Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ZOVIRAX/500MG

Facility

$266.00

Hospital Charge Code	60634205
Hospital Revenue Code	250
Min. Negotiated Rate	$6.41
Max. Negotiated Rate	$133.00
Rate for Payer: Aetna Commercial	$101.08
Rate for Payer: Aetna Medicare Advantage	$79.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.83
Rate for Payer: Cigna Commercial	$133.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.80
Rate for Payer: Oxford Commercial	$53.20
Rate for Payer: Qualcare PPO/HMO/WC	$39.90
Rate for Payer: UnitedHealthcare Commercial	$53.20
Rate for Payer: UnitedHealthcare Community & State	$6.41
Rate for Payer: Wellpoint Medicaid Managed Care	$7.05

ZOVIRAX 5%/15GM

Facility

$196.00

Hospital Charge Code	60634210
Hospital Revenue Code	250
Min. Negotiated Rate	$4.72
Max. Negotiated Rate	$98.00
Rate for Payer: Aetna Commercial	$74.48
Rate for Payer: Aetna Medicare Advantage	$58.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.98
Rate for Payer: Cigna Commercial	$98.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.80
Rate for Payer: Oxford Commercial	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$29.40
Rate for Payer: UnitedHealthcare Commercial	$39.20
Rate for Payer: UnitedHealthcare Community & State	$4.72
Rate for Payer: Wellpoint Medicaid Managed Care	$5.19

ZOVIRAX 5%/15GM

Facility

$196.00

Hospital Charge Code	60634210
Hospital Revenue Code	250
Min. Negotiated Rate	$29.40
Max. Negotiated Rate	$29.40
Rate for Payer: Qualcare PPO/HMO/WC	$29.40

ZOVIRAX/800MG/TAB

Facility

$15.00

Hospital Charge Code	60634648
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

ZOVIRAX/800MG/TAB

Facility

$15.00

Hospital Charge Code	60634648
Hospital Revenue Code	250
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

Z PLATE FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270698012
Hospital Revenue Code	278
Min. Negotiated Rate	$483.93
Max. Negotiated Rate	$10,040.00
Rate for Payer: Aetna Commercial	$7,630.40
Rate for Payer: Aetna Medicare Advantage	$6,024.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,120.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,120.40
Rate for Payer: Cigna Commercial	$10,040.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,417.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00
Rate for Payer: UnitedHealthcare Community & State	$483.93
Rate for Payer: Wellpoint Medicaid Managed Care	$532.12

Z PLATE FLARED PC 6X34MM

Facility

$20,080.00

Service Code	HCPCS C1713
Hospital Charge Code	270698012
Hospital Revenue Code	278
Min. Negotiated Rate	$3,012.00
Max. Negotiated Rate	$4,859.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4,016.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,859.36
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4,417.60
Rate for Payer: Qualcare PPO/HMO/WC	$3,012.00

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$132.55
Max. Negotiated Rate	$2,750.00
Rate for Payer: Aetna Commercial	$2,090.00
Rate for Payer: Aetna Medicare Advantage	$1,650.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,402.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,402.50
Rate for Payer: Cigna Commercial	$2,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00
Rate for Payer: UnitedHealthcare Community & State	$132.55
Rate for Payer: Wellpoint Medicaid Managed Care	$145.75

Z STAPLE 8/8MM C03 003

Facility

$5,500.00

Service Code	HCPCS C1713
Hospital Charge Code	270697867
Hospital Revenue Code	278
Min. Negotiated Rate	$825.00
Max. Negotiated Rate	$1,331.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,331.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,210.00
Rate for Payer: Qualcare PPO/HMO/WC	$825.00

Z US RETROPERITONEAL LIMITED

Facility

$556.80

Service Code	HCPCS 76775
Hospital Charge Code	2101136
Hospital Revenue Code	402
Min. Negotiated Rate	$83.52
Max. Negotiated Rate	$83.52
Rate for Payer: Qualcare PPO/HMO/WC	$83.52

Z US RETROPERITONEAL LIMITED

Facility

$556.80

Service Code	HCPCS 76775
Hospital Charge Code	2101136
Hospital Revenue Code	402
Min. Negotiated Rate	$13.42
Max. Negotiated Rate	$2,517.00
Rate for Payer: Aetna Commercial	$337.82
Rate for Payer: Aetna Medicare Advantage	$402.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$448.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$124.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$127.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$448.32
Rate for Payer: Cigna Commercial	$248.96
Rate for Payer: Cigna Medicare Advantage	$124.20
Rate for Payer: Clover Medicare Advantage	$117.99
Rate for Payer: EmblemHealth Commercial	$372.60
Rate for Payer: Humana Medicare Advantage	$127.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$124.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.04
Rate for Payer: Oxford Commercial	$1,746.00
Rate for Payer: Qualcare PPO/HMO/WC	$83.52
Rate for Payer: UnitedHealthcare Commercial	$2,517.00
Rate for Payer: UnitedHealthcare Community & State	$13.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$124.20
Rate for Payer: Wellcare Medicare Advantage	$124.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$407.88
Rate for Payer: Wellpoint Medicaid Managed Care	$14.76

