Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RECOV ROOM COMX 1 HOUR

Facility

$3,998.19

Hospital Charge Code	1500003
Hospital Revenue Code	710
Min. Negotiated Rate	$96.36
Max. Negotiated Rate	$1,999.10
Rate for Payer: Aetna Commercial	$1,519.31
Rate for Payer: Aetna Medicare Advantage	$1,199.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,019.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,019.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,019.54
Rate for Payer: Cigna Commercial	$1,999.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,199.46
Rate for Payer: Oxford Commercial	$799.64
Rate for Payer: Qualcare PPO/HMO/WC	$599.73
Rate for Payer: UnitedHealthcare Commercial	$799.64
Rate for Payer: UnitedHealthcare Community & State	$96.36
Rate for Payer: Wellpoint Medicaid Managed Care	$105.95

RECOV ROOM COMX < 1 HR

Facility

$2,998.59

Hospital Charge Code	1500001
Hospital Revenue Code	710
Min. Negotiated Rate	$449.79
Max. Negotiated Rate	$449.79
Rate for Payer: Qualcare PPO/HMO/WC	$449.79

RECOV ROOM COMX < 1 HR

Facility

$2,998.59

Hospital Charge Code	1500001
Hospital Revenue Code	710
Min. Negotiated Rate	$72.27
Max. Negotiated Rate	$1,499.30
Rate for Payer: Aetna Commercial	$1,139.46
Rate for Payer: Aetna Medicare Advantage	$899.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$764.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$764.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$764.64
Rate for Payer: Cigna Commercial	$1,499.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$899.58
Rate for Payer: Oxford Commercial	$599.72
Rate for Payer: Qualcare PPO/HMO/WC	$449.79
Rate for Payer: UnitedHealthcare Commercial	$599.72
Rate for Payer: UnitedHealthcare Community & State	$72.27
Rate for Payer: Wellpoint Medicaid Managed Care	$79.46

RECOV ROOM COMX 1 TO 1 1/2 HR

Facility

$4,997.79

Hospital Charge Code	1500005
Hospital Revenue Code	710
Min. Negotiated Rate	$749.67
Max. Negotiated Rate	$749.67
Rate for Payer: Qualcare PPO/HMO/WC	$749.67

RECOV ROOM COMX 1 TO 1 1/2 HR

Facility

$4,997.79

Hospital Charge Code	1500005
Hospital Revenue Code	710
Min. Negotiated Rate	$120.45
Max. Negotiated Rate	$2,498.89
Rate for Payer: Aetna Commercial	$1,899.16
Rate for Payer: Aetna Medicare Advantage	$1,499.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,274.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,274.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,274.44
Rate for Payer: Cigna Commercial	$2,498.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,499.34
Rate for Payer: Oxford Commercial	$999.56
Rate for Payer: Qualcare PPO/HMO/WC	$749.67
Rate for Payer: UnitedHealthcare Commercial	$999.56
Rate for Payer: UnitedHealthcare Community & State	$120.45
Rate for Payer: Wellpoint Medicaid Managed Care	$132.44

RECOV ROOM COMX 2 1/2 TO 3 HR

Facility

$7,996.59

Hospital Charge Code	1500011
Hospital Revenue Code	710
Min. Negotiated Rate	$192.72
Max. Negotiated Rate	$3,998.30
Rate for Payer: Aetna Commercial	$3,038.70
Rate for Payer: Aetna Medicare Advantage	$2,398.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,039.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,039.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,039.13
Rate for Payer: Cigna Commercial	$3,998.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,398.98
Rate for Payer: Oxford Commercial	$1,599.32
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.49
Rate for Payer: UnitedHealthcare Commercial	$1,599.32
Rate for Payer: UnitedHealthcare Community & State	$192.72
Rate for Payer: Wellpoint Medicaid Managed Care	$211.91

RECOV ROOM COMX 2 1/2 TO 3 HR

Facility

$7,996.59

Hospital Charge Code	1500011
Hospital Revenue Code	710
Min. Negotiated Rate	$1,199.49
Max. Negotiated Rate	$1,199.49
Rate for Payer: Qualcare PPO/HMO/WC	$1,199.49

RECOV ROOM COMX 2 TO 2 1/2 HR

Facility

$6,996.99

Hospital Charge Code	1500009
Hospital Revenue Code	710
Min. Negotiated Rate	$1,049.55
Max. Negotiated Rate	$1,049.55
Rate for Payer: Qualcare PPO/HMO/WC	$1,049.55

