Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$17,644.09

Service Code	APR-DRG 7764
Min. Negotiated Rate	$17,298.13
Max. Negotiated Rate	$17,644.09
Rate for Payer: UnitedHealthcare Community & State	$17,298.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,644.09
Rate for Payer: Wellpoint Medicaid Managed Care	$17,298.13

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$4,662.51

Service Code	APR-DRG 7761
Min. Negotiated Rate	$4,571.09
Max. Negotiated Rate	$4,662.51
Rate for Payer: UnitedHealthcare Community & State	$4,571.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,662.51
Rate for Payer: Wellpoint Medicaid Managed Care	$4,571.09

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$9,383.80

Service Code	APR-DRG 7763
Min. Negotiated Rate	$9,199.80
Max. Negotiated Rate	$9,383.80
Rate for Payer: UnitedHealthcare Community & State	$9,199.80
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,383.80
Rate for Payer: Wellpoint Medicaid Managed Care	$9,199.80

OTHER DRUG ABUSE AND DEPENDENCE

Facility

$5,286.84

Service Code	APR-DRG 7762
Min. Negotiated Rate	$5,183.18
Max. Negotiated Rate	$5,286.84
Rate for Payer: UnitedHealthcare Community & State	$5,183.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,286.84
Rate for Payer: Wellpoint Medicaid Managed Care	$5,183.18

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

Facility

$31,756.83

Service Code	MSDRG 155
Min. Negotiated Rate	$9,669.55
Max. Negotiated Rate	$31,756.83
Rate for Payer: Aetna Commercial	$22,077.87
Rate for Payer: Aetna Medicare Advantage	$31,756.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,097.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,097.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,178.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,097.95
Rate for Payer: Cigna Commercial	$17,151.38
Rate for Payer: Cigna Medicare Advantage	$10,178.47
Rate for Payer: Clover Medicare Advantage	$9,669.55
Rate for Payer: EmblemHealth Commercial	$30,535.41
Rate for Payer: Humana Medicare Advantage	$10,483.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,178.47
Rate for Payer: Oxford Commercial	$12,326.92
Rate for Payer: UnitedHealthcare Commercial	$21,615.65
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,178.47
Rate for Payer: Wellcare Medicare Advantage	$10,178.47

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

Facility

$52,668.97

Service Code	MSDRG 154
Min. Negotiated Rate	$16,037.03
Max. Negotiated Rate	$52,668.97
Rate for Payer: Aetna Commercial	$36,446.91
Rate for Payer: Aetna Medicare Advantage	$52,668.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,881.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,821.94
Rate for Payer: Cigna Commercial	$29,259.34
Rate for Payer: Cigna Medicare Advantage	$16,881.08
Rate for Payer: Clover Medicare Advantage	$16,037.03
Rate for Payer: EmblemHealth Commercial	$50,643.24
Rate for Payer: Humana Medicare Advantage	$17,387.51
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,881.08
Rate for Payer: Oxford Commercial	$21,029.08
Rate for Payer: UnitedHealthcare Commercial	$36,875.15
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,881.08
Rate for Payer: Wellcare Medicare Advantage	$16,881.08

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

Facility

$24,471.60

Service Code	MSDRG 156
Min. Negotiated Rate	$7,451.29
Max. Negotiated Rate	$24,471.60
Rate for Payer: Aetna Commercial	$17,072.09
Rate for Payer: Aetna Medicare Advantage	$24,471.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15,352.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15,352.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,843.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15,352.26
Rate for Payer: Cigna Commercial	$12,933.25
Rate for Payer: Cigna Medicare Advantage	$7,843.46
Rate for Payer: Clover Medicare Advantage	$7,451.29
Rate for Payer: EmblemHealth Commercial	$23,530.38
Rate for Payer: Humana Medicare Advantage	$8,078.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,843.46
Rate for Payer: Oxford Commercial	$9,295.30
Rate for Payer: UnitedHealthcare Commercial	$16,299.59
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,843.46
Rate for Payer: Wellcare Medicare Advantage	$7,843.46

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

Facility

$58,144.23

Service Code	MSDRG 144
Min. Negotiated Rate	$17,704.17
Max. Negotiated Rate	$58,144.23
Rate for Payer: Aetna Commercial	$40,209.04
Rate for Payer: Aetna Medicare Advantage	$58,144.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,241.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,241.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,635.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,241.53
Rate for Payer: Cigna Commercial	$32,429.49
Rate for Payer: Cigna Medicare Advantage	$18,635.97
Rate for Payer: Clover Medicare Advantage	$17,704.17
Rate for Payer: EmblemHealth Commercial	$55,907.91
Rate for Payer: Humana Medicare Advantage	$19,195.05
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,635.97
Rate for Payer: Oxford Commercial	$23,307.51
Rate for Payer: UnitedHealthcare Commercial	$40,870.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,635.97
Rate for Payer: Wellcare Medicare Advantage	$18,635.97

