Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC

Facility

$60,432.62

Service Code	MSDRG 686
Min. Negotiated Rate	$18,400.96
Max. Negotiated Rate	$60,432.62
Rate for Payer: Aetna Commercial	$41,781.42
Rate for Payer: Aetna Medicare Advantage	$60,432.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,800.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,800.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,369.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,800.24
Rate for Payer: Cigna Commercial	$33,754.44
Rate for Payer: Cigna Medicare Advantage	$19,369.43
Rate for Payer: Clover Medicare Advantage	$18,400.96
Rate for Payer: EmblemHealth Commercial	$58,108.29
Rate for Payer: Humana Medicare Advantage	$19,950.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,369.43
Rate for Payer: Oxford Commercial	$24,259.76
Rate for Payer: UnitedHealthcare Commercial	$42,540.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,369.43
Rate for Payer: Wellcare Medicare Advantage	$19,369.43

KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC

Facility

$27,677.86

Service Code	MSDRG 688
Min. Negotiated Rate	$8,427.55
Max. Negotiated Rate	$27,677.86
Rate for Payer: Aetna Commercial	$19,275.18
Rate for Payer: Aetna Medicare Advantage	$27,677.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,143.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,143.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,871.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,143.58
Rate for Payer: Cigna Commercial	$14,789.67
Rate for Payer: Cigna Medicare Advantage	$8,871.11
Rate for Payer: Clover Medicare Advantage	$8,427.55
Rate for Payer: EmblemHealth Commercial	$26,613.33
Rate for Payer: Humana Medicare Advantage	$9,137.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,871.11
Rate for Payer: Oxford Commercial	$10,629.53
Rate for Payer: UnitedHealthcare Commercial	$18,639.23
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,871.11
Rate for Payer: Wellcare Medicare Advantage	$8,871.11

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$51,003.25

Service Code	APR-DRG 4424
Min. Negotiated Rate	$50,003.19
Max. Negotiated Rate	$51,003.25
Rate for Payer: UnitedHealthcare Community & State	$50,003.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,003.25
Rate for Payer: Wellpoint Medicaid Managed Care	$50,003.19

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$20,007.32

Service Code	APR-DRG 4422
Min. Negotiated Rate	$19,615.02
Max. Negotiated Rate	$20,007.32
Rate for Payer: UnitedHealthcare Community & State	$19,615.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,007.32
Rate for Payer: Wellpoint Medicaid Managed Care	$19,615.02

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$28,862.55

Service Code	APR-DRG 4423
Min. Negotiated Rate	$28,296.62
Max. Negotiated Rate	$28,862.55
Rate for Payer: UnitedHealthcare Community & State	$28,296.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,862.55
Rate for Payer: Wellpoint Medicaid Managed Care	$28,296.62

KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$17,370.91

Service Code	APR-DRG 4421
Min. Negotiated Rate	$17,030.30
Max. Negotiated Rate	$17,370.91
Rate for Payer: UnitedHealthcare Community & State	$17,030.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,370.91
Rate for Payer: Wellpoint Medicaid Managed Care	$17,030.30

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$16,829.57

Service Code	APR-DRG 4432
Min. Negotiated Rate	$16,499.58
Max. Negotiated Rate	$16,829.57
Rate for Payer: UnitedHealthcare Community & State	$16,499.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,829.57
Rate for Payer: Wellpoint Medicaid Managed Care	$16,499.58

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$41,127.88

Service Code	APR-DRG 4434
Min. Negotiated Rate	$40,321.45
Max. Negotiated Rate	$41,127.88
Rate for Payer: UnitedHealthcare Community & State	$40,321.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$41,127.88
Rate for Payer: Wellpoint Medicaid Managed Care	$40,321.45

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$14,737.08

Service Code	APR-DRG 4431
Min. Negotiated Rate	$14,448.12
Max. Negotiated Rate	$14,737.08
Rate for Payer: UnitedHealthcare Community & State	$14,448.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,737.08
Rate for Payer: Wellpoint Medicaid Managed Care	$14,448.12

KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY

Facility

$24,524.31

Service Code	APR-DRG 4433
Min. Negotiated Rate	$24,043.44
Max. Negotiated Rate	$24,524.31
Rate for Payer: UnitedHealthcare Community & State	$24,043.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,524.31
Rate for Payer: Wellpoint Medicaid Managed Care	$24,043.44

KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC

Facility

$39,103.58

Service Code	MSDRG 695
Min. Negotiated Rate	$11,906.54
Max. Negotiated Rate	$39,103.58
Rate for Payer: Aetna Commercial	$27,125.94
Rate for Payer: Aetna Medicare Advantage	$39,103.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,913.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,913.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,533.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,913.20
Rate for Payer: Cigna Commercial	$21,405.07
Rate for Payer: Cigna Medicare Advantage	$12,533.20
Rate for Payer: Clover Medicare Advantage	$11,906.54
Rate for Payer: EmblemHealth Commercial	$37,599.60
Rate for Payer: Humana Medicare Advantage	$12,909.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,533.20
Rate for Payer: Oxford Commercial	$15,384.11
Rate for Payer: UnitedHealthcare Commercial	$26,976.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,533.20
Rate for Payer: Wellcare Medicare Advantage	$12,533.20

KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

Facility

$24,403.70

Service Code	MSDRG 696
Min. Negotiated Rate	$7,430.61
Max. Negotiated Rate	$24,403.70
Rate for Payer: Aetna Commercial	$17,025.47
Rate for Payer: Aetna Medicare Advantage	$24,403.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,050.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,050.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,821.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,050.09
Rate for Payer: Cigna Commercial	$12,893.95
Rate for Payer: Cigna Medicare Advantage	$7,821.70
Rate for Payer: Clover Medicare Advantage	$7,430.61
Rate for Payer: EmblemHealth Commercial	$23,465.10
Rate for Payer: Humana Medicare Advantage	$8,056.35
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,821.70
Rate for Payer: Oxford Commercial	$9,267.05
Rate for Payer: UnitedHealthcare Commercial	$16,250.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,821.70
Rate for Payer: Wellcare Medicare Advantage	$7,821.70

KIDNEY FUNCTION ASSESSMENT

Facility

$46.10

Service Code	HCPCS 99271
Hospital Charge Code	6016323
Hospital Revenue Code	510
Min. Negotiated Rate	$1.11
Max. Negotiated Rate	$23.05
Rate for Payer: Aetna Commercial	$17.52
Rate for Payer: Aetna Medicare Advantage	$13.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.76
Rate for Payer: Cigna Commercial	$23.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.83
Rate for Payer: Qualcare PPO/HMO/WC	$6.92
Rate for Payer: UnitedHealthcare Community & State	$1.11
Rate for Payer: Wellpoint Medicaid Managed Care	$1.22

KIDNEY FUNCTION ASSESSMENT

Facility

$46.10

Service Code	HCPCS 99271
Hospital Charge Code	6016323
Hospital Revenue Code	510
Min. Negotiated Rate	$6.92
Max. Negotiated Rate	$6.92
Rate for Payer: Qualcare PPO/HMO/WC	$6.92

KIDNEY TRANSPLANT

Facility

$61,566.75

Service Code	APR-DRG 4402
Min. Negotiated Rate	$60,359.56
Max. Negotiated Rate	$61,566.75
Rate for Payer: UnitedHealthcare Community & State	$60,359.56
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$61,566.75
Rate for Payer: Wellpoint Medicaid Managed Care	$60,359.56

KIDNEY TRANSPLANT

Facility

$70,024.98

Service Code	APR-DRG 4403
Min. Negotiated Rate	$68,651.94
Max. Negotiated Rate	$70,024.98
Rate for Payer: UnitedHealthcare Community & State	$68,651.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$70,024.98
Rate for Payer: Wellpoint Medicaid Managed Care	$68,651.94

KIDNEY TRANSPLANT

Facility

$106,516.86

Service Code	MSDRG 652
Min. Negotiated Rate	$32,433.02
Max. Negotiated Rate	$106,516.86
Rate for Payer: Aetna Commercial	$73,446.56
Rate for Payer: Aetna Medicare Advantage	$106,516.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69,783.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34,140.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69,783.00
Rate for Payer: Cigna Commercial	$60,436.86
Rate for Payer: Cigna Medicare Advantage	$34,140.02
Rate for Payer: Clover Medicare Advantage	$32,433.02
Rate for Payer: EmblemHealth Commercial	$102,420.06
Rate for Payer: Humana Medicare Advantage	$35,164.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34,140.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$34,140.02
Rate for Payer: Wellcare Medicare Advantage	$34,140.02

