Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANESTHESIA EPIDURAL 1ST HR

Facility

$420.00

Hospital Charge Code	1650112
Hospital Revenue Code	370
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$126.00
Rate for Payer: Oxford Commercial	$84.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Commercial	$84.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

ANESTHESIA EPIDURAL 1ST HR

Facility

$420.00

Hospital Charge Code	1650112
Hospital Revenue Code	370
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$63.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

ANESTHESIA EPIDURAL EA ADD HR

Facility

$140.00

Hospital Charge Code	1650113
Hospital Revenue Code	370
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00

ANESTHESIA EPIDURAL EA ADD HR

Facility

$140.00

Hospital Charge Code	1650113
Hospital Revenue Code	370
Min. Negotiated Rate	$3.37
Max. Negotiated Rate	$70.00
Rate for Payer: Aetna Commercial	$53.20
Rate for Payer: Aetna Medicare Advantage	$42.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.70
Rate for Payer: Cigna Commercial	$70.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.00
Rate for Payer: Oxford Commercial	$28.00
Rate for Payer: Qualcare PPO/HMO/WC	$21.00
Rate for Payer: UnitedHealthcare Commercial	$28.00
Rate for Payer: UnitedHealthcare Community & State	$3.37
Rate for Payer: Wellpoint Medicaid Managed Care	$3.71

ANESTHESIA FEM NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650060
Hospital Revenue Code	370
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ANESTHESIA FEM NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650060
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA FEM NERVE BLOCK PRO

Facility

$600.00

Service Code	HCPCS 64450
Hospital Charge Code	1650095
Hospital Revenue Code	361
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA FEM NERVE BLOCK PRO

Facility

$600.00

Service Code	HCPCS 64450
Hospital Charge Code	1650095
Hospital Revenue Code	361
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$3,593.00
Rate for Payer: Aetna Commercial	$2,281.02
Rate for Payer: Aetna Medicare Advantage	$2,717.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,027.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$838.61
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	$3,027.13
Rate for Payer: Cigna Commercial	$1,680.99
Rate for Payer: Cigna Medicare Advantage	$838.61
Rate for Payer: Clover Medicare Advantage	$796.68
Rate for Payer: EmblemHealth Commercial	$2,515.83
Rate for Payer: Humana Medicare Advantage	$863.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$838.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.00
Rate for Payer: Oxford Commercial	$2,269.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$3,593.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$838.61
Rate for Payer: Wellcare Medicare Advantage	$838.61
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

ANESTHESIA FEM NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650065
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA FEM NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650065
Hospital Revenue Code	370
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

ANESTHESIA GENERAL

Facility

$1,001.51

Hospital Charge Code	1650010
Hospital Revenue Code	370
Min. Negotiated Rate	$150.23
Max. Negotiated Rate	$150.23
Rate for Payer: Qualcare PPO/HMO/WC	$150.23

ANESTHESIA GENERAL

Facility

$1,001.51

Hospital Charge Code	1650010
Hospital Revenue Code	370
Min. Negotiated Rate	$24.14
Max. Negotiated Rate	$500.75
Rate for Payer: Aetna Commercial	$380.57
Rate for Payer: Aetna Medicare Advantage	$300.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$255.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$255.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$255.39
Rate for Payer: Cigna Commercial	$500.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$300.45
Rate for Payer: Oxford Commercial	$200.30
Rate for Payer: Qualcare PPO/HMO/WC	$150.23
Rate for Payer: UnitedHealthcare Commercial	$200.30
Rate for Payer: UnitedHealthcare Community & State	$24.14
Rate for Payer: Wellpoint Medicaid Managed Care	$26.54

ANESTHESIA GENERAL 1ST HR

Facility

$751.13

Hospital Charge Code	1650102
Hospital Revenue Code	370
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$112.67
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

ANESTHESIA GENERAL 1ST HR

Facility

$751.13

Hospital Charge Code	1650102
Hospital Revenue Code	370
Min. Negotiated Rate	$18.10
Max. Negotiated Rate	$375.56
Rate for Payer: Aetna Commercial	$285.43
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.34
Rate for Payer: Oxford Commercial	$150.23
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Commercial	$150.23
Rate for Payer: UnitedHealthcare Community & State	$18.10
Rate for Payer: Wellpoint Medicaid Managed Care	$19.90

ANESTHESIA GENERAL EA ADD HR

Facility

$250.38

Hospital Charge Code	1650103
Hospital Revenue Code	370
Min. Negotiated Rate	$37.56
Max. Negotiated Rate	$37.56
Rate for Payer: Qualcare PPO/HMO/WC	$37.56

