Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER CEREBROVASCULAR DISORDERS WITH MCC

Facility

$55,943.19

Service Code	MSDRG 070
Min. Negotiated Rate	$17,033.98
Max. Negotiated Rate	$55,943.19
Rate for Payer: Aetna Medicare Advantage	$55,943.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,930.51
Rate for Payer: Cigna Commercial	$31,155.07
Rate for Payer: Cigna Medicare Advantage	$17,930.51
Rate for Payer: Clover Medicare Advantage	$17,033.98
Rate for Payer: EmblemHealth Commercial	$53,791.53
Rate for Payer: Humana Medicare Advantage	$18,468.43
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,930.51
Rate for Payer: Oxford Commercial	$22,391.56
Rate for Payer: UnitedHealthcare Commercial	$39,264.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,930.51
Rate for Payer: Wellcare Medicare Advantage	$17,930.51

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$26,575.72

Service Code	MSDRG 072
Min. Negotiated Rate	$8,091.97
Max. Negotiated Rate	$26,575.72
Rate for Payer: Aetna Medicare Advantage	$26,575.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,517.86
Rate for Payer: Cigna Commercial	$14,151.53
Rate for Payer: Cigna Medicare Advantage	$8,517.86
Rate for Payer: Clover Medicare Advantage	$8,091.97
Rate for Payer: EmblemHealth Commercial	$25,553.58
Rate for Payer: Humana Medicare Advantage	$8,773.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,517.86
Rate for Payer: Oxford Commercial	$10,170.89
Rate for Payer: UnitedHealthcare Commercial	$17,834.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,517.86
Rate for Payer: Wellcare Medicare Advantage	$8,517.86

OTHER CHEMOTHERAPY

Facility

$14,625.97

Service Code	APR-DRG 6963
Min. Negotiated Rate	$14,339.19
Max. Negotiated Rate	$14,625.97
Rate for Payer: UnitedHealthcare Community & State	$14,339.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,625.97
Rate for Payer: Wellpoint Medicaid Managed Care	$14,339.19

OTHER CHEMOTHERAPY

Facility

$7,768.79

Service Code	APR-DRG 6961
Min. Negotiated Rate	$7,616.46
Max. Negotiated Rate	$7,768.79
Rate for Payer: UnitedHealthcare Community & State	$7,616.46
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,768.79
Rate for Payer: Wellpoint Medicaid Managed Care	$7,616.46

OTHER CHEMOTHERAPY

Facility

$29,885.20

Service Code	APR-DRG 6964
Min. Negotiated Rate	$29,299.22
Max. Negotiated Rate	$29,885.20
Rate for Payer: UnitedHealthcare Community & State	$29,299.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,885.20
Rate for Payer: Wellpoint Medicaid Managed Care	$29,299.22

OTHER CHEMOTHERAPY

Facility

$9,977.49

Service Code	APR-DRG 6962
Min. Negotiated Rate	$9,781.85
Max. Negotiated Rate	$9,977.49
Rate for Payer: UnitedHealthcare Community & State	$9,781.85
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,977.49
Rate for Payer: Wellpoint Medicaid Managed Care	$9,781.85

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$8,241.17

Service Code	APR-DRG 2072
Min. Negotiated Rate	$8,079.58
Max. Negotiated Rate	$8,241.17
Rate for Payer: UnitedHealthcare Community & State	$8,079.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,241.17
Rate for Payer: Wellpoint Medicaid Managed Care	$8,079.58

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$20,806.55

Service Code	APR-DRG 2074
Min. Negotiated Rate	$20,398.58
Max. Negotiated Rate	$20,806.55
Rate for Payer: UnitedHealthcare Community & State	$20,398.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$20,806.55
Rate for Payer: Wellpoint Medicaid Managed Care	$20,398.58

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$11,664.04

Service Code	APR-DRG 2073
Min. Negotiated Rate	$11,435.33
Max. Negotiated Rate	$11,664.04
Rate for Payer: UnitedHealthcare Community & State	$11,435.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,664.04
Rate for Payer: Wellpoint Medicaid Managed Care	$11,435.33

