Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$19,370.22

Service Code	APR-DRG 6801
Min. Negotiated Rate	$18,990.41
Max. Negotiated Rate	$19,370.22
Rate for Payer: UnitedHealthcare Community & State	$18,990.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,370.22
Rate for Payer: Wellpoint Medicaid Managed Care	$18,990.41

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$40,456.37

Service Code	APR-DRG 6803
Min. Negotiated Rate	$39,663.11
Max. Negotiated Rate	$40,456.37
Rate for Payer: UnitedHealthcare Community & State	$39,663.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,456.37
Rate for Payer: Wellpoint Medicaid Managed Care	$39,663.11

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$80,915.26

Service Code	APR-DRG 6804
Min. Negotiated Rate	$79,328.69
Max. Negotiated Rate	$80,915.26
Rate for Payer: UnitedHealthcare Community & State	$79,328.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$80,915.26
Rate for Payer: Wellpoint Medicaid Managed Care	$79,328.69

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$27,924.21

Service Code	APR-DRG 2602
Min. Negotiated Rate	$27,376.68
Max. Negotiated Rate	$27,924.21
Rate for Payer: UnitedHealthcare Community & State	$27,376.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,924.21
Rate for Payer: Wellpoint Medicaid Managed Care	$27,376.68

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$37,564.65

Service Code	APR-DRG 2603
Min. Negotiated Rate	$36,828.09
Max. Negotiated Rate	$37,564.65
Rate for Payer: UnitedHealthcare Community & State	$36,828.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,564.65
Rate for Payer: Wellpoint Medicaid Managed Care	$36,828.09

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$68,798.04

Service Code	APR-DRG 2604
Min. Negotiated Rate	$67,449.06
Max. Negotiated Rate	$68,798.04
Rate for Payer: UnitedHealthcare Community & State	$67,449.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$68,798.04
Rate for Payer: Wellpoint Medicaid Managed Care	$67,449.06

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$22,154.74

Service Code	APR-DRG 2601
Min. Negotiated Rate	$21,720.33
Max. Negotiated Rate	$22,154.74
Rate for Payer: UnitedHealthcare Community & State	$21,720.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,154.74
Rate for Payer: Wellpoint Medicaid Managed Care	$21,720.33

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$34.50
Max. Negotiated Rate	$34.50
Rate for Payer: Qualcare PPO/HMO/WC	$34.50

MAJOR PROCEDURE KIT

Facility

$230.00

Hospital Charge Code	270338744
Hospital Revenue Code	272
Min. Negotiated Rate	$5.54
Max. Negotiated Rate	$115.00
Rate for Payer: Aetna Commercial	$87.40
Rate for Payer: Aetna Medicare Advantage	$69.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.65
Rate for Payer: Cigna Commercial	$115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$69.00
Rate for Payer: Oxford Commercial	$46.00
Rate for Payer: Qualcare PPO/HMO/WC	$34.50
Rate for Payer: UnitedHealthcare Commercial	$46.00
Rate for Payer: UnitedHealthcare Community & State	$5.54
Rate for Payer: Wellpoint Medicaid Managed Care	$6.09

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$28,239.55

Service Code	APR-DRG 1202
Min. Negotiated Rate	$27,685.83
Max. Negotiated Rate	$28,239.55
Rate for Payer: UnitedHealthcare Community & State	$27,685.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,239.55
Rate for Payer: Wellpoint Medicaid Managed Care	$27,685.83

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$23,266.72

Service Code	APR-DRG 1201
Min. Negotiated Rate	$22,810.51
Max. Negotiated Rate	$23,266.72
Rate for Payer: UnitedHealthcare Community & State	$22,810.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,266.72
Rate for Payer: Wellpoint Medicaid Managed Care	$22,810.51

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$70,587.96

Service Code	APR-DRG 1204
Min. Negotiated Rate	$69,203.88
Max. Negotiated Rate	$70,587.96
Rate for Payer: UnitedHealthcare Community & State	$69,203.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$70,587.96
Rate for Payer: Wellpoint Medicaid Managed Care	$69,203.88

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$39,653.30

Service Code	APR-DRG 1203
Min. Negotiated Rate	$38,875.78
Max. Negotiated Rate	$39,653.30
Rate for Payer: UnitedHealthcare Community & State	$38,875.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,653.30
Rate for Payer: Wellpoint Medicaid Managed Care	$38,875.78

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$7,559.40

Service Code	APR-DRG 1371
Min. Negotiated Rate	$7,411.18
Max. Negotiated Rate	$7,559.40
Rate for Payer: UnitedHealthcare Community & State	$7,411.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,559.40
Rate for Payer: Wellpoint Medicaid Managed Care	$7,411.18

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$11,558.02

Service Code	APR-DRG 1373
Min. Negotiated Rate	$11,331.39
Max. Negotiated Rate	$11,558.02
Rate for Payer: UnitedHealthcare Community & State	$11,331.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,558.02
Rate for Payer: Wellpoint Medicaid Managed Care	$11,331.39

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$21,538.09

Service Code	APR-DRG 1374
Min. Negotiated Rate	$21,115.77
Max. Negotiated Rate	$21,538.09
Rate for Payer: UnitedHealthcare Community & State	$21,115.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,538.09
Rate for Payer: Wellpoint Medicaid Managed Care	$21,115.77

