Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$11,893.80

Service Code	APR-DRG 6633
Min. Negotiated Rate	$11,660.59
Max. Negotiated Rate	$11,893.80
Rate for Payer: UnitedHealthcare Community & State	$11,660.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,893.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11,660.59

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$20,285.67

Service Code	APR-DRG 6634
Min. Negotiated Rate	$19,887.91
Max. Negotiated Rate	$20,285.67
Rate for Payer: UnitedHealthcare Community & State	$19,887.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,285.67
Rate for Payer: Wellpoint Medicaid Managed Care	$19,887.91

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$5,948.16

Service Code	APR-DRG 6631
Min. Negotiated Rate	$5,831.53
Max. Negotiated Rate	$5,948.16
Rate for Payer: UnitedHealthcare Community & State	$5,831.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,948.16
Rate for Payer: Wellpoint Medicaid Managed Care	$5,831.53

OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$8,530.96

Service Code	APR-DRG 6632
Min. Negotiated Rate	$8,363.69
Max. Negotiated Rate	$8,530.96
Rate for Payer: UnitedHealthcare Community & State	$8,363.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,530.96
Rate for Payer: Wellpoint Medicaid Managed Care	$8,363.69

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

Facility

$39,601.35

Service Code	MSDRG 818
Min. Negotiated Rate	$12,058.10
Max. Negotiated Rate	$39,601.35
Rate for Payer: Aetna Commercial	$27,467.97
Rate for Payer: Aetna Medicare Advantage	$39,601.35
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	$12,692.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,263.23
Rate for Payer: Cigna Commercial	$19,728.30
Rate for Payer: Cigna Medicare Advantage	$12,692.74
Rate for Payer: Clover Medicare Advantage	$12,058.10
Rate for Payer: EmblemHealth Commercial	$38,078.22
Rate for Payer: Humana Medicare Advantage	$13,073.52
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12,692.74
Rate for Payer: Oxford Commercial	$14,178.99
Rate for Payer: UnitedHealthcare Commercial	$24,863.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$12,692.74
Rate for Payer: Wellcare Medicare Advantage	$12,692.74

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility

$75,879.15

Service Code	MSDRG 817
Min. Negotiated Rate	$22,703.60
Max. Negotiated Rate	$75,879.15
Rate for Payer: Aetna Commercial	$52,394.96
Rate for Payer: Aetna Medicare Advantage	$75,879.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$65,596.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$65,596.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,320.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$65,596.02
Rate for Payer: Cigna Commercial	$31,589.23
Rate for Payer: Cigna Medicare Advantage	$24,320.24
Rate for Payer: Clover Medicare Advantage	$23,104.23
Rate for Payer: EmblemHealth Commercial	$72,960.72
Rate for Payer: Humana Medicare Advantage	$25,049.85
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,320.24
Rate for Payer: Oxford Commercial	$22,703.60
Rate for Payer: UnitedHealthcare Commercial	$39,811.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,320.24
Rate for Payer: Wellcare Medicare Advantage	$24,320.24

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$29,927.41

Service Code	MSDRG 819
Min. Negotiated Rate	$9,112.51
Max. Negotiated Rate	$29,927.41
Rate for Payer: Aetna Commercial	$20,820.87
Rate for Payer: Aetna Medicare Advantage	$29,927.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,167.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,167.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,592.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,167.51
Rate for Payer: Cigna Commercial	$16,092.17
Rate for Payer: Cigna Medicare Advantage	$9,592.12
Rate for Payer: Clover Medicare Advantage	$9,112.51
Rate for Payer: EmblemHealth Commercial	$28,776.36
Rate for Payer: Humana Medicare Advantage	$9,879.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,592.12
Rate for Payer: Oxford Commercial	$11,565.66
Rate for Payer: UnitedHealthcare Commercial	$20,280.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,592.12
Rate for Payer: Wellcare Medicare Advantage	$9,592.12

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility

$25,457.42

Service Code	MSDRG 832
Min. Negotiated Rate	$7,751.46
Max. Negotiated Rate	$25,457.42
Rate for Payer: Aetna Commercial	$17,749.47
Rate for Payer: Aetna Medicare Advantage	$25,457.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,213.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,213.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,159.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,213.14
Rate for Payer: Cigna Commercial	$13,504.02
Rate for Payer: Cigna Medicare Advantage	$8,159.43
Rate for Payer: Clover Medicare Advantage	$7,751.46
Rate for Payer: EmblemHealth Commercial	$24,478.29
Rate for Payer: Humana Medicare Advantage	$8,404.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,159.43
Rate for Payer: Oxford Commercial	$9,705.52
Rate for Payer: UnitedHealthcare Commercial	$17,018.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,159.43
Rate for Payer: Wellcare Medicare Advantage	$8,159.43

