Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY

Facility

$31,303.67

Service Code	APR-DRG 6112
Min. Negotiated Rate	$30,689.87
Max. Negotiated Rate	$31,303.67
Rate for Payer: UnitedHealthcare Community & State	$30,689.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,303.67
Rate for Payer: Wellpoint Medicaid Managed Care	$30,689.87

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$63,075.81

Service Code	APR-DRG 6144
Min. Negotiated Rate	$61,839.03
Max. Negotiated Rate	$63,075.81
Rate for Payer: UnitedHealthcare Community & State	$61,839.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$63,075.81
Rate for Payer: Wellpoint Medicaid Managed Care	$61,839.03

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$48,912.03

Service Code	APR-DRG 6143
Min. Negotiated Rate	$47,952.97
Max. Negotiated Rate	$48,912.03
Rate for Payer: UnitedHealthcare Community & State	$47,952.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,912.03
Rate for Payer: Wellpoint Medicaid Managed Care	$47,952.97

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$10,943.95

Service Code	APR-DRG 6141
Min. Negotiated Rate	$10,729.36
Max. Negotiated Rate	$10,943.95
Rate for Payer: UnitedHealthcare Community & State	$10,729.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,943.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10,729.36

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION

Facility

$26,122.78

Service Code	APR-DRG 6142
Min. Negotiated Rate	$25,610.57
Max. Negotiated Rate	$26,122.78
Rate for Payer: UnitedHealthcare Community & State	$25,610.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,122.78
Rate for Payer: Wellpoint Medicaid Managed Care	$25,610.57

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$55,884.10

Service Code	APR-DRG 6123
Min. Negotiated Rate	$54,788.33
Max. Negotiated Rate	$55,884.10
Rate for Payer: UnitedHealthcare Community & State	$54,788.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$55,884.10
Rate for Payer: Wellpoint Medicaid Managed Care	$54,788.33

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$43,791.16

Service Code	APR-DRG 6122
Min. Negotiated Rate	$42,932.51
Max. Negotiated Rate	$43,791.16
Rate for Payer: UnitedHealthcare Community & State	$42,932.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,791.16
Rate for Payer: Wellpoint Medicaid Managed Care	$42,932.51

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$28,394.01

Service Code	APR-DRG 6121
Min. Negotiated Rate	$27,837.26
Max. Negotiated Rate	$28,394.01
Rate for Payer: UnitedHealthcare Community & State	$27,837.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,394.01
Rate for Payer: Wellpoint Medicaid Managed Care	$27,837.26

NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$88,857.70

Service Code	APR-DRG 6124
Min. Negotiated Rate	$87,115.39
Max. Negotiated Rate	$88,857.70
Rate for Payer: UnitedHealthcare Community & State	$87,115.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$88,857.70
Rate for Payer: Wellpoint Medicaid Managed Care	$87,115.39

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$46,968.84

Service Code	APR-DRG 6091
Min. Negotiated Rate	$46,047.88
Max. Negotiated Rate	$46,968.84
Rate for Payer: UnitedHealthcare Community & State	$46,047.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,968.84
Rate for Payer: Wellpoint Medicaid Managed Care	$46,047.88

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$208,927.08

Service Code	APR-DRG 6094
Min. Negotiated Rate	$204,830.47
Max. Negotiated Rate	$208,927.08
Rate for Payer: UnitedHealthcare Community & State	$204,830.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$208,927.08
Rate for Payer: Wellpoint Medicaid Managed Care	$204,830.47

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$51,778.20

Service Code	APR-DRG 6092
Min. Negotiated Rate	$50,762.94
Max. Negotiated Rate	$51,778.20
Rate for Payer: UnitedHealthcare Community & State	$50,762.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,778.20
Rate for Payer: Wellpoint Medicaid Managed Care	$50,762.94

NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE

Facility

$91,127.68

Service Code	APR-DRG 6093
Min. Negotiated Rate	$89,340.86
Max. Negotiated Rate	$91,127.68
Rate for Payer: UnitedHealthcare Community & State	$89,340.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$91,127.68
Rate for Payer: Wellpoint Medicaid Managed Care	$89,340.86

