Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZOCOR 20MG

Facility

$15.00

Hospital Charge Code	60635091
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

ZOCOR 20MG

Facility

$15.00

Hospital Charge Code	60635091
Hospital Revenue Code	250
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

ZOCOR 40MG

Facility

$21.00

Hospital Charge Code	60635093
Hospital Revenue Code	250
Min. Negotiated Rate	$3.15
Max. Negotiated Rate	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$3.15

ZOCOR 40MG

Facility

$21.00

Hospital Charge Code	60635093
Hospital Revenue Code	250
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.50
Rate for Payer: Aetna Commercial	$7.98
Rate for Payer: Aetna Medicare Advantage	$6.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.36
Rate for Payer: Cigna Commercial	$10.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.30
Rate for Payer: Oxford Commercial	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.15
Rate for Payer: UnitedHealthcare Commercial	$4.20
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

ZOCOR 5MG

Facility

$7.00

Hospital Charge Code	60635092
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

ZOCOR 5MG

Facility

$7.00

Hospital Charge Code	60635092
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ZOFRAN 32MG/50ML

Facility

$1,139.00

Hospital Charge Code	60635033
Hospital Revenue Code	250
Min. Negotiated Rate	$170.85
Max. Negotiated Rate	$170.85
Rate for Payer: Qualcare PPO/HMO/WC	$170.85

ZOFRAN 32MG/50ML

Facility

$1,139.00

Hospital Charge Code	60635033
Hospital Revenue Code	250
Min. Negotiated Rate	$27.45
Max. Negotiated Rate	$569.50
Rate for Payer: Aetna Commercial	$432.82
Rate for Payer: Aetna Medicare Advantage	$341.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$290.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$290.44
Rate for Payer: Cigna Commercial	$569.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$341.70
Rate for Payer: Oxford Commercial	$227.80
Rate for Payer: Qualcare PPO/HMO/WC	$170.85
Rate for Payer: UnitedHealthcare Commercial	$227.80
Rate for Payer: UnitedHealthcare Community & State	$27.45
Rate for Payer: Wellpoint Medicaid Managed Care	$30.18

ZOFRAN ODT

Facility

$96.00

Hospital Charge Code	60635536
Hospital Revenue Code	250
Min. Negotiated Rate	$14.40
Max. Negotiated Rate	$14.40
Rate for Payer: Qualcare PPO/HMO/WC	$14.40

ZOFRAN ODT

Facility

$96.00

Hospital Charge Code	60635536
Hospital Revenue Code	250
Min. Negotiated Rate	$2.31
Max. Negotiated Rate	$48.00
Rate for Payer: Aetna Commercial	$36.48
Rate for Payer: Aetna Medicare Advantage	$28.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.48
Rate for Payer: Cigna Commercial	$48.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$28.80
Rate for Payer: Oxford Commercial	$19.20
Rate for Payer: Qualcare PPO/HMO/WC	$14.40
Rate for Payer: UnitedHealthcare Commercial	$19.20
Rate for Payer: UnitedHealthcare Community & State	$2.31
Rate for Payer: Wellpoint Medicaid Managed Care	$2.54

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$745.56
Max. Negotiated Rate	$1,202.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56

ZOLEDRONIC ACID .05MG/ML 100ML

Facility

$4,970.40

Hospital Charge Code	60635905
Hospital Revenue Code	636
Min. Negotiated Rate	$119.79
Max. Negotiated Rate	$2,485.20
Rate for Payer: Aetna Commercial	$1,888.75
Rate for Payer: Aetna Medicare Advantage	$1,491.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,267.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,267.45
Rate for Payer: Cigna Commercial	$2,485.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,202.84
Rate for Payer: Qualcare PPO/HMO/WC	$745.56
Rate for Payer: UnitedHealthcare Community & State	$119.79
Rate for Payer: Wellpoint Medicaid Managed Care	$131.72

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$197.66
Max. Negotiated Rate	$4,100.73
Rate for Payer: Aetna Commercial	$3,116.56
Rate for Payer: Aetna Medicare Advantage	$2,460.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,091.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,091.37
Rate for Payer: Cigna Commercial	$4,100.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22
Rate for Payer: UnitedHealthcare Community & State	$197.66
Rate for Payer: Wellpoint Medicaid Managed Care	$217.34

ZOLEDRONIC ACID 4 MG/5 ML INJ

Facility

$8,201.47

Service Code	HCPCS J3489
Hospital Charge Code	60629200
Hospital Revenue Code	636
Min. Negotiated Rate	$1,230.22
Max. Negotiated Rate	$1,984.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,984.76
Rate for Payer: Qualcare PPO/HMO/WC	$1,230.22

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$392.17
Max. Negotiated Rate	$8,136.31
Rate for Payer: Aetna Commercial	$6,183.60
Rate for Payer: Aetna Medicare Advantage	$4,881.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4,149.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4,149.52
Rate for Payer: Cigna Commercial	$8,136.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89
Rate for Payer: UnitedHealthcare Community & State	$392.17
Rate for Payer: Wellpoint Medicaid Managed Care	$431.22

ZOLEDRONIC ACID 5MG/100ML INJ

Facility

$16,272.63

Service Code	HCPCS J3489
Hospital Charge Code	60630023
Hospital Revenue Code	636
Min. Negotiated Rate	$2,440.89
Max. Negotiated Rate	$3,937.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,937.98
Rate for Payer: Qualcare PPO/HMO/WC	$2,440.89

ZOLOFT 25MG TAB

Facility

$6.00

Hospital Charge Code	60635280
Hospital Revenue Code	250
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

ZOLOFT 25MG TAB

Facility

$6.00

Hospital Charge Code	60635280
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

ZOLOFT/50MG

Facility

$7.00

Hospital Charge Code	60634807
Hospital Revenue Code	250
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

ZOLOFT/50MG

Facility

$7.00

Hospital Charge Code	60634807
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

ZOLOFT TABS/100MG

Facility

$13.00

Hospital Charge Code	60634744
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ZOLOFT TABS/100MG

Facility

$13.00

Hospital Charge Code	60634744
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

ZOLOFT TABS/50MG

Facility

$13.00

Hospital Charge Code	60634745
Hospital Revenue Code	250
Min. Negotiated Rate	$1.95
Max. Negotiated Rate	$1.95
Rate for Payer: Qualcare PPO/HMO/WC	$1.95

ZOLOFT TABS/50MG

Facility

$13.00

Hospital Charge Code	60634745
Hospital Revenue Code	250
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.50
Rate for Payer: Aetna Commercial	$4.94
Rate for Payer: Aetna Medicare Advantage	$3.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.31
Rate for Payer: Cigna Commercial	$6.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.90
Rate for Payer: Oxford Commercial	$2.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.95
Rate for Payer: UnitedHealthcare Commercial	$2.60
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

ZOLPIDEM 5 MG TAB

Facility

$172.73

Service Code	NDC 24540131
Hospital Charge Code	60629010
Hospital Revenue Code	250
Min. Negotiated Rate	$25.91
Max. Negotiated Rate	$25.91
Rate for Payer: Qualcare PPO/HMO/WC	$25.91

Know your out-of-pocket cost for care.

All Charges