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility

$41,000.89

Service Code	MSDRG 831
Min. Negotiated Rate	$12,484.24
Max. Negotiated Rate	$41,000.89
Rate for Payer: Aetna Commercial	$28,429.61
Rate for Payer: Aetna Medicare Advantage	$41,000.89
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	$13,141.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,121.88
Rate for Payer: Cigna Commercial	$22,503.58
Rate for Payer: Cigna Medicare Advantage	$13,141.31
Rate for Payer: Clover Medicare Advantage	$12,484.24
Rate for Payer: EmblemHealth Commercial	$39,423.93
Rate for Payer: Humana Medicare Advantage	$13,535.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,141.31
Rate for Payer: Oxford Commercial	$16,173.62
Rate for Payer: UnitedHealthcare Commercial	$28,360.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,141.31
Rate for Payer: Wellcare Medicare Advantage	$13,141.31

OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$19,035.06

Service Code	MSDRG 833
Min. Negotiated Rate	$5,795.93
Max. Negotiated Rate	$19,035.06
Rate for Payer: Aetna Commercial	$13,336.57
Rate for Payer: Aetna Medicare Advantage	$19,035.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11,863.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11,863.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,100.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11,863.11
Rate for Payer: Cigna Commercial	$9,785.55
Rate for Payer: Cigna Medicare Advantage	$6,100.98
Rate for Payer: Clover Medicare Advantage	$5,795.93
Rate for Payer: EmblemHealth Commercial	$18,302.94
Rate for Payer: Humana Medicare Advantage	$6,284.01
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,100.98
Rate for Payer: Oxford Commercial	$7,033.01
Rate for Payer: UnitedHealthcare Commercial	$12,332.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,100.98
Rate for Payer: Wellcare Medicare Advantage	$6,100.98

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$12,906.26

Service Code	APR-DRG 3473
Min. Negotiated Rate	$12,653.20
Max. Negotiated Rate	$12,906.26
Rate for Payer: UnitedHealthcare Community & State	$12,653.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,906.26
Rate for Payer: Wellpoint Medicaid Managed Care	$12,653.20

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$7,422.81

Service Code	APR-DRG 3471
Min. Negotiated Rate	$7,277.26
Max. Negotiated Rate	$7,422.81
Rate for Payer: UnitedHealthcare Community & State	$7,277.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,422.81
Rate for Payer: Wellpoint Medicaid Managed Care	$7,277.26

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$9,405.50

Service Code	APR-DRG 3472
Min. Negotiated Rate	$9,221.08
Max. Negotiated Rate	$9,405.50
Rate for Payer: UnitedHealthcare Community & State	$9,221.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,405.50
Rate for Payer: Wellpoint Medicaid Managed Care	$9,221.08

OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES

Facility

$23,654.86

Service Code	APR-DRG 3474
Min. Negotiated Rate	$23,191.04
Max. Negotiated Rate	$23,654.86
Rate for Payer: UnitedHealthcare Community & State	$23,191.04
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,654.86
Rate for Payer: Wellpoint Medicaid Managed Care	$23,191.04

OTHER BLADDER PROCEDURES

Facility

$20,967.44

Service Code	APR-DRG 4453
Min. Negotiated Rate	$20,556.31
Max. Negotiated Rate	$20,967.44
Rate for Payer: UnitedHealthcare Community & State	$20,556.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,967.44
Rate for Payer: Wellpoint Medicaid Managed Care	$20,556.31

OTHER BLADDER PROCEDURES

Facility

$12,173.40

Service Code	APR-DRG 4451
Min. Negotiated Rate	$11,934.71
Max. Negotiated Rate	$12,173.40
Rate for Payer: UnitedHealthcare Community & State	$11,934.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,173.40
Rate for Payer: Wellpoint Medicaid Managed Care	$11,934.71

OTHER BLADDER PROCEDURES

Facility

$40,054.21

Service Code	APR-DRG 4454
Min. Negotiated Rate	$39,268.83
Max. Negotiated Rate	$40,054.21
Rate for Payer: UnitedHealthcare Community & State	$39,268.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$40,054.21
Rate for Payer: Wellpoint Medicaid Managed Care	$39,268.83

