Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ANESTHESIA LOCAL 1ST HR

Facility

$84.00

Hospital Charge Code	1650108
Hospital Revenue Code	370
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$42.00
Rate for Payer: Aetna Commercial	$31.92
Rate for Payer: Aetna Medicare Advantage	$25.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.42
Rate for Payer: Cigna Commercial	$42.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$25.20
Rate for Payer: Oxford Commercial	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$12.60
Rate for Payer: UnitedHealthcare Commercial	$16.80
Rate for Payer: UnitedHealthcare Community & State	$2.02
Rate for Payer: Wellpoint Medicaid Managed Care	$2.23

ANESTHESIA LOCAL EA ADD HR

Facility

$28.00

Hospital Charge Code	1650109
Hospital Revenue Code	370
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

ANESTHESIA LOCAL EA ADD HR

Facility

$28.00

Hospital Charge Code	1650109
Hospital Revenue Code	370
Min. Negotiated Rate	$0.67
Max. Negotiated Rate	$14.00
Rate for Payer: Aetna Commercial	$10.64
Rate for Payer: Aetna Medicare Advantage	$8.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.14
Rate for Payer: Cigna Commercial	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.40
Rate for Payer: Oxford Commercial	$5.60
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.60
Rate for Payer: UnitedHealthcare Community & State	$0.67
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

ANESTHESIA MAC 1ST HR

Facility

$667.67

Hospital Charge Code	1650106
Hospital Revenue Code	370
Min. Negotiated Rate	$100.15
Max. Negotiated Rate	$100.15
Rate for Payer: Qualcare PPO/HMO/WC	$100.15

ANESTHESIA MAC 1ST HR

Facility

$667.67

Hospital Charge Code	1650106
Hospital Revenue Code	370
Min. Negotiated Rate	$16.09
Max. Negotiated Rate	$333.83
Rate for Payer: Aetna Commercial	$253.71
Rate for Payer: Aetna Medicare Advantage	$200.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$170.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$170.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$170.26
Rate for Payer: Cigna Commercial	$333.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$200.30
Rate for Payer: Oxford Commercial	$133.53
Rate for Payer: Qualcare PPO/HMO/WC	$100.15
Rate for Payer: UnitedHealthcare Commercial	$133.53
Rate for Payer: UnitedHealthcare Community & State	$16.09
Rate for Payer: Wellpoint Medicaid Managed Care	$17.69

ANESTHESIA MAC EA ADD HR

Facility

$222.56

Hospital Charge Code	1650107
Hospital Revenue Code	370
Min. Negotiated Rate	$33.38
Max. Negotiated Rate	$33.38
Rate for Payer: Qualcare PPO/HMO/WC	$33.38

ANESTHESIA MAC EA ADD HR

Facility

$222.56

Hospital Charge Code	1650107
Hospital Revenue Code	370
Min. Negotiated Rate	$5.36
Max. Negotiated Rate	$111.28
Rate for Payer: Aetna Commercial	$84.57
Rate for Payer: Aetna Medicare Advantage	$66.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.75
Rate for Payer: Cigna Commercial	$111.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.77
Rate for Payer: Oxford Commercial	$44.51
Rate for Payer: Qualcare PPO/HMO/WC	$33.38
Rate for Payer: UnitedHealthcare Commercial	$44.51
Rate for Payer: UnitedHealthcare Community & State	$5.36
Rate for Payer: Wellpoint Medicaid Managed Care	$5.90

ANESTHESIA MONITORED CARE

Facility

$890.23

Hospital Charge Code	1650020
Hospital Revenue Code	370
Min. Negotiated Rate	$21.45
Max. Negotiated Rate	$445.12
Rate for Payer: Aetna Commercial	$338.29
Rate for Payer: Aetna Medicare Advantage	$267.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$227.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$227.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$227.01
Rate for Payer: Cigna Commercial	$445.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$267.07
Rate for Payer: Oxford Commercial	$178.05
Rate for Payer: Qualcare PPO/HMO/WC	$133.53
Rate for Payer: UnitedHealthcare Commercial	$178.05
Rate for Payer: UnitedHealthcare Community & State	$21.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23.59

