Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZAROXOLYN/5MG/TAB

Facility

$5.00

Hospital Charge Code	60634195
Hospital Revenue Code	250
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

ZCAGE VARISYN ALIF 24X30MM 15D

Facility

$32,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270703638
Hospital Revenue Code	278
Min. Negotiated Rate	$783.25
Max. Negotiated Rate	$16,250.00
Rate for Payer: Aetna Commercial	$12,350.00
Rate for Payer: Aetna Medicare Advantage	$9,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,287.50
Rate for Payer: Cigna Commercial	$16,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,150.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00
Rate for Payer: UnitedHealthcare Community & State	$783.25
Rate for Payer: Wellpoint Medicaid Managed Care	$861.25

ZCAGE VARISYN ALIF 24X30MM 15D

Facility

$32,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270703638
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,150.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

ZCAGE VARISYN ALIF 24X30MM 8D

Facility

$32,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270703635
Hospital Revenue Code	278
Min. Negotiated Rate	$783.25
Max. Negotiated Rate	$16,250.00
Rate for Payer: Aetna Commercial	$12,350.00
Rate for Payer: Aetna Medicare Advantage	$9,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8,287.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8,287.50
Rate for Payer: Cigna Commercial	$16,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,150.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00
Rate for Payer: UnitedHealthcare Community & State	$783.25
Rate for Payer: Wellpoint Medicaid Managed Care	$861.25

ZCAGE VARISYN ALIF 24X30MM 8D

Facility

$32,500.00

Service Code	HCPCS C1765
Hospital Charge Code	270703635
Hospital Revenue Code	278
Min. Negotiated Rate	$4,875.00
Max. Negotiated Rate	$7,865.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$6,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7,865.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$7,150.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,875.00

ZEBETA 10MG TAB

Facility

$8.17

Service Code	NDC 185077430
Hospital Charge Code	60635124
Hospital Revenue Code	250
Min. Negotiated Rate	$1.23
Max. Negotiated Rate	$1.23
Rate for Payer: Qualcare PPO/HMO/WC	$1.23

ZEBETA 10MG TAB

Facility

$8.17

Service Code	NDC 185077430
Hospital Charge Code	60635124
Hospital Revenue Code	250
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$3.10
Rate for Payer: Aetna Medicare Advantage	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.45
Rate for Payer: Oxford Commercial	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.23
Rate for Payer: UnitedHealthcare Commercial	$1.63
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

ZEBETA 5MG TAB

Facility

$7.00

Hospital Charge Code	60635123
Hospital Revenue Code	250
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

ZEBETA 5MG TAB

Facility

$7.00

Hospital Charge Code	60635123
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ZELNORM 6MG TAB

Facility

$11.00

Hospital Charge Code	60635512
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.30
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

ZELNORM 6MG TAB

Facility

$11.00

Hospital Charge Code	60635512
Hospital Revenue Code	250
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

ZEMURON

Facility

$47.35

Hospital Charge Code	270656767
Hospital Revenue Code	250
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$23.68
Rate for Payer: Aetna Commercial	$17.99
Rate for Payer: Aetna Medicare Advantage	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.07
Rate for Payer: Cigna Commercial	$23.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.21
Rate for Payer: Oxford Commercial	$9.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.10
Rate for Payer: UnitedHealthcare Commercial	$9.47
Rate for Payer: UnitedHealthcare Community & State	$1.14
Rate for Payer: Wellpoint Medicaid Managed Care	$1.25

ZEMURON

Facility

$47.35

Hospital Charge Code	270656767
Hospital Revenue Code	250
Min. Negotiated Rate	$7.10
Max. Negotiated Rate	$7.10
Rate for Payer: Qualcare PPO/HMO/WC	$7.10

ZEMURON INJ 10MG

Facility

$190.00

Hospital Charge Code	60635147
Hospital Revenue Code	250
Min. Negotiated Rate	$28.50
Max. Negotiated Rate	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$28.50

ZEMURON INJ 10MG

Facility

$190.00

Hospital Charge Code	60635147
Hospital Revenue Code	250
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$95.00
Rate for Payer: Aetna Commercial	$72.20
Rate for Payer: Aetna Medicare Advantage	$57.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.45
Rate for Payer: Cigna Commercial	$95.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$57.00
Rate for Payer: Oxford Commercial	$38.00
Rate for Payer: Qualcare PPO/HMO/WC	$28.50
Rate for Payer: UnitedHealthcare Commercial	$38.00
Rate for Payer: UnitedHealthcare Community & State	$4.58
Rate for Payer: Wellpoint Medicaid Managed Care	$5.04

