Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

VINBLASTINE 10 MG INJ

Facility

$110.95

Service Code	HCPCS J9360
Hospital Charge Code	6005664
Hospital Revenue Code	636
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$55.48
Rate for Payer: Aetna Commercial	$42.16
Rate for Payer: Aetna Medicare Advantage	$33.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.29
Rate for Payer: Cigna Commercial	$55.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.85
Rate for Payer: Qualcare PPO/HMO/WC	$16.64
Rate for Payer: UnitedHealthcare Community & State	$2.67
Rate for Payer: Wellpoint Medicaid Managed Care	$2.94

VINBLASTINE SULFATE/1MG/1

Facility

$131.00

Hospital Charge Code	60634156
Hospital Revenue Code	636
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$31.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

VINBLASTINE SULFATE/1MG/1

Facility

$131.00

Hospital Charge Code	60634156
Hospital Revenue Code	636
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$49.78
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

VINCRISTINE/1MG

Facility

$227.00

Hospital Charge Code	60633572
Hospital Revenue Code	636
Min. Negotiated Rate	$34.05
Max. Negotiated Rate	$54.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.93
Rate for Payer: Qualcare PPO/HMO/WC	$34.05

VINCRISTINE/1MG

Facility

$227.00

Hospital Charge Code	60633572
Hospital Revenue Code	636
Min. Negotiated Rate	$5.47
Max. Negotiated Rate	$113.50
Rate for Payer: Aetna Commercial	$86.26
Rate for Payer: Aetna Medicare Advantage	$68.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57.88
Rate for Payer: Cigna Commercial	$113.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.93
Rate for Payer: Qualcare PPO/HMO/WC	$34.05
Rate for Payer: UnitedHealthcare Community & State	$5.47
Rate for Payer: Wellpoint Medicaid Managed Care	$6.02

VINCRISTINE 1 MG/ML INJ

Facility

$45.56

Service Code	HCPCS J9370
Hospital Charge Code	6005680
Hospital Revenue Code	636
Min. Negotiated Rate	$1.10
Max. Negotiated Rate	$22.78
Rate for Payer: Aetna Commercial	$17.31
Rate for Payer: Aetna Medicare Advantage	$13.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.62
Rate for Payer: Cigna Commercial	$22.78
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.83
Rate for Payer: UnitedHealthcare Community & State	$1.10
Rate for Payer: Wellpoint Medicaid Managed Care	$1.21

VINCRISTINE 1 MG/ML INJ

Facility

$45.56

Service Code	HCPCS J9370
Hospital Charge Code	6005680
Hospital Revenue Code	636
Min. Negotiated Rate	$6.83
Max. Negotiated Rate	$11.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.03
Rate for Payer: Qualcare PPO/HMO/WC	$6.83

VINCRISTINE 2 MG INJ

Facility

$414.00

Hospital Charge Code	60633575
Hospital Revenue Code	636
Min. Negotiated Rate	$9.98
Max. Negotiated Rate	$207.00
Rate for Payer: Aetna Commercial	$157.32
Rate for Payer: Aetna Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$105.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$105.57
Rate for Payer: Cigna Commercial	$207.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.19
Rate for Payer: Qualcare PPO/HMO/WC	$62.10
Rate for Payer: UnitedHealthcare Community & State	$9.98
Rate for Payer: Wellpoint Medicaid Managed Care	$10.97

VINCRISTINE 2 MG INJ

Facility

$414.00

Hospital Charge Code	60633575
Hospital Revenue Code	636
Min. Negotiated Rate	$62.10
Max. Negotiated Rate	$100.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.19
Rate for Payer: Qualcare PPO/HMO/WC	$62.10

VINCRISTINE IV/1MG/ML

Facility

$131.00

Hospital Charge Code	60634418
Hospital Revenue Code	636
Min. Negotiated Rate	$19.65
Max. Negotiated Rate	$31.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Qualcare PPO/HMO/WC	$19.65

VINCRISTINE IV/1MG/ML

Facility

$131.00

Hospital Charge Code	60634418
Hospital Revenue Code	636
Min. Negotiated Rate	$3.16
Max. Negotiated Rate	$65.50
Rate for Payer: Aetna Commercial	$49.78
Rate for Payer: Aetna Medicare Advantage	$39.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.41
Rate for Payer: Cigna Commercial	$65.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.70
Rate for Payer: Qualcare PPO/HMO/WC	$19.65
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

VINCRISTINE SUL INJ 1MG/ML 1ML

Facility

$109.45

Hospital Charge Code	6005672
Hospital Revenue Code	250
Min. Negotiated Rate	$2.64
Max. Negotiated Rate	$54.73
Rate for Payer: Aetna Commercial	$41.59
Rate for Payer: Aetna Medicare Advantage	$32.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.91
Rate for Payer: Cigna Commercial	$54.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.84
Rate for Payer: Oxford Commercial	$21.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.42
Rate for Payer: UnitedHealthcare Commercial	$21.89
Rate for Payer: UnitedHealthcare Community & State	$2.64
Rate for Payer: Wellpoint Medicaid Managed Care	$2.90

