Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WARFARIN 2 MG TAB

Facility

$14.41

Service Code	NDC 56017075
Hospital Charge Code	60627517
Hospital Revenue Code	250
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.16

WARFARIN 3 MG TAB

Facility

$14.87

Service Code	NDC 56018875
Hospital Charge Code	60629210
Hospital Revenue Code	250
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.23

WARFARIN 3 MG TAB

Facility

$14.87

Service Code	NDC 56018875
Hospital Charge Code	60629210
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.43
Rate for Payer: Aetna Commercial	$5.65
Rate for Payer: Aetna Medicare Advantage	$4.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.79
Rate for Payer: Cigna Commercial	$7.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.46
Rate for Payer: Oxford Commercial	$2.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.23
Rate for Payer: UnitedHealthcare Commercial	$2.97
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.39

WARFARIN 5 MG TAB

Facility

$15.48

Service Code	NDC 56017275
Hospital Charge Code	60627518
Hospital Revenue Code	250
Min. Negotiated Rate	$2.32
Max. Negotiated Rate	$2.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.32

WARFARIN 5 MG TAB

Facility

$15.48

Service Code	NDC 56017275
Hospital Charge Code	60627518
Hospital Revenue Code	250
Min. Negotiated Rate	$0.37
Max. Negotiated Rate	$7.74
Rate for Payer: Aetna Commercial	$5.88
Rate for Payer: Aetna Medicare Advantage	$4.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.95
Rate for Payer: Cigna Commercial	$7.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.64
Rate for Payer: Oxford Commercial	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$2.32
Rate for Payer: UnitedHealthcare Commercial	$3.10
Rate for Payer: UnitedHealthcare Community & State	$0.37
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$4.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$4.13
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

WARFARIN 7.5 MG TAB

Facility

$20.64

Service Code	NDC 56017375
Hospital Charge Code	60627519
Hospital Revenue Code	250
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

WARFARIN INJ 5MG

Facility

$89.60

Hospital Charge Code	60629261
Hospital Revenue Code	250
Min. Negotiated Rate	$2.16
Max. Negotiated Rate	$44.80
Rate for Payer: Aetna Commercial	$34.05
Rate for Payer: Aetna Medicare Advantage	$26.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.85
Rate for Payer: Cigna Commercial	$44.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.88
Rate for Payer: Oxford Commercial	$17.92
Rate for Payer: Qualcare PPO/HMO/WC	$13.44
Rate for Payer: UnitedHealthcare Commercial	$17.92
Rate for Payer: UnitedHealthcare Community & State	$2.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.37

WARFARIN INJ 5MG

Facility

$89.60

Hospital Charge Code	60629261
Hospital Revenue Code	250
Min. Negotiated Rate	$13.44
Max. Negotiated Rate	$13.44
Rate for Payer: Qualcare PPO/HMO/WC	$13.44

WARMER FLUID 241 *******

Facility

$36.00

Hospital Charge Code	1608298
Hospital Revenue Code	272
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$5.40

WARMER FLUID 241 *******

Facility

$36.00

Hospital Charge Code	1608298
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$18.00
Rate for Payer: Aetna Commercial	$13.68
Rate for Payer: Aetna Medicare Advantage	$10.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.18
Rate for Payer: Cigna Commercial	$18.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.80
Rate for Payer: Oxford Commercial	$7.20
Rate for Payer: Qualcare PPO/HMO/WC	$5.40
Rate for Payer: UnitedHealthcare Commercial	$7.20
Rate for Payer: UnitedHealthcare Community & State	$0.87
Rate for Payer: Wellpoint Medicaid Managed Care	$0.95

WASHBASIN RECT 8 QT

Facility

$7.25

Hospital Charge Code	270300502
Hospital Revenue Code	270
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

WASHBASIN RECT 8 QT

Facility

$7.25

Hospital Charge Code	270300502
Hospital Revenue Code	270
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.85
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

WASHCLOTHES DISPOSABLE

Facility

$195.20

Hospital Charge Code	270655087
Hospital Revenue Code	270
Min. Negotiated Rate	$4.70
Max. Negotiated Rate	$97.60
Rate for Payer: Aetna Commercial	$74.18
Rate for Payer: Aetna Medicare Advantage	$58.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.78
Rate for Payer: Cigna Commercial	$97.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.56
Rate for Payer: Oxford Commercial	$39.04
Rate for Payer: Qualcare PPO/HMO/WC	$29.28
Rate for Payer: UnitedHealthcare Commercial	$39.04
Rate for Payer: UnitedHealthcare Community & State	$4.70
Rate for Payer: Wellpoint Medicaid Managed Care	$5.17

