Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$15,725.26

Service Code	APR-DRG 4471
Min. Negotiated Rate	$15,416.92
Max. Negotiated Rate	$15,725.26
Rate for Payer: UnitedHealthcare Community & State	$15,416.92
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,725.26
Rate for Payer: Wellpoint Medicaid Managed Care	$15,416.92

OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES

Facility

$18,670.58

Service Code	APR-DRG 4472
Min. Negotiated Rate	$18,304.49
Max. Negotiated Rate	$18,670.58
Rate for Payer: UnitedHealthcare Community & State	$18,304.49
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,670.58
Rate for Payer: Wellpoint Medicaid Managed Care	$18,304.49

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility

$117,079.56

Service Code	MSDRG 271
Min. Negotiated Rate	$35,649.22
Max. Negotiated Rate	$117,079.56
Rate for Payer: Aetna Commercial	$80,704.34
Rate for Payer: Aetna Medicare Advantage	$117,079.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$80,483.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$80,483.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$37,525.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$80,483.06
Rate for Payer: Cigna Commercial	$66,552.60
Rate for Payer: Cigna Medicare Advantage	$37,525.50
Rate for Payer: Clover Medicare Advantage	$35,649.22
Rate for Payer: EmblemHealth Commercial	$112,576.50
Rate for Payer: Humana Medicare Advantage	$38,651.26
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$37,525.50
Rate for Payer: Oxford Commercial	$47,832.24
Rate for Payer: UnitedHealthcare Commercial	$83,875.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$37,525.50
Rate for Payer: Wellcare Medicare Advantage	$37,525.50

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility

$172,672.78

Service Code	MSDRG 270
Min. Negotiated Rate	$52,576.65
Max. Negotiated Rate	$172,672.78
Rate for Payer: Aetna Commercial	$118,903.23
Rate for Payer: Aetna Medicare Advantage	$172,672.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117,700.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117,700.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$55,343.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117,700.66
Rate for Payer: Cigna Commercial	$98,740.68
Rate for Payer: Cigna Medicare Advantage	$55,343.84
Rate for Payer: Clover Medicare Advantage	$52,576.65
Rate for Payer: EmblemHealth Commercial	$166,031.52
Rate for Payer: Humana Medicare Advantage	$57,004.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$55,343.84
Rate for Payer: Oxford Commercial	$70,966.24
Rate for Payer: UnitedHealthcare Commercial	$124,441.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$55,343.84
Rate for Payer: Wellcare Medicare Advantage	$55,343.84

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$84,651.18

Service Code	MSDRG 272
Min. Negotiated Rate	$25,775.20
Max. Negotiated Rate	$84,651.18
Rate for Payer: Aetna Commercial	$58,422.34
Rate for Payer: Aetna Medicare Advantage	$84,651.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56,756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56,756.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$27,131.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56,756.84
Rate for Payer: Cigna Commercial	$47,776.84
Rate for Payer: Cigna Medicare Advantage	$27,131.79
Rate for Payer: Clover Medicare Advantage	$25,775.20
Rate for Payer: EmblemHealth Commercial	$81,395.37
Rate for Payer: Humana Medicare Advantage	$27,945.74
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$27,131.79
Rate for Payer: Oxford Commercial	$34,337.85
Rate for Payer: UnitedHealthcare Commercial	$60,212.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$27,131.79
Rate for Payer: Wellcare Medicare Advantage	$27,131.79

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$18,845.49

Service Code	APR-DRG 0911
Min. Negotiated Rate	$18,475.97
Max. Negotiated Rate	$18,845.49
Rate for Payer: UnitedHealthcare Community & State	$18,475.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,845.49
Rate for Payer: Wellpoint Medicaid Managed Care	$18,475.97

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$49,887.42

Service Code	APR-DRG 0913
Min. Negotiated Rate	$48,909.24
Max. Negotiated Rate	$49,887.42
Rate for Payer: UnitedHealthcare Community & State	$48,909.24
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,887.42
Rate for Payer: Wellpoint Medicaid Managed Care	$48,909.24