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$9,627.67

Service Code	APR-DRG 1372
Min. Negotiated Rate	$9,438.89
Max. Negotiated Rate	$9,627.67
Rate for Payer: UnitedHealthcare Community & State	$9,438.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,627.67
Rate for Payer: Wellpoint Medicaid Managed Care	$9,438.89

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$60,519.92

Service Code	MSDRG 507
Min. Negotiated Rate	$18,427.54
Max. Negotiated Rate	$60,519.92
Rate for Payer: Aetna Commercial	$41,841.42
Rate for Payer: Aetna Medicare Advantage	$60,519.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,545.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,545.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,397.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,545.93
Rate for Payer: Cigna Commercial	$33,804.97
Rate for Payer: Cigna Medicare Advantage	$19,397.41
Rate for Payer: Clover Medicare Advantage	$18,427.54
Rate for Payer: EmblemHealth Commercial	$58,192.23
Rate for Payer: Humana Medicare Advantage	$19,979.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,397.41
Rate for Payer: Oxford Commercial	$24,296.08
Rate for Payer: UnitedHealthcare Commercial	$42,603.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,397.41
Rate for Payer: Wellcare Medicare Advantage	$19,397.41

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$51,081.98

Service Code	MSDRG 508
Min. Negotiated Rate	$15,553.81
Max. Negotiated Rate	$51,081.98
Rate for Payer: Aetna Commercial	$35,356.48
Rate for Payer: Aetna Medicare Advantage	$51,081.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,263.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,263.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,372.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,263.23
Rate for Payer: Cigna Commercial	$28,340.48
Rate for Payer: Cigna Medicare Advantage	$16,372.43
Rate for Payer: Clover Medicare Advantage	$15,553.81
Rate for Payer: EmblemHealth Commercial	$49,117.29
Rate for Payer: Humana Medicare Advantage	$16,863.60
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,372.43
Rate for Payer: Oxford Commercial	$20,368.68
Rate for Payer: UnitedHealthcare Commercial	$35,717.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,372.43
Rate for Payer: Wellcare Medicare Advantage	$16,372.43

MAJOR SKIN DISORDERS

Facility

$14,453.64

Service Code	APR-DRG 3813
Min. Negotiated Rate	$14,170.24
Max. Negotiated Rate	$14,453.64
Rate for Payer: UnitedHealthcare Community & State	$14,170.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,453.64
Rate for Payer: Wellpoint Medicaid Managed Care	$14,170.24

MAJOR SKIN DISORDERS

Facility

$30,037.15

Service Code	APR-DRG 3814
Min. Negotiated Rate	$29,448.19
Max. Negotiated Rate	$30,037.15
Rate for Payer: UnitedHealthcare Community & State	$29,448.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,037.15
Rate for Payer: Wellpoint Medicaid Managed Care	$29,448.19

MAJOR SKIN DISORDERS

Facility

$4,639.55

Service Code	APR-DRG 3811
Min. Negotiated Rate	$4,548.58
Max. Negotiated Rate	$4,639.55
Rate for Payer: UnitedHealthcare Community & State	$4,548.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,639.55
Rate for Payer: Wellpoint Medicaid Managed Care	$4,548.58

MAJOR SKIN DISORDERS

Facility

$7,535.11

Service Code	APR-DRG 3812
Min. Negotiated Rate	$7,387.36
Max. Negotiated Rate	$7,535.11
Rate for Payer: UnitedHealthcare Community & State	$7,387.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,535.11
Rate for Payer: Wellpoint Medicaid Managed Care	$7,387.36

MAJOR SKIN DISORDERS WITH MCC

Facility

$70,678.58

Service Code	MSDRG 595
Min. Negotiated Rate	$21,520.72
Max. Negotiated Rate	$70,678.58
Rate for Payer: Aetna Commercial	$48,821.55
Rate for Payer: Aetna Medicare Advantage	$70,678.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50,708.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50,708.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,653.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50,708.98
Rate for Payer: Cigna Commercial	$39,686.78
Rate for Payer: Cigna Medicare Advantage	$22,653.39
Rate for Payer: Clover Medicare Advantage	$21,520.72
Rate for Payer: EmblemHealth Commercial	$67,960.17
Rate for Payer: Humana Medicare Advantage	$23,332.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,653.39
Rate for Payer: Oxford Commercial	$28,523.42
Rate for Payer: UnitedHealthcare Commercial	$50,016.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,653.39
Rate for Payer: Wellcare Medicare Advantage	$22,653.39

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$37,122.23

Service Code	MSDRG 596
Min. Negotiated Rate	$11,303.24
Max. Negotiated Rate	$37,122.23
Rate for Payer: Aetna Commercial	$25,764.53
Rate for Payer: Aetna Medicare Advantage	$37,122.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,898.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,493.61
Rate for Payer: Cigna Commercial	$20,257.90
Rate for Payer: Cigna Medicare Advantage	$11,898.15
Rate for Payer: Clover Medicare Advantage	$11,303.24
Rate for Payer: EmblemHealth Commercial	$35,694.45
Rate for Payer: Humana Medicare Advantage	$12,255.09
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,898.15
Rate for Payer: Oxford Commercial	$14,559.62
Rate for Payer: UnitedHealthcare Commercial	$25,530.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,898.15
Rate for Payer: Wellcare Medicare Advantage	$11,898.15

Know your out-of-pocket cost for care.

All Charges