The Most Expensive Hospital in America
New York Times analysis, as the hospital billed Medicare the highest amounts in the country for nearly one-quarter of the most common hospital procedures.
The NYT analysis, which is based on 2011 Medicare data, found no other hospital at the top of the price list more often than Bayonne. The for-profit, privately held hospital is located roughly 11 miles outside of Manhattan in a blue-collar town.
Bayonne typically charged $99,689 for treating each case of chronic lung disease, which is five times as much as other hospitals and 17 times as much as Medicare paid in reimbursement. It charged an average of $120,040 to treat transient ischemia, or "mini strokes." That amount is six times the national average and 24 times what Medicare paid, according to the report.
Bayonne was losing nearly $1.5 million a month before it filed for bankruptcy in 2007. In 2008, it was acquired out of bankruptcy by a group of buyers, including one with experience at a private equity firm. The deal was valued at about $41 million.
The new owners made some changes to Bayonne's financial structure. The hospital changed from non-profit to for-profit status and cut ties with large private payors, essentially making it out-of-network for most insurance plans, according to the report.
Private payors have filed suit against the hospital for its billing practices. A suit with Horizon Blue Cross Blue Shield of New Jersey was settled in 2011, whereas a suit filed by Aetna was dismissed.
A union representative in the report said Bayonne's options were limited, as it could either go under this new financial model or close its doors, according to the report.
Officials or owners of the hospital did not respond to NYT calls for comment, according to the report.
More Articles on Hospital Prices:CMS Data Shows Hospital Charges Vary Significantly
Paul Levy: What on Earth Did CMS have in Mind When it Released 2011 Chargemasters?
10 Hospitals With the Highest Spinal Fusion Charges
© Copyright ASC COMMUNICATIONS 2015. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.
To receive the latest hospital and health system business and legal news and analysis from Becker's Hospital Review, sign-up for the free Becker's Hospital Review E-weekly by clicking here.
New From Becker's Hospital CFO