Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZITHROMAX 200ML/5ML 30ML

Facility

$172.00

Hospital Charge Code	60635237
Hospital Revenue Code	250
Min. Negotiated Rate	$25.80
Max. Negotiated Rate	$25.80
Rate for Payer: Qualcare PPO/HMO/WC	$25.80

ZITHROMAX 250MG

Facility

$27.00

Hospital Charge Code	60635114
Hospital Revenue Code	250
Min. Negotiated Rate	$4.05
Max. Negotiated Rate	$4.05
Rate for Payer: Qualcare PPO/HMO/WC	$4.05

ZITHROMAX 250MG

Facility

$27.00

Hospital Charge Code	60635114
Hospital Revenue Code	250
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.50
Rate for Payer: Aetna Commercial	$10.26
Rate for Payer: Aetna Medicare Advantage	$8.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.88
Rate for Payer: Cigna Commercial	$13.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.10
Rate for Payer: Oxford Commercial	$5.40
Rate for Payer: Qualcare PPO/HMO/WC	$4.05
Rate for Payer: UnitedHealthcare Commercial	$5.40
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

ZITHROMAX 500MG TAB

Facility

$104.19

Service Code	NDC 59762307002
Hospital Charge Code	60635615
Hospital Revenue Code	250
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

ZITHROMAX 500MG TAB

Facility

$104.19

Service Code	NDC 59762307002
Hospital Charge Code	60635615
Hospital Revenue Code	250
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.09
Rate for Payer: Aetna Commercial	$39.59
Rate for Payer: Aetna Medicare Advantage	$31.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.57
Rate for Payer: Cigna Commercial	$52.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.26
Rate for Payer: Oxford Commercial	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$20.84
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

ZITHROMAX CAPS/250MG

Facility

$61.00

Hospital Charge Code	60634743
Hospital Revenue Code	250
Min. Negotiated Rate	$1.47
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$23.18
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.30
Rate for Payer: Oxford Commercial	$12.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$12.20
Rate for Payer: UnitedHealthcare Community & State	$1.47
Rate for Payer: Wellpoint Medicaid Managed Care	$1.62

ZITHROMAX CAPS/250MG

Facility

$61.00

Hospital Charge Code	60634743
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

Z NAIL 10.5X95 LAG SCREW

Facility

$3,121.65

Hospital Charge Code	270663172
Hospital Revenue Code	278
Min. Negotiated Rate	$75.23
Max. Negotiated Rate	$1,560.83
Rate for Payer: Aetna Commercial	$1,186.23
Rate for Payer: Aetna Medicare Advantage	$936.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$796.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$796.02
Rate for Payer: Cigna Commercial	$1,560.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$686.76
Rate for Payer: Qualcare PPO/HMO/WC	$468.25
Rate for Payer: UnitedHealthcare Community & State	$75.23
Rate for Payer: Wellpoint Medicaid Managed Care	$82.72

Z NAIL 10.5X95 LAG SCREW

Facility

$3,121.65

Hospital Charge Code	270663172
Hospital Revenue Code	278
Min. Negotiated Rate	$468.25
Max. Negotiated Rate	$755.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$624.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$755.44
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$686.76
Rate for Payer: Qualcare PPO/HMO/WC	$468.25

Z NAIL 5.0X35 CORT SCREW FA

Facility

$1,008.00

Hospital Charge Code	270665474
Hospital Revenue Code	278
Min. Negotiated Rate	$151.20
Max. Negotiated Rate	$243.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$221.76
Rate for Payer: Qualcare PPO/HMO/WC	$151.20

Z NAIL 5.0X35 CORT SCREW FA

Facility

$1,008.00

Hospital Charge Code	270665474
Hospital Revenue Code	278
Min. Negotiated Rate	$24.29
Max. Negotiated Rate	$504.00
Rate for Payer: Aetna Commercial	$383.04
Rate for Payer: Aetna Medicare Advantage	$302.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$257.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$257.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$201.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$257.04
Rate for Payer: Cigna Commercial	$504.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$243.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$221.76
Rate for Payer: Qualcare PPO/HMO/WC	$151.20
Rate for Payer: UnitedHealthcare Community & State	$24.29
Rate for Payer: Wellpoint Medicaid Managed Care	$26.71

Z NAIL CPM 10MM X 21.5CM 13

Facility

$7,740.00

Hospital Charge Code	270661017
Hospital Revenue Code	278
Min. Negotiated Rate	$1,161.00
Max. Negotiated Rate	$1,873.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,548.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,873.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,702.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,161.00

Z NAIL CPM 10MM X 21.5CM 13

Facility

$7,740.00

Hospital Charge Code	270661017
Hospital Revenue Code	278
Min. Negotiated Rate	$186.53
Max. Negotiated Rate	$3,870.00
Rate for Payer: Aetna Commercial	$2,941.20
Rate for Payer: Aetna Medicare Advantage	$2,322.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,973.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,973.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,548.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,973.70
Rate for Payer: Cigna Commercial	$3,870.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,873.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,702.80
Rate for Payer: Qualcare PPO/HMO/WC	$1,161.00
Rate for Payer: UnitedHealthcare Community & State	$186.53
Rate for Payer: Wellpoint Medicaid Managed Care	$205.11

