Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RECOVERY: 46-60 MINS

Facility

$1,103.00

Hospital Charge Code	93500125
Hospital Revenue Code	710
Min. Negotiated Rate	$26.58
Max. Negotiated Rate	$551.50
Rate for Payer: Aetna Commercial	$419.14
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.90
Rate for Payer: Oxford Commercial	$220.60
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$220.60
Rate for Payer: UnitedHealthcare Community & State	$26.58
Rate for Payer: Wellpoint Medicaid Managed Care	$29.23

RECOVERY: 61-75 MINS

Facility

$1,379.00

Hospital Charge Code	93500127
Hospital Revenue Code	710
Min. Negotiated Rate	$206.85
Max. Negotiated Rate	$206.85
Rate for Payer: Qualcare PPO/HMO/WC	$206.85

RECOVERY: 61-75 MINS

Facility

$1,379.00

Hospital Charge Code	93500127
Hospital Revenue Code	710
Min. Negotiated Rate	$33.23
Max. Negotiated Rate	$689.50
Rate for Payer: Aetna Commercial	$524.02
Rate for Payer: Aetna Medicare Advantage	$413.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$351.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$351.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$351.64
Rate for Payer: Cigna Commercial	$689.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$413.70
Rate for Payer: Oxford Commercial	$275.80
Rate for Payer: Qualcare PPO/HMO/WC	$206.85
Rate for Payer: UnitedHealthcare Commercial	$275.80
Rate for Payer: UnitedHealthcare Community & State	$33.23
Rate for Payer: Wellpoint Medicaid Managed Care	$36.54

RECOVERY: 76-90 MINS

Facility

$1,654.00

Hospital Charge Code	93500129
Hospital Revenue Code	710
Min. Negotiated Rate	$248.10
Max. Negotiated Rate	$248.10
Rate for Payer: Qualcare PPO/HMO/WC	$248.10

RECOVERY: 76-90 MINS

Facility

$1,654.00

Hospital Charge Code	93500129
Hospital Revenue Code	710
Min. Negotiated Rate	$39.86
Max. Negotiated Rate	$827.00
Rate for Payer: Aetna Commercial	$628.52
Rate for Payer: Aetna Medicare Advantage	$496.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$421.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$421.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$421.77
Rate for Payer: Cigna Commercial	$827.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$496.20
Rate for Payer: Oxford Commercial	$330.80
Rate for Payer: Qualcare PPO/HMO/WC	$248.10
Rate for Payer: UnitedHealthcare Commercial	$330.80
Rate for Payer: UnitedHealthcare Community & State	$39.86
Rate for Payer: Wellpoint Medicaid Managed Care	$43.83

RECOVERY: 91-105 MINS

Facility

$1,930.00

Hospital Charge Code	93500131
Hospital Revenue Code	710
Min. Negotiated Rate	$289.50
Max. Negotiated Rate	$289.50
Rate for Payer: Qualcare PPO/HMO/WC	$289.50

RECOVERY: 91-105 MINS

Facility

$1,930.00

Hospital Charge Code	93500131
Hospital Revenue Code	710
Min. Negotiated Rate	$46.51
Max. Negotiated Rate	$965.00
Rate for Payer: Aetna Commercial	$733.40
Rate for Payer: Aetna Medicare Advantage	$579.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$492.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$492.15
Rate for Payer: Cigna Commercial	$965.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$579.00
Rate for Payer: Oxford Commercial	$386.00
Rate for Payer: Qualcare PPO/HMO/WC	$289.50
Rate for Payer: UnitedHealthcare Commercial	$386.00
Rate for Payer: UnitedHealthcare Community & State	$46.51
Rate for Payer: Wellpoint Medicaid Managed Care	$51.15

RECOVERY ADDITIONAL 1/2 HOUR

Facility

$551.50

Hospital Charge Code	93500176
Hospital Revenue Code	710
Min. Negotiated Rate	$82.72
Max. Negotiated Rate	$82.72
Rate for Payer: Qualcare PPO/HMO/WC	$82.72

