Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$73,676.36

Service Code	APR-DRG 9114
Min. Negotiated Rate	$72,231.73
Max. Negotiated Rate	$73,676.36
Rate for Payer: UnitedHealthcare Community & State	$72,231.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$73,676.36
Rate for Payer: Wellpoint Medicaid Managed Care	$72,231.73

EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT

Facility

$128,001.03

Service Code	MSDRG 933
Min. Negotiated Rate	$38,974.67
Max. Negotiated Rate	$128,001.03
Rate for Payer: Aetna Commercial	$88,208.62
Rate for Payer: Aetna Medicare Advantage	$128,001.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70,480.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70,480.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$41,025.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70,480.83
Rate for Payer: Cigna Commercial	$71,425.72
Rate for Payer: Cigna Medicare Advantage	$41,025.97
Rate for Payer: Clover Medicare Advantage	$38,974.67
Rate for Payer: EmblemHealth Commercial	$123,077.91
Rate for Payer: Humana Medicare Advantage	$42,256.75
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$41,025.97
Rate for Payer: Oxford Commercial	$51,334.61
Rate for Payer: UnitedHealthcare Commercial	$90,016.87
Rate for Payer: UnitedHealthcare Medicare Advantage	$41,025.97
Rate for Payer: Wellcare Medicare Advantage	$41,025.97

EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT

Facility

$692,217.55

Service Code	MSDRG 927
Min. Negotiated Rate	$210,771.37
Max. Negotiated Rate	$692,217.55
Rate for Payer: Aetna Commercial	$475,889.70
Rate for Payer: Aetna Medicare Advantage	$692,217.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$613,159.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$613,159.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$221,864.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$613,159.96
Rate for Payer: Cigna Commercial	$344,902.76
Rate for Payer: Cigna Medicare Advantage	$221,864.60
Rate for Payer: Clover Medicare Advantage	$210,771.37
Rate for Payer: EmblemHealth Commercial	$665,593.80
Rate for Payer: Humana Medicare Advantage	$228,520.54
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$221,864.60
Rate for Payer: Oxford Commercial	$247,886.19
Rate for Payer: UnitedHealthcare Commercial	$434,676.27
Rate for Payer: UnitedHealthcare Medicare Advantage	$221,864.60
Rate for Payer: Wellcare Medicare Advantage	$221,864.60

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$58,885.67

Service Code	APR-DRG 7924
Min. Negotiated Rate	$57,731.05
Max. Negotiated Rate	$58,885.67
Rate for Payer: UnitedHealthcare Community & State	$57,731.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$58,885.67
Rate for Payer: Wellpoint Medicaid Managed Care	$57,731.05

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$17,129.62

Service Code	APR-DRG 7921
Min. Negotiated Rate	$16,793.75
Max. Negotiated Rate	$17,129.62
Rate for Payer: UnitedHealthcare Community & State	$16,793.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,129.62
Rate for Payer: Wellpoint Medicaid Managed Care	$16,793.75

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$31,075.09

Service Code	APR-DRG 7923
Min. Negotiated Rate	$30,465.77
Max. Negotiated Rate	$31,075.09
Rate for Payer: UnitedHealthcare Community & State	$30,465.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,075.09
Rate for Payer: Wellpoint Medicaid Managed Care	$30,465.77

EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$21,427.04

Service Code	APR-DRG 7922
Min. Negotiated Rate	$21,006.90
Max. Negotiated Rate	$21,427.04
Rate for Payer: UnitedHealthcare Community & State	$21,006.90
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,427.04
Rate for Payer: Wellpoint Medicaid Managed Care	$21,006.90