OTHER BLADDER PROCEDURES

Facility

$14,923.45

Service Code	APR-DRG 4452
Min. Negotiated Rate	$14,630.83
Max. Negotiated Rate	$14,923.45
Rate for Payer: UnitedHealthcare Community & State	$14,630.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,923.45
Rate for Payer: Wellpoint Medicaid Managed Care	$14,630.83

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$92,996.82

Service Code	APR-DRG 1674
Min. Negotiated Rate	$91,173.35
Max. Negotiated Rate	$92,996.82
Rate for Payer: UnitedHealthcare Community & State	$91,173.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$92,996.82
Rate for Payer: Wellpoint Medicaid Managed Care	$91,173.35

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$56,259.46

Service Code	APR-DRG 1673
Min. Negotiated Rate	$55,156.33
Max. Negotiated Rate	$56,259.46
Rate for Payer: UnitedHealthcare Community & State	$55,156.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$56,259.46
Rate for Payer: Wellpoint Medicaid Managed Care	$55,156.33

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$36,212.56

Service Code	APR-DRG 1671
Min. Negotiated Rate	$35,502.51
Max. Negotiated Rate	$36,212.56
Rate for Payer: UnitedHealthcare Community & State	$35,502.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$36,212.56
Rate for Payer: Wellpoint Medicaid Managed Care	$35,502.51

OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES

Facility

$37,978.26

Service Code	APR-DRG 1672
Min. Negotiated Rate	$37,233.59
Max. Negotiated Rate	$37,978.26
Rate for Payer: UnitedHealthcare Community & State	$37,233.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$37,978.26
Rate for Payer: Wellpoint Medicaid Managed Care	$37,233.59

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$162,042.19

Service Code	MSDRG 228
Min. Negotiated Rate	$49,339.77
Max. Negotiated Rate	$162,042.19
Rate for Payer: Aetna Commercial	$111,598.78
Rate for Payer: Aetna Medicare Advantage	$162,042.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117,235.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117,235.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$51,936.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117,235.44
Rate for Payer: Cigna Commercial	$92,585.64
Rate for Payer: Cigna Medicare Advantage	$51,936.60
Rate for Payer: Clover Medicare Advantage	$49,339.77
Rate for Payer: EmblemHealth Commercial	$155,809.80
Rate for Payer: Humana Medicare Advantage	$53,494.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$51,936.60
Rate for Payer: Oxford Commercial	$66,542.53
Rate for Payer: UnitedHealthcare Commercial	$116,684.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$51,936.60
Rate for Payer: Wellcare Medicare Advantage	$51,936.60

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$103,931.10

Service Code	MSDRG 229
Min. Negotiated Rate	$31,645.69
Max. Negotiated Rate	$103,931.10
Rate for Payer: Aetna Commercial	$71,669.86
Rate for Payer: Aetna Medicare Advantage	$103,931.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73,969.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73,969.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,311.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73,969.98
Rate for Payer: Cigna Commercial	$58,939.74
Rate for Payer: Cigna Medicare Advantage	$33,311.25
Rate for Payer: Clover Medicare Advantage	$31,645.69
Rate for Payer: EmblemHealth Commercial	$99,933.75
Rate for Payer: Humana Medicare Advantage	$34,310.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,311.25
Rate for Payer: Oxford Commercial	$42,360.78
Rate for Payer: UnitedHealthcare Commercial	$74,280.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,311.25
Rate for Payer: Wellcare Medicare Advantage	$33,311.25

OTHER CEREBROVASCULAR DISORDERS WITH CC

Facility

$35,296.12

Service Code	MSDRG 071
Min. Negotiated Rate	$10,747.22
Max. Negotiated Rate	$35,296.12
Rate for Payer: Aetna Medicare Advantage	$35,296.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,312.86
Rate for Payer: Cigna Commercial	$19,200.56
Rate for Payer: Cigna Medicare Advantage	$11,312.86
Rate for Payer: Clover Medicare Advantage	$10,747.22
Rate for Payer: EmblemHealth Commercial	$33,938.58
Rate for Payer: Humana Medicare Advantage	$11,652.25
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,312.86
Rate for Payer: Oxford Commercial	$13,799.70
Rate for Payer: UnitedHealthcare Commercial	$24,198.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,312.86
Rate for Payer: Wellcare Medicare Advantage	$11,312.86

Know your out-of-pocket cost for care.

All Charges