RECOV ROOM COMX 2 TO 2 1/2 HR

Facility

$6,996.99

Hospital Charge Code	1500009
Hospital Revenue Code	710
Min. Negotiated Rate	$168.63
Max. Negotiated Rate	$3,498.49
Rate for Payer: Aetna Commercial	$2,658.86
Rate for Payer: Aetna Medicare Advantage	$2,099.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,784.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,784.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,784.23
Rate for Payer: Cigna Commercial	$3,498.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,099.10
Rate for Payer: Oxford Commercial	$1,399.40
Rate for Payer: Qualcare PPO/HMO/WC	$1,049.55
Rate for Payer: UnitedHealthcare Commercial	$1,399.40
Rate for Payer: UnitedHealthcare Community & State	$168.63
Rate for Payer: Wellpoint Medicaid Managed Care	$185.42

RECOV ROOM COMX 3 1/2 TO 4 HR

Facility

$9,996.04

Hospital Charge Code	1500015
Hospital Revenue Code	710
Min. Negotiated Rate	$1,499.41
Max. Negotiated Rate	$1,499.41
Rate for Payer: Qualcare PPO/HMO/WC	$1,499.41

RECOV ROOM COMX 3 1/2 TO 4 HR

Facility

$9,996.04

Hospital Charge Code	1500015
Hospital Revenue Code	710
Min. Negotiated Rate	$240.90
Max. Negotiated Rate	$4,998.02
Rate for Payer: Aetna Commercial	$3,798.50
Rate for Payer: Aetna Medicare Advantage	$2,998.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,548.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,548.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,548.99
Rate for Payer: Cigna Commercial	$4,998.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,998.81
Rate for Payer: Oxford Commercial	$1,999.21
Rate for Payer: Qualcare PPO/HMO/WC	$1,499.41
Rate for Payer: UnitedHealthcare Commercial	$1,999.21
Rate for Payer: UnitedHealthcare Community & State	$240.90
Rate for Payer: Wellpoint Medicaid Managed Care	$264.90

RECOV ROOM COMX 3 TO 3 1/2 HR

Facility

$8,996.19

Hospital Charge Code	1500013
Hospital Revenue Code	710
Min. Negotiated Rate	$1,349.43
Max. Negotiated Rate	$1,349.43
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.43

RECOV ROOM COMX 3 TO 3 1/2 HR

Facility

$8,996.19

Hospital Charge Code	1500013
Hospital Revenue Code	710
Min. Negotiated Rate	$216.81
Max. Negotiated Rate	$4,498.10
Rate for Payer: Aetna Commercial	$3,418.55
Rate for Payer: Aetna Medicare Advantage	$2,698.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,294.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,294.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,294.03
Rate for Payer: Cigna Commercial	$4,498.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,698.86
Rate for Payer: Oxford Commercial	$1,799.24
Rate for Payer: Qualcare PPO/HMO/WC	$1,349.43
Rate for Payer: UnitedHealthcare Commercial	$1,799.24
Rate for Payer: UnitedHealthcare Community & State	$216.81
Rate for Payer: Wellpoint Medicaid Managed Care	$238.40

RECOV ROOM COMX ADD 1/2 HR

Facility

$999.60

Hospital Charge Code	1500017
Hospital Revenue Code	710
Min. Negotiated Rate	$149.94
Max. Negotiated Rate	$149.94
Rate for Payer: Qualcare PPO/HMO/WC	$149.94

RECOV ROOM COMX ADD 1/2 HR

Facility

$999.60

Hospital Charge Code	1500017
Hospital Revenue Code	710
Min. Negotiated Rate	$24.09
Max. Negotiated Rate	$499.80
Rate for Payer: Aetna Commercial	$379.85
Rate for Payer: Aetna Medicare Advantage	$299.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$254.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$254.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$254.90
Rate for Payer: Cigna Commercial	$499.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$299.88
Rate for Payer: Oxford Commercial	$199.92
Rate for Payer: Qualcare PPO/HMO/WC	$149.94
Rate for Payer: UnitedHealthcare Commercial	$199.92
Rate for Payer: UnitedHealthcare Community & State	$24.09
Rate for Payer: Wellpoint Medicaid Managed Care	$26.49

RECOV ROOM/DELIVERY

Facility

$750.00

Hospital Charge Code	1800051
Hospital Revenue Code	722
Min. Negotiated Rate	$112.50
Max. Negotiated Rate	$112.50
Rate for Payer: Qualcare PPO/HMO/WC	$112.50

RECOV ROOM/DELIVERY

Facility

$750.00

Hospital Charge Code	1800051
Hospital Revenue Code	722
Min. Negotiated Rate	$18.07
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$285.00
Rate for Payer: Aetna Medicare Advantage	$225.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.25
Rate for Payer: Cigna Commercial	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$225.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$112.50
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$18.07
Rate for Payer: Wellpoint Medicaid Managed Care	$19.88