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$81,596.86

Service Code	MSDRG 982
Min. Negotiated Rate	$24,845.20
Max. Negotiated Rate	$81,596.86
Rate for Payer: Aetna Commercial	$56,323.69
Rate for Payer: Aetna Medicare Advantage	$81,596.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$57,919.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$57,919.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,152.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$57,919.89
Rate for Payer: Cigna Commercial	$46,008.37
Rate for Payer: Cigna Medicare Advantage	$26,152.84
Rate for Payer: Clover Medicare Advantage	$24,845.20
Rate for Payer: EmblemHealth Commercial	$78,458.52
Rate for Payer: Humana Medicare Advantage	$26,937.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,152.84
Rate for Payer: Oxford Commercial	$33,066.82
Rate for Payer: UnitedHealthcare Commercial	$57,983.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,152.84
Rate for Payer: Wellcare Medicare Advantage	$26,152.84

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$153,780.81

Service Code	MSDRG 981
Min. Negotiated Rate	$46,824.28
Max. Negotiated Rate	$153,780.81
Rate for Payer: Aetna Commercial	$105,922.25
Rate for Payer: Aetna Medicare Advantage	$153,780.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$110,257.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$110,257.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$49,288.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$110,257.14
Rate for Payer: Cigna Commercial	$87,802.35
Rate for Payer: Cigna Medicare Advantage	$49,288.72
Rate for Payer: Clover Medicare Advantage	$46,824.28
Rate for Payer: EmblemHealth Commercial	$147,866.16
Rate for Payer: Humana Medicare Advantage	$50,767.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$49,288.72
Rate for Payer: Oxford Commercial	$63,104.71
Rate for Payer: UnitedHealthcare Commercial	$110,656.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$49,288.72
Rate for Payer: Wellcare Medicare Advantage	$49,288.72

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$57,533.39

Service Code	MSDRG 983
Min. Negotiated Rate	$17,518.18
Max. Negotiated Rate	$57,533.39
Rate for Payer: Aetna Commercial	$39,789.34
Rate for Payer: Aetna Medicare Advantage	$57,533.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,148.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,148.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,440.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,148.04
Rate for Payer: Cigna Commercial	$32,075.80
Rate for Payer: Cigna Medicare Advantage	$18,440.19
Rate for Payer: Clover Medicare Advantage	$17,518.18
Rate for Payer: EmblemHealth Commercial	$55,320.57
Rate for Payer: Humana Medicare Advantage	$18,993.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,440.19
Rate for Payer: Oxford Commercial	$23,053.30
Rate for Payer: UnitedHealthcare Commercial	$40,424.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,440.19
Rate for Payer: Wellcare Medicare Advantage	$18,440.19

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$24,512.79

Service Code	APR-DRG 9502
Min. Negotiated Rate	$24,032.15
Max. Negotiated Rate	$24,512.79
Rate for Payer: UnitedHealthcare Community & State	$24,032.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,512.79
Rate for Payer: Wellpoint Medicaid Managed Care	$24,032.15

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$37,182.87

Service Code	APR-DRG 9503
Min. Negotiated Rate	$36,453.79
Max. Negotiated Rate	$37,182.87
Rate for Payer: UnitedHealthcare Community & State	$36,453.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,182.87
Rate for Payer: Wellpoint Medicaid Managed Care	$36,453.79

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$67,606.90

Service Code	APR-DRG 9504
Min. Negotiated Rate	$66,281.27
Max. Negotiated Rate	$67,606.90
Rate for Payer: UnitedHealthcare Community & State	$66,281.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,606.90
Rate for Payer: Wellpoint Medicaid Managed Care	$66,281.27

EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$18,490.58

Service Code	APR-DRG 9501
Min. Negotiated Rate	$18,128.02
Max. Negotiated Rate	$18,490.58
Rate for Payer: UnitedHealthcare Community & State	$18,128.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,490.58
Rate for Payer: Wellpoint Medicaid Managed Care	$18,128.02

EXTENSIVE PROSATE SURGERY

Facility

$36,779.00

Service Code	HCPCS 55845
Hospital Charge Code	1600000652
Hospital Revenue Code	360
Min. Negotiated Rate	$5,516.85
Max. Negotiated Rate	$5,516.85
Rate for Payer: Qualcare PPO/HMO/WC	$5,516.85

