Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$12,324.10

Service Code	APR-DRG 2523
Min. Negotiated Rate	$12,082.45
Max. Negotiated Rate	$12,324.10
Rate for Payer: UnitedHealthcare Community & State	$12,082.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,324.10
Rate for Payer: Wellpoint Medicaid Managed Care	$12,082.45

MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE

Facility

$23,274.40

Service Code	APR-DRG 2524
Min. Negotiated Rate	$22,818.04
Max. Negotiated Rate	$23,274.40
Rate for Payer: UnitedHealthcare Community & State	$22,818.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,274.40
Rate for Payer: Wellpoint Medicaid Managed Care	$22,818.04

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$8,048.39

Service Code	APR-DRG 2062
Min. Negotiated Rate	$7,890.58
Max. Negotiated Rate	$8,048.39
Rate for Payer: UnitedHealthcare Community & State	$7,890.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,048.39
Rate for Payer: Wellpoint Medicaid Managed Care	$7,890.58

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$7,853.03

Service Code	APR-DRG 2061
Min. Negotiated Rate	$7,699.05
Max. Negotiated Rate	$7,853.03
Rate for Payer: UnitedHealthcare Community & State	$7,699.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,853.03
Rate for Payer: Wellpoint Medicaid Managed Care	$7,699.05

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$11,978.11

Service Code	APR-DRG 2063
Min. Negotiated Rate	$11,743.25
Max. Negotiated Rate	$11,978.11
Rate for Payer: UnitedHealthcare Community & State	$11,743.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,978.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11,743.25

MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE

Facility

$23,666.38

Service Code	APR-DRG 2064
Min. Negotiated Rate	$23,202.33
Max. Negotiated Rate	$23,666.38
Rate for Payer: UnitedHealthcare Community & State	$23,202.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,666.38
Rate for Payer: Wellpoint Medicaid Managed Care	$23,202.33

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$7,578.53

Service Code	APR-DRG 4662
Min. Negotiated Rate	$7,429.93
Max. Negotiated Rate	$7,578.53
Rate for Payer: UnitedHealthcare Community & State	$7,429.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,578.53
Rate for Payer: Wellpoint Medicaid Managed Care	$7,429.93

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$17,603.26

Service Code	APR-DRG 4664
Min. Negotiated Rate	$17,258.10
Max. Negotiated Rate	$17,603.26
Rate for Payer: UnitedHealthcare Community & State	$17,258.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,603.26
Rate for Payer: Wellpoint Medicaid Managed Care	$17,258.10

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$5,386.44

Service Code	APR-DRG 4661
Min. Negotiated Rate	$5,280.82
Max. Negotiated Rate	$5,386.44
Rate for Payer: UnitedHealthcare Community & State	$5,280.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,386.44
Rate for Payer: Wellpoint Medicaid Managed Care	$5,280.82

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$10,689.90

Service Code	APR-DRG 4663
Min. Negotiated Rate	$10,480.29
Max. Negotiated Rate	$10,689.90
Rate for Payer: UnitedHealthcare Community & State	$10,480.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,689.90
Rate for Payer: Wellpoint Medicaid Managed Care	$10,480.29

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$9,268.91

Service Code	APR-DRG 3492
Min. Negotiated Rate	$9,087.17
Max. Negotiated Rate	$9,268.91
Rate for Payer: UnitedHealthcare Community & State	$9,087.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,268.91
Rate for Payer: Wellpoint Medicaid Managed Care	$9,087.17

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$13,336.49

Service Code	APR-DRG 3493
Min. Negotiated Rate	$13,074.99
Max. Negotiated Rate	$13,336.49
Rate for Payer: UnitedHealthcare Community & State	$13,074.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,336.49
Rate for Payer: Wellpoint Medicaid Managed Care	$13,074.99

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$22,319.45

Service Code	APR-DRG 3494
Min. Negotiated Rate	$21,881.81
Max. Negotiated Rate	$22,319.45
Rate for Payer: UnitedHealthcare Community & State	$21,881.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,319.45
Rate for Payer: Wellpoint Medicaid Managed Care	$21,881.81

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$6,536.75

Service Code	APR-DRG 3491
Min. Negotiated Rate	$6,408.58
Max. Negotiated Rate	$6,536.75
Rate for Payer: UnitedHealthcare Community & State	$6,408.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,536.75
Rate for Payer: Wellpoint Medicaid Managed Care	$6,408.58

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$37,293.55

Service Code	MSDRG 755
Min. Negotiated Rate	$11,355.41
Max. Negotiated Rate	$37,293.55
Rate for Payer: Aetna Commercial	$25,882.24
Rate for Payer: Aetna Medicare Advantage	$37,293.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,121.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,121.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,953.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,121.88
Rate for Payer: Cigna Commercial	$20,357.09
Rate for Payer: Cigna Medicare Advantage	$11,953.06
Rate for Payer: Clover Medicare Advantage	$11,355.41
Rate for Payer: EmblemHealth Commercial	$35,859.18
Rate for Payer: Humana Medicare Advantage	$12,311.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,953.06
Rate for Payer: Oxford Commercial	$14,630.91
Rate for Payer: UnitedHealthcare Commercial	$25,655.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,953.06
Rate for Payer: Wellcare Medicare Advantage	$11,953.06