WASHCLOTHES DISPOSABLE

Facility

$195.20

Hospital Charge Code	270655087
Hospital Revenue Code	270
Min. Negotiated Rate	$29.28
Max. Negotiated Rate	$29.28
Rate for Payer: Qualcare PPO/HMO/WC	$29.28

WASHED RBC'S

Facility

$1,706.16

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$41.12
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$648.34
Rate for Payer: Aetna Medicare Advantage	$511.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.07
Rate for Payer: Cigna Commercial	$853.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$511.85
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.92
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$41.12
Rate for Payer: Wellpoint Medicaid Managed Care	$45.21

WASHED RBC'S

Facility

$1,706.16

Hospital Charge Code	38471037
Hospital Revenue Code	390
Min. Negotiated Rate	$255.92
Max. Negotiated Rate	$255.92
Rate for Payer: Qualcare PPO/HMO/WC	$255.92

WASHED RED BLOOD CELLS UNIT

Facility

$1,439.02

Hospital Charge Code	3101507
Hospital Revenue Code	390
Min. Negotiated Rate	$215.85
Max. Negotiated Rate	$215.85
Rate for Payer: Qualcare PPO/HMO/WC	$215.85

WASHED RED BLOOD CELLS UNIT

Facility

$1,439.02

Hospital Charge Code	3101507
Hospital Revenue Code	390
Min. Negotiated Rate	$34.68
Max. Negotiated Rate	$1,167.00
Rate for Payer: Aetna Commercial	$546.83
Rate for Payer: Aetna Medicare Advantage	$431.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$366.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$366.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$366.95
Rate for Payer: Cigna Commercial	$719.51
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$431.71
Rate for Payer: Oxford Commercial	$666.00
Rate for Payer: Qualcare PPO/HMO/WC	$215.85
Rate for Payer: UnitedHealthcare Commercial	$1,167.00
Rate for Payer: UnitedHealthcare Community & State	$34.68
Rate for Payer: Wellpoint Medicaid Managed Care	$38.13

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$48.98
Max. Negotiated Rate	$79.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$48.98

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$5.30
Max. Negotiated Rate	$110.00
Rate for Payer: Aetna Commercial	$83.60
Rate for Payer: Aetna Medicare Advantage	$66.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.10
Rate for Payer: Cigna Commercial	$110.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00
Rate for Payer: UnitedHealthcare Community & State	$5.30
Rate for Payer: Wellpoint Medicaid Managed Care	$5.83

WASHER

Facility

$220.00

Service Code	HCPCS C1713
Hospital Charge Code	270665084
Hospital Revenue Code	278
Min. Negotiated Rate	$33.00
Max. Negotiated Rate	$53.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$44.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.24
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$48.40
Rate for Payer: Qualcare PPO/HMO/WC	$33.00

WASHER

Facility

$105.30

Hospital Charge Code	270657776
Hospital Revenue Code	278
Min. Negotiated Rate	$2.54
Max. Negotiated Rate	$52.65
Rate for Payer: Aetna Commercial	$40.01
Rate for Payer: Aetna Medicare Advantage	$31.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.85
Rate for Payer: Cigna Commercial	$52.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.17
Rate for Payer: Qualcare PPO/HMO/WC	$15.79
Rate for Payer: UnitedHealthcare Community & State	$2.54
Rate for Payer: Wellpoint Medicaid Managed Care	$2.79

WASHER

Facility

$105.30

Hospital Charge Code	270657776
Hospital Revenue Code	278
Min. Negotiated Rate	$15.79
Max. Negotiated Rate	$25.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.06
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.17
Rate for Payer: Qualcare PPO/HMO/WC	$15.79

WASHER

Facility

$326.55

Service Code	HCPCS C1713
Hospital Charge Code	270705721
Hospital Revenue Code	278
Min. Negotiated Rate	$7.87
Max. Negotiated Rate	$163.28
Rate for Payer: Aetna Commercial	$124.09
Rate for Payer: Aetna Medicare Advantage	$97.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$83.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$65.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$83.27
Rate for Payer: Cigna Commercial	$163.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.03
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$71.84
Rate for Payer: Qualcare PPO/HMO/WC	$48.98
Rate for Payer: UnitedHealthcare Community & State	$7.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8.65

Know your out-of-pocket cost for care.

All Charges