KIDNEY TRANSPLANT

Facility

$112,061.88

Service Code	APR-DRG 4404
Min. Negotiated Rate	$109,864.59
Max. Negotiated Rate	$112,061.88
Rate for Payer: UnitedHealthcare Community & State	$109,864.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$112,061.88
Rate for Payer: Wellpoint Medicaid Managed Care	$109,864.59

KIDNEY TRANSPLANT

Facility

$55,203.65

Service Code	APR-DRG 4401
Min. Negotiated Rate	$54,121.23
Max. Negotiated Rate	$55,203.65
Rate for Payer: UnitedHealthcare Community & State	$54,121.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,203.65
Rate for Payer: Wellpoint Medicaid Managed Care	$54,121.23

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility

$154,091.09

Service Code	MSDRG 650
Min. Negotiated Rate	$46,918.76
Max. Negotiated Rate	$154,091.09
Rate for Payer: Aetna Commercial	$106,135.47
Rate for Payer: Aetna Medicare Advantage	$154,091.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$104,674.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$104,674.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$49,388.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$104,674.50
Rate for Payer: Cigna Commercial	$87,982.00
Rate for Payer: Cigna Medicare Advantage	$49,388.17
Rate for Payer: Clover Medicare Advantage	$46,918.76
Rate for Payer: EmblemHealth Commercial	$148,164.51
Rate for Payer: Humana Medicare Advantage	$50,869.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$49,388.17
Rate for Payer: Oxford Commercial	$63,233.83
Rate for Payer: UnitedHealthcare Commercial	$110,882.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$49,388.17
Rate for Payer: Wellcare Medicare Advantage	$49,388.17

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility

$121,911.69

Service Code	MSDRG 651
Min. Negotiated Rate	$37,120.55
Max. Negotiated Rate	$121,911.69
Rate for Payer: Aetna Commercial	$84,024.54
Rate for Payer: Aetna Medicare Advantage	$121,911.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,483.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,483.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,074.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,483.06
Rate for Payer: Cigna Commercial	$69,350.34
Rate for Payer: Cigna Medicare Advantage	$39,074.26
Rate for Payer: Clover Medicare Advantage	$37,120.55
Rate for Payer: EmblemHealth Commercial	$117,222.78
Rate for Payer: Humana Medicare Advantage	$40,246.49
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,074.26
Rate for Payer: Oxford Commercial	$49,843.01
Rate for Payer: UnitedHealthcare Commercial	$87,401.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,074.26
Rate for Payer: Wellcare Medicare Advantage	$39,074.26

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$0.74
Rate for Payer: Qualcare PPO/HMO/WC	$0.74

KINESIO TAPE

Facility

$4.95

Hospital Charge Code	270667804
Hospital Revenue Code	270
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.48
Rate for Payer: Aetna Commercial	$1.88
Rate for Payer: Aetna Medicare Advantage	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.26
Rate for Payer: Cigna Commercial	$2.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.49
Rate for Payer: Oxford Commercial	$0.99
Rate for Payer: Qualcare PPO/HMO/WC	$0.74
Rate for Payer: UnitedHealthcare Commercial	$0.99
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.13

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$6.56
Max. Negotiated Rate	$136.20
Rate for Payer: Aetna Commercial	$103.51
Rate for Payer: Aetna Medicare Advantage	$81.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$69.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$69.46
Rate for Payer: Cigna Commercial	$136.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$81.72
Rate for Payer: Oxford Commercial	$54.48
Rate for Payer: Qualcare PPO/HMO/WC	$40.86
Rate for Payer: UnitedHealthcare Commercial	$54.48
Rate for Payer: UnitedHealthcare Community & State	$6.56
Rate for Payer: Wellpoint Medicaid Managed Care	$7.22

KINESIO TEX TAPE BLACK 2X92'

Facility

$272.40

Hospital Charge Code	270663152
Hospital Revenue Code	270
Min. Negotiated Rate	$40.86
Max. Negotiated Rate	$40.86
Rate for Payer: Qualcare PPO/HMO/WC	$40.86

Know your out-of-pocket cost for care.

All Charges