Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility

$146,382.35

Service Code	MSDRG 319
Min. Negotiated Rate	$44,571.55
Max. Negotiated Rate	$146,382.35
Rate for Payer: Aetna Commercial	$100,838.68
Rate for Payer: Aetna Medicare Advantage	$146,382.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$101,417.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$101,417.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$46,917.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$101,417.96
Rate for Payer: Cigna Commercial	$83,518.71
Rate for Payer: Cigna Medicare Advantage	$46,917.42
Rate for Payer: Clover Medicare Advantage	$44,571.55
Rate for Payer: EmblemHealth Commercial	$140,752.26
Rate for Payer: Humana Medicare Advantage	$48,324.94
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$46,917.42
Rate for Payer: Oxford Commercial	$60,026.00
Rate for Payer: UnitedHealthcare Commercial	$105,257.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$46,917.42
Rate for Payer: Wellcare Medicare Advantage	$46,917.42

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility

$79,877.34

Service Code	MSDRG 320
Min. Negotiated Rate	$24,321.62
Max. Negotiated Rate	$79,877.34
Rate for Payer: Aetna Commercial	$55,142.16
Rate for Payer: Aetna Medicare Advantage	$79,877.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,872.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,872.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25,601.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,872.03
Rate for Payer: Cigna Commercial	$45,012.78
Rate for Payer: Cigna Medicare Advantage	$25,601.71
Rate for Payer: Clover Medicare Advantage	$24,321.62
Rate for Payer: EmblemHealth Commercial	$76,805.13
Rate for Payer: Humana Medicare Advantage	$26,369.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25,601.71
Rate for Payer: Oxford Commercial	$32,351.28
Rate for Payer: UnitedHealthcare Commercial	$56,729.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$25,601.71
Rate for Payer: Wellcare Medicare Advantage	$25,601.71

OTHER ESOPHAGEAL DISORDERS

Facility

$22,374.31

Service Code	APR-DRG 2434
Min. Negotiated Rate	$21,935.60
Max. Negotiated Rate	$22,374.31
Rate for Payer: UnitedHealthcare Community & State	$21,935.60
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,374.31
Rate for Payer: Wellpoint Medicaid Managed Care	$21,935.60

OTHER ESOPHAGEAL DISORDERS

Facility

$12,274.26

Service Code	APR-DRG 2433
Min. Negotiated Rate	$12,033.59
Max. Negotiated Rate	$12,274.26
Rate for Payer: UnitedHealthcare Community & State	$12,033.59
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$12,274.26
Rate for Payer: Wellpoint Medicaid Managed Care	$12,033.59

OTHER ESOPHAGEAL DISORDERS

Facility

$6,582.74

Service Code	APR-DRG 2431
Min. Negotiated Rate	$6,453.67
Max. Negotiated Rate	$6,582.74
Rate for Payer: UnitedHealthcare Community & State	$6,453.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,582.74
Rate for Payer: Wellpoint Medicaid Managed Care	$6,453.67

OTHER ESOPHAGEAL DISORDERS

Facility

$8,364.99

Service Code	APR-DRG 2432
Min. Negotiated Rate	$8,200.97
Max. Negotiated Rate	$8,364.99
Rate for Payer: UnitedHealthcare Community & State	$8,200.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,364.99
Rate for Payer: Wellpoint Medicaid Managed Care	$8,200.97

OTHER FACTORS INFLUENCING HEALTH STATUS

Facility

$20,104.94

Service Code	MSDRG 951
Min. Negotiated Rate	$6,121.70
Max. Negotiated Rate	$20,104.94
Rate for Payer: Aetna Commercial	$14,071.71
Rate for Payer: Aetna Medicare Advantage	$20,104.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13,723.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13,723.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$6,443.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13,723.99
Rate for Payer: Cigna Commercial	$10,404.98
Rate for Payer: Cigna Medicare Advantage	$6,443.89
Rate for Payer: Clover Medicare Advantage	$6,121.70
Rate for Payer: EmblemHealth Commercial	$19,331.67
Rate for Payer: Humana Medicare Advantage	$6,637.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$6,443.89
Rate for Payer: Oxford Commercial	$7,478.20
Rate for Payer: UnitedHealthcare Commercial	$13,113.26
Rate for Payer: UnitedHealthcare Medicare Advantage	$6,443.89
Rate for Payer: Wellcare Medicare Advantage	$6,443.89

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$10,317.12

Service Code	APR-DRG 5181
Min. Negotiated Rate	$10,114.82
Max. Negotiated Rate	$10,317.12
Rate for Payer: UnitedHealthcare Community & State	$10,114.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,317.12
Rate for Payer: Wellpoint Medicaid Managed Care	$10,114.82

