Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES

Facility

$28,913.64

Service Code	APR-DRG 2293
Min. Negotiated Rate	$28,346.71
Max. Negotiated Rate	$28,913.64
Rate for Payer: UnitedHealthcare Community & State	$28,346.71
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,913.64
Rate for Payer: Wellpoint Medicaid Managed Care	$28,346.71

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$12,264.07

Service Code	APR-DRG 2543
Min. Negotiated Rate	$12,023.60
Max. Negotiated Rate	$12,264.07
Rate for Payer: UnitedHealthcare Community & State	$12,023.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,264.07
Rate for Payer: Wellpoint Medicaid Managed Care	$12,023.60

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$21,425.71

Service Code	APR-DRG 2544
Min. Negotiated Rate	$21,005.60
Max. Negotiated Rate	$21,425.71
Rate for Payer: UnitedHealthcare Community & State	$21,005.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,425.71
Rate for Payer: Wellpoint Medicaid Managed Care	$21,005.60

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$6,175.42

Service Code	APR-DRG 2541
Min. Negotiated Rate	$6,054.33
Max. Negotiated Rate	$6,175.42
Rate for Payer: UnitedHealthcare Community & State	$6,054.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,175.42
Rate for Payer: Wellpoint Medicaid Managed Care	$6,054.33

OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$8,477.36

Service Code	APR-DRG 2542
Min. Negotiated Rate	$8,311.14
Max. Negotiated Rate	$8,477.36
Rate for Payer: UnitedHealthcare Community & State	$8,311.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,477.36
Rate for Payer: Wellpoint Medicaid Managed Care	$8,311.14

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$32,377.43

Service Code	MSDRG 394
Min. Negotiated Rate	$9,858.51
Max. Negotiated Rate	$32,377.43
Rate for Payer: Aetna Commercial	$22,504.31
Rate for Payer: Aetna Medicare Advantage	$32,377.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,865.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,377.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,865.34
Rate for Payer: Cigna Commercial	$17,510.69
Rate for Payer: Cigna Medicare Advantage	$10,377.38
Rate for Payer: Clover Medicare Advantage	$9,858.51
Rate for Payer: EmblemHealth Commercial	$31,132.14
Rate for Payer: Humana Medicare Advantage	$10,688.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,377.38
Rate for Payer: Oxford Commercial	$12,585.17
Rate for Payer: UnitedHealthcare Commercial	$22,068.48
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,377.38
Rate for Payer: Wellcare Medicare Advantage	$10,377.38

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$53,826.05

Service Code	MSDRG 393
Min. Negotiated Rate	$16,389.34
Max. Negotiated Rate	$53,826.05
Rate for Payer: Aetna Commercial	$37,241.97
Rate for Payer: Aetna Medicare Advantage	$53,826.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,682.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,251.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,682.82
Rate for Payer: Cigna Commercial	$29,929.30
Rate for Payer: Cigna Medicare Advantage	$17,251.94
Rate for Payer: Clover Medicare Advantage	$16,389.34
Rate for Payer: EmblemHealth Commercial	$51,755.82
Rate for Payer: Humana Medicare Advantage	$17,769.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,251.94
Rate for Payer: Oxford Commercial	$21,510.58
Rate for Payer: UnitedHealthcare Commercial	$37,719.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,251.94
Rate for Payer: Wellcare Medicare Advantage	$17,251.94

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$23,110.81

Service Code	MSDRG 395
Min. Negotiated Rate	$7,036.94
Max. Negotiated Rate	$23,110.81
Rate for Payer: Aetna Commercial	$16,137.07
Rate for Payer: Aetna Medicare Advantage	$23,110.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,119.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,119.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,407.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,119.65
Rate for Payer: Cigna Commercial	$12,145.39
Rate for Payer: Cigna Medicare Advantage	$7,407.31
Rate for Payer: Clover Medicare Advantage	$7,036.94
Rate for Payer: EmblemHealth Commercial	$22,221.93
Rate for Payer: Humana Medicare Advantage	$7,629.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,407.31
Rate for Payer: Oxford Commercial	$8,729.05
Rate for Payer: UnitedHealthcare Commercial	$15,306.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,407.31
Rate for Payer: Wellcare Medicare Advantage	$7,407.31

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$77,298.06

Service Code	MSDRG 357
Min. Negotiated Rate	$23,536.27
Max. Negotiated Rate	$77,298.06
Rate for Payer: Aetna Commercial	$53,369.90
Rate for Payer: Aetna Medicare Advantage	$77,298.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,174.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,174.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,775.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,174.20
Rate for Payer: Cigna Commercial	$43,519.41
Rate for Payer: Cigna Medicare Advantage	$24,775.02
Rate for Payer: Clover Medicare Advantage	$23,536.27
Rate for Payer: EmblemHealth Commercial	$74,325.06
Rate for Payer: Humana Medicare Advantage	$25,518.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,775.02
Rate for Payer: Oxford Commercial	$31,277.97
Rate for Payer: UnitedHealthcare Commercial	$54,846.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,775.02
Rate for Payer: Wellcare Medicare Advantage	$24,775.02

