Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$139,018.31

Service Code	APR-DRG 1604
Min. Negotiated Rate	$136,292.46
Max. Negotiated Rate	$139,018.31
Rate for Payer: UnitedHealthcare Community & State	$136,292.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$139,018.31
Rate for Payer: Wellpoint Medicaid Managed Care	$136,292.46

MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$42,511.87

Service Code	APR-DRG 1602
Min. Negotiated Rate	$41,678.30
Max. Negotiated Rate	$42,511.87
Rate for Payer: UnitedHealthcare Community & State	$41,678.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$42,511.87
Rate for Payer: Wellpoint Medicaid Managed Care	$41,678.30

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$10,009.38

Service Code	APR-DRG 1352
Min. Negotiated Rate	$9,813.12
Max. Negotiated Rate	$10,009.38
Rate for Payer: UnitedHealthcare Community & State	$9,813.12
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,009.38
Rate for Payer: Wellpoint Medicaid Managed Care	$9,813.12

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$8,751.87

Service Code	APR-DRG 1351
Min. Negotiated Rate	$8,580.26
Max. Negotiated Rate	$8,751.87
Rate for Payer: UnitedHealthcare Community & State	$8,580.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,751.87
Rate for Payer: Wellpoint Medicaid Managed Care	$8,580.26

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$14,513.60

Service Code	APR-DRG 1353
Min. Negotiated Rate	$14,229.02
Max. Negotiated Rate	$14,513.60
Rate for Payer: UnitedHealthcare Community & State	$14,229.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,513.60
Rate for Payer: Wellpoint Medicaid Managed Care	$14,229.02

MAJOR CHEST AND RESPIRATORY TRAUMA

Facility

$25,351.60

Service Code	APR-DRG 1354
Min. Negotiated Rate	$24,854.51
Max. Negotiated Rate	$25,351.60
Rate for Payer: UnitedHealthcare Community & State	$24,854.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,351.60
Rate for Payer: Wellpoint Medicaid Managed Care	$24,854.51

MAJOR CHEST PROCEDURES WITH CC

Facility

$83,713.94

Service Code	MSDRG 164
Min. Negotiated Rate	$25,489.82
Max. Negotiated Rate	$83,713.94
Rate for Payer: Aetna Commercial	$57,778.33
Rate for Payer: Aetna Medicare Advantage	$83,713.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59,315.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59,315.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$26,831.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59,315.55
Rate for Payer: Cigna Commercial	$47,234.14
Rate for Payer: Cigna Medicare Advantage	$26,831.39
Rate for Payer: Clover Medicare Advantage	$25,489.82
Rate for Payer: EmblemHealth Commercial	$80,494.17
Rate for Payer: Humana Medicare Advantage	$27,636.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$26,831.39
Rate for Payer: Oxford Commercial	$33,947.80
Rate for Payer: UnitedHealthcare Commercial	$59,528.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$26,831.39
Rate for Payer: Wellcare Medicare Advantage	$26,831.39

MAJOR CHEST PROCEDURES WITH MCC

Facility

$146,993.31

Service Code	MSDRG 163
Min. Negotiated Rate	$44,757.58
Max. Negotiated Rate	$146,993.31
Rate for Payer: Aetna Commercial	$101,258.49
Rate for Payer: Aetna Medicare Advantage	$146,993.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109,559.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109,559.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$47,113.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109,559.31
Rate for Payer: Cigna Commercial	$83,872.41
Rate for Payer: Cigna Medicare Advantage	$47,113.24
Rate for Payer: Clover Medicare Advantage	$44,757.58
Rate for Payer: EmblemHealth Commercial	$141,339.72
Rate for Payer: Humana Medicare Advantage	$48,526.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$47,113.24
Rate for Payer: Oxford Commercial	$60,280.21
Rate for Payer: UnitedHealthcare Commercial	$105,703.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$47,113.24
Rate for Payer: Wellcare Medicare Advantage	$47,113.24

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

Facility

$64,004.18

Service Code	MSDRG 165
Min. Negotiated Rate	$19,488.45
Max. Negotiated Rate	$64,004.18
Rate for Payer: Aetna Commercial	$44,235.50
Rate for Payer: Aetna Medicare Advantage	$64,004.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,730.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,514.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,730.68
Rate for Payer: Cigna Commercial	$35,822.34
Rate for Payer: Cigna Medicare Advantage	$20,514.16
Rate for Payer: Clover Medicare Advantage	$19,488.45
Rate for Payer: EmblemHealth Commercial	$61,542.48
Rate for Payer: Humana Medicare Advantage	$21,129.58
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,514.16
Rate for Payer: Oxford Commercial	$25,745.99
Rate for Payer: UnitedHealthcare Commercial	$45,146.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,514.16
Rate for Payer: Wellcare Medicare Advantage	$20,514.16

