Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZINC OINT 20%

Facility

$13.45

Hospital Charge Code	60628433
Hospital Revenue Code	250
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

ZINC OINT 20%

Facility

$13.45

Hospital Charge Code	60628433
Hospital Revenue Code	250
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.72
Rate for Payer: Aetna Commercial	$5.11
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.43
Rate for Payer: Cigna Commercial	$6.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$2.69
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$2.69
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

ZINC OXD 40%/CODLVR 37.5G OINT

Facility

$19.85

Hospital Charge Code	6010052
Hospital Revenue Code	251
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$9.93
Rate for Payer: Aetna Commercial	$7.54
Rate for Payer: Aetna Medicare Advantage	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.06
Rate for Payer: Cigna Commercial	$9.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.96
Rate for Payer: Oxford Commercial	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$3.97
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

ZINC OXD 40%/CODLVR 37.5G OINT

Facility

$19.85

Hospital Charge Code	6010052
Hospital Revenue Code	251
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

ZINC OXIDE 15% POWDER

Facility

$38.79

Service Code	NDC 63736036305
Hospital Charge Code	606390057
Hospital Revenue Code	250
Min. Negotiated Rate	$5.82
Max. Negotiated Rate	$5.82
Rate for Payer: Qualcare PPO/HMO/WC	$5.82

ZINC OXIDE 15% POWDER

Facility

$38.79

Service Code	NDC 63736036305
Hospital Charge Code	606390057
Hospital Revenue Code	250
Min. Negotiated Rate	$0.93
Max. Negotiated Rate	$19.39
Rate for Payer: Aetna Commercial	$14.74
Rate for Payer: Aetna Medicare Advantage	$11.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.89
Rate for Payer: Cigna Commercial	$19.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.64
Rate for Payer: Oxford Commercial	$7.76
Rate for Payer: Qualcare PPO/HMO/WC	$5.82
Rate for Payer: UnitedHealthcare Commercial	$7.76
Rate for Payer: UnitedHealthcare Community & State	$0.93
Rate for Payer: Wellpoint Medicaid Managed Care	$1.03

ZINC OXIDE/30GM

Facility

$6.00

Hospital Charge Code	60634201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

ZINC OXIDE/30GM

Facility

$21.98

Service Code	NDC 168006231
Hospital Charge Code	60634202
Hospital Revenue Code	250
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$3.30
Rate for Payer: Qualcare PPO/HMO/WC	$3.30

ZINC OXIDE/30GM

Facility

$6.00

Hospital Charge Code	60634201
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ZINC OXIDE/30GM

Facility

$21.98

Service Code	NDC 168006231
Hospital Charge Code	60634202
Hospital Revenue Code	250
Min. Negotiated Rate	$0.53
Max. Negotiated Rate	$10.99
Rate for Payer: Aetna Commercial	$8.35
Rate for Payer: Aetna Medicare Advantage	$6.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.60
Rate for Payer: Cigna Commercial	$10.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.59
Rate for Payer: Oxford Commercial	$4.40
Rate for Payer: Qualcare PPO/HMO/WC	$3.30
Rate for Payer: UnitedHealthcare Commercial	$4.40
Rate for Payer: UnitedHealthcare Community & State	$0.53
Rate for Payer: Wellpoint Medicaid Managed Care	$0.58

ZINC OXIDE 40% OINTMENT

Facility

$8.04

Service Code	NDC 74300000065
Hospital Charge Code	60628465
Hospital Revenue Code	250
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$4.02
Rate for Payer: Aetna Commercial	$3.06
Rate for Payer: Aetna Medicare Advantage	$2.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.05
Rate for Payer: Cigna Commercial	$4.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.41
Rate for Payer: Oxford Commercial	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.21
Rate for Payer: UnitedHealthcare Commercial	$1.61
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

ZINC OXIDE 40% OINTMENT

Facility

$8.04

Service Code	NDC 74300000065
Hospital Charge Code	60628465
Hospital Revenue Code	250
Min. Negotiated Rate	$1.21
Max. Negotiated Rate	$1.21
Rate for Payer: Qualcare PPO/HMO/WC	$1.21

ZINC OXIDE/ALUM HYDR LOTN 1:1

Facility

$52.85

Hospital Charge Code	60629206
Hospital Revenue Code	259
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$7.93
Rate for Payer: Qualcare PPO/HMO/WC	$7.93