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$144,116.61

Service Code	MSDRG 356
Min. Negotiated Rate	$43,881.66
Max. Negotiated Rate	$144,116.61
Rate for Payer: Aetna Commercial	$99,281.85
Rate for Payer: Aetna Medicare Advantage	$144,116.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$99,557.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$99,557.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46,191.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$99,557.08
Rate for Payer: Cigna Commercial	$82,206.86
Rate for Payer: Cigna Medicare Advantage	$46,191.22
Rate for Payer: Clover Medicare Advantage	$43,881.66
Rate for Payer: EmblemHealth Commercial	$138,573.66
Rate for Payer: Humana Medicare Advantage	$47,576.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46,191.22
Rate for Payer: Oxford Commercial	$59,083.16
Rate for Payer: UnitedHealthcare Commercial	$103,604.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$46,191.22
Rate for Payer: Wellcare Medicare Advantage	$46,191.22

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$47,316.55

Service Code	MSDRG 358
Min. Negotiated Rate	$14,407.28
Max. Negotiated Rate	$47,316.55
Rate for Payer: Aetna Commercial	$32,769.20
Rate for Payer: Aetna Medicare Advantage	$47,316.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29,774.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29,774.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,165.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29,774.08
Rate for Payer: Cigna Commercial	$26,160.30
Rate for Payer: Cigna Medicare Advantage	$15,165.56
Rate for Payer: Clover Medicare Advantage	$14,407.28
Rate for Payer: EmblemHealth Commercial	$45,496.68
Rate for Payer: Humana Medicare Advantage	$15,620.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,165.56
Rate for Payer: Oxford Commercial	$18,801.76
Rate for Payer: UnitedHealthcare Commercial	$32,969.47
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,165.56
Rate for Payer: Wellcare Medicare Advantage	$15,165.56

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$23,444.21

Service Code	APR-DRG 0584
Min. Negotiated Rate	$22,984.52
Max. Negotiated Rate	$23,444.21
Rate for Payer: UnitedHealthcare Community & State	$22,984.52
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$23,444.21
Rate for Payer: Wellpoint Medicaid Managed Care	$22,984.52

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$13,036.51

Service Code	APR-DRG 0582
Min. Negotiated Rate	$12,780.89
Max. Negotiated Rate	$13,036.51
Rate for Payer: UnitedHealthcare Community & State	$12,780.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,036.51
Rate for Payer: Wellpoint Medicaid Managed Care	$12,780.89

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$16,844.92

Service Code	APR-DRG 0583
Min. Negotiated Rate	$16,514.63
Max. Negotiated Rate	$16,844.92
Rate for Payer: UnitedHealthcare Community & State	$16,514.63
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,844.92
Rate for Payer: Wellpoint Medicaid Managed Care	$16,514.63

OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$9,673.59

Service Code	APR-DRG 0581
Min. Negotiated Rate	$9,483.91
Max. Negotiated Rate	$9,673.59
Rate for Payer: UnitedHealthcare Community & State	$9,483.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,673.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9,483.91

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$35,199.12

Service Code	MSDRG 092
Min. Negotiated Rate	$10,717.68
Max. Negotiated Rate	$35,199.12
Rate for Payer: Aetna Medicare Advantage	$35,199.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,958.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,958.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,281.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,958.83
Rate for Payer: Cigna Commercial	$19,144.42
Rate for Payer: Cigna Medicare Advantage	$11,281.77
Rate for Payer: Clover Medicare Advantage	$10,717.68
Rate for Payer: EmblemHealth Commercial	$33,845.31
Rate for Payer: Humana Medicare Advantage	$11,620.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,281.77
Rate for Payer: Oxford Commercial	$13,759.35
Rate for Payer: UnitedHealthcare Commercial	$24,127.46
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,281.77
Rate for Payer: Wellcare Medicare Advantage	$11,281.77

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$58,897.36

Service Code	MSDRG 091
Min. Negotiated Rate	$17,933.49
Max. Negotiated Rate	$58,897.36
Rate for Payer: Aetna Medicare Advantage	$58,897.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41,637.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41,637.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,877.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41,637.19
Rate for Payer: Cigna Commercial	$32,865.53
Rate for Payer: Cigna Medicare Advantage	$18,877.36
Rate for Payer: Clover Medicare Advantage	$17,933.49
Rate for Payer: EmblemHealth Commercial	$56,632.08
Rate for Payer: Humana Medicare Advantage	$19,443.68
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,877.36
Rate for Payer: Oxford Commercial	$23,620.89
Rate for Payer: UnitedHealthcare Commercial	$41,419.98
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,877.36
Rate for Payer: Wellcare Medicare Advantage	$18,877.36

