
Rate for Payer: Aetna Medicare Advantage	$52.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.05
Rate for Payer: Cigna Commercial	$88.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.99
Rate for Payer: Oxford Commercial	$35.33
Rate for Payer: Qualcare PPO/HMO/WC	$26.50
Rate for Payer: UnitedHealthcare Commercial	$35.33
Rate for Payer: UnitedHealthcare Community & State	$4.26
Rate for Payer: Wellpoint Medicaid Managed Care	$4.68

VECURONIUM BRO VL 10MG

Facility

$160.65

Hospital Charge Code	6013296
Hospital Revenue Code	250
Min. Negotiated Rate	$3.87
Max. Negotiated Rate	$80.33
Rate for Payer: Aetna Commercial	$61.05
Rate for Payer: Aetna Medicare Advantage	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.97
Rate for Payer: Cigna Commercial	$80.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.20
Rate for Payer: Oxford Commercial	$32.13
Rate for Payer: Qualcare PPO/HMO/WC	$24.10
Rate for Payer: UnitedHealthcare Commercial	$32.13
Rate for Payer: UnitedHealthcare Community & State	$3.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

VECURONIUM BRO VL 10MG

Facility

$160.65

Hospital Charge Code	6013296
Hospital Revenue Code	250
Min. Negotiated Rate	$24.10
Max. Negotiated Rate	$24.10
Rate for Payer: Qualcare PPO/HMO/WC	$24.10

VEDOLIZUMAB 300MG INJ

Facility

$38,744.76

Service Code	HCPCS J3380
Hospital Charge Code	606380023
Hospital Revenue Code	636
Min. Negotiated Rate	$5,811.71
Max. Negotiated Rate	$9,376.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,376.23
Rate for Payer: Qualcare PPO/HMO/WC	$5,811.71

VEDOLIZUMAB 300MG INJ

Facility

$38,744.76

Service Code	HCPCS J3380
Hospital Charge Code	606380023
Hospital Revenue Code	636
Min. Negotiated Rate	$19.93
Max. Negotiated Rate	$9,376.23
Rate for Payer: Aetna Commercial	$57.07
Rate for Payer: Aetna Medicare Advantage	$67.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$75.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$75.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$75.73
Rate for Payer: Cigna Medicare Advantage	$20.98
Rate for Payer: Clover Medicare Advantage	$19.93
Rate for Payer: EmblemHealth Commercial	$62.94
Rate for Payer: Humana Medicare Advantage	$21.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,376.23
Rate for Payer: Qualcare PPO/HMO/WC	$5,811.71
Rate for Payer: UnitedHealthcare Community & State	$933.75
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.98
Rate for Payer: Wellcare Medicare Advantage	$20.98
Rate for Payer: Wellpoint Medicaid Managed Care	$1,026.74

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	403395716
Hospital Revenue Code	740
Min. Negotiated Rate	$798.31
Max. Negotiated Rate	$798.31
Rate for Payer: Qualcare PPO/HMO/WC	$798.31

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	405295716
Hospital Revenue Code	740
Min. Negotiated Rate	$798.31
Max. Negotiated Rate	$798.31
Rate for Payer: Qualcare PPO/HMO/WC	$798.31

VEEG 12-26HRS CONT MON

Facility

$5,322.08

Service Code	HCPCS 95716
Hospital Charge Code	405295716
Hospital Revenue Code	740
Min. Negotiated Rate	$128.26
Max. Negotiated Rate	$5,944.00
Rate for Payer: Aetna Commercial	$2,774.97
Rate for Payer: Aetna Medicare Advantage	$3,305.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,682.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,682.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$1,020.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,682.65
Rate for Payer: Cigna Commercial	$2,044.99
Rate for Payer: Cigna Medicare Advantage	$1,020.21
Rate for Payer: Clover Medicare Advantage	$969.20
Rate for Payer: EmblemHealth Commercial	$3,060.63
Rate for Payer: Humana Medicare Advantage	$1,050.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$1,020.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,596.62
Rate for Payer: Oxford Commercial	$3,390.00
Rate for Payer: Qualcare PPO/HMO/WC	$798.31
Rate for Payer: UnitedHealthcare Commercial	$5,944.00
Rate for Payer: UnitedHealthcare Community & State	$128.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,020.21
Rate for Payer: Wellcare Medicare Advantage	$1,020.21
Rate for Payer: Wellpoint Medicaid Managed Care	$141.04

Know your out-of-pocket cost for care.

All Charges