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$1,974.75
Max. Negotiated Rate	$3,185.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,896.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75

ZVPLASTY 10G.15MM BIPED KIT

Facility

$13,165.00

Hospital Charge Code	270703064
Hospital Revenue Code	278
Min. Negotiated Rate	$317.28
Max. Negotiated Rate	$6,582.50
Rate for Payer: Aetna Commercial	$5,002.70
Rate for Payer: Aetna Medicare Advantage	$3,949.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,357.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,633.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,357.07
Rate for Payer: Cigna Commercial	$6,582.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,185.93
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$2,896.30
Rate for Payer: Qualcare PPO/HMO/WC	$1,974.75
Rate for Payer: UnitedHealthcare Community & State	$317.28
Rate for Payer: Wellpoint Medicaid Managed Care	$348.87

ZYLOPRIM/100MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634624
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ZYLOPRIM/100MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634624
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634211
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634212
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634211
Hospital Revenue Code	250
Min. Negotiated Rate	$0.07
Max. Negotiated Rate	$1.50
Rate for Payer: Aetna Commercial	$1.14
Rate for Payer: Aetna Medicare Advantage	$0.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.77
Rate for Payer: Cigna Commercial	$1.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.90
Rate for Payer: Oxford Commercial	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.45
Rate for Payer: UnitedHealthcare Commercial	$0.60
Rate for Payer: UnitedHealthcare Community & State	$0.07
Rate for Payer: Wellpoint Medicaid Managed Care	$0.08

ZYLOPRIM/300MG/TAB

Facility

$3.00

Hospital Charge Code	60634212
Hospital Revenue Code	250
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$0.45
Rate for Payer: Qualcare PPO/HMO/WC	$0.45

ZYLOPRIM/300MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634625
Hospital Revenue Code	250
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$0.60
Rate for Payer: Qualcare PPO/HMO/WC	$0.60

ZYLOPRIM/300MG/UD/TAB

Facility

$4.00

Hospital Charge Code	60634625
Hospital Revenue Code	250
Min. Negotiated Rate	$0.10
Max. Negotiated Rate	$2.00
Rate for Payer: Aetna Commercial	$1.52
Rate for Payer: Aetna Medicare Advantage	$1.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.02
Rate for Payer: Cigna Commercial	$2.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.20
Rate for Payer: Oxford Commercial	$0.80
Rate for Payer: Qualcare PPO/HMO/WC	$0.60
Rate for Payer: UnitedHealthcare Commercial	$0.80
Rate for Payer: UnitedHealthcare Community & State	$0.10
Rate for Payer: Wellpoint Medicaid Managed Care	$0.11

ZYPREXA 2.5 MG TAB

Facility

$18.00

Hospital Charge Code	60635279
Hospital Revenue Code	250
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.70

ZYPREXA 2.5 MG TAB

Facility

$18.00

Hospital Charge Code	60635279
Hospital Revenue Code	250
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$9.00
Rate for Payer: Aetna Commercial	$6.84
Rate for Payer: Aetna Medicare Advantage	$5.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.59
Rate for Payer: Cigna Commercial	$9.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.40
Rate for Payer: Oxford Commercial	$3.60
Rate for Payer: Qualcare PPO/HMO/WC	$2.70
Rate for Payer: UnitedHealthcare Commercial	$3.60
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$16.16
Max. Negotiated Rate	$16.16
Rate for Payer: Qualcare PPO/HMO/WC	$16.16

ZYPREXA 7.5MG UD TAB

Facility

$107.74

Service Code	NDC 43598016530
Hospital Charge Code	60635132
Hospital Revenue Code	250
Min. Negotiated Rate	$2.60
Max. Negotiated Rate	$53.87
Rate for Payer: Aetna Commercial	$40.94
Rate for Payer: Aetna Medicare Advantage	$32.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.47
Rate for Payer: Cigna Commercial	$53.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.32
Rate for Payer: Oxford Commercial	$21.55
Rate for Payer: Qualcare PPO/HMO/WC	$16.16
Rate for Payer: UnitedHealthcare Commercial	$21.55
Rate for Payer: UnitedHealthcare Community & State	$2.60
Rate for Payer: Wellpoint Medicaid Managed Care	$2.86

Know your out-of-pocket cost for care.

All Charges