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$27,668.83

Service Code	APR-DRG 0912
Min. Negotiated Rate	$27,126.30
Max. Negotiated Rate	$27,668.83
Rate for Payer: UnitedHealthcare Community & State	$27,126.30
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,668.83
Rate for Payer: Wellpoint Medicaid Managed Care	$27,126.30

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$79,985.85

Service Code	APR-DRG 0914
Min. Negotiated Rate	$78,417.50
Max. Negotiated Rate	$79,985.85
Rate for Payer: UnitedHealthcare Community & State	$78,417.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$79,985.85
Rate for Payer: Wellpoint Medicaid Managed Care	$78,417.50

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$46,876.92

Service Code	APR-DRG 4844
Min. Negotiated Rate	$45,957.76
Max. Negotiated Rate	$46,876.92
Rate for Payer: UnitedHealthcare Community & State	$45,957.76
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,876.92
Rate for Payer: Wellpoint Medicaid Managed Care	$45,957.76

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$17,442.38

Service Code	APR-DRG 4842
Min. Negotiated Rate	$17,100.37
Max. Negotiated Rate	$17,442.38
Rate for Payer: UnitedHealthcare Community & State	$17,100.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,442.38
Rate for Payer: Wellpoint Medicaid Managed Care	$17,100.37

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$21,040.16

Service Code	APR-DRG 4843
Min. Negotiated Rate	$20,627.61
Max. Negotiated Rate	$21,040.16
Rate for Payer: UnitedHealthcare Community & State	$20,627.61
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,040.16
Rate for Payer: Wellpoint Medicaid Managed Care	$20,627.61

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$14,355.31

Service Code	APR-DRG 4841
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 MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$36,353.02

Service Code	MSDRG 729
Min. Negotiated Rate	$11,069.03
Max. Negotiated Rate	$36,353.02
Rate for Payer: Aetna Commercial	$25,235.99
Rate for Payer: Aetna Medicare Advantage	$36,353.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23,261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23,261.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,651.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,261.00
Rate for Payer: Cigna Commercial	$19,812.51
Rate for Payer: Cigna Medicare Advantage	$11,651.61
Rate for Payer: Clover Medicare Advantage	$11,069.03
Rate for Payer: EmblemHealth Commercial	$34,954.83
Rate for Payer: Humana Medicare Advantage	$12,001.16
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,651.61
Rate for Payer: Oxford Commercial	$14,239.51
Rate for Payer: UnitedHealthcare Commercial	$24,969.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,651.61
Rate for Payer: Wellcare Medicare Advantage	$11,651.61

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$23,854.24

Service Code	MSDRG 730
Min. Negotiated Rate	$7,263.31
Max. Negotiated Rate	$23,854.24
Rate for Payer: Aetna Commercial	$16,647.90
Rate for Payer: Aetna Medicare Advantage	$23,854.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14,421.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14,421.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,645.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14,421.82
Rate for Payer: Cigna Commercial	$12,575.81
Rate for Payer: Cigna Medicare Advantage	$7,645.59
Rate for Payer: Clover Medicare Advantage	$7,263.31
Rate for Payer: EmblemHealth Commercial	$22,936.77
Rate for Payer: Humana Medicare Advantage	$7,874.96
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,645.59
Rate for Payer: Oxford Commercial	$9,038.40
Rate for Payer: UnitedHealthcare Commercial	$15,849.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,645.59
Rate for Payer: Wellcare Medicare Advantage	$7,645.59

