Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$13,962.08

Service Code	APR-DRG 7243
Min. Negotiated Rate	$13,688.31
Max. Negotiated Rate	$13,962.08
Rate for Payer: UnitedHealthcare Community & State	$13,688.31
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,962.08
Rate for Payer: Wellpoint Medicaid Managed Care	$13,688.31

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$8,501.58

Service Code	APR-DRG 7242
Min. Negotiated Rate	$8,334.88
Max. Negotiated Rate	$8,501.58
Rate for Payer: UnitedHealthcare Community & State	$8,334.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$8,501.58
Rate for Payer: Wellpoint Medicaid Managed Care	$8,334.88

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$28,062.06

Service Code	APR-DRG 7244
Min. Negotiated Rate	$27,511.82
Max. Negotiated Rate	$28,062.06
Rate for Payer: UnitedHealthcare Community & State	$27,511.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,062.06
Rate for Payer: Wellpoint Medicaid Managed Care	$27,511.82

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$7,130.43

Service Code	APR-DRG 7241
Min. Negotiated Rate	$6,990.62
Max. Negotiated Rate	$7,130.43
Rate for Payer: UnitedHealthcare Community & State	$6,990.62
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,130.43
Rate for Payer: Wellpoint Medicaid Managed Care	$6,990.62

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$35,460.92

Service Code	MSDRG 868
Min. Negotiated Rate	$10,797.40
Max. Negotiated Rate	$35,460.92
Rate for Payer: Aetna Commercial	$24,623.02
Rate for Payer: Aetna Medicare Advantage	$35,460.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25,354.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,365.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25,354.49
Rate for Payer: Cigna Commercial	$19,296.01
Rate for Payer: Cigna Medicare Advantage	$11,365.68
Rate for Payer: Clover Medicare Advantage	$10,797.40
Rate for Payer: EmblemHealth Commercial	$34,097.04
Rate for Payer: Humana Medicare Advantage	$11,706.65
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,365.68
Rate for Payer: Oxford Commercial	$13,868.30
Rate for Payer: UnitedHealthcare Commercial	$24,318.49
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,365.68
Rate for Payer: Wellcare Medicare Advantage	$11,365.68

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$69,789.75

Service Code	MSDRG 867
Min. Negotiated Rate	$21,250.08
Max. Negotiated Rate	$69,789.75
Rate for Payer: Aetna Commercial	$48,210.85
Rate for Payer: Aetna Medicare Advantage	$69,789.75
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	$22,368.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48,615.49
Rate for Payer: Cigna Commercial	$39,172.14
Rate for Payer: Cigna Medicare Advantage	$22,368.51
Rate for Payer: Clover Medicare Advantage	$21,250.08
Rate for Payer: EmblemHealth Commercial	$67,105.53
Rate for Payer: Humana Medicare Advantage	$23,039.57
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,368.51
Rate for Payer: Oxford Commercial	$28,153.54
Rate for Payer: UnitedHealthcare Commercial	$49,368.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,368.51
Rate for Payer: Wellcare Medicare Advantage	$22,368.51

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$25,719.19

Service Code	MSDRG 869
Min. Negotiated Rate	$7,831.16
Max. Negotiated Rate	$25,719.19
Rate for Payer: Aetna Commercial	$17,929.35
Rate for Payer: Aetna Medicare Advantage	$25,719.19
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	$8,243.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,050.09
Rate for Payer: Cigna Commercial	$13,655.61
Rate for Payer: Cigna Medicare Advantage	$8,243.33
Rate for Payer: Clover Medicare Advantage	$7,831.16
Rate for Payer: EmblemHealth Commercial	$24,729.99
Rate for Payer: Humana Medicare Advantage	$8,490.63
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,243.33
Rate for Payer: Oxford Commercial	$9,814.47
Rate for Payer: UnitedHealthcare Commercial	$17,209.97
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,243.33
Rate for Payer: Wellcare Medicare Advantage	$8,243.33

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$4,801.69

Service Code	APR-DRG 8151
Min. Negotiated Rate	$4,707.54
Max. Negotiated Rate	$4,801.69
Rate for Payer: UnitedHealthcare Community & State	$4,707.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,801.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4,707.54

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$24,479.64

Service Code	APR-DRG 8154
Min. Negotiated Rate	$23,999.65
Max. Negotiated Rate	$24,479.64
Rate for Payer: UnitedHealthcare Community & State	$23,999.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,479.64
Rate for Payer: Wellpoint Medicaid Managed Care	$23,999.65

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$11,445.72

Service Code	APR-DRG 8153
Min. Negotiated Rate	$11,221.29
Max. Negotiated Rate	$11,445.72
Rate for Payer: UnitedHealthcare Community & State	$11,221.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,445.72
Rate for Payer: Wellpoint Medicaid Managed Care	$11,221.29