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$61,660.87

Service Code	MSDRG 754
Min. Negotiated Rate	$18,774.94
Max. Negotiated Rate	$61,660.87
Rate for Payer: Aetna Commercial	$42,625.37
Rate for Payer: Aetna Medicare Advantage	$61,660.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,032.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,032.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,763.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,032.85
Rate for Payer: Cigna Commercial	$34,465.57
Rate for Payer: Cigna Medicare Advantage	$19,763.10
Rate for Payer: Clover Medicare Advantage	$18,774.94
Rate for Payer: EmblemHealth Commercial	$59,289.30
Rate for Payer: Humana Medicare Advantage	$20,355.99
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,763.10
Rate for Payer: Oxford Commercial	$24,770.87
Rate for Payer: UnitedHealthcare Commercial	$43,436.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,763.10
Rate for Payer: Wellcare Medicare Advantage	$19,763.10

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$33,179.05

Service Code	MSDRG 756
Min. Negotiated Rate	$10,102.59
Max. Negotiated Rate	$33,179.05
Rate for Payer: Aetna Commercial	$23,055.13
Rate for Payer: Aetna Medicare Advantage	$33,179.05
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	$10,634.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,028.39
Rate for Payer: Cigna Commercial	$17,974.80
Rate for Payer: Cigna Medicare Advantage	$10,634.31
Rate for Payer: Clover Medicare Advantage	$10,102.59
Rate for Payer: EmblemHealth Commercial	$31,902.93
Rate for Payer: Humana Medicare Advantage	$10,953.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,634.31
Rate for Payer: Oxford Commercial	$12,918.73
Rate for Payer: UnitedHealthcare Commercial	$22,653.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,634.31
Rate for Payer: Wellcare Medicare Advantage	$10,634.31

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$23,645.93

Service Code	APR-DRG 5004
Min. Negotiated Rate	$23,182.28
Max. Negotiated Rate	$23,645.93
Rate for Payer: UnitedHealthcare Community & State	$23,182.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,645.93
Rate for Payer: Wellpoint Medicaid Managed Care	$23,182.28

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$12,934.32

Service Code	APR-DRG 5003
Min. Negotiated Rate	$12,680.71
Max. Negotiated Rate	$12,934.32
Rate for Payer: UnitedHealthcare Community & State	$12,680.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,934.32
Rate for Payer: Wellpoint Medicaid Managed Care	$12,680.71

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$8,428.85

Service Code	APR-DRG 5002
Min. Negotiated Rate	$8,263.58
Max. Negotiated Rate	$8,428.85
Rate for Payer: UnitedHealthcare Community & State	$8,263.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,428.85
Rate for Payer: Wellpoint Medicaid Managed Care	$8,263.58

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,689.96

Service Code	APR-DRG 5001
Min. Negotiated Rate	$6,558.78
Max. Negotiated Rate	$6,689.96
Rate for Payer: UnitedHealthcare Community & State	$6,558.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,689.96
Rate for Payer: Wellpoint Medicaid Managed Care	$6,558.78

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$39,067.95

Service Code	MSDRG 723
Min. Negotiated Rate	$11,895.69
Max. Negotiated Rate	$39,067.95
Rate for Payer: Aetna Commercial	$27,101.47
Rate for Payer: Aetna Medicare Advantage	$39,067.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,819.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,819.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,521.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,819.71
Rate for Payer: Cigna Commercial	$21,384.49
Rate for Payer: Cigna Medicare Advantage	$12,521.78
Rate for Payer: Clover Medicare Advantage	$11,895.69
Rate for Payer: EmblemHealth Commercial	$37,565.34
Rate for Payer: Humana Medicare Advantage	$12,897.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,521.78
Rate for Payer: Oxford Commercial	$15,369.32
Rate for Payer: UnitedHealthcare Commercial	$26,950.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,521.78
Rate for Payer: Wellcare Medicare Advantage	$12,521.78

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$60,626.62

Service Code	MSDRG 722
Min. Negotiated Rate	$18,460.03
Max. Negotiated Rate	$60,626.62
Rate for Payer: Aetna Commercial	$41,914.73
Rate for Payer: Aetna Medicare Advantage	$60,626.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,498.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,498.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,431.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,498.07
Rate for Payer: Cigna Commercial	$33,866.73
Rate for Payer: Cigna Medicare Advantage	$19,431.61
Rate for Payer: Clover Medicare Advantage	$18,460.03
Rate for Payer: EmblemHealth Commercial	$58,294.83
Rate for Payer: Humana Medicare Advantage	$20,014.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,431.61
Rate for Payer: Oxford Commercial	$24,340.47
Rate for Payer: UnitedHealthcare Commercial	$42,681.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,431.61
Rate for Payer: Wellcare Medicare Advantage	$19,431.61

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$23,327.34

Service Code	MSDRG 724
Min. Negotiated Rate	$7,102.87
Max. Negotiated Rate	$23,327.34
Rate for Payer: Aetna Commercial	$16,285.88
Rate for Payer: Aetna Medicare Advantage	$23,327.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,841.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,841.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,476.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,841.41
Rate for Payer: Cigna Commercial	$11,447.35
Rate for Payer: Cigna Medicare Advantage	$7,476.71
Rate for Payer: Clover Medicare Advantage	$7,102.87
Rate for Payer: EmblemHealth Commercial	$22,430.13
Rate for Payer: Humana Medicare Advantage	$7,701.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,476.71
Rate for Payer: Oxford Commercial	$8,227.36
Rate for Payer: UnitedHealthcare Commercial	$14,426.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,476.71
Rate for Payer: Wellcare Medicare Advantage	$7,476.71

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$13,577.77

Service Code	APR-DRG 2813
Min. Negotiated Rate	$13,311.54
Max. Negotiated Rate	$13,577.77
Rate for Payer: UnitedHealthcare Community & State	$13,311.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,577.77
Rate for Payer: Wellpoint Medicaid Managed Care	$13,311.54

Know your out-of-pocket cost for care.

All Charges