Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC

Facility

$89,602.97

Service Code	MSDRG 288
Min. Negotiated Rate	$27,282.96
Max. Negotiated Rate	$89,602.97
Rate for Payer: Aetna Commercial	$61,824.77
Rate for Payer: Aetna Medicare Advantage	$89,602.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60,245.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60,245.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$28,718.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60,245.99
Rate for Payer: Cigna Commercial	$50,643.83
Rate for Payer: Cigna Medicare Advantage	$28,718.90
Rate for Payer: Clover Medicare Advantage	$27,282.96
Rate for Payer: EmblemHealth Commercial	$86,156.70
Rate for Payer: Humana Medicare Advantage	$29,580.47
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$28,718.90
Rate for Payer: Oxford Commercial	$36,398.39
Rate for Payer: UnitedHealthcare Commercial	$63,825.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$28,718.90
Rate for Payer: Wellcare Medicare Advantage	$28,718.90

ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC

Facility

$32,183.52

Service Code	MSDRG 290
Min. Negotiated Rate	$9,799.47
Max. Negotiated Rate	$32,183.52
Rate for Payer: Aetna Commercial	$22,371.10
Rate for Payer: Aetna Medicare Advantage	$32,183.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,315.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,354.49
Rate for Payer: Cigna Commercial	$17,398.41
Rate for Payer: Cigna Medicare Advantage	$10,315.23
Rate for Payer: Clover Medicare Advantage	$9,799.47
Rate for Payer: EmblemHealth Commercial	$30,945.69
Rate for Payer: Humana Medicare Advantage	$10,624.69
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,315.23
Rate for Payer: Oxford Commercial	$12,504.47
Rate for Payer: UnitedHealthcare Commercial	$21,926.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,315.23
Rate for Payer: Wellcare Medicare Advantage	$10,315.23

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$7,459.80

Service Code	APR-DRG 7563
Min. Negotiated Rate	$7,313.53
Max. Negotiated Rate	$7,459.80
Rate for Payer: UnitedHealthcare Community & State	$7,313.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,459.80
Rate for Payer: Wellpoint Medicaid Managed Care	$7,313.53

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$5,377.51

Service Code	APR-DRG 7561
Min. Negotiated Rate	$5,272.07
Max. Negotiated Rate	$5,377.51
Rate for Payer: UnitedHealthcare Community & State	$5,272.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,377.51
Rate for Payer: Wellpoint Medicaid Managed Care	$5,272.07

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$16,925.33

Service Code	APR-DRG 7564
Min. Negotiated Rate	$16,593.46
Max. Negotiated Rate	$16,925.33
Rate for Payer: UnitedHealthcare Community & State	$16,593.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,925.33
Rate for Payer: Wellpoint Medicaid Managed Care	$16,593.46

ACUTE ANXIETY AND STRESS SYNDROMES

Facility

$6,954.27

Service Code	APR-DRG 7562
Min. Negotiated Rate	$6,817.91
Max. Negotiated Rate	$6,954.27
Rate for Payer: UnitedHealthcare Community & State	$6,817.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,954.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6,817.91

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$5,829.43

Service Code	APR-DRG 1451
Min. Negotiated Rate	$5,715.13
Max. Negotiated Rate	$5,829.43
Rate for Payer: UnitedHealthcare Community & State	$5,715.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,829.43
Rate for Payer: Wellpoint Medicaid Managed Care	$5,715.13

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$17,423.26

Service Code	APR-DRG 1454
Min. Negotiated Rate	$17,081.63
Max. Negotiated Rate	$17,423.26
Rate for Payer: UnitedHealthcare Community & State	$17,081.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,423.26
Rate for Payer: Wellpoint Medicaid Managed Care	$17,081.63

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$9,725.94

Service Code	APR-DRG 1453
Min. Negotiated Rate	$9,535.24
Max. Negotiated Rate	$9,725.94
Rate for Payer: UnitedHealthcare Community & State	$9,535.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,725.94
Rate for Payer: Wellpoint Medicaid Managed Care	$9,535.24

ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$7,365.37

Service Code	APR-DRG 1452
Min. Negotiated Rate	$7,220.95
Max. Negotiated Rate	$7,365.37
Rate for Payer: UnitedHealthcare Community & State	$7,220.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,365.37
Rate for Payer: Wellpoint Medicaid Managed Care	$7,220.95

ACUTE KIDNEY INJURY

Facility

$5,761.81

Service Code	APR-DRG 4691
Min. Negotiated Rate	$5,648.83
Max. Negotiated Rate	$5,761.81
Rate for Payer: UnitedHealthcare Community & State	$5,648.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,761.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5,648.83

ACUTE KIDNEY INJURY

Facility

$7,505.79

Service Code	APR-DRG 4692
Min. Negotiated Rate	$7,358.62
Max. Negotiated Rate	$7,505.79
Rate for Payer: UnitedHealthcare Community & State	$7,358.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,505.79
Rate for Payer: Wellpoint Medicaid Managed Care	$7,358.62

ACUTE KIDNEY INJURY

Facility

$23,611.45

Service Code	APR-DRG 4694
Min. Negotiated Rate	$23,148.48
Max. Negotiated Rate	$23,611.45
Rate for Payer: UnitedHealthcare Community & State	$23,148.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,611.45
Rate for Payer: Wellpoint Medicaid Managed Care	$23,148.48

ACUTE KIDNEY INJURY

Facility

$11,956.41

Service Code	APR-DRG 4693
Min. Negotiated Rate	$11,721.97
Max. Negotiated Rate	$11,956.41
Rate for Payer: UnitedHealthcare Community & State	$11,721.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,956.41
Rate for Payer: Wellpoint Medicaid Managed Care	$11,721.97