VINCRISTINE SUL INJ 1MG/ML 1ML

Facility

$109.45

Hospital Charge Code	6005672
Hospital Revenue Code	250
Min. Negotiated Rate	$16.42
Max. Negotiated Rate	$16.42
Rate for Payer: Qualcare PPO/HMO/WC	$16.42

VINDRELBINE INJ 10MG/1ML

Facility

$386.60

Hospital Charge Code	60627409
Hospital Revenue Code	636
Min. Negotiated Rate	$9.32
Max. Negotiated Rate	$193.30
Rate for Payer: Aetna Commercial	$146.91
Rate for Payer: Aetna Medicare Advantage	$115.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$98.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$98.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$98.58
Rate for Payer: Cigna Commercial	$193.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.99
Rate for Payer: UnitedHealthcare Community & State	$9.32
Rate for Payer: Wellpoint Medicaid Managed Care	$10.24

VINDRELBINE INJ 10MG/1ML

Facility

$386.60

Hospital Charge Code	60627409
Hospital Revenue Code	636
Min. Negotiated Rate	$57.99
Max. Negotiated Rate	$93.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.56
Rate for Payer: Qualcare PPO/HMO/WC	$57.99

VINDRELBINE INJ 50MG

Facility

$1,768.35

Hospital Charge Code	6010565
Hospital Revenue Code	636
Min. Negotiated Rate	$265.25
Max. Negotiated Rate	$427.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.94
Rate for Payer: Qualcare PPO/HMO/WC	$265.25

VINDRELBINE INJ 50MG

Facility

$1,768.35

Hospital Charge Code	6010565
Hospital Revenue Code	636
Min. Negotiated Rate	$42.62
Max. Negotiated Rate	$884.17
Rate for Payer: Aetna Commercial	$671.97
Rate for Payer: Aetna Medicare Advantage	$530.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$450.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$450.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$450.93
Rate for Payer: Cigna Commercial	$884.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$427.94
Rate for Payer: Qualcare PPO/HMO/WC	$265.25
Rate for Payer: UnitedHealthcare Community & State	$42.62
Rate for Payer: Wellpoint Medicaid Managed Care	$46.86

VINORELBINE 10 MG/ML INJ

Facility

$285.42

Service Code	HCPCS J9390
Hospital Charge Code	60627410
Hospital Revenue Code	636
Min. Negotiated Rate	$42.81
Max. Negotiated Rate	$69.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.07
Rate for Payer: Qualcare PPO/HMO/WC	$42.81

VINORELBINE 10 MG/ML INJ

Facility

$285.42

Service Code	HCPCS J9390
Hospital Charge Code	60627410
Hospital Revenue Code	636
Min. Negotiated Rate	$6.88
Max. Negotiated Rate	$142.71
Rate for Payer: Aetna Commercial	$108.46
Rate for Payer: Aetna Medicare Advantage	$85.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$72.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$72.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$72.78
Rate for Payer: Cigna Commercial	$142.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.07
Rate for Payer: Qualcare PPO/HMO/WC	$42.81
Rate for Payer: UnitedHealthcare Community & State	$6.88
Rate for Payer: Wellpoint Medicaid Managed Care	$7.56

VINYL CONNECTIING TUBE 30CM

Facility

$62.60

Hospital Charge Code	2709003575
Hospital Revenue Code	272
Min. Negotiated Rate	$9.39
Max. Negotiated Rate	$9.39
Rate for Payer: Qualcare PPO/HMO/WC	$9.39

VINYL CONNECTIING TUBE 30CM

Facility

$62.60

Hospital Charge Code	2709003575
Hospital Revenue Code	272
Min. Negotiated Rate	$1.51
Max. Negotiated Rate	$31.30
Rate for Payer: Aetna Commercial	$23.79
Rate for Payer: Aetna Medicare Advantage	$18.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.96
Rate for Payer: Cigna Commercial	$31.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.78
Rate for Payer: Oxford Commercial	$12.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.39
Rate for Payer: UnitedHealthcare Commercial	$12.52
Rate for Payer: UnitedHealthcare Community & State	$1.51
Rate for Payer: Wellpoint Medicaid Managed Care	$1.66

VINYL CONNECTING TUBE 30CM

Facility

$12.52

Hospital Charge Code	270653764R
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

VINYL CONNECTING TUBE 30CM

Facility

$12.52

Hospital Charge Code	270653764N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.88
Max. Negotiated Rate	$1.88
Rate for Payer: Qualcare PPO/HMO/WC	$1.88

VINYL CONNECTING TUBE 30CM

Facility

$12.52

Hospital Charge Code	270653764R
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.26
Rate for Payer: Aetna Commercial	$4.76
Rate for Payer: Aetna Medicare Advantage	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.76
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.50
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

VINYL CONNECTING TUBE 30CM

Facility

$12.52

Hospital Charge Code	270653764N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.26
Rate for Payer: Aetna Commercial	$4.76
Rate for Payer: Aetna Medicare Advantage	$3.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.19
Rate for Payer: Cigna Commercial	$6.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.76
Rate for Payer: Oxford Commercial	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.88
Rate for Payer: UnitedHealthcare Commercial	$2.50
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

Know your out-of-pocket cost for care.

All Charges