EXTENSIVE PROSATE SURGERY

Facility

$36,779.00

Service Code	HCPCS 55845
Hospital Charge Code	1600000652
Hospital Revenue Code	360
Min. Negotiated Rate	$886.37
Max. Negotiated Rate	$18,389.50
Rate for Payer: Aetna Commercial	$13,976.02
Rate for Payer: Aetna Medicare Advantage	$11,033.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,378.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,378.65
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	$9,378.65
Rate for Payer: Cigna Commercial	$18,389.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11,033.70
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,516.85
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$886.37
Rate for Payer: Wellpoint Medicaid Managed Care	$974.64

EXTENSIVE REMOVAL OF LIVER

Facility

$110,145.20

Service Code	HCPCS 47122
Hospital Charge Code	1600000515
Hospital Revenue Code	360
Min. Negotiated Rate	$16,521.78
Max. Negotiated Rate	$16,521.78
Rate for Payer: Qualcare PPO/HMO/WC	$16,521.78

EXTENSIVE REMOVAL OF LIVER

Facility

$110,145.20

Service Code	HCPCS 47122
Hospital Charge Code	1600000515
Hospital Revenue Code	360
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$55,072.60
Rate for Payer: Aetna Commercial	$41,855.18
Rate for Payer: Aetna Medicare Advantage	$33,043.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,087.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,087.03
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	$28,087.03
Rate for Payer: Cigna Commercial	$55,072.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33,043.56
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$16,521.78
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$2,654.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2,918.85

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$8,469.68

Service Code	APR-DRG 8432
Min. Negotiated Rate	$8,303.61
Max. Negotiated Rate	$8,469.68
Rate for Payer: UnitedHealthcare Community & State	$8,303.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,469.68
Rate for Payer: Wellpoint Medicaid Managed Care	$8,303.61

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$24,839.64

Service Code	APR-DRG 8434
Min. Negotiated Rate	$24,352.59
Max. Negotiated Rate	$24,839.64
Rate for Payer: UnitedHealthcare Community & State	$24,352.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,839.64
Rate for Payer: Wellpoint Medicaid Managed Care	$24,352.59

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$13,009.63

Service Code	APR-DRG 8433
Min. Negotiated Rate	$12,754.54
Max. Negotiated Rate	$13,009.63
Rate for Payer: UnitedHealthcare Community & State	$12,754.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,009.63
Rate for Payer: Wellpoint Medicaid Managed Care	$12,754.54

EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT

Facility

$6,063.11

Service Code	APR-DRG 8431
Min. Negotiated Rate	$5,944.23
Max. Negotiated Rate	$6,063.11
Rate for Payer: UnitedHealthcare Community & State	$5,944.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,063.11
Rate for Payer: Wellpoint Medicaid Managed Care	$5,944.23

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$20,667.38

Service Code	APR-DRG 8411
Min. Negotiated Rate	$20,262.14
Max. Negotiated Rate	$20,667.38
Rate for Payer: UnitedHealthcare Community & State	$20,262.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,667.38
Rate for Payer: Wellpoint Medicaid Managed Care	$20,262.14

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$71,980.88

Service Code	APR-DRG 8413
Min. Negotiated Rate	$70,569.49
Max. Negotiated Rate	$71,980.88
Rate for Payer: UnitedHealthcare Community & State	$70,569.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$71,980.88
Rate for Payer: Wellpoint Medicaid Managed Care	$70,569.49

EXTENSIVE THIRD DEGREE BURNS WITH SKIN GRAFT

Facility

$23,525.94

Service Code	APR-DRG 8412
Min. Negotiated Rate	$23,064.65
Max. Negotiated Rate	$23,525.94
Rate for Payer: UnitedHealthcare Community & State	$23,064.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,525.94
Rate for Payer: Wellpoint Medicaid Managed Care	$23,064.65

Know your out-of-pocket cost for care.

All Charges