Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$20,017.51

Service Code	APR-DRG 2814
Min. Negotiated Rate	$19,625.01
Max. Negotiated Rate	$20,017.51
Rate for Payer: UnitedHealthcare Community & State	$19,625.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,017.51
Rate for Payer: Wellpoint Medicaid Managed Care	$19,625.01

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$7,550.47

Service Code	APR-DRG 2811
Min. Negotiated Rate	$7,402.42
Max. Negotiated Rate	$7,550.47
Rate for Payer: UnitedHealthcare Community & State	$7,402.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,550.47
Rate for Payer: Wellpoint Medicaid Managed Care	$7,402.42

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$10,426.90

Service Code	APR-DRG 2812
Min. Negotiated Rate	$10,222.45
Max. Negotiated Rate	$10,426.90
Rate for Payer: UnitedHealthcare Community & State	$10,222.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,426.90
Rate for Payer: Wellpoint Medicaid Managed Care	$10,222.45

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$38,693.15

Service Code	MSDRG 436
Min. Negotiated Rate	$11,781.57
Max. Negotiated Rate	$38,693.15
Rate for Payer: Aetna Commercial	$26,843.92
Rate for Payer: Aetna Medicare Advantage	$38,693.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,587.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,587.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12,401.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,587.10
Rate for Payer: Cigna Commercial	$21,167.41
Rate for Payer: Cigna Medicare Advantage	$12,401.65
Rate for Payer: Clover Medicare Advantage	$11,781.57
Rate for Payer: EmblemHealth Commercial	$37,204.95
Rate for Payer: Humana Medicare Advantage	$12,773.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,401.65
Rate for Payer: Oxford Commercial	$15,213.30
Rate for Payer: UnitedHealthcare Commercial	$26,676.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,401.65
Rate for Payer: Wellcare Medicare Advantage	$12,401.65

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$61,499.29

Service Code	MSDRG 435
Min. Negotiated Rate	$18,725.74
Max. Negotiated Rate	$61,499.29
Rate for Payer: Aetna Commercial	$42,514.34
Rate for Payer: Aetna Medicare Advantage	$61,499.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,939.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,939.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$19,711.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,939.36
Rate for Payer: Cigna Commercial	$34,372.00
Rate for Payer: Cigna Medicare Advantage	$19,711.31
Rate for Payer: Clover Medicare Advantage	$18,725.74
Rate for Payer: EmblemHealth Commercial	$59,133.93
Rate for Payer: Humana Medicare Advantage	$20,302.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$19,711.31
Rate for Payer: Oxford Commercial	$24,703.62
Rate for Payer: UnitedHealthcare Commercial	$43,318.57
Rate for Payer: UnitedHealthcare Medicare Advantage	$19,711.31
Rate for Payer: Wellcare Medicare Advantage	$19,711.31

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$29,714.10

Service Code	MSDRG 437
Min. Negotiated Rate	$9,047.56
Max. Negotiated Rate	$29,714.10
Rate for Payer: Aetna Commercial	$20,674.31
Rate for Payer: Aetna Medicare Advantage	$29,714.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19,306.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19,306.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,523.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19,306.63
Rate for Payer: Cigna Commercial	$15,968.66
Rate for Payer: Cigna Medicare Advantage	$9,523.75
Rate for Payer: Clover Medicare Advantage	$9,047.56
Rate for Payer: EmblemHealth Commercial	$28,571.25
Rate for Payer: Humana Medicare Advantage	$9,809.46
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,523.75
Rate for Payer: Oxford Commercial	$11,476.89
Rate for Payer: UnitedHealthcare Commercial	$20,125.08
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,523.75
Rate for Payer: Wellcare Medicare Advantage	$9,523.75

MALIGNANT BREAST DISORDERS

Facility

$6,855.93

Service Code	APR-DRG 3821
Min. Negotiated Rate	$6,721.50
Max. Negotiated Rate	$6,855.93
Rate for Payer: UnitedHealthcare Community & State	$6,721.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,855.93
Rate for Payer: Wellpoint Medicaid Managed Care	$6,721.50