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$27,871.80

Service Code	MSDRG 093
Min. Negotiated Rate	$8,486.61
Max. Negotiated Rate	$27,871.80
Rate for Payer: Aetna Medicare Advantage	$27,871.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,910.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,910.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,933.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,910.97
Rate for Payer: Cigna Commercial	$14,901.96
Rate for Payer: Cigna Medicare Advantage	$8,933.27
Rate for Payer: Clover Medicare Advantage	$8,486.61
Rate for Payer: EmblemHealth Commercial	$26,799.81
Rate for Payer: Humana Medicare Advantage	$9,201.27
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,933.27
Rate for Payer: Oxford Commercial	$10,710.24
Rate for Payer: UnitedHealthcare Commercial	$18,780.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,933.27
Rate for Payer: Wellcare Medicare Advantage	$8,933.27

OTHER DISORDERS OF THE EYE WITH MCC

Facility

$44,898.86

Service Code	MSDRG 124
Min. Negotiated Rate	$13,671.13
Max. Negotiated Rate	$44,898.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,704.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,704.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,704.52

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

Facility

$44,898.86

Service Code	MSDRG 124
Min. Negotiated Rate	$13,671.13
Max. Negotiated Rate	$44,898.86
Rate for Payer: Aetna Commercial	$31,107.96
Rate for Payer: Aetna Medicare Advantage	$44,898.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,390.66
Rate for Payer: Cigna Commercial	$24,760.49
Rate for Payer: Cigna Medicare Advantage	$14,390.66
Rate for Payer: Clover Medicare Advantage	$13,671.13
Rate for Payer: EmblemHealth Commercial	$43,171.98
Rate for Payer: Humana Medicare Advantage	$14,822.38
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,390.66
Rate for Payer: Oxford Commercial	$17,795.69
Rate for Payer: UnitedHealthcare Commercial	$31,205.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,390.66
Rate for Payer: Wellcare Medicare Advantage	$14,390.66

OTHER DISORDERS OF THE EYE WITHOUT MCC

Facility

$26,950.62

Service Code	MSDRG 125
Min. Negotiated Rate	$8,206.12
Max. Negotiated Rate	$26,950.62
Rate for Payer: Aetna Commercial	$18,775.49
Rate for Payer: Aetna Medicare Advantage	$26,950.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18,608.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,638.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18,608.80
Rate for Payer: Cigna Commercial	$14,368.61
Rate for Payer: Cigna Medicare Advantage	$8,638.02
Rate for Payer: Clover Medicare Advantage	$8,206.12
Rate for Payer: EmblemHealth Commercial	$25,914.06
Rate for Payer: Humana Medicare Advantage	$8,897.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,638.02
Rate for Payer: Oxford Commercial	$10,326.91
Rate for Payer: UnitedHealthcare Commercial	$18,108.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,638.02
Rate for Payer: Wellcare Medicare Advantage	$8,638.02

OTHER DISORDERS OF THE LIVER

Facility

$6,156.29

Service Code	APR-DRG 2831
Min. Negotiated Rate	$6,035.58
Max. Negotiated Rate	$6,156.29
Rate for Payer: UnitedHealthcare Community & State	$6,035.58
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,156.29
Rate for Payer: Wellpoint Medicaid Managed Care	$6,035.58

OTHER DISORDERS OF THE LIVER

Facility

$11,704.87

Service Code	APR-DRG 2833
Min. Negotiated Rate	$11,475.36
Max. Negotiated Rate	$11,704.87
Rate for Payer: UnitedHealthcare Community & State	$11,475.36
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,704.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11,475.36

OTHER DISORDERS OF THE LIVER

Facility

$7,966.66

Service Code	APR-DRG 2832
Min. Negotiated Rate	$7,810.45
Max. Negotiated Rate	$7,966.66
Rate for Payer: UnitedHealthcare Community & State	$7,810.45
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,966.66
Rate for Payer: Wellpoint Medicaid Managed Care	$7,810.45

OTHER DISORDERS OF THE LIVER

Facility

$21,590.43

Service Code	APR-DRG 2834
Min. Negotiated Rate	$21,167.09
Max. Negotiated Rate	$21,590.43
Rate for Payer: UnitedHealthcare Community & State	$21,167.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,590.43
Rate for Payer: Wellpoint Medicaid Managed Care	$21,167.09

Know your out-of-pocket cost for care.

All Charges