ZEMURON INJECTION

Facility

$107.00

Hospital Charge Code	60634996
Hospital Revenue Code	250
Min. Negotiated Rate	$16.05
Max. Negotiated Rate	$16.05
Rate for Payer: Qualcare PPO/HMO/WC	$16.05

ZEMURON INJECTION

Facility

$107.00

Hospital Charge Code	60634996
Hospital Revenue Code	250
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.50
Rate for Payer: Aetna Commercial	$40.66
Rate for Payer: Aetna Medicare Advantage	$32.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.29
Rate for Payer: Cigna Commercial	$53.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.10
Rate for Payer: Oxford Commercial	$21.40
Rate for Payer: Qualcare PPO/HMO/WC	$16.05
Rate for Payer: UnitedHealthcare Commercial	$21.40
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

ZENITH AAA MAIN BDY TFB-32-103

Facility

$37,000.00

Hospital Charge Code	270636634V
Hospital Revenue Code	278
Min. Negotiated Rate	$5,550.00
Max. Negotiated Rate	$8,954.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,954.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,140.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,550.00

ZENITH AAA MAIN BDY TFB-32-103

Facility

$37,000.00

Hospital Charge Code	270636634V
Hospital Revenue Code	278
Min. Negotiated Rate	$891.70
Max. Negotiated Rate	$18,500.00
Rate for Payer: Aetna Commercial	$14,060.00
Rate for Payer: Aetna Medicare Advantage	$11,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,435.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,400.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,435.00
Rate for Payer: Cigna Commercial	$18,500.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,954.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,140.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,550.00
Rate for Payer: UnitedHealthcare Community & State	$891.70
Rate for Payer: Wellpoint Medicaid Managed Care	$980.50

ZENITH AAA MAIN BDY TFB-32-103

Facility

$36,704.00

Hospital Charge Code	270636634
Hospital Revenue Code	278
Min. Negotiated Rate	$5,505.60
Max. Negotiated Rate	$8,882.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,340.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,882.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,074.88
Rate for Payer: Qualcare PPO/HMO/WC	$5,505.60

ZENITH AAA MAIN BDY TFB-32-103

Facility

$36,704.00

Hospital Charge Code	270636634
Hospital Revenue Code	278
Min. Negotiated Rate	$884.57
Max. Negotiated Rate	$18,352.00
Rate for Payer: Aetna Commercial	$13,947.52
Rate for Payer: Aetna Medicare Advantage	$11,011.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,359.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,359.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,340.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,359.52
Rate for Payer: Cigna Commercial	$18,352.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,882.37
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,074.88
Rate for Payer: Qualcare PPO/HMO/WC	$5,505.60
Rate for Payer: UnitedHealthcare Community & State	$884.57
Rate for Payer: Wellpoint Medicaid Managed Care	$972.66

ZENITH FLEX AAA GRAFT TFFB2482

Facility

$41,060.00

Hospital Charge Code	270638578V
Hospital Revenue Code	278
Min. Negotiated Rate	$989.55
Max. Negotiated Rate	$20,530.00
Rate for Payer: Aetna Commercial	$15,602.80
Rate for Payer: Aetna Medicare Advantage	$12,318.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10,470.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10,470.30
Rate for Payer: Cigna Commercial	$20,530.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00
Rate for Payer: UnitedHealthcare Community & State	$989.55
Rate for Payer: Wellpoint Medicaid Managed Care	$1,088.09

ZENITH FLEX AAA GRAFT TFFB2482

Facility

$41,060.00

Hospital Charge Code	270638578V
Hospital Revenue Code	278
Min. Negotiated Rate	$6,159.00
Max. Negotiated Rate	$9,936.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$8,212.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,936.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$9,033.20
Rate for Payer: Qualcare PPO/HMO/WC	$6,159.00

ZEPHER RADIAL BAND

Facility

$901.25

Hospital Charge Code	270699036
Hospital Revenue Code	279
Min. Negotiated Rate	$135.19
Max. Negotiated Rate	$135.19
Rate for Payer: Qualcare PPO/HMO/WC	$135.19

ZEPHER RADIAL BAND

Facility

$901.25

Hospital Charge Code	270699036
Hospital Revenue Code	279
Min. Negotiated Rate	$21.72
Max. Negotiated Rate	$450.62
Rate for Payer: Aetna Commercial	$342.48
Rate for Payer: Aetna Medicare Advantage	$270.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.82
Rate for Payer: Cigna Commercial	$450.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$270.38
Rate for Payer: Oxford Commercial	$180.25
Rate for Payer: Qualcare PPO/HMO/WC	$135.19
Rate for Payer: UnitedHealthcare Commercial	$180.25
Rate for Payer: UnitedHealthcare Community & State	$21.72
Rate for Payer: Wellpoint Medicaid Managed Care	$23.88

Know your out-of-pocket cost for care.

All Charges