Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$121,704.84

Service Code	APR-DRG 6303
Min. Negotiated Rate	$119,318.47
Max. Negotiated Rate	$121,704.84
Rate for Payer: UnitedHealthcare Community & State	$119,318.47
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$121,704.84
Rate for Payer: Wellpoint Medicaid Managed Care	$119,318.47

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$27,322.85

Service Code	APR-DRG 6301
Min. Negotiated Rate	$26,787.11
Max. Negotiated Rate	$27,322.85
Rate for Payer: UnitedHealthcare Community & State	$26,787.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,322.85
Rate for Payer: Wellpoint Medicaid Managed Care	$26,787.11

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE

Facility

$224,672.79

Service Code	APR-DRG 6304
Min. Negotiated Rate	$220,267.44
Max. Negotiated Rate	$224,672.79
Rate for Payer: UnitedHealthcare Community & State	$220,267.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$224,672.79
Rate for Payer: Wellpoint Medicaid Managed Care	$220,267.44

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$40,439.77

Service Code	APR-DRG 6312
Min. Negotiated Rate	$39,646.83
Max. Negotiated Rate	$40,439.77
Rate for Payer: UnitedHealthcare Community & State	$39,646.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,439.77
Rate for Payer: Wellpoint Medicaid Managed Care	$39,646.83

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$5,226.82

Service Code	APR-DRG 6311
Min. Negotiated Rate	$5,124.33
Max. Negotiated Rate	$5,226.82
Rate for Payer: UnitedHealthcare Community & State	$5,124.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,226.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5,124.33

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$211,343.91

Service Code	APR-DRG 6314
Min. Negotiated Rate	$207,199.91
Max. Negotiated Rate	$211,343.91
Rate for Payer: UnitedHealthcare Community & State	$207,199.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$211,343.91
Rate for Payer: Wellpoint Medicaid Managed Care	$207,199.91

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE

Facility

$69,309.99

Service Code	APR-DRG 6313
Min. Negotiated Rate	$67,950.97
Max. Negotiated Rate	$69,309.99
Rate for Payer: UnitedHealthcare Community & State	$67,950.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$69,309.99
Rate for Payer: Wellpoint Medicaid Managed Care	$67,950.97

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$31,796.43

Service Code	APR-DRG 6394
Min. Negotiated Rate	$31,172.97
Max. Negotiated Rate	$31,796.43
Rate for Payer: UnitedHealthcare Community & State	$31,172.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,796.43
Rate for Payer: Wellpoint Medicaid Managed Care	$31,172.97

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$19,059.97

Service Code	APR-DRG 6393
Min. Negotiated Rate	$18,686.25
Max. Negotiated Rate	$19,059.97
Rate for Payer: UnitedHealthcare Community & State	$18,686.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,059.97
Rate for Payer: Wellpoint Medicaid Managed Care	$18,686.25

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$5,792.45

Service Code	APR-DRG 6392
Min. Negotiated Rate	$5,678.87
Max. Negotiated Rate	$5,792.45
Rate for Payer: UnitedHealthcare Community & State	$5,678.87
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,792.45
Rate for Payer: Wellpoint Medicaid Managed Care	$5,678.87

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER SIGNIFICANT CONDITION

Facility

$3,922.05

Service Code	APR-DRG 6391
Min. Negotiated Rate	$3,845.15
Max. Negotiated Rate	$3,922.05
Rate for Payer: UnitedHealthcare Community & State	$3,845.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$3,922.05
Rate for Payer: Wellpoint Medicaid Managed Care	$3,845.15

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$44,073.27

Service Code	APR-DRG 6344
Min. Negotiated Rate	$43,209.09
Max. Negotiated Rate	$44,073.27
Rate for Payer: UnitedHealthcare Community & State	$43,209.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$44,073.27
Rate for Payer: Wellpoint Medicaid Managed Care	$43,209.09

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$6,766.59

Service Code	APR-DRG 6341
Min. Negotiated Rate	$6,633.91
Max. Negotiated Rate	$6,766.59
Rate for Payer: UnitedHealthcare Community & State	$6,633.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,766.59
Rate for Payer: Wellpoint Medicaid Managed Care	$6,633.91