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

Facility

$123,230.39

Service Code	MSDRG 143
Min. Negotiated Rate	$37,522.07
Max. Negotiated Rate	$123,230.39
Rate for Payer: Aetna Commercial	$84,930.65
Rate for Payer: Aetna Medicare Advantage	$123,230.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$77,459.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$77,459.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,496.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$77,459.13
Rate for Payer: Cigna Commercial	$70,113.87
Rate for Payer: Cigna Medicare Advantage	$39,496.92
Rate for Payer: Clover Medicare Advantage	$37,522.07
Rate for Payer: EmblemHealth Commercial	$118,490.76
Rate for Payer: Humana Medicare Advantage	$40,681.83
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,496.92
Rate for Payer: Oxford Commercial	$50,391.77
Rate for Payer: UnitedHealthcare Commercial	$88,363.56
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,496.92
Rate for Payer: Wellcare Medicare Advantage	$39,496.92

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$40,994.37

Service Code	MSDRG 145
Min. Negotiated Rate	$12,482.26
Max. Negotiated Rate	$40,994.37
Rate for Payer: Aetna Commercial	$28,425.12
Rate for Payer: Aetna Medicare Advantage	$40,994.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28,378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28,378.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,139.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28,378.42
Rate for Payer: Cigna Commercial	$22,499.84
Rate for Payer: Cigna Medicare Advantage	$13,139.22
Rate for Payer: Clover Medicare Advantage	$12,482.26
Rate for Payer: EmblemHealth Commercial	$39,417.66
Rate for Payer: Humana Medicare Advantage	$13,533.40
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,139.22
Rate for Payer: Oxford Commercial	$16,170.93
Rate for Payer: UnitedHealthcare Commercial	$28,356.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,139.22
Rate for Payer: Wellcare Medicare Advantage	$13,139.22

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$12,227.02

Service Code	APR-DRG 1153
Min. Negotiated Rate	$11,987.27
Max. Negotiated Rate	$12,227.02
Rate for Payer: UnitedHealthcare Community & State	$11,987.27
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,227.02
Rate for Payer: Wellpoint Medicaid Managed Care	$11,987.27

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$5,692.84

Service Code	APR-DRG 1151
Min. Negotiated Rate	$5,581.22
Max. Negotiated Rate	$5,692.84
Rate for Payer: UnitedHealthcare Community & State	$5,581.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,692.84
Rate for Payer: Wellpoint Medicaid Managed Care	$5,581.22

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$21,715.58

Service Code	APR-DRG 1154
Min. Negotiated Rate	$21,289.78
Max. Negotiated Rate	$21,715.58
Rate for Payer: UnitedHealthcare Community & State	$21,289.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,715.58
Rate for Payer: Wellpoint Medicaid Managed Care	$21,289.78

OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES

Facility

$7,874.74

Service Code	APR-DRG 1152
Min. Negotiated Rate	$7,720.33
Max. Negotiated Rate	$7,874.74
Rate for Payer: UnitedHealthcare Community & State	$7,720.33
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,874.74
Rate for Payer: Wellpoint Medicaid Managed Care	$7,720.33

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$14,355.31

Service Code	APR-DRG 0982
Min. Negotiated Rate	$14,073.83
Max. Negotiated Rate	$14,355.31
Rate for Payer: UnitedHealthcare Community & State	$14,073.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,355.31
Rate for Payer: Wellpoint Medicaid Managed Care	$14,073.83

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$24,148.95

Service Code	APR-DRG 0983
Min. Negotiated Rate	$23,675.44
Max. Negotiated Rate	$24,148.95
Rate for Payer: UnitedHealthcare Community & State	$23,675.44
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,148.95
Rate for Payer: Wellpoint Medicaid Managed Care	$23,675.44

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$10,474.16

Service Code	APR-DRG 0981
Min. Negotiated Rate	$10,268.78
Max. Negotiated Rate	$10,474.16
Rate for Payer: UnitedHealthcare Community & State	$10,268.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,474.16
Rate for Payer: Wellpoint Medicaid Managed Care	$10,268.78

OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES

Facility

$46,089.19

Service Code	APR-DRG 0984
Min. Negotiated Rate	$45,185.48
Max. Negotiated Rate	$46,089.19
Rate for Payer: UnitedHealthcare Community & State	$45,185.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,089.19
Rate for Payer: Wellpoint Medicaid Managed Care	$45,185.48

OTHER ENDOCRINE DISORDERS

Facility

$6,116.72

Service Code	APR-DRG 4241
Min. Negotiated Rate	$5,996.78
Max. Negotiated Rate	$6,116.72
Rate for Payer: UnitedHealthcare Community & State	$5,996.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,116.72
Rate for Payer: Wellpoint Medicaid Managed Care	$5,996.78

OTHER ENDOCRINE DISORDERS

Facility

$22,678.20

Service Code	APR-DRG 4244
Min. Negotiated Rate	$22,233.53
Max. Negotiated Rate	$22,678.20
Rate for Payer: UnitedHealthcare Community & State	$22,233.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,678.20
Rate for Payer: Wellpoint Medicaid Managed Care	$22,233.53

OTHER ENDOCRINE DISORDERS

Facility

$12,576.82

Service Code	APR-DRG 4243
Min. Negotiated Rate	$12,330.22
Max. Negotiated Rate	$12,576.82
Rate for Payer: UnitedHealthcare Community & State	$12,330.22
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,576.82
Rate for Payer: Wellpoint Medicaid Managed Care	$12,330.22

OTHER ENDOCRINE DISORDERS

Facility

$8,518.19

Service Code	APR-DRG 4242
Min. Negotiated Rate	$8,351.17
Max. Negotiated Rate	$8,518.19
Rate for Payer: UnitedHealthcare Community & State	$8,351.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,518.19
Rate for Payer: Wellpoint Medicaid Managed Care	$8,351.17

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility

$72,556.47

Service Code	MSDRG 629
Min. Negotiated Rate	$22,092.52
Max. Negotiated Rate	$72,556.47
Rate for Payer: Aetna Commercial	$50,111.89
Rate for Payer: Aetna Medicare Advantage	$72,556.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$52,569.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$52,569.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,255.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$52,569.86
Rate for Payer: Cigna Commercial	$40,774.06
Rate for Payer: Cigna Medicare Advantage	$23,255.28
Rate for Payer: Clover Medicare Advantage	$22,092.52
Rate for Payer: EmblemHealth Commercial	$69,765.84
Rate for Payer: Humana Medicare Advantage	$23,952.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,255.28
Rate for Payer: Oxford Commercial	$29,304.86
Rate for Payer: UnitedHealthcare Commercial	$51,387.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,255.28
Rate for Payer: Wellcare Medicare Advantage	$23,255.28

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility

$122,590.45

Service Code	MSDRG 628
Min. Negotiated Rate	$37,327.22
Max. Negotiated Rate	$122,590.45
Rate for Payer: Aetna Commercial	$84,490.94
Rate for Payer: Aetna Medicare Advantage	$122,590.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$93,276.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$93,276.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39,291.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$93,276.61
Rate for Payer: Cigna Commercial	$69,743.34
Rate for Payer: Cigna Medicare Advantage	$39,291.81
Rate for Payer: Clover Medicare Advantage	$37,327.22
Rate for Payer: EmblemHealth Commercial	$117,875.43
Rate for Payer: Humana Medicare Advantage	$40,470.56
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39,291.81
Rate for Payer: Oxford Commercial	$50,125.46
Rate for Payer: UnitedHealthcare Commercial	$87,896.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$39,291.81
Rate for Payer: Wellcare Medicare Advantage	$39,291.81

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility

$49,307.54

Service Code	MSDRG 630
Min. Negotiated Rate	$15,013.51
Max. Negotiated Rate	$49,307.54
Rate for Payer: Aetna Commercial	$34,137.21
Rate for Payer: Aetna Medicare Advantage	$49,307.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32,565.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,803.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32,565.40
Rate for Payer: Cigna Commercial	$27,313.08
Rate for Payer: Cigna Medicare Advantage	$15,803.70
Rate for Payer: Clover Medicare Advantage	$15,013.51
Rate for Payer: EmblemHealth Commercial	$47,411.10
Rate for Payer: Humana Medicare Advantage	$16,277.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,803.70
Rate for Payer: Oxford Commercial	$19,630.28
Rate for Payer: UnitedHealthcare Commercial	$34,422.31
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,803.70
Rate for Payer: Wellcare Medicare Advantage	$15,803.70

Know your out-of-pocket cost for care.

All Charges