Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZIDOVUDINE SYRUP 50MG/5ML 24OM

Facility

$392.00

Hospital Charge Code	60628773
Hospital Revenue Code	250
Min. Negotiated Rate	$9.45
Max. Negotiated Rate	$196.00
Rate for Payer: Aetna Commercial	$148.96
Rate for Payer: Aetna Medicare Advantage	$117.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99.96
Rate for Payer: Cigna Commercial	$196.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.60
Rate for Payer: Oxford Commercial	$78.40
Rate for Payer: Qualcare PPO/HMO/WC	$58.80
Rate for Payer: UnitedHealthcare Commercial	$78.40
Rate for Payer: UnitedHealthcare Community & State	$9.45
Rate for Payer: Wellpoint Medicaid Managed Care	$10.39

ZIKA VIRUS RNA, QL RT PCR

Facility

$239.00

Service Code	HCPCS 87662
Hospital Charge Code	3038540
Hospital Revenue Code	306
Min. Negotiated Rate	$6.33
Max. Negotiated Rate	$185.21
Rate for Payer: Aetna Commercial	$139.56
Rate for Payer: Aetna Medicare Advantage	$166.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$49.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.21
Rate for Payer: Cigna Commercial	$119.50
Rate for Payer: Cigna Medicare Advantage	$51.31
Rate for Payer: Clover Medicare Advantage	$48.74
Rate for Payer: EmblemHealth Commercial	$153.93
Rate for Payer: Humana Medicare Advantage	$52.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$71.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$35.85
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$41.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.31
Rate for Payer: Wellcare Medicare Advantage	$51.31
Rate for Payer: Wellpoint Medicaid Managed Care	$6.33

ZIKA VIRUS RNA, QL RT PCR

Facility

$239.00

Service Code	HCPCS 87662
Hospital Charge Code	3038540
Hospital Revenue Code	306
Min. Negotiated Rate	$35.85
Max. Negotiated Rate	$35.85
Rate for Payer: Qualcare PPO/HMO/WC	$35.85

ZILEUTON TAB 600MG

Facility

$4.50

Hospital Charge Code	60628739
Hospital Revenue Code	250
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$0.68
Rate for Payer: Qualcare PPO/HMO/WC	$0.68

ZILEUTON TAB 600MG

Facility

$4.50

Hospital Charge Code	60628739
Hospital Revenue Code	250
Min. Negotiated Rate	$0.11
Max. Negotiated Rate	$2.25
Rate for Payer: Aetna Commercial	$1.71
Rate for Payer: Aetna Medicare Advantage	$1.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.15
Rate for Payer: Cigna Commercial	$2.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.35
Rate for Payer: Oxford Commercial	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.68
Rate for Payer: UnitedHealthcare Commercial	$0.90
Rate for Payer: UnitedHealthcare Community & State	$0.11
Rate for Payer: Wellpoint Medicaid Managed Care	$0.12

ZILIENT 30G

Facility

$3,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270686316N
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

ZILIENT 30G

Facility

$3,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270686316S
Hospital Revenue Code	278
Min. Negotiated Rate	$75.31
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Community & State	$75.31
Rate for Payer: Wellpoint Medicaid Managed Care	$82.81

ZILIENT 30G

Facility

$3,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270686316S
Hospital Revenue Code	278
Min. Negotiated Rate	$468.75
Max. Negotiated Rate	$756.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$468.75

ZILIENT 30G

Facility

$3,125.00

Service Code	HCPCS C1769
Hospital Charge Code	270686316N
Hospital Revenue Code	278
Min. Negotiated Rate	$75.31
Max. Negotiated Rate	$1,562.50
Rate for Payer: Aetna Commercial	$1,187.50
Rate for Payer: Aetna Medicare Advantage	$937.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.88
Rate for Payer: Cigna Commercial	$1,562.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$756.25
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$687.50
Rate for Payer: Qualcare PPO/HMO/WC	$468.75
Rate for Payer: UnitedHealthcare Community & State	$75.31
Rate for Payer: Wellpoint Medicaid Managed Care	$82.81

ZIMMER KNEE BUNDLE

Facility

$20,500.00

Hospital Charge Code	270703122
Hospital Revenue Code	278
Min. Negotiated Rate	$494.05
Max. Negotiated Rate	$10,250.00
Rate for Payer: Aetna Commercial	$7,790.00
Rate for Payer: Aetna Medicare Advantage	$6,150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,227.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,227.50
Rate for Payer: Cigna Commercial	$10,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,510.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00
Rate for Payer: UnitedHealthcare Community & State	$494.05
Rate for Payer: Wellpoint Medicaid Managed Care	$543.25

ZIMMER KNEE BUNDLE

Facility

$20,500.00

Hospital Charge Code	270703122
Hospital Revenue Code	278
Min. Negotiated Rate	$3,075.00
Max. Negotiated Rate	$4,961.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,961.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,510.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,075.00