ACUTE LEUKEMIA

Facility

$10,703.92

Service Code	APR-DRG 6901
Min. Negotiated Rate	$10,494.04
Max. Negotiated Rate	$10,703.92
Rate for Payer: UnitedHealthcare Community & State	$10,494.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,703.92
Rate for Payer: Wellpoint Medicaid Managed Care	$10,494.04

ACUTE LEUKEMIA

Facility

$19,671.53

Service Code	APR-DRG 6902
Min. Negotiated Rate	$19,285.81
Max. Negotiated Rate	$19,671.53
Rate for Payer: UnitedHealthcare Community & State	$19,285.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,671.53
Rate for Payer: Wellpoint Medicaid Managed Care	$19,285.81

ACUTE LEUKEMIA

Facility

$68,810.81

Service Code	APR-DRG 6904
Min. Negotiated Rate	$67,461.58
Max. Negotiated Rate	$68,810.81
Rate for Payer: UnitedHealthcare Community & State	$67,461.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$68,810.81
Rate for Payer: Wellpoint Medicaid Managed Care	$67,461.58

ACUTE LEUKEMIA

Facility

$34,716.27

Service Code	APR-DRG 6903
Min. Negotiated Rate	$34,035.56
Max. Negotiated Rate	$34,716.27
Rate for Payer: UnitedHealthcare Community & State	$34,035.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$34,716.27
Rate for Payer: Wellpoint Medicaid Managed Care	$34,035.56

ACUTE LEUKEMIA WITH CC

Facility

$69,550.60

Service Code	MSDRG 835
Min. Negotiated Rate	$21,177.27
Max. Negotiated Rate	$69,550.60
Rate for Payer: Aetna Commercial	$48,046.52
Rate for Payer: Aetna Medicare Advantage	$69,550.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,291.86
Rate for Payer: Cigna Commercial	$39,033.66
Rate for Payer: Cigna Medicare Advantage	$22,291.86
Rate for Payer: Clover Medicare Advantage	$21,177.27
Rate for Payer: EmblemHealth Commercial	$66,875.58
Rate for Payer: Humana Medicare Advantage	$22,960.62
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,291.86
Rate for Payer: Oxford Commercial	$28,054.01
Rate for Payer: UnitedHealthcare Commercial	$49,193.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,291.86
Rate for Payer: Wellcare Medicare Advantage	$22,291.86

ACUTE LEUKEMIA WITH MCC

Facility

$179,576.69

Service Code	MSDRG 834
Min. Negotiated Rate	$54,678.80
Max. Negotiated Rate	$179,576.69
Rate for Payer: Aetna Commercial	$123,647.00
Rate for Payer: Aetna Medicare Advantage	$179,576.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$57,556.63
Rate for Payer: Cigna Commercial	$102,737.99
Rate for Payer: Cigna Medicare Advantage	$57,556.63
Rate for Payer: Clover Medicare Advantage	$54,678.80
Rate for Payer: EmblemHealth Commercial	$172,669.89
Rate for Payer: Humana Medicare Advantage	$59,283.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$57,556.63
Rate for Payer: Oxford Commercial	$73,839.15
Rate for Payer: UnitedHealthcare Commercial	$129,479.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$57,556.63
Rate for Payer: Wellcare Medicare Advantage	$57,556.63

ACUTE LEUKEMIA WITH OTHER PROCEDURES

Facility

$282,023.45

Service Code	MSDRG 850
Min. Negotiated Rate	$85,872.52
Max. Negotiated Rate	$282,023.45
Rate for Payer: Aetna Commercial	$194,039.57
Rate for Payer: Aetna Medicare Advantage	$282,023.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$90,392.13
Rate for Payer: Cigna Commercial	$162,053.88
Rate for Payer: Cigna Medicare Advantage	$90,392.13
Rate for Payer: Clover Medicare Advantage	$85,872.52
Rate for Payer: EmblemHealth Commercial	$271,176.39
Rate for Payer: Humana Medicare Advantage	$93,103.89
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$90,392.13
Rate for Payer: Oxford Commercial	$116,470.27
Rate for Payer: UnitedHealthcare Commercial	$204,234.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$90,392.13
Rate for Payer: Wellcare Medicare Advantage	$90,392.13

ACUTE LEUKEMIA WITHOUT CC/MCC

Facility

$41,550.32

Service Code	MSDRG 836
Min. Negotiated Rate	$12,651.54
Max. Negotiated Rate	$41,550.32
Rate for Payer: Aetna Commercial	$28,807.13
Rate for Payer: Aetna Medicare Advantage	$41,550.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,317.41
Rate for Payer: Cigna Commercial	$22,821.72
Rate for Payer: Cigna Medicare Advantage	$13,317.41
Rate for Payer: Clover Medicare Advantage	$12,651.54
Rate for Payer: EmblemHealth Commercial	$39,952.23
Rate for Payer: Humana Medicare Advantage	$13,716.93
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,317.41
Rate for Payer: Oxford Commercial	$16,402.28
Rate for Payer: UnitedHealthcare Commercial	$28,761.91
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,317.41
Rate for Payer: Wellcare Medicare Advantage	$13,317.41

ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC

Facility

$69,550.60

Service Code	MSDRG 835
Min. Negotiated Rate	$21,177.27
Max. Negotiated Rate	$69,550.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52,104.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52,104.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52,104.64

ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC

Facility

$179,576.69

Service Code	MSDRG 834
Min. Negotiated Rate	$54,678.80
Max. Negotiated Rate	$179,576.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$130,261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$130,261.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$130,261.60

ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility

$41,550.32

Service Code	MSDRG 836
Min. Negotiated Rate	$12,651.54
Max. Negotiated Rate	$41,550.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,798.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,798.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,798.01

Know your out-of-pocket cost for care.

All Charges