MALIGNANT BREAST DISORDERS

Facility

$8,776.09

Service Code	APR-DRG 3822
Min. Negotiated Rate	$8,604.01
Max. Negotiated Rate	$8,776.09
Rate for Payer: UnitedHealthcare Community & State	$8,604.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,776.09
Rate for Payer: Wellpoint Medicaid Managed Care	$8,604.01

MALIGNANT BREAST DISORDERS

Facility

$12,582.00

Service Code	APR-DRG 3823
Min. Negotiated Rate	$12,335.29
Max. Negotiated Rate	$12,582.00
Rate for Payer: UnitedHealthcare Community & State	$12,335.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,582.00
Rate for Payer: Wellpoint Medicaid Managed Care	$12,335.29

MALIGNANT BREAST DISORDERS

Facility

$18,885.07

Service Code	APR-DRG 3824
Min. Negotiated Rate	$18,514.77
Max. Negotiated Rate	$18,885.07
Rate for Payer: UnitedHealthcare Community & State	$18,514.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,885.07
Rate for Payer: Wellpoint Medicaid Managed Care	$18,514.77

MALIGNANT BREAST DISORDERS WITH CC

Facility

$38,699.58

Service Code	MSDRG 598
Min. Negotiated Rate	$11,783.52
Max. Negotiated Rate	$38,699.58
Rate for Payer: Aetna Commercial	$26,848.33
Rate for Payer: Aetna Medicare Advantage	$38,699.58
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	$12,403.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,913.20
Rate for Payer: Cigna Commercial	$21,171.15
Rate for Payer: Cigna Medicare Advantage	$12,403.71
Rate for Payer: Clover Medicare Advantage	$11,783.52
Rate for Payer: EmblemHealth Commercial	$37,211.13
Rate for Payer: Humana Medicare Advantage	$12,775.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,403.71
Rate for Payer: Oxford Commercial	$15,215.99
Rate for Payer: UnitedHealthcare Commercial	$26,681.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,403.71
Rate for Payer: Wellcare Medicare Advantage	$12,403.71

MALIGNANT BREAST DISORDERS WITH MCC

Facility

$56,017.48

Service Code	MSDRG 597
Min. Negotiated Rate	$17,056.60
Max. Negotiated Rate	$56,017.48
Rate for Payer: Aetna Commercial	$38,747.72
Rate for Payer: Aetna Medicare Advantage	$56,017.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,954.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,217.60
Rate for Payer: Cigna Commercial	$31,198.11
Rate for Payer: Cigna Medicare Advantage	$17,954.32
Rate for Payer: Clover Medicare Advantage	$17,056.60
Rate for Payer: EmblemHealth Commercial	$53,862.96
Rate for Payer: Humana Medicare Advantage	$18,492.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,954.32
Rate for Payer: Oxford Commercial	$22,422.49
Rate for Payer: UnitedHealthcare Commercial	$39,318.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,954.32
Rate for Payer: Wellcare Medicare Advantage	$17,954.32

MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$27,002.38

Service Code	MSDRG 599
Min. Negotiated Rate	$8,221.88
Max. Negotiated Rate	$27,002.38
Rate for Payer: Aetna Commercial	$18,811.04
Rate for Payer: Aetna Medicare Advantage	$27,002.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,584.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,584.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,654.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,584.87
Rate for Payer: Cigna Commercial	$13,721.10
Rate for Payer: Cigna Medicare Advantage	$8,654.61
Rate for Payer: Clover Medicare Advantage	$8,221.88
Rate for Payer: EmblemHealth Commercial	$25,963.83
Rate for Payer: Humana Medicare Advantage	$8,914.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,654.61
Rate for Payer: Oxford Commercial	$9,861.54
Rate for Payer: UnitedHealthcare Commercial	$17,292.52
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,654.61
Rate for Payer: Wellcare Medicare Advantage	$8,654.61

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$26.25
Max. Negotiated Rate	$26.25
Rate for Payer: Qualcare PPO/HMO/WC	$26.25