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$24,713.24

Service Code	APR-DRG 5183
Min. Negotiated Rate	$24,228.67
Max. Negotiated Rate	$24,713.24
Rate for Payer: UnitedHealthcare Community & State	$24,228.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,713.24
Rate for Payer: Wellpoint Medicaid Managed Care	$24,228.67

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$46,859.04

Service Code	APR-DRG 5184
Min. Negotiated Rate	$45,940.24
Max. Negotiated Rate	$46,859.04
Rate for Payer: UnitedHealthcare Community & State	$45,940.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,859.04
Rate for Payer: Wellpoint Medicaid Managed Care	$45,940.24

OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$14,779.18

Service Code	APR-DRG 5182
Min. Negotiated Rate	$14,489.39
Max. Negotiated Rate	$14,779.18
Rate for Payer: UnitedHealthcare Community & State	$14,489.39
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,779.18
Rate for Payer: Wellpoint Medicaid Managed Care	$14,489.39

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility

$85,123.15

Service Code	MSDRG 749
Min. Negotiated Rate	$25,918.91
Max. Negotiated Rate	$85,123.15
Rate for Payer: Aetna Commercial	$58,746.64
Rate for Payer: Aetna Medicare Advantage	$85,123.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58,617.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58,617.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,283.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58,617.72
Rate for Payer: Cigna Commercial	$48,050.07
Rate for Payer: Cigna Medicare Advantage	$27,283.06
Rate for Payer: Clover Medicare Advantage	$25,918.91
Rate for Payer: EmblemHealth Commercial	$81,849.18
Rate for Payer: Humana Medicare Advantage	$28,101.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,283.06
Rate for Payer: Oxford Commercial	$34,534.22
Rate for Payer: UnitedHealthcare Commercial	$60,556.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,283.06
Rate for Payer: Wellcare Medicare Advantage	$27,283.06

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$49,834.36

Service Code	MSDRG 750
Min. Negotiated Rate	$15,173.92
Max. Negotiated Rate	$49,834.36
Rate for Payer: Aetna Commercial	$34,499.23
Rate for Payer: Aetna Medicare Advantage	$49,834.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31,634.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31,634.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,972.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31,634.96
Rate for Payer: Cigna Commercial	$27,618.12
Rate for Payer: Cigna Medicare Advantage	$15,972.55
Rate for Payer: Clover Medicare Advantage	$15,173.92
Rate for Payer: EmblemHealth Commercial	$47,917.65
Rate for Payer: Humana Medicare Advantage	$16,451.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,972.55
Rate for Payer: Oxford Commercial	$19,849.51
Rate for Payer: UnitedHealthcare Commercial	$34,806.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,972.55
Rate for Payer: Wellcare Medicare Advantage	$15,972.55

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$5,641.75

Service Code	APR-DRG 2491
Min. Negotiated Rate	$5,531.13
Max. Negotiated Rate	$5,641.75
Rate for Payer: UnitedHealthcare Community & State	$5,531.13
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,641.75
Rate for Payer: Wellpoint Medicaid Managed Care	$5,531.13

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$7,047.45

Service Code	APR-DRG 2492
Min. Negotiated Rate	$6,909.26
Max. Negotiated Rate	$7,047.45
Rate for Payer: UnitedHealthcare Community & State	$6,909.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,047.45
Rate for Payer: Wellpoint Medicaid Managed Care	$6,909.26

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$10,130.69

Service Code	APR-DRG 2493
Min. Negotiated Rate	$9,932.05
Max. Negotiated Rate	$10,130.69
Rate for Payer: UnitedHealthcare Community & State	$9,932.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,130.69
Rate for Payer: Wellpoint Medicaid Managed Care	$9,932.05

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$18,646.37

Service Code	APR-DRG 2494
Min. Negotiated Rate	$18,280.75
Max. Negotiated Rate	$18,646.37
Rate for Payer: UnitedHealthcare Community & State	$18,280.75
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,646.37
Rate for Payer: Wellpoint Medicaid Managed Care	$18,280.75