Z NAIL PF 14MM X 38CM

Facility

$9,905.00

Hospital Charge Code	270658856
Hospital Revenue Code	278
Min. Negotiated Rate	$238.71
Max. Negotiated Rate	$4,952.50
Rate for Payer: Aetna Commercial	$3,763.90
Rate for Payer: Aetna Medicare Advantage	$2,971.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,525.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,525.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,981.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,525.78
Rate for Payer: Cigna Commercial	$4,952.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,397.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,179.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.75
Rate for Payer: UnitedHealthcare Community & State	$238.71
Rate for Payer: Wellpoint Medicaid Managed Care	$262.48

Z NAIL PF 14MM X 38CM

Facility

$9,905.00

Hospital Charge Code	270658856
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.75
Max. Negotiated Rate	$2,397.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,981.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,397.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,179.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.75

Z NAIL PF 14MM X 42CM

Facility

$9,905.00

Hospital Charge Code	270658855
Hospital Revenue Code	278
Min. Negotiated Rate	$238.71
Max. Negotiated Rate	$4,952.50
Rate for Payer: Aetna Commercial	$3,763.90
Rate for Payer: Aetna Medicare Advantage	$2,971.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,525.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,525.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,981.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,525.78
Rate for Payer: Cigna Commercial	$4,952.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,397.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,179.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.75
Rate for Payer: UnitedHealthcare Community & State	$238.71
Rate for Payer: Wellpoint Medicaid Managed Care	$262.48

Z NAIL PF 14MM X 42CM

Facility

$9,905.00

Hospital Charge Code	270658855
Hospital Revenue Code	278
Min. Negotiated Rate	$1,485.75
Max. Negotiated Rate	$2,397.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,981.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,397.01
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,179.10
Rate for Payer: Qualcare PPO/HMO/WC	$1,485.75

Z NAIL TIBIA 9.3MMX34CM UNIV

Facility

$8,460.00

Hospital Charge Code	270665475
Hospital Revenue Code	278
Min. Negotiated Rate	$1,269.00
Max. Negotiated Rate	$2,047.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,692.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,861.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,269.00

Z NAIL TIBIA 9.3MMX34CM UNIV

Facility

$8,460.00

Hospital Charge Code	270665475
Hospital Revenue Code	278
Min. Negotiated Rate	$203.89
Max. Negotiated Rate	$4,230.00
Rate for Payer: Aetna Commercial	$3,214.80
Rate for Payer: Aetna Medicare Advantage	$2,538.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,157.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,692.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,157.30
Rate for Payer: Cigna Commercial	$4,230.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,047.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,861.20
Rate for Payer: Qualcare PPO/HMO/WC	$1,269.00
Rate for Payer: UnitedHealthcare Community & State	$203.89
Rate for Payer: Wellpoint Medicaid Managed Care	$224.19

Z NAIL TIBIAL NAIL CAP 10MM

Facility

$1,196.40

Hospital Charge Code	270663147
Hospital Revenue Code	278
Min. Negotiated Rate	$179.46
Max. Negotiated Rate	$289.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$263.21
Rate for Payer: Qualcare PPO/HMO/WC	$179.46

Z NAIL TIBIAL NAIL CAP 10MM

Facility

$1,196.40

Hospital Charge Code	270663147
Hospital Revenue Code	278
Min. Negotiated Rate	$28.83
Max. Negotiated Rate	$598.20
Rate for Payer: Aetna Commercial	$454.63
Rate for Payer: Aetna Medicare Advantage	$358.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$305.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$239.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$305.08
Rate for Payer: Cigna Commercial	$598.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$289.53
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$263.21
Rate for Payer: Qualcare PPO/HMO/WC	$179.46
Rate for Payer: UnitedHealthcare Community & State	$28.83
Rate for Payer: Wellpoint Medicaid Managed Care	$31.70

ZN T8 ANTIBODY

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	401186341Z
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$64.11
Rate for Payer: Aetna Medicare Advantage	$76.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.08
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$23.57
Rate for Payer: Clover Medicare Advantage	$22.39
Rate for Payer: EmblemHealth Commercial	$70.71
Rate for Payer: Humana Medicare Advantage	$24.28
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$18.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$23.57
Rate for Payer: Wellcare Medicare Advantage	$23.57
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

ZN T8 ANTIBODY

Facility

$390.00

Service Code	HCPCS 86341
Hospital Charge Code	401186341Z
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

ZOCOR 10MG U/D

Facility

$5.00

Hospital Charge Code	60635884
Hospital Revenue Code	259
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$0.75
Rate for Payer: Qualcare PPO/HMO/WC	$0.75

ZOCOR 10MG U/D

Facility

$5.00

Hospital Charge Code	60635884
Hospital Revenue Code	259
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.50
Rate for Payer: Aetna Commercial	$1.90
Rate for Payer: Aetna Medicare Advantage	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.27
Rate for Payer: Cigna Commercial	$2.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.50
Rate for Payer: Oxford Commercial	$1.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.75
Rate for Payer: UnitedHealthcare Commercial	$1.00
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

Know your out-of-pocket cost for care.

All Charges