Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

DEL ANESTHESIA MONITORED CARE

Facility

$1,937.60

Hospital Charge Code	73190125
Hospital Revenue Code	370
Min. Negotiated Rate	$46.70
Max. Negotiated Rate	$968.80
Rate for Payer: Aetna Commercial	$736.29
Rate for Payer: Aetna Medicare Advantage	$581.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$494.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$494.09
Rate for Payer: Cigna Commercial	$968.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$581.28
Rate for Payer: Oxford Commercial	$387.52
Rate for Payer: Qualcare PPO/HMO/WC	$290.64
Rate for Payer: UnitedHealthcare Commercial	$387.52
Rate for Payer: UnitedHealthcare Community & State	$46.70
Rate for Payer: Wellpoint Medicaid Managed Care	$51.35

DEL ANESTHESIA MONITORED CARE

Facility

$1,937.60

Hospital Charge Code	73190125
Hospital Revenue Code	370
Min. Negotiated Rate	$290.64
Max. Negotiated Rate	$290.64
Rate for Payer: Qualcare PPO/HMO/WC	$290.64

DEL ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	73190133
Hospital Revenue Code	370
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$136.00
Rate for Payer: Aetna Commercial	$103.36
Rate for Payer: Aetna Medicare Advantage	$81.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.36
Rate for Payer: Cigna Commercial	$136.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.60
Rate for Payer: Oxford Commercial	$54.40
Rate for Payer: Qualcare PPO/HMO/WC	$40.80
Rate for Payer: UnitedHealthcare Commercial	$54.40
Rate for Payer: UnitedHealthcare Community & State	$6.56
Rate for Payer: Wellpoint Medicaid Managed Care	$7.21

DEL ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	73190133
Hospital Revenue Code	370
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

DEL ANESTHESIA SPINAL

Facility

$3,106.60

Hospital Charge Code	73190129
Hospital Revenue Code	370
Min. Negotiated Rate	$465.99
Max. Negotiated Rate	$465.99
Rate for Payer: Qualcare PPO/HMO/WC	$465.99

DEL ANESTHESIA SPINAL

Facility

$3,106.60

Hospital Charge Code	73190129
Hospital Revenue Code	370
Min. Negotiated Rate	$74.87
Max. Negotiated Rate	$1,553.30
Rate for Payer: Aetna Commercial	$1,180.51
Rate for Payer: Aetna Medicare Advantage	$931.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$792.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$792.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$792.18
Rate for Payer: Cigna Commercial	$1,553.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$931.98
Rate for Payer: Oxford Commercial	$621.32
Rate for Payer: Qualcare PPO/HMO/WC	$465.99
Rate for Payer: UnitedHealthcare Commercial	$621.32
Rate for Payer: UnitedHealthcare Community & State	$74.87
Rate for Payer: Wellpoint Medicaid Managed Care	$82.32

DEL CARE AFTER DELIVERY

Facility

$450.00

Service Code	HCPCS 59430
Hospital Charge Code	73190039
Hospital Revenue Code	720
Min. Negotiated Rate	$67.50
Max. Negotiated Rate	$67.50
Rate for Payer: Qualcare PPO/HMO/WC	$67.50

DEL CARE AFTER DELIVERY

Facility

$450.00

Service Code	HCPCS 59430
Hospital Charge Code	73190039
Hospital Revenue Code	720
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$171.00
Rate for Payer: Aetna Medicare Advantage	$135.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$185.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.75
Rate for Payer: Cigna Commercial	$225.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$135.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$67.50
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$10.85
Rate for Payer: Wellpoint Medicaid Managed Care	$11.93

DEL CATHETER FOR HYSTEROGRPHY

Facility

$166.00

Service Code	HCPCS 58340
Hospital Charge Code	73190011
Hospital Revenue Code	361
Min. Negotiated Rate	$4.00
Max. Negotiated Rate	$2,220.00
Rate for Payer: Aetna Commercial	$63.08
Rate for Payer: Aetna Medicare Advantage	$49.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.33
Rate for Payer: Cigna Commercial	$83.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.80
Rate for Payer: Oxford Commercial	$1,487.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.90
Rate for Payer: UnitedHealthcare Commercial	$2,220.00
Rate for Payer: UnitedHealthcare Community & State	$4.00
Rate for Payer: Wellpoint Medicaid Managed Care	$4.40

DEL CATHETER FOR HYSTEROGRPHY

Facility

$166.00

Service Code	HCPCS 58340
Hospital Charge Code	73190011
Hospital Revenue Code	361
Min. Negotiated Rate	$24.90
Max. Negotiated Rate	$24.90
Rate for Payer: Qualcare PPO/HMO/WC	$24.90

DEL CERCLAGE OF CERVIX

Facility

$8,582.36

Service Code	HCPCS 59320
Hospital Charge Code	73190029
Hospital Revenue Code	361
Min. Negotiated Rate	$1,287.35
Max. Negotiated Rate	$1,287.35
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35

DEL CERCLAGE OF CERVIX

Facility

$8,582.36

Service Code	HCPCS 59320
Hospital Charge Code	73190029
Hospital Revenue Code	361
Min. Negotiated Rate	$206.83
Max. Negotiated Rate	$13,882.15
Rate for Payer: Aetna Commercial	$10,460.55
Rate for Payer: Aetna Medicare Advantage	$12,460.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,882.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$3,845.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$862.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,882.15
Rate for Payer: Cigna Commercial	$7,708.87
Rate for Payer: Cigna Medicare Advantage	$3,845.79
Rate for Payer: Clover Medicare Advantage	$3,653.50
Rate for Payer: EmblemHealth Commercial	$11,537.37
Rate for Payer: Humana Medicare Advantage	$3,961.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$3,845.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,574.71
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,287.35
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$206.83
Rate for Payer: UnitedHealthcare Medicare Advantage	$3,845.79
Rate for Payer: Wellcare Medicare Advantage	$3,845.79
Rate for Payer: Wellpoint Medicaid Managed Care	$227.43