REC - PROC ONLY

Facility

$664.00

Hospital Charge Code	73190155
Hospital Revenue Code	710
Min. Negotiated Rate	$99.60
Max. Negotiated Rate	$99.60
Rate for Payer: Qualcare PPO/HMO/WC	$99.60

REC - PROC ONLY

Facility

$664.00

Hospital Charge Code	73190155
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

RECTAL RESECTION WITH CC

Facility

$77,837.85

Service Code	MSDRG 333
Min. Negotiated Rate	$23,700.63
Max. Negotiated Rate	$77,837.85
Rate for Payer: Aetna Commercial	$53,740.79
Rate for Payer: Aetna Medicare Advantage	$77,837.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,382.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,382.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,948.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,382.88
Rate for Payer: Cigna Commercial	$43,831.93
Rate for Payer: Cigna Medicare Advantage	$24,948.03
Rate for Payer: Clover Medicare Advantage	$23,700.63
Rate for Payer: EmblemHealth Commercial	$74,844.09
Rate for Payer: Humana Medicare Advantage	$25,696.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,948.03
Rate for Payer: Oxford Commercial	$31,502.59
Rate for Payer: UnitedHealthcare Commercial	$55,240.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,948.03
Rate for Payer: Wellcare Medicare Advantage	$24,948.03

RECTAL RESECTION WITH MCC

Facility

$119,161.07

Service Code	MSDRG 332
Min. Negotiated Rate	$36,283.02
Max. Negotiated Rate	$119,161.07
Rate for Payer: Aetna Commercial	$82,134.56
Rate for Payer: Aetna Medicare Advantage	$119,161.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$84,902.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$84,902.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$38,192.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$84,902.65
Rate for Payer: Cigna Commercial	$67,757.78
Rate for Payer: Cigna Medicare Advantage	$38,192.65
Rate for Payer: Clover Medicare Advantage	$36,283.02
Rate for Payer: EmblemHealth Commercial	$114,577.95
Rate for Payer: Humana Medicare Advantage	$39,338.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$38,192.65
Rate for Payer: Oxford Commercial	$48,698.42
Rate for Payer: UnitedHealthcare Commercial	$85,394.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$38,192.65
Rate for Payer: Wellcare Medicare Advantage	$38,192.65

RECTAL RESECTION WITHOUT CC/MCC

Facility

$55,073.71

Service Code	MSDRG 334
Min. Negotiated Rate	$16,769.24
Max. Negotiated Rate	$55,073.71
Rate for Payer: Aetna Commercial	$38,099.25
Rate for Payer: Aetna Medicare Advantage	$55,073.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,450.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,450.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,651.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,450.21
Rate for Payer: Cigna Commercial	$30,651.66
Rate for Payer: Cigna Medicare Advantage	$17,651.83
Rate for Payer: Clover Medicare Advantage	$16,769.24
Rate for Payer: EmblemHealth Commercial	$52,955.49
Rate for Payer: Humana Medicare Advantage	$18,181.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,651.83
Rate for Payer: Oxford Commercial	$22,029.76
Rate for Payer: UnitedHealthcare Commercial	$38,629.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,651.83
Rate for Payer: Wellcare Medicare Advantage	$17,651.83

RECTANGLE EXPANDER 100CC

Facility

$6,750.00

Hospital Charge Code	270702233
Hospital Revenue Code	278
Min. Negotiated Rate	$1,012.50
Max. Negotiated Rate	$1,633.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50

RECTANGLE EXPANDER 100CC

Facility

$6,750.00

Hospital Charge Code	270702233
Hospital Revenue Code	278
Min. Negotiated Rate	$162.68
Max. Negotiated Rate	$3,375.00
Rate for Payer: Aetna Commercial	$2,565.00
Rate for Payer: Aetna Medicare Advantage	$2,025.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,721.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,350.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,721.25
Rate for Payer: Cigna Commercial	$3,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,633.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,485.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,012.50
Rate for Payer: UnitedHealthcare Community & State	$162.68
Rate for Payer: Wellpoint Medicaid Managed Care	$178.88

REC - VAG DELIVERY

Facility

$1,162.00

Hospital Charge Code	73190152
Hospital Revenue Code	710
Min. Negotiated Rate	$28.00
Max. Negotiated Rate	$581.00
Rate for Payer: Aetna Commercial	$441.56
Rate for Payer: Aetna Medicare Advantage	$348.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$296.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$296.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$296.31
Rate for Payer: Cigna Commercial	$581.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$348.60
Rate for Payer: Oxford Commercial	$232.40
Rate for Payer: Qualcare PPO/HMO/WC	$174.30
Rate for Payer: UnitedHealthcare Commercial	$232.40
Rate for Payer: UnitedHealthcare Community & State	$28.00
Rate for Payer: Wellpoint Medicaid Managed Care	$30.79

Know your out-of-pocket cost for care.

All Charges