OTHER CIRCULATORY SYSTEM DIAGNOSES

Facility

$6,600.61

Service Code	APR-DRG 2071
Min. Negotiated Rate	$6,471.19
Max. Negotiated Rate	$6,600.61
Rate for Payer: UnitedHealthcare Community & State	$6,471.19
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,600.61
Rate for Payer: Wellpoint Medicaid Managed Care	$6,471.19

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$33,269.53

Service Code	MSDRG 315
Min. Negotiated Rate	$10,130.14
Max. Negotiated Rate	$33,269.53
Rate for Payer: Aetna Commercial	$23,117.30
Rate for Payer: Aetna Medicare Advantage	$33,269.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,563.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,663.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,563.17
Rate for Payer: Cigna Commercial	$18,027.20
Rate for Payer: Cigna Medicare Advantage	$10,663.31
Rate for Payer: Clover Medicare Advantage	$10,130.14
Rate for Payer: EmblemHealth Commercial	$31,989.93
Rate for Payer: Humana Medicare Advantage	$10,983.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,663.31
Rate for Payer: Oxford Commercial	$12,956.39
Rate for Payer: UnitedHealthcare Commercial	$22,719.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,663.31
Rate for Payer: Wellcare Medicare Advantage	$10,663.31

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$69,531.23

Service Code	MSDRG 314
Min. Negotiated Rate	$21,171.37
Max. Negotiated Rate	$69,531.23
Rate for Payer: Aetna Commercial	$48,033.19
Rate for Payer: Aetna Medicare Advantage	$69,531.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48,615.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48,615.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,285.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,615.49
Rate for Payer: Cigna Commercial	$39,022.43
Rate for Payer: Cigna Medicare Advantage	$22,285.65
Rate for Payer: Clover Medicare Advantage	$21,171.37
Rate for Payer: EmblemHealth Commercial	$66,856.95
Rate for Payer: Humana Medicare Advantage	$22,954.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,285.65
Rate for Payer: Oxford Commercial	$28,045.94
Rate for Payer: UnitedHealthcare Commercial	$49,179.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,285.65
Rate for Payer: Wellcare Medicare Advantage	$22,285.65

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$24,180.72

Service Code	MSDRG 316
Min. Negotiated Rate	$7,362.72
Max. Negotiated Rate	$24,180.72
Rate for Payer: Aetna Commercial	$16,872.23
Rate for Payer: Aetna Medicare Advantage	$24,180.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,050.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,050.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,750.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,050.09
Rate for Payer: Cigna Commercial	$12,764.82
Rate for Payer: Cigna Medicare Advantage	$7,750.23
Rate for Payer: Clover Medicare Advantage	$7,362.72
Rate for Payer: EmblemHealth Commercial	$23,250.69
Rate for Payer: Humana Medicare Advantage	$7,982.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,750.23
Rate for Payer: Oxford Commercial	$9,174.25
Rate for Payer: UnitedHealthcare Commercial	$16,087.33
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,750.23
Rate for Payer: Wellcare Medicare Advantage	$7,750.23

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$110,107.73

Service Code	MSDRG 264
Min. Negotiated Rate	$33,526.39
Max. Negotiated Rate	$110,107.73
Rate for Payer: Aetna Commercial	$75,913.92
Rate for Payer: Aetna Medicare Advantage	$110,107.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76,063.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76,063.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$35,290.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76,063.47
Rate for Payer: Cigna Commercial	$62,515.99
Rate for Payer: Cigna Medicare Advantage	$35,290.94
Rate for Payer: Clover Medicare Advantage	$33,526.39
Rate for Payer: EmblemHealth Commercial	$105,872.82
Rate for Payer: Humana Medicare Advantage	$36,349.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$35,290.94
Rate for Payer: Oxford Commercial	$44,931.07
Rate for Payer: UnitedHealthcare Commercial	$78,788.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$35,290.94
Rate for Payer: Wellcare Medicare Advantage	$35,290.94