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$14,425.51

Service Code	APR-DRG 6342
Min. Negotiated Rate	$14,142.66
Max. Negotiated Rate	$14,425.51
Rate for Payer: UnitedHealthcare Community & State	$14,142.66
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,425.51
Rate for Payer: Wellpoint Medicaid Managed Care	$14,142.66

NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION

Facility

$15,084.32

Service Code	APR-DRG 6343
Min. Negotiated Rate	$14,788.55
Max. Negotiated Rate	$15,084.32
Rate for Payer: UnitedHealthcare Community & State	$14,788.55
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,084.32
Rate for Payer: Wellpoint Medicaid Managed Care	$14,788.55

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$83,255.52

Service Code	APR-DRG 5912
Min. Negotiated Rate	$81,623.06
Max. Negotiated Rate	$83,255.52
Rate for Payer: UnitedHealthcare Community & State	$81,623.06
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$83,255.52
Rate for Payer: Wellpoint Medicaid Managed Care	$81,623.06

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$215,130.62

Service Code	APR-DRG 5914
Min. Negotiated Rate	$210,912.37
Max. Negotiated Rate	$215,130.62
Rate for Payer: UnitedHealthcare Community & State	$210,912.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$215,130.62
Rate for Payer: Wellpoint Medicaid Managed Care	$210,912.37

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$140,846.55

Service Code	APR-DRG 5913
Min. Negotiated Rate	$138,084.85
Max. Negotiated Rate	$140,846.55
Rate for Payer: UnitedHealthcare Community & State	$138,084.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$140,846.55
Rate for Payer: Wellpoint Medicaid Managed Care	$138,084.85

NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$1,249.91

Service Code	APR-DRG 5911
Min. Negotiated Rate	$1,225.40
Max. Negotiated Rate	$1,249.91
Rate for Payer: UnitedHealthcare Community & State	$1,225.40
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$1,249.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1,225.40

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$868.19

Service Code	APR-DRG 5894
Min. Negotiated Rate	$851.17
Max. Negotiated Rate	$868.19
Rate for Payer: UnitedHealthcare Community & State	$851.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$868.19
Rate for Payer: Wellpoint Medicaid Managed Care	$851.17

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$78,647.87

Service Code	APR-DRG 5891
Min. Negotiated Rate	$77,105.75
Max. Negotiated Rate	$78,647.87
Rate for Payer: UnitedHealthcare Community & State	$77,105.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$78,647.87
Rate for Payer: Wellpoint Medicaid Managed Care	$77,105.75

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$48,100.02

Service Code	APR-DRG 5893
Min. Negotiated Rate	$47,156.88
Max. Negotiated Rate	$48,100.02
Rate for Payer: UnitedHealthcare Community & State	$47,156.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$48,100.02
Rate for Payer: Wellpoint Medicaid Managed Care	$47,156.88

NEONATE BIRTH WEIGHT < 500 GRAMS, OR BIRTH WEIGHT 500-999 GRAMS AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GRAMS WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION

Facility

$57,278.26

Service Code	APR-DRG 5892
Min. Negotiated Rate	$56,155.16
Max. Negotiated Rate	$57,278.26
Rate for Payer: UnitedHealthcare Community & State	$56,155.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$57,278.26
Rate for Payer: Wellpoint Medicaid Managed Care	$56,155.16

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$217,298.48

Service Code	APR-DRG 5934
Min. Negotiated Rate	$213,037.73
Max. Negotiated Rate	$217,298.48
Rate for Payer: UnitedHealthcare Community & State	$213,037.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$217,298.48
Rate for Payer: Wellpoint Medicaid Managed Care	$213,037.73

NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE

Facility

$146,364.48

Service Code	APR-DRG 5933
Min. Negotiated Rate	$143,494.59
Max. Negotiated Rate	$146,364.48
Rate for Payer: UnitedHealthcare Community & State	$143,494.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$146,364.48
Rate for Payer: Wellpoint Medicaid Managed Care	$143,494.59

Know your out-of-pocket cost for care.

All Charges