DEL CESAREA DEL/ATTEM VAG DEL

Facility

$11,810.75

Service Code	HCPCS 59620
Hospital Charge Code	73190051
Hospital Revenue Code	361
Min. Negotiated Rate	$284.64
Max. Negotiated Rate	$5,905.38
Rate for Payer: Aetna Commercial	$4,488.09
Rate for Payer: Aetna Medicare Advantage	$3,543.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,011.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,011.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,011.74
Rate for Payer: Cigna Commercial	$5,905.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,543.22
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.61
Rate for Payer: UnitedHealthcare Community & State	$284.64
Rate for Payer: Wellpoint Medicaid Managed Care	$312.98

DEL CESAREA DEL/ATTEM VAG DEL

Facility

$11,810.75

Service Code	HCPCS 59620
Hospital Charge Code	73190051
Hospital Revenue Code	361
Min. Negotiated Rate	$1,771.61
Max. Negotiated Rate	$1,771.61
Rate for Payer: Qualcare PPO/HMO/WC	$1,771.61

DEL CESAREAN DELIVERY

Facility

$8,195.00

Service Code	HCPCS 59510
Hospital Charge Code	73190041
Hospital Revenue Code	722
Min. Negotiated Rate	$197.50
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$3,114.10
Rate for Payer: Aetna Medicare Advantage	$2,458.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,089.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,089.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,157.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,089.72
Rate for Payer: Cigna Commercial	$4,097.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,458.50
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,229.25
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$197.50
Rate for Payer: Wellpoint Medicaid Managed Care	$217.17

DEL CESAREAN DELIVERY

Facility

$8,195.00

Service Code	HCPCS 59510
Hospital Charge Code	73190041
Hospital Revenue Code	722
Min. Negotiated Rate	$1,229.25
Max. Negotiated Rate	$1,229.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,229.25

DEL C SECTION 1ST HR

Facility

$10,100.00

Hospital Charge Code	73190043
Hospital Revenue Code	720
Min. Negotiated Rate	$243.41
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,030.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$243.41
Rate for Payer: Wellpoint Medicaid Managed Care	$267.65

DEL C SECTION 1ST HR

Facility

$10,100.00

Hospital Charge Code	73190043
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL C SECTION EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190044
Hospital Revenue Code	720
Min. Negotiated Rate	$243.41
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,030.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$243.41
Rate for Payer: Wellpoint Medicaid Managed Care	$267.65

DEL C SECTION EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190044
Hospital Revenue Code	720
Min. Negotiated Rate	$1,515.00
Max. Negotiated Rate	$1,515.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00

DEL C SEC W/ TUBAL 1ST HR

Facility

$11,272.60

Hospital Charge Code	73190142
Hospital Revenue Code	720
Min. Negotiated Rate	$271.67
Max. Negotiated Rate	$5,636.30
Rate for Payer: Aetna Commercial	$4,283.59
Rate for Payer: Aetna Medicare Advantage	$3,381.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,874.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,874.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,874.51
Rate for Payer: Cigna Commercial	$5,636.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,381.78
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,690.89
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$271.67
Rate for Payer: Wellpoint Medicaid Managed Care	$298.72

DEL C SEC W/ TUBAL 1ST HR

Facility

$11,272.60

Hospital Charge Code	73190142
Hospital Revenue Code	720
Min. Negotiated Rate	$1,690.89
Max. Negotiated Rate	$1,690.89
Rate for Payer: Qualcare PPO/HMO/WC	$1,690.89

DEL C SEC W/TUBAL 1ST HR

Facility

$9,448.60

Hospital Charge Code	73190150
Hospital Revenue Code	720
Min. Negotiated Rate	$227.71
Max. Negotiated Rate	$4,724.30
Rate for Payer: Aetna Commercial	$3,590.47
Rate for Payer: Aetna Medicare Advantage	$2,834.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,409.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,409.39
Rate for Payer: Cigna Commercial	$4,724.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,834.58
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$227.71
Rate for Payer: Wellpoint Medicaid Managed Care	$250.39

DEL C SEC W/TUBAL 1ST HR

Facility

$9,448.60

Hospital Charge Code	73190150
Hospital Revenue Code	720
Min. Negotiated Rate	$1,417.29
Max. Negotiated Rate	$1,417.29
Rate for Payer: Qualcare PPO/HMO/WC	$1,417.29

DEL C SEC W/ TUBAL EA ADD HR

Facility

$10,100.00

Hospital Charge Code	73190143
Hospital Revenue Code	720
Min. Negotiated Rate	$243.41
Max. Negotiated Rate	$5,050.00
Rate for Payer: Aetna Commercial	$3,838.00
Rate for Payer: Aetna Medicare Advantage	$3,030.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,575.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,575.50
Rate for Payer: Cigna Commercial	$5,050.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,030.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,515.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$243.41
Rate for Payer: Wellpoint Medicaid Managed Care	$267.65

Know your out-of-pocket cost for care.

All Charges