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$18,115.22

Service Code	APR-DRG 1802
Min. Negotiated Rate	$17,760.02
Max. Negotiated Rate	$18,115.22
Rate for Payer: UnitedHealthcare Community & State	$17,760.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,115.22
Rate for Payer: Wellpoint Medicaid Managed Care	$17,760.02

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$25,202.24

Service Code	APR-DRG 1803
Min. Negotiated Rate	$24,708.08
Max. Negotiated Rate	$25,202.24
Rate for Payer: UnitedHealthcare Community & State	$24,708.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,202.24
Rate for Payer: Wellpoint Medicaid Managed Care	$24,708.08

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$43,975.00

Service Code	APR-DRG 1804
Min. Negotiated Rate	$43,112.75
Max. Negotiated Rate	$43,975.00
Rate for Payer: UnitedHealthcare Community & State	$43,112.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$43,975.00
Rate for Payer: Wellpoint Medicaid Managed Care	$43,112.75

OTHER CIRCULATORY SYSTEM PROCEDURES

Facility

$14,748.54

Service Code	APR-DRG 1801
Min. Negotiated Rate	$14,459.35
Max. Negotiated Rate	$14,748.54
Rate for Payer: UnitedHealthcare Community & State	$14,459.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,748.54
Rate for Payer: Wellpoint Medicaid Managed Care	$14,459.35

OTHER COMPLICATIONS OF TREATMENT

Facility

$8,373.92

Service Code	APR-DRG 8132
Min. Negotiated Rate	$8,209.73
Max. Negotiated Rate	$8,373.92
Rate for Payer: UnitedHealthcare Community & State	$8,209.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,373.92
Rate for Payer: Wellpoint Medicaid Managed Care	$8,209.73

OTHER COMPLICATIONS OF TREATMENT

Facility

$6,913.37

Service Code	APR-DRG 8131
Min. Negotiated Rate	$6,777.81
Max. Negotiated Rate	$6,913.37
Rate for Payer: UnitedHealthcare Community & State	$6,777.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,913.37
Rate for Payer: Wellpoint Medicaid Managed Care	$6,777.81

OTHER COMPLICATIONS OF TREATMENT

Facility

$21,615.97

Service Code	APR-DRG 8134
Min. Negotiated Rate	$21,192.13
Max. Negotiated Rate	$21,615.97
Rate for Payer: UnitedHealthcare Community & State	$21,192.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,615.97
Rate for Payer: Wellpoint Medicaid Managed Care	$21,192.13

OTHER COMPLICATIONS OF TREATMENT

Facility

$12,177.25

Service Code	APR-DRG 8133
Min. Negotiated Rate	$11,938.48
Max. Negotiated Rate	$12,177.25
Rate for Payer: UnitedHealthcare Community & State	$11,938.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,177.25
Rate for Payer: Wellpoint Medicaid Managed Care	$11,938.48

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$14,069.35

Service Code	APR-DRG 2291
Min. Negotiated Rate	$13,793.48
Max. Negotiated Rate	$14,069.35
Rate for Payer: UnitedHealthcare Community & State	$13,793.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,069.35
Rate for Payer: Wellpoint Medicaid Managed Care	$13,793.48

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$49,476.32

Service Code	APR-DRG 2294
Min. Negotiated Rate	$48,506.20
Max. Negotiated Rate	$49,476.32
Rate for Payer: UnitedHealthcare Community & State	$48,506.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,476.32
Rate for Payer: Wellpoint Medicaid Managed Care	$48,506.20

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$19,243.82

Service Code	APR-DRG 2292
Min. Negotiated Rate	$18,866.49
Max. Negotiated Rate	$19,243.82
Rate for Payer: UnitedHealthcare Community & State	$18,866.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,243.82
Rate for Payer: Wellpoint Medicaid Managed Care	$18,866.49

Know your out-of-pocket cost for care.

All Charges