ZINC OXIDE/ALUM HYDR LOTN 1:1

Facility

$52.85

Hospital Charge Code	60629206
Hospital Revenue Code	259
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.43
Rate for Payer: Aetna Commercial	$20.08
Rate for Payer: Aetna Medicare Advantage	$15.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.48
Rate for Payer: Cigna Commercial	$26.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.86
Rate for Payer: Oxford Commercial	$10.57
Rate for Payer: Qualcare PPO/HMO/WC	$7.93
Rate for Payer: UnitedHealthcare Commercial	$10.57
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

ZINC,PLASMA

Facility

$667.59

Service Code	HCPCS 84630
Hospital Charge Code	39900153
Hospital Revenue Code	301
Min. Negotiated Rate	$100.14
Max. Negotiated Rate	$100.14
Rate for Payer: Qualcare PPO/HMO/WC	$100.14

ZINC,PLASMA

Facility

$667.59

Service Code	HCPCS 84630
Hospital Charge Code	39900153
Hospital Revenue Code	301
Min. Negotiated Rate	$9.11
Max. Negotiated Rate	$333.80
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	$333.80
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	$200.28
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$100.14
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	$17.69

ZINC POWDER

Facility

$11.25

Hospital Charge Code	60629110
Hospital Revenue Code	250
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.62
Rate for Payer: Aetna Commercial	$4.28
Rate for Payer: Aetna Medicare Advantage	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.87
Rate for Payer: Cigna Commercial	$5.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.38
Rate for Payer: Oxford Commercial	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.69
Rate for Payer: UnitedHealthcare Commercial	$2.25
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.30

ZINC POWDER

Facility

$11.25

Hospital Charge Code	60629110
Hospital Revenue Code	250
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$1.69
Rate for Payer: Qualcare PPO/HMO/WC	$1.69

ZINC PROTOPORPHYRIN

Facility

$247.00

Service Code	HCPCS 84202
Hospital Charge Code	38472037
Hospital Revenue Code	301
Min. Negotiated Rate	$37.05
Max. Negotiated Rate	$37.05
Rate for Payer: Qualcare PPO/HMO/WC	$37.05

ZINC PROTOPORPHYRIN

Facility

$247.00

Service Code	HCPCS 84202
Hospital Charge Code	38472037
Hospital Revenue Code	301
Min. Negotiated Rate	$6.55
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$39.03
Rate for Payer: Aetna Medicare Advantage	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.80
Rate for Payer: Cigna Commercial	$123.50
Rate for Payer: Cigna Medicare Advantage	$14.35
Rate for Payer: Clover Medicare Advantage	$13.63
Rate for Payer: EmblemHealth Commercial	$43.05
Rate for Payer: Humana Medicare Advantage	$14.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$74.10
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.35
Rate for Payer: Wellcare Medicare Advantage	$14.35
Rate for Payer: Wellpoint Medicaid Managed Care	$6.55

ZINC PROTOPORPHYRIN, BLOOD

Facility

$153.65

Service Code	HCPCS 84202
Hospital Charge Code	3007796
Hospital Revenue Code	301
Min. Negotiated Rate	$23.05
Max. Negotiated Rate	$23.05
Rate for Payer: Qualcare PPO/HMO/WC	$23.05

ZINC PROTOPORPHYRIN, BLOOD

Facility

$153.65

Service Code	HCPCS 84202
Hospital Charge Code	3007796
Hospital Revenue Code	301
Min. Negotiated Rate	$4.07
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$39.03
Rate for Payer: Aetna Medicare Advantage	$46.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.80
Rate for Payer: Cigna Commercial	$76.83
Rate for Payer: Cigna Medicare Advantage	$14.35
Rate for Payer: Clover Medicare Advantage	$13.63
Rate for Payer: EmblemHealth Commercial	$43.05
Rate for Payer: Humana Medicare Advantage	$14.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.09
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$23.05
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$11.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.35
Rate for Payer: Wellcare Medicare Advantage	$14.35
Rate for Payer: Wellpoint Medicaid Managed Care	$4.07

ZINC SERUM

Facility

$121.65

Service Code	HCPCS 84630
Hospital Charge Code	3007804
Hospital Revenue Code	301
Min. Negotiated Rate	$3.22
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	$60.83
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	$36.49
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.25
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	$3.22

ZINC SERUM

Facility

$121.65

Service Code	HCPCS 84630
Hospital Charge Code	3007804
Hospital Revenue Code	301
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$18.25
Rate for Payer: Qualcare PPO/HMO/WC	$18.25

ZINC SULFATE 110MG

Facility

$4.00

Service Code	NDC 394012402
Hospital Charge Code	606390322
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

Know your out-of-pocket cost for care.

All Charges