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$6,674.67

Service Code	APR-DRG 8152
Min. Negotiated Rate	$6,543.79
Max. Negotiated Rate	$6,674.67
Rate for Payer: UnitedHealthcare Community & State	$6,543.79
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,674.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6,543.79

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC

Facility

$58,677.56

Service Code	MSDRG 922
Min. Negotiated Rate	$17,866.56
Max. Negotiated Rate	$58,677.56
Rate for Payer: Aetna Commercial	$40,575.48
Rate for Payer: Aetna Medicare Advantage	$58,677.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40,474.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40,474.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,806.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40,474.14
Rate for Payer: Cigna Commercial	$32,738.27
Rate for Payer: Cigna Medicare Advantage	$18,806.91
Rate for Payer: Clover Medicare Advantage	$17,866.56
Rate for Payer: EmblemHealth Commercial	$56,420.73
Rate for Payer: Humana Medicare Advantage	$19,371.12
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,806.91
Rate for Payer: Oxford Commercial	$23,529.43
Rate for Payer: UnitedHealthcare Commercial	$41,259.60
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,806.91
Rate for Payer: Wellcare Medicare Advantage	$18,806.91

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC

Facility

$35,027.80

Service Code	MSDRG 923
Min. Negotiated Rate	$10,665.52
Max. Negotiated Rate	$35,027.80
Rate for Payer: Aetna Commercial	$24,325.43
Rate for Payer: Aetna Medicare Advantage	$35,027.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,493.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,226.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,493.61
Rate for Payer: Cigna Commercial	$19,045.24
Rate for Payer: Cigna Medicare Advantage	$11,226.86
Rate for Payer: Clover Medicare Advantage	$10,665.52
Rate for Payer: EmblemHealth Commercial	$33,680.58
Rate for Payer: Humana Medicare Advantage	$11,563.67
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,226.86
Rate for Payer: Oxford Commercial	$13,688.07
Rate for Payer: UnitedHealthcare Commercial	$24,002.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,226.86
Rate for Payer: Wellcare Medicare Advantage	$11,226.86

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$7,775.14

Service Code	APR-DRG 4682
Min. Negotiated Rate	$7,622.69
Max. Negotiated Rate	$7,775.14
Rate for Payer: UnitedHealthcare Community & State	$7,622.69
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,775.14
Rate for Payer: Wellpoint Medicaid Managed Care	$7,622.69

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$11,346.11

Service Code	APR-DRG 4683
Min. Negotiated Rate	$11,123.64
Max. Negotiated Rate	$11,346.11
Rate for Payer: UnitedHealthcare Community & State	$11,123.64
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,346.11
Rate for Payer: Wellpoint Medicaid Managed Care	$11,123.64

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$21,447.42

Service Code	APR-DRG 4684
Min. Negotiated Rate	$21,026.88
Max. Negotiated Rate	$21,447.42
Rate for Payer: UnitedHealthcare Community & State	$21,026.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,447.42
Rate for Payer: Wellpoint Medicaid Managed Care	$21,026.88

OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS

Facility

$5,761.81

Service Code	APR-DRG 4681
Min. Negotiated Rate	$5,648.83
Max. Negotiated Rate	$5,761.81
Rate for Payer: UnitedHealthcare Community & State	$5,648.83
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,761.81
Rate for Payer: Wellpoint Medicaid Managed Care	$5,648.83

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility

$34,940.60

Service Code	MSDRG 699
Min. Negotiated Rate	$10,638.96
Max. Negotiated Rate	$34,940.60
Rate for Payer: Aetna Commercial	$24,265.51
Rate for Payer: Aetna Medicare Advantage	$34,940.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,726.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,726.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,198.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,726.22
Rate for Payer: Cigna Commercial	$18,994.71
Rate for Payer: Cigna Medicare Advantage	$11,198.91
Rate for Payer: Clover Medicare Advantage	$10,638.96
Rate for Payer: EmblemHealth Commercial	$33,596.73
Rate for Payer: Humana Medicare Advantage	$11,534.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,198.91
Rate for Payer: Oxford Commercial	$13,651.75
Rate for Payer: UnitedHealthcare Commercial	$23,938.78
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,198.91
Rate for Payer: Wellcare Medicare Advantage	$11,198.91

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility

$55,607.01

Service Code	MSDRG 698
Min. Negotiated Rate	$16,931.62
Max. Negotiated Rate	$55,607.01
Rate for Payer: Aetna Commercial	$38,465.66
Rate for Payer: Aetna Medicare Advantage	$55,607.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38,380.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38,380.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,822.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38,380.65
Rate for Payer: Cigna Commercial	$30,960.44
Rate for Payer: Cigna Medicare Advantage	$17,822.76
Rate for Payer: Clover Medicare Advantage	$16,931.62
Rate for Payer: EmblemHealth Commercial	$53,468.28
Rate for Payer: Humana Medicare Advantage	$18,357.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,822.76
Rate for Payer: Oxford Commercial	$22,251.68
Rate for Payer: UnitedHealthcare Commercial	$39,019.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,822.76
Rate for Payer: Wellcare Medicare Advantage	$17,822.76

OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility

$24,432.78

Service Code	MSDRG 700
Min. Negotiated Rate	$7,439.47
Max. Negotiated Rate	$24,432.78
Rate for Payer: Aetna Commercial	$17,045.43
Rate for Payer: Aetna Medicare Advantage	$24,432.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,515.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,515.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,831.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,515.31
Rate for Payer: Cigna Commercial	$12,910.79
Rate for Payer: Cigna Medicare Advantage	$7,831.02
Rate for Payer: Clover Medicare Advantage	$7,439.47
Rate for Payer: EmblemHealth Commercial	$23,493.06
Rate for Payer: Humana Medicare Advantage	$8,065.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,831.02
Rate for Payer: Oxford Commercial	$9,279.16
Rate for Payer: UnitedHealthcare Commercial	$16,271.29
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,831.02
Rate for Payer: Wellcare Medicare Advantage	$7,831.02

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility

$77,721.51

Service Code	MSDRG 674
Min. Negotiated Rate	$23,665.20
Max. Negotiated Rate	$77,721.51
Rate for Payer: Aetna Commercial	$53,660.85
Rate for Payer: Aetna Medicare Advantage	$77,721.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$55,361.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$55,361.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$24,910.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$55,361.18
Rate for Payer: Cigna Commercial	$43,764.56
Rate for Payer: Cigna Medicare Advantage	$24,910.74
Rate for Payer: Clover Medicare Advantage	$23,665.20
Rate for Payer: EmblemHealth Commercial	$74,732.22
Rate for Payer: Humana Medicare Advantage	$25,658.06
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$24,910.74
Rate for Payer: Oxford Commercial	$31,454.17
Rate for Payer: UnitedHealthcare Commercial	$55,155.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$24,910.74
Rate for Payer: Wellcare Medicare Advantage	$24,910.74

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility

$137,936.73

Service Code	MSDRG 673
Min. Negotiated Rate	$41,999.97
Max. Negotiated Rate	$137,936.73
Rate for Payer: Aetna Commercial	$95,035.60
Rate for Payer: Aetna Medicare Advantage	$137,936.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86,065.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86,065.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$44,210.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86,065.70
Rate for Payer: Cigna Commercial	$78,628.74
Rate for Payer: Cigna Medicare Advantage	$44,210.49
Rate for Payer: Clover Medicare Advantage	$41,999.97
Rate for Payer: EmblemHealth Commercial	$132,631.47
Rate for Payer: Humana Medicare Advantage	$45,536.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$44,210.49
Rate for Payer: Oxford Commercial	$56,511.52
Rate for Payer: UnitedHealthcare Commercial	$99,094.74
Rate for Payer: UnitedHealthcare Medicare Advantage	$44,210.49
Rate for Payer: Wellcare Medicare Advantage	$44,210.49

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility

$55,186.84

Service Code	MSDRG 675
Min. Negotiated Rate	$16,803.69
Max. Negotiated Rate	$55,186.84
Rate for Payer: Aetna Commercial	$38,176.97
Rate for Payer: Aetna Medicare Advantage	$55,186.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,984.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,984.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$17,688.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,984.99
Rate for Payer: Cigna Commercial	$30,717.16
Rate for Payer: Cigna Medicare Advantage	$17,688.09
Rate for Payer: Clover Medicare Advantage	$16,803.69
Rate for Payer: EmblemHealth Commercial	$53,064.27
Rate for Payer: Humana Medicare Advantage	$18,218.73
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$17,688.09
Rate for Payer: Oxford Commercial	$22,076.83
Rate for Payer: UnitedHealthcare Commercial	$38,712.42
Rate for Payer: UnitedHealthcare Medicare Advantage	$17,688.09
Rate for Payer: Wellcare Medicare Advantage	$17,688.09

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$51,215.22

Service Code	APR-DRG 4474
Min. Negotiated Rate	$50,211.00
Max. Negotiated Rate	$51,215.22
Rate for Payer: UnitedHealthcare Community & State	$50,211.00
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$51,215.22
Rate for Payer: Wellpoint Medicaid Managed Care	$50,211.00

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$25,651.65

Service Code	APR-DRG 4473
Min. Negotiated Rate	$25,148.68
Max. Negotiated Rate	$25,651.65
Rate for Payer: UnitedHealthcare Community & State	$25,148.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,651.65
Rate for Payer: Wellpoint Medicaid Managed Care	$25,148.68

Know your out-of-pocket cost for care.

All Charges