MALLEABLE DUAL CANN TIP 20GX7

Facility

$175.00

Hospital Charge Code	270670477
Hospital Revenue Code	272
Min. Negotiated Rate	$4.22
Max. Negotiated Rate	$87.50
Rate for Payer: Aetna Commercial	$66.50
Rate for Payer: Aetna Medicare Advantage	$52.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$44.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$44.62
Rate for Payer: Cigna Commercial	$87.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$52.50
Rate for Payer: Oxford Commercial	$35.00
Rate for Payer: Qualcare PPO/HMO/WC	$26.25
Rate for Payer: UnitedHealthcare Commercial	$35.00
Rate for Payer: UnitedHealthcare Community & State	$4.22
Rate for Payer: Wellpoint Medicaid Managed Care	$4.64

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$933.88
Max. Negotiated Rate	$19,375.00
Rate for Payer: Aetna Commercial	$14,725.00
Rate for Payer: Aetna Medicare Advantage	$11,625.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9,881.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9,881.25
Rate for Payer: Cigna Commercial	$19,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50
Rate for Payer: UnitedHealthcare Community & State	$933.88
Rate for Payer: Wellpoint Medicaid Managed Care	$1,026.88

MALLEABLE PENIL PROSTHESIS

Facility

$38,750.00

Service Code	HCPCS C1813
Hospital Charge Code	270679945
Hospital Revenue Code	278
Min. Negotiated Rate	$5,812.50
Max. Negotiated Rate	$9,377.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$7,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,377.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$8,525.00
Rate for Payer: Qualcare PPO/HMO/WC	$5,812.50

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$33.00
Rate for Payer: Aetna Commercial	$25.08
Rate for Payer: Aetna Medicare Advantage	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.83
Rate for Payer: Cigna Commercial	$33.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.90
Rate for Payer: UnitedHealthcare Community & State	$1.59
Rate for Payer: Wellpoint Medicaid Managed Care	$1.75

MALLEOLAR SCREW

Facility

$66.00

Hospital Charge Code	270335047
Hospital Revenue Code	278
Min. Negotiated Rate	$9.90
Max. Negotiated Rate	$15.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.97
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$14.52
Rate for Payer: Qualcare PPO/HMO/WC	$9.90

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$7,489.19

Service Code	APR-DRG 4212
Min. Negotiated Rate	$7,342.34
Max. Negotiated Rate	$7,489.19
Rate for Payer: UnitedHealthcare Community & State	$7,342.34
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,489.19
Rate for Payer: Wellpoint Medicaid Managed Care	$7,342.34

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$22,379.40

Service Code	APR-DRG 4214
Min. Negotiated Rate	$21,940.59
Max. Negotiated Rate	$22,379.40
Rate for Payer: UnitedHealthcare Community & State	$21,940.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,379.40
Rate for Payer: Wellpoint Medicaid Managed Care	$21,940.59

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$11,522.28

Service Code	APR-DRG 4213
Min. Negotiated Rate	$11,296.35
Max. Negotiated Rate	$11,522.28
Rate for Payer: UnitedHealthcare Community & State	$11,296.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,522.28
Rate for Payer: Wellpoint Medicaid Managed Care	$11,296.35

MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS

Facility

$5,011.08

Service Code	APR-DRG 4211
Min. Negotiated Rate	$4,912.82
Max. Negotiated Rate	$5,011.08
Rate for Payer: UnitedHealthcare Community & State	$4,912.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,011.08
Rate for Payer: Wellpoint Medicaid Managed Care	$4,912.82

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$15.06
Max. Negotiated Rate	$312.50
Rate for Payer: Aetna Commercial	$237.50
Rate for Payer: Aetna Medicare Advantage	$187.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$159.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$159.38
Rate for Payer: Cigna Commercial	$312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$187.50
Rate for Payer: Oxford Commercial	$125.00
Rate for Payer: Qualcare PPO/HMO/WC	$93.75
Rate for Payer: UnitedHealthcare Commercial	$125.00
Rate for Payer: UnitedHealthcare Community & State	$15.06
Rate for Payer: Wellpoint Medicaid Managed Care	$16.56

MALYUGIN

Facility

$625.00

Hospital Charge Code	270670819
Hospital Revenue Code	272
Min. Negotiated Rate	$93.75
Max. Negotiated Rate	$93.75
Rate for Payer: Qualcare PPO/HMO/WC	$93.75

Know your out-of-pocket cost for care.

All Charges