RECOVERY ADDITIONAL 1/2 HOUR

Facility

$551.50

Hospital Charge Code	93500176
Hospital Revenue Code	710
Min. Negotiated Rate	$13.29
Max. Negotiated Rate	$275.75
Rate for Payer: Aetna Commercial	$209.57
Rate for Payer: Aetna Medicare Advantage	$165.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$140.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$140.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$140.63
Rate for Payer: Cigna Commercial	$275.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$165.45
Rate for Payer: Oxford Commercial	$110.30
Rate for Payer: Qualcare PPO/HMO/WC	$82.72
Rate for Payer: UnitedHealthcare Commercial	$110.30
Rate for Payer: UnitedHealthcare Community & State	$13.29
Rate for Payer: Wellpoint Medicaid Managed Care	$14.61

RECOVERY ADDITIONAL 1 HR

Facility

$1,103.00

Hospital Charge Code	93500174
Hospital Revenue Code	710
Min. Negotiated Rate	$26.58
Max. Negotiated Rate	$551.50
Rate for Payer: Aetna Commercial	$419.14
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.90
Rate for Payer: Oxford Commercial	$220.60
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$220.60
Rate for Payer: UnitedHealthcare Community & State	$26.58
Rate for Payer: Wellpoint Medicaid Managed Care	$29.23

RECOVERY ADDITIONAL 1 HR

Facility

$1,103.00

Hospital Charge Code	93500174
Hospital Revenue Code	710
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

RECOVERY EXTEND/HR AFTER 3

Facility

$664.00

Hospital Charge Code	73190156
Hospital Revenue Code	710
Min. Negotiated Rate	$16.00
Max. Negotiated Rate	$332.00
Rate for Payer: Aetna Commercial	$252.32
Rate for Payer: Aetna Medicare Advantage	$199.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$169.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$169.32
Rate for Payer: Cigna Commercial	$332.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$199.20
Rate for Payer: Oxford Commercial	$132.80
Rate for Payer: Qualcare PPO/HMO/WC	$99.60
Rate for Payer: UnitedHealthcare Commercial	$132.80
Rate for Payer: UnitedHealthcare Community & State	$16.00
Rate for Payer: Wellpoint Medicaid Managed Care	$17.60

RECOVERY EXTEND/HR AFTER 3

Facility

$664.00

Hospital Charge Code	73190156
Hospital Revenue Code	710
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

RECOVERY FILTER SYSTEM RF310F

Facility

$6,975.00

Hospital Charge Code	270635339
Hospital Revenue Code	272
Min. Negotiated Rate	$1,046.25
Max. Negotiated Rate	$1,046.25
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25

RECOVERY FILTER SYSTEM RF310F

Facility

$6,975.00

Hospital Charge Code	270635339
Hospital Revenue Code	272
Min. Negotiated Rate	$168.10
Max. Negotiated Rate	$3,487.50
Rate for Payer: Aetna Commercial	$2,650.50
Rate for Payer: Aetna Medicare Advantage	$2,092.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,778.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,778.62
Rate for Payer: Cigna Commercial	$3,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,092.50
Rate for Payer: Oxford Commercial	$1,395.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,046.25
Rate for Payer: UnitedHealthcare Commercial	$1,395.00
Rate for Payer: UnitedHealthcare Community & State	$168.10
Rate for Payer: Wellpoint Medicaid Managed Care	$184.84