MAJOR CHEST TRAUMA WITH CC

Facility

$36,527.56

Service Code	MSDRG 184
Min. Negotiated Rate	$11,122.17
Max. Negotiated Rate	$36,527.56
Rate for Payer: Aetna Commercial	$25,355.91
Rate for Payer: Aetna Medicare Advantage	$36,527.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24,424.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24,424.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,707.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24,424.05
Rate for Payer: Cigna Commercial	$19,913.57
Rate for Payer: Cigna Medicare Advantage	$11,707.55
Rate for Payer: Clover Medicare Advantage	$11,122.17
Rate for Payer: EmblemHealth Commercial	$35,122.65
Rate for Payer: Humana Medicare Advantage	$12,058.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,707.55
Rate for Payer: Oxford Commercial	$14,312.15
Rate for Payer: UnitedHealthcare Commercial	$25,096.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,707.55
Rate for Payer: Wellcare Medicare Advantage	$11,707.55

MAJOR CHEST TRAUMA WITH MCC

Facility

$51,582.96

Service Code	MSDRG 183
Min. Negotiated Rate	$15,706.35
Max. Negotiated Rate	$51,582.96
Rate for Payer: Aetna Commercial	$35,700.69
Rate for Payer: Aetna Medicare Advantage	$51,582.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,519.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,519.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,533.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,519.77
Rate for Payer: Cigna Commercial	$28,630.55
Rate for Payer: Cigna Medicare Advantage	$16,533.00
Rate for Payer: Clover Medicare Advantage	$15,706.35
Rate for Payer: EmblemHealth Commercial	$49,599.00
Rate for Payer: Humana Medicare Advantage	$17,028.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,533.00
Rate for Payer: Oxford Commercial	$20,577.15
Rate for Payer: UnitedHealthcare Commercial	$36,082.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,533.00
Rate for Payer: Wellcare Medicare Advantage	$16,533.00

MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility

$27,555.06

Service Code	MSDRG 185
Min. Negotiated Rate	$8,390.16
Max. Negotiated Rate	$27,555.06
Rate for Payer: Aetna Commercial	$19,190.81
Rate for Payer: Aetna Medicare Advantage	$27,555.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,678.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,678.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,831.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,678.36
Rate for Payer: Cigna Commercial	$14,718.56
Rate for Payer: Cigna Medicare Advantage	$8,831.75
Rate for Payer: Clover Medicare Advantage	$8,390.16
Rate for Payer: EmblemHealth Commercial	$26,495.25
Rate for Payer: Humana Medicare Advantage	$9,096.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,831.75
Rate for Payer: Oxford Commercial	$10,578.42
Rate for Payer: UnitedHealthcare Commercial	$18,549.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,831.75
Rate for Payer: Wellcare Medicare Advantage	$8,831.75

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$47,815.32

Service Code	APR-DRG 0893
Min. Negotiated Rate	$46,877.76
Max. Negotiated Rate	$47,815.32
Rate for Payer: UnitedHealthcare Community & State	$46,877.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,815.32
Rate for Payer: Wellpoint Medicaid Managed Care	$46,877.76

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$18,860.85

Service Code	APR-DRG 0891
Min. Negotiated Rate	$18,491.03
Max. Negotiated Rate	$18,860.85
Rate for Payer: UnitedHealthcare Community & State	$18,491.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,860.85
Rate for Payer: Wellpoint Medicaid Managed Care	$18,491.03

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$25,047.78

Service Code	APR-DRG 0892
Min. Negotiated Rate	$24,556.65
Max. Negotiated Rate	$25,047.78
Rate for Payer: UnitedHealthcare Community & State	$24,556.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,047.78
Rate for Payer: Wellpoint Medicaid Managed Care	$24,556.65

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$67,860.96

Service Code	APR-DRG 0894
Min. Negotiated Rate	$66,530.35
Max. Negotiated Rate	$67,860.96
Rate for Payer: UnitedHealthcare Community & State	$66,530.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$67,860.96
Rate for Payer: Wellpoint Medicaid Managed Care	$66,530.35

MAJOR ESOPHAGEAL DISORDERS

Facility

$25,715.44

Service Code	APR-DRG 2424
Min. Negotiated Rate	$25,211.22
Max. Negotiated Rate	$25,715.44
Rate for Payer: UnitedHealthcare Community & State	$25,211.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,715.44
Rate for Payer: Wellpoint Medicaid Managed Care	$25,211.22