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$323,960.77

Service Code	MSDRG 215
Min. Negotiated Rate	$98,641.90
Max. Negotiated Rate	$323,960.77
Rate for Payer: Aetna Commercial	$222,855.32
Rate for Payer: Aetna Medicare Advantage	$323,960.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$237,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$237,494.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$103,833.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$237,494.81
Rate for Payer: Cigna Commercial	$186,335.30
Rate for Payer: Cigna Medicare Advantage	$103,833.58
Rate for Payer: Clover Medicare Advantage	$98,641.90
Rate for Payer: EmblemHealth Commercial	$311,500.74
Rate for Payer: Humana Medicare Advantage	$106,948.59
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$103,833.58
Rate for Payer: Oxford Commercial	$133,921.65
Rate for Payer: UnitedHealthcare Commercial	$234,835.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$103,833.58
Rate for Payer: Wellcare Medicare Advantage	$103,833.58

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$72,850.69

Service Code	MSDRG 424
Min. Negotiated Rate	$22,182.10
Max. Negotiated Rate	$72,850.69
Rate for Payer: Aetna Commercial	$50,314.04
Rate for Payer: Aetna Medicare Advantage	$72,850.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49,545.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49,545.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,349.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49,545.93
Rate for Payer: Cigna Commercial	$40,944.36
Rate for Payer: Cigna Medicare Advantage	$23,349.58
Rate for Payer: Clover Medicare Advantage	$22,182.10
Rate for Payer: EmblemHealth Commercial	$70,048.74
Rate for Payer: Humana Medicare Advantage	$24,050.07
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,349.58
Rate for Payer: Oxford Commercial	$29,427.26
Rate for Payer: UnitedHealthcare Commercial	$51,601.62
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,349.58
Rate for Payer: Wellcare Medicare Advantage	$23,349.58

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$136,365.93

Service Code	MSDRG 423
Min. Negotiated Rate	$41,521.68
Max. Negotiated Rate	$136,365.93
Rate for Payer: Aetna Commercial	$93,956.28
Rate for Payer: Aetna Medicare Advantage	$136,365.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$90,950.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$90,950.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$43,707.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$90,950.51
Rate for Payer: Cigna Commercial	$77,719.24
Rate for Payer: Cigna Medicare Advantage	$43,707.03
Rate for Payer: Clover Medicare Advantage	$41,521.68
Rate for Payer: EmblemHealth Commercial	$131,121.09
Rate for Payer: Humana Medicare Advantage	$45,018.24
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$43,707.03
Rate for Payer: Oxford Commercial	$55,857.85
Rate for Payer: UnitedHealthcare Commercial	$97,948.51
Rate for Payer: UnitedHealthcare Medicare Advantage	$43,707.03
Rate for Payer: Wellcare Medicare Advantage	$43,707.03

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$50,626.24

Service Code	MSDRG 425
Min. Negotiated Rate	$15,415.04
Max. Negotiated Rate	$50,626.24
Rate for Payer: Aetna Commercial	$35,043.32
Rate for Payer: Aetna Medicare Advantage	$50,626.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37,217.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,226.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37,217.60
Rate for Payer: Cigna Commercial	$28,076.61
Rate for Payer: Cigna Medicare Advantage	$16,226.36
Rate for Payer: Clover Medicare Advantage	$15,415.04
Rate for Payer: EmblemHealth Commercial	$48,679.08
Rate for Payer: Humana Medicare Advantage	$16,713.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,226.36
Rate for Payer: Oxford Commercial	$20,179.03
Rate for Payer: UnitedHealthcare Commercial	$35,384.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,226.36
Rate for Payer: Wellcare Medicare Advantage	$16,226.36

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$17,471.76

Service Code	APR-DRG 2642
Min. Negotiated Rate	$17,129.18
Max. Negotiated Rate	$17,471.76
Rate for Payer: UnitedHealthcare Community & State	$17,129.18
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,471.76
Rate for Payer: Wellpoint Medicaid Managed Care	$17,129.18

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$26,482.78

Service Code	APR-DRG 2643
Min. Negotiated Rate	$25,963.51
Max. Negotiated Rate	$26,482.78
Rate for Payer: UnitedHealthcare Community & State	$25,963.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,482.78
Rate for Payer: Wellpoint Medicaid Managed Care	$25,963.51

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$54,309.91

Service Code	APR-DRG 2644
Min. Negotiated Rate	$53,245.01
Max. Negotiated Rate	$54,309.91
Rate for Payer: UnitedHealthcare Community & State	$53,245.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,309.91
Rate for Payer: Wellpoint Medicaid Managed Care	$53,245.01

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$16,452.96

Service Code	APR-DRG 2641
Min. Negotiated Rate	$16,130.35
Max. Negotiated Rate	$16,452.96
Rate for Payer: UnitedHealthcare Community & State	$16,130.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,452.96
Rate for Payer: Wellpoint Medicaid Managed Care	$16,130.35

Know your out-of-pocket cost for care.

All Charges