ANESTHESIA GENERAL EA ADD HR

Facility

$250.38

Hospital Charge Code	1650103
Hospital Revenue Code	370
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.19
Rate for Payer: Aetna Commercial	$95.14
Rate for Payer: Aetna Medicare Advantage	$75.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.85
Rate for Payer: Cigna Commercial	$125.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.11
Rate for Payer: Oxford Commercial	$50.08
Rate for Payer: Qualcare PPO/HMO/WC	$37.56
Rate for Payer: UnitedHealthcare Commercial	$50.08
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.64

ANESTHESIA IV GENERAL

Facility

$630.00

Hospital Charge Code	1650011
Hospital Revenue Code	370
Min. Negotiated Rate	$94.50
Max. Negotiated Rate	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$94.50

ANESTHESIA IV GENERAL

Facility

$630.00

Hospital Charge Code	1650011
Hospital Revenue Code	370
Min. Negotiated Rate	$15.18
Max. Negotiated Rate	$315.00
Rate for Payer: Aetna Commercial	$239.40
Rate for Payer: Aetna Medicare Advantage	$189.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$160.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$160.65
Rate for Payer: Cigna Commercial	$315.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$189.00
Rate for Payer: Oxford Commercial	$126.00
Rate for Payer: Qualcare PPO/HMO/WC	$94.50
Rate for Payer: UnitedHealthcare Commercial	$126.00
Rate for Payer: UnitedHealthcare Community & State	$15.18
Rate for Payer: Wellpoint Medicaid Managed Care	$16.70

ANESTHESIA IV GENERAL 1ST HR

Facility

$472.50

Hospital Charge Code	1650104
Hospital Revenue Code	370
Min. Negotiated Rate	$11.39
Max. Negotiated Rate	$236.25
Rate for Payer: Aetna Commercial	$179.55
Rate for Payer: Aetna Medicare Advantage	$141.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$120.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$120.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$120.49
Rate for Payer: Cigna Commercial	$236.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$141.75
Rate for Payer: Oxford Commercial	$94.50
Rate for Payer: Qualcare PPO/HMO/WC	$70.88
Rate for Payer: UnitedHealthcare Commercial	$94.50
Rate for Payer: UnitedHealthcare Community & State	$11.39
Rate for Payer: Wellpoint Medicaid Managed Care	$12.52

ANESTHESIA IV GENERAL 1ST HR

Facility

$472.50

Hospital Charge Code	1650104
Hospital Revenue Code	370
Min. Negotiated Rate	$70.88
Max. Negotiated Rate	$70.88
Rate for Payer: Qualcare PPO/HMO/WC	$70.88

ANESTHESIA IV GENERL EA ADD HR

Facility

$157.50

Hospital Charge Code	1650105
Hospital Revenue Code	370
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$23.62
Rate for Payer: Qualcare PPO/HMO/WC	$23.62

ANESTHESIA IV GENERL EA ADD HR

Facility

$157.50

Hospital Charge Code	1650105
Hospital Revenue Code	370
Min. Negotiated Rate	$3.80
Max. Negotiated Rate	$78.75
Rate for Payer: Aetna Commercial	$59.85
Rate for Payer: Aetna Medicare Advantage	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.16
Rate for Payer: Cigna Commercial	$78.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$47.25
Rate for Payer: Oxford Commercial	$31.50
Rate for Payer: Qualcare PPO/HMO/WC	$23.62
Rate for Payer: UnitedHealthcare Commercial	$31.50
Rate for Payer: UnitedHealthcare Community & State	$3.80
Rate for Payer: Wellpoint Medicaid Managed Care	$4.17

ANESTHESIA LOCAL

Facility

$112.00

Hospital Charge Code	1650025
Hospital Revenue Code	370
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

ANESTHESIA LOCAL

Facility

$112.00

Hospital Charge Code	1650025
Hospital Revenue Code	370
Min. Negotiated Rate	$2.70
Max. Negotiated Rate	$56.00
Rate for Payer: Aetna Commercial	$42.56
Rate for Payer: Aetna Medicare Advantage	$33.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.56
Rate for Payer: Cigna Commercial	$56.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.60
Rate for Payer: Oxford Commercial	$22.40
Rate for Payer: Qualcare PPO/HMO/WC	$16.80
Rate for Payer: UnitedHealthcare Commercial	$22.40
Rate for Payer: UnitedHealthcare Community & State	$2.70
Rate for Payer: Wellpoint Medicaid Managed Care	$2.97

ANESTHESIA LOCAL 1ST HR

Facility

$84.00

Hospital Charge Code	1650108
Hospital Revenue Code	370
Min. Negotiated Rate	$12.60
Max. Negotiated Rate	$12.60
Rate for Payer: Qualcare PPO/HMO/WC	$12.60

Know your out-of-pocket cost for care.

All Charges