ANESTHESIA MONITORED CARE

Facility

$890.23

Hospital Charge Code	1650020
Hospital Revenue Code	370
Min. Negotiated Rate	$133.53
Max. Negotiated Rate	$133.53
Rate for Payer: Qualcare PPO/HMO/WC	$133.53

ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	1650090
Hospital Revenue Code	370
Min. Negotiated Rate	$40.80
Max. Negotiated Rate	$40.80
Rate for Payer: Qualcare PPO/HMO/WC	$40.80

ANESTHESIA OTHER

Facility

$272.00

Hospital Charge Code	1650090
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

ANESTHESIA POP NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650070
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 POP NERVE BLOCK

Facility

$600.00

Hospital Charge Code	1650070
Hospital Revenue Code	370
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA POP NERVE BLOCK PRO

Facility

$600.00

Service Code	HCPCS 64450
Hospital Charge Code	1650097
Hospital Revenue Code	361
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

ANESTHESIA POP NERVE BLOCK PRO

Facility

$600.00

Service Code	HCPCS 64450
Hospital Charge Code	1650097
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 POP NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650075
Hospital Revenue Code	370
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

ANESTHESIA POP NERVE BLOCK US

Facility

$700.00

Hospital Charge Code	1650075
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 REGIONAL

Facility

$448.00

Hospital Charge Code	1650040
Hospital Revenue Code	370
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$224.00
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$134.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.24
Rate for Payer: Cigna Commercial	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.40
Rate for Payer: Oxford Commercial	$89.60
Rate for Payer: Qualcare PPO/HMO/WC	$67.20
Rate for Payer: UnitedHealthcare Commercial	$89.60
Rate for Payer: UnitedHealthcare Community & State	$10.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.87

ANESTHESIA REGIONAL

Facility

$448.00

Hospital Charge Code	1650040
Hospital Revenue Code	370
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$67.20

ANESTHESIA REGIONAL 1ST HR

Facility

$336.00

Hospital Charge Code	1650114
Hospital Revenue Code	370
Min. Negotiated Rate	$50.40
Max. Negotiated Rate	$50.40
Rate for Payer: Qualcare PPO/HMO/WC	$50.40

ANESTHESIA REGIONAL 1ST HR

Facility

$336.00

Hospital Charge Code	1650114
Hospital Revenue Code	370
Min. Negotiated Rate	$8.10
Max. Negotiated Rate	$168.00
Rate for Payer: Aetna Commercial	$127.68
Rate for Payer: Aetna Medicare Advantage	$100.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$85.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$85.68
Rate for Payer: Cigna Commercial	$168.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$100.80
Rate for Payer: Oxford Commercial	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$50.40
Rate for Payer: UnitedHealthcare Commercial	$67.20
Rate for Payer: UnitedHealthcare Community & State	$8.10
Rate for Payer: Wellpoint Medicaid Managed Care	$8.90

ANESTHESIA REGIONAL EA ADD HR

Facility

$112.00

Hospital Charge Code	1650115
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 REGIONAL EA ADD HR

Facility

$112.00

Hospital Charge Code	1650115
Hospital Revenue Code	370
Min. Negotiated Rate	$16.80
Max. Negotiated Rate	$16.80
Rate for Payer: Qualcare PPO/HMO/WC	$16.80

ANESTHESIA REGIONAL PROCEDURE

Facility

$448.00

Hospital Charge Code	1650091
Hospital Revenue Code	361
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$1,626.00
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$134.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.24
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	$114.24
Rate for Payer: Cigna Commercial	$224.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.40
Rate for Payer: Qualcare PPO/HMO/WC	$67.20
Rate for Payer: UnitedHealthcare Community & State	$10.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.87

ANESTHESIA REGIONAL PROCEDURE

Facility

$448.00

Hospital Charge Code	1650091
Hospital Revenue Code	361
Min. Negotiated Rate	$67.20
Max. Negotiated Rate	$67.20
Rate for Payer: Qualcare PPO/HMO/WC	$67.20

Know your out-of-pocket cost for care.

All Charges