RECOVERY INITIAL HOUR

Facility

$1,103.00

Hospital Charge Code	93500172
Hospital Revenue Code	710
Min. Negotiated Rate	$26.58
Max. Negotiated Rate	$551.50
Rate for Payer: Aetna Commercial	$419.14
Rate for Payer: Aetna Medicare Advantage	$330.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$281.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$281.26
Rate for Payer: Cigna Commercial	$551.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$330.90
Rate for Payer: Oxford Commercial	$220.60
Rate for Payer: Qualcare PPO/HMO/WC	$165.45
Rate for Payer: UnitedHealthcare Commercial	$220.60
Rate for Payer: UnitedHealthcare Community & State	$26.58
Rate for Payer: Wellpoint Medicaid Managed Care	$29.23

RECOVERY INITIAL HOUR

Facility

$1,103.00

Hospital Charge Code	93500172
Hospital Revenue Code	710
Min. Negotiated Rate	$165.45
Max. Negotiated Rate	$165.45
Rate for Payer: Qualcare PPO/HMO/WC	$165.45

RECOVERY REMOVAL SYSTEM

Facility

$4,350.00

Hospital Charge Code	270676335
Hospital Revenue Code	272
Min. Negotiated Rate	$104.83
Max. Negotiated Rate	$2,175.00
Rate for Payer: Aetna Commercial	$1,653.00
Rate for Payer: Aetna Medicare Advantage	$1,305.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,109.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,109.25
Rate for Payer: Cigna Commercial	$2,175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,305.00
Rate for Payer: Oxford Commercial	$870.00
Rate for Payer: Qualcare PPO/HMO/WC	$652.50
Rate for Payer: UnitedHealthcare Commercial	$870.00
Rate for Payer: UnitedHealthcare Community & State	$104.83
Rate for Payer: Wellpoint Medicaid Managed Care	$115.28

RECOVERY REMOVAL SYSTEM

Facility

$4,350.00

Hospital Charge Code	270676335
Hospital Revenue Code	272
Min. Negotiated Rate	$652.50
Max. Negotiated Rate	$652.50
Rate for Payer: Qualcare PPO/HMO/WC	$652.50

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	41101000
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	41101000
Hospital Revenue Code	710
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	1001188
Hospital Revenue Code	710
Min. Negotiated Rate	$19.28
Max. Negotiated Rate	$400.00
Rate for Payer: Aetna Commercial	$304.00
Rate for Payer: Aetna Medicare Advantage	$240.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$204.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$204.00
Rate for Payer: Cigna Commercial	$400.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.00
Rate for Payer: Oxford Commercial	$160.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00
Rate for Payer: UnitedHealthcare Commercial	$160.00
Rate for Payer: UnitedHealthcare Community & State	$19.28
Rate for Payer: Wellpoint Medicaid Managed Care	$21.20

RECOVERY UP TO 1 HR (NON-PACU)

Facility

$800.00

Hospital Charge Code	1001188
Hospital Revenue Code	710
Min. Negotiated Rate	$120.00
Max. Negotiated Rate	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$120.00

RECOV ROOM 1 1/2 TO 2 HRS

Facility

$4,797.91

Hospital Charge Code	1500040
Hospital Revenue Code	710
Min. Negotiated Rate	$115.63
Max. Negotiated Rate	$2,398.95
Rate for Payer: Aetna Commercial	$1,823.21
Rate for Payer: Aetna Medicare Advantage	$1,439.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,223.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,223.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,223.47
Rate for Payer: Cigna Commercial	$2,398.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,439.37
Rate for Payer: Oxford Commercial	$959.58
Rate for Payer: Qualcare PPO/HMO/WC	$719.69
Rate for Payer: UnitedHealthcare Commercial	$959.58
Rate for Payer: UnitedHealthcare Community & State	$115.63
Rate for Payer: Wellpoint Medicaid Managed Care	$127.14

RECOV ROOM 1 1/2 TO 2 HRS

Facility

$4,797.91

Hospital Charge Code	1500040
Hospital Revenue Code	710
Min. Negotiated Rate	$719.69
Max. Negotiated Rate	$719.69
Rate for Payer: Qualcare PPO/HMO/WC	$719.69

Know your out-of-pocket cost for care.

All Charges