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$330,547.74

Service Code	APR-DRG 5884
Min. Negotiated Rate	$324,066.41
Max. Negotiated Rate	$330,547.74
Rate for Payer: UnitedHealthcare Community & State	$324,066.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$330,547.74
Rate for Payer: Wellpoint Medicaid Managed Care	$324,066.41

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$137,256.44

Service Code	APR-DRG 5881
Min. Negotiated Rate	$134,565.14
Max. Negotiated Rate	$137,256.44
Rate for Payer: UnitedHealthcare Community & State	$134,565.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$137,256.44
Rate for Payer: Wellpoint Medicaid Managed Care	$134,565.14

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$212,003.97

Service Code	APR-DRG 5883
Min. Negotiated Rate	$207,847.03
Max. Negotiated Rate	$212,003.97
Rate for Payer: UnitedHealthcare Community & State	$207,847.03
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$212,003.97
Rate for Payer: Wellpoint Medicaid Managed Care	$207,847.03

NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE

Facility

$206,366.05

Service Code	APR-DRG 5882
Min. Negotiated Rate	$202,319.66
Max. Negotiated Rate	$206,366.05
Rate for Payer: UnitedHealthcare Community & State	$202,319.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$206,366.05
Rate for Payer: Wellpoint Medicaid Managed Care	$202,319.66

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$28,215.26

Service Code	APR-DRG 6264
Min. Negotiated Rate	$27,662.02
Max. Negotiated Rate	$28,215.26
Rate for Payer: UnitedHealthcare Community & State	$27,662.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,215.26
Rate for Payer: Wellpoint Medicaid Managed Care	$27,662.02

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$5,076.19

Service Code	APR-DRG 6263
Min. Negotiated Rate	$4,976.66
Max. Negotiated Rate	$5,076.19
Rate for Payer: UnitedHealthcare Community & State	$4,976.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,076.19
Rate for Payer: Wellpoint Medicaid Managed Care	$4,976.66

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$2,162.77

Service Code	APR-DRG 6262
Min. Negotiated Rate	$2,120.36
Max. Negotiated Rate	$2,162.77
Rate for Payer: UnitedHealthcare Community & State	$2,120.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,162.77
Rate for Payer: Wellpoint Medicaid Managed Care	$2,120.36

NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM

Facility

$1,902.29

Service Code	APR-DRG 6261
Min. Negotiated Rate	$1,864.99
Max. Negotiated Rate	$1,902.29
Rate for Payer: UnitedHealthcare Community & State	$1,864.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,902.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1,864.99

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$40,246.99

Service Code	APR-DRG 6233
Min. Negotiated Rate	$39,457.83
Max. Negotiated Rate	$40,246.99
Rate for Payer: UnitedHealthcare Community & State	$39,457.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,246.99
Rate for Payer: Wellpoint Medicaid Managed Care	$39,457.83

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$47,627.64

Service Code	APR-DRG 6234
Min. Negotiated Rate	$46,693.76
Max. Negotiated Rate	$47,627.64
Rate for Payer: UnitedHealthcare Community & State	$46,693.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,627.64
Rate for Payer: Wellpoint Medicaid Managed Care	$46,693.76

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$17,914.76

Service Code	APR-DRG 6232
Min. Negotiated Rate	$17,563.49
Max. Negotiated Rate	$17,914.76
Rate for Payer: UnitedHealthcare Community & State	$17,563.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,914.76
Rate for Payer: Wellpoint Medicaid Managed Care	$17,563.49

NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION

Facility

$11,003.97

Service Code	APR-DRG 6231
Min. Negotiated Rate	$10,788.21
Max. Negotiated Rate	$11,003.97
Rate for Payer: UnitedHealthcare Community & State	$10,788.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,003.97
Rate for Payer: Wellpoint Medicaid Managed Care	$10,788.21

Know your out-of-pocket cost for care.

All Charges