MAJOR ESOPHAGEAL DISORDERS

Facility

$12,770.93

Service Code	APR-DRG 2423
Min. Negotiated Rate	$12,520.52
Max. Negotiated Rate	$12,770.93
Rate for Payer: UnitedHealthcare Community & State	$12,520.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,770.93
Rate for Payer: Wellpoint Medicaid Managed Care	$12,520.52

MAJOR ESOPHAGEAL DISORDERS

Facility

$8,887.20

Service Code	APR-DRG 2422
Min. Negotiated Rate	$8,712.94
Max. Negotiated Rate	$8,887.20
Rate for Payer: UnitedHealthcare Community & State	$8,712.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,887.20
Rate for Payer: Wellpoint Medicaid Managed Care	$8,712.94

MAJOR ESOPHAGEAL DISORDERS

Facility

$6,774.20

Service Code	APR-DRG 2421
Min. Negotiated Rate	$6,641.37
Max. Negotiated Rate	$6,774.20
Rate for Payer: UnitedHealthcare Community & State	$6,641.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,774.20
Rate for Payer: Wellpoint Medicaid Managed Care	$6,641.37

MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility

$34,462.21

Service Code	MSDRG 369
Min. Negotiated Rate	$10,493.30
Max. Negotiated Rate	$34,462.21
Rate for Payer: Aetna Commercial	$23,936.77
Rate for Payer: Aetna Medicare Advantage	$34,462.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,028.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,028.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,045.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,028.39
Rate for Payer: Cigna Commercial	$18,717.74
Rate for Payer: Cigna Medicare Advantage	$11,045.58
Rate for Payer: Clover Medicare Advantage	$10,493.30
Rate for Payer: EmblemHealth Commercial	$33,136.74
Rate for Payer: Humana Medicare Advantage	$11,376.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,045.58
Rate for Payer: Oxford Commercial	$13,452.69
Rate for Payer: UnitedHealthcare Commercial	$23,589.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,045.58
Rate for Payer: Wellcare Medicare Advantage	$11,045.58

MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility

$53,586.97

Service Code	MSDRG 368
Min. Negotiated Rate	$16,316.54
Max. Negotiated Rate	$53,586.97
Rate for Payer: Aetna Commercial	$37,077.69
Rate for Payer: Aetna Medicare Advantage	$53,586.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,380.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,380.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,175.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,380.65
Rate for Payer: Cigna Commercial	$29,790.82
Rate for Payer: Cigna Medicare Advantage	$17,175.31
Rate for Payer: Clover Medicare Advantage	$16,316.54
Rate for Payer: EmblemHealth Commercial	$51,525.93
Rate for Payer: Humana Medicare Advantage	$17,690.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,175.31
Rate for Payer: Oxford Commercial	$21,411.06
Rate for Payer: UnitedHealthcare Commercial	$37,544.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,175.31
Rate for Payer: Wellcare Medicare Advantage	$17,175.31

MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility

$24,785.09

Service Code	MSDRG 370
Min. Negotiated Rate	$7,546.74
Max. Negotiated Rate	$24,785.09
Rate for Payer: Aetna Commercial	$17,287.50
Rate for Payer: Aetna Medicare Advantage	$24,785.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,213.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,213.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,943.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,213.14
Rate for Payer: Cigna Commercial	$13,114.77
Rate for Payer: Cigna Medicare Advantage	$7,943.94
Rate for Payer: Clover Medicare Advantage	$7,546.74
Rate for Payer: EmblemHealth Commercial	$23,831.82
Rate for Payer: Humana Medicare Advantage	$8,182.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,943.94
Rate for Payer: Oxford Commercial	$9,425.76
Rate for Payer: UnitedHealthcare Commercial	$16,528.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,943.94
Rate for Payer: Wellcare Medicare Advantage	$7,943.94

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$22,745.84

Service Code	APR-DRG 2484
Min. Negotiated Rate	$22,299.84
Max. Negotiated Rate	$22,745.84
Rate for Payer: UnitedHealthcare Community & State	$22,299.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,745.84
Rate for Payer: Wellpoint Medicaid Managed Care	$22,299.84

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$8,594.83

Service Code	APR-DRG 2482
Min. Negotiated Rate	$8,426.30
Max. Negotiated Rate	$8,594.83
Rate for Payer: UnitedHealthcare Community & State	$8,426.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,594.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8,426.30

Know your out-of-pocket cost for care.

All Charges