ZIMMON ENDOSCOPIC BILLIARY

Facility

$713.00

Hospital Charge Code	270332240
Hospital Revenue Code	272
Min. Negotiated Rate	$17.18
Max. Negotiated Rate	$356.50
Rate for Payer: Aetna Commercial	$270.94
Rate for Payer: Aetna Medicare Advantage	$213.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$181.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$181.81
Rate for Payer: Cigna Commercial	$356.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$213.90
Rate for Payer: Oxford Commercial	$142.60
Rate for Payer: Qualcare PPO/HMO/WC	$106.95
Rate for Payer: UnitedHealthcare Commercial	$142.60
Rate for Payer: UnitedHealthcare Community & State	$17.18
Rate for Payer: Wellpoint Medicaid Managed Care	$18.89

ZIMMON ENDOSCOPIC BILLIARY

Facility

$713.00

Hospital Charge Code	270332240
Hospital Revenue Code	272
Min. Negotiated Rate	$106.95
Max. Negotiated Rate	$106.95
Rate for Payer: Qualcare PPO/HMO/WC	$106.95

ZINC

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38472707
Hospital Revenue Code	301
Min. Negotiated Rate	$25.35
Max. Negotiated Rate	$25.35
Rate for Payer: Qualcare PPO/HMO/WC	$25.35

ZINC

Facility

$169.00

Service Code	HCPCS 84630
Hospital Charge Code	38472707
Hospital Revenue Code	301
Min. Negotiated Rate	$4.48
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$30.98
Rate for Payer: Aetna Medicare Advantage	$36.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.11
Rate for Payer: Cigna Commercial	$84.50
Rate for Payer: Cigna Medicare Advantage	$11.39
Rate for Payer: Clover Medicare Advantage	$10.82
Rate for Payer: EmblemHealth Commercial	$34.17
Rate for Payer: Humana Medicare Advantage	$11.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.70
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$25.35
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$9.11
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.39
Rate for Payer: Wellcare Medicare Advantage	$11.39
Rate for Payer: Wellpoint Medicaid Managed Care	$4.48

ZINC ACETATE OINTMENT

Facility

$49.80

Hospital Charge Code	60629277
Hospital Revenue Code	250
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$18.92
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$9.96
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$9.96
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

ZINC ACETATE OINTMENT

Facility

$49.80

Hospital Charge Code	60629277
Hospital Revenue Code	250
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

ZINC GELATIN BANDAGE UNNA BOOT

Facility

$69.30

Hospital Charge Code	60628425
Hospital Revenue Code	250
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.65
Rate for Payer: Aetna Commercial	$26.33
Rate for Payer: Aetna Medicare Advantage	$20.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.67
Rate for Payer: Cigna Commercial	$34.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.79
Rate for Payer: Oxford Commercial	$13.86
Rate for Payer: Qualcare PPO/HMO/WC	$10.39
Rate for Payer: UnitedHealthcare Commercial	$13.86
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

ZINC GELATIN BANDAGE UNNA BOOT

Facility

$69.30

Hospital Charge Code	60628425
Hospital Revenue Code	250
Min. Negotiated Rate	$10.39
Max. Negotiated Rate	$10.39
Rate for Payer: Qualcare PPO/HMO/WC	$10.39

ZINC GLUCONATE/50MG/TAB

Facility

$1.00

Hospital Charge Code	60634310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.02
Max. Negotiated Rate	$0.50
Rate for Payer: Aetna Commercial	$0.38
Rate for Payer: Aetna Medicare Advantage	$0.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.26
Rate for Payer: Cigna Commercial	$0.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.30
Rate for Payer: Oxford Commercial	$0.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.15
Rate for Payer: UnitedHealthcare Commercial	$0.20
Rate for Payer: UnitedHealthcare Community & State	$0.02
Rate for Payer: Wellpoint Medicaid Managed Care	$0.03

ZINC GLUCONATE/50MG/TAB

Facility

$1.00

Hospital Charge Code	60634310
Hospital Revenue Code	250
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$0.15
Rate for Payer: Qualcare PPO/HMO/WC	$0.15

ZINC INJ 1MG/ML 10ML

Facility

$3.85

Hospital Charge Code	6025027
Hospital Revenue Code	250
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

ZINC INJ 1MG/ML 10ML

Facility

$3.85

Hospital Charge Code	6025027
Hospital Revenue Code	250
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.16
Rate for Payer: Oxford Commercial	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$0.77
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

ZINC INJ 1MG/ML 10ML

Facility

$3.85

Hospital Charge Code	6025019
Hospital Revenue Code	251
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$0.58
Rate for Payer: Qualcare PPO/HMO/WC	$0.58

ZINC INJ 1MG/ML 10ML

Facility

$3.85

Hospital Charge Code	6025019
Hospital Revenue Code	251
Min. Negotiated Rate	$0.09
Max. Negotiated Rate	$1.93
Rate for Payer: Aetna Commercial	$1.46
Rate for Payer: Aetna Medicare Advantage	$1.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.98
Rate for Payer: Cigna Commercial	$1.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.16
Rate for Payer: Oxford Commercial	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.58
Rate for Payer: UnitedHealthcare Commercial	$0.77
Rate for Payer: UnitedHealthcare Community & State	$0.09
Rate for Payer: Wellpoint Medicaid Managed Care	$0.10

Know your out-of-pocket cost for care.

All Charges