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

Facility

$63,238.16

Service Code	MSDRG 717
Min. Negotiated Rate	$19,255.21
Max. Negotiated Rate	$63,238.16
Rate for Payer: Aetna Commercial	$43,709.17
Rate for Payer: Aetna Medicare Advantage	$63,238.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42,102.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42,102.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$20,268.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42,102.41
Rate for Payer: Cigna Commercial	$35,378.82
Rate for Payer: Cigna Medicare Advantage	$20,268.64
Rate for Payer: Clover Medicare Advantage	$19,255.21
Rate for Payer: EmblemHealth Commercial	$60,805.92
Rate for Payer: Humana Medicare Advantage	$20,876.70
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$20,268.64
Rate for Payer: Oxford Commercial	$25,427.22
Rate for Payer: UnitedHealthcare Commercial	$44,587.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$20,268.64
Rate for Payer: Wellcare Medicare Advantage	$20,268.64

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility

$45,545.26

Service Code	MSDRG 718
Min. Negotiated Rate	$13,867.95
Max. Negotiated Rate	$45,545.26
Rate for Payer: Aetna Commercial	$31,552.11
Rate for Payer: Aetna Medicare Advantage	$45,545.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27,447.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27,447.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$14,597.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27,447.98
Rate for Payer: Cigna Commercial	$25,134.77
Rate for Payer: Cigna Medicare Advantage	$14,597.84
Rate for Payer: Clover Medicare Advantage	$13,867.95
Rate for Payer: EmblemHealth Commercial	$43,793.52
Rate for Payer: Humana Medicare Advantage	$15,035.78
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$14,597.84
Rate for Payer: Oxford Commercial	$18,064.69
Rate for Payer: UnitedHealthcare Commercial	$31,677.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$14,597.84
Rate for Payer: Wellcare Medicare Advantage	$14,597.84

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

Facility

$74,447.35

Service Code	MSDRG 715
Min. Negotiated Rate	$22,668.26
Max. Negotiated Rate	$74,447.35
Rate for Payer: Aetna Commercial	$51,411.12
Rate for Payer: Aetna Medicare Advantage	$74,447.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51,406.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51,406.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$23,861.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51,406.81
Rate for Payer: Cigna Commercial	$41,868.83
Rate for Payer: Cigna Medicare Advantage	$23,861.33
Rate for Payer: Clover Medicare Advantage	$22,668.26
Rate for Payer: EmblemHealth Commercial	$71,583.99
Rate for Payer: Humana Medicare Advantage	$24,577.17
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$23,861.33
Rate for Payer: Oxford Commercial	$30,091.69
Rate for Payer: UnitedHealthcare Commercial	$52,766.72
Rate for Payer: UnitedHealthcare Medicare Advantage	$23,861.33
Rate for Payer: Wellcare Medicare Advantage	$23,861.33

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

Facility

$49,679.20

Service Code	MSDRG 716
Min. Negotiated Rate	$15,126.68
Max. Negotiated Rate	$49,679.20
Rate for Payer: Aetna Commercial	$34,392.61
Rate for Payer: Aetna Medicare Advantage	$49,679.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33,030.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33,030.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$15,922.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33,030.62
Rate for Payer: Cigna Commercial	$27,528.29
Rate for Payer: Cigna Medicare Advantage	$15,922.82
Rate for Payer: Clover Medicare Advantage	$15,126.68
Rate for Payer: EmblemHealth Commercial	$47,768.46
Rate for Payer: Humana Medicare Advantage	$16,400.50
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$15,922.82
Rate for Payer: Oxford Commercial	$19,784.95
Rate for Payer: UnitedHealthcare Commercial	$34,693.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$15,922.82
Rate for Payer: Wellcare Medicare Advantage	$15,922.82

OTHER MENTAL DISORDER DIAGNOSES

Facility

$36,747.33

Service Code	MSDRG 887
Min. Negotiated Rate	$3,330.00
Max. Negotiated Rate	$36,747.33
Rate for Payer: Aetna Commercial	$25,506.94
Rate for Payer: Aetna Medicare Advantage	$36,747.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30,239.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30,239.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3,330.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$11,777.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3,606.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30,239.30
Rate for Payer: Cigna Commercial	$20,040.82
Rate for Payer: Cigna Medicare Advantage	$11,777.99
Rate for Payer: Clover Medicare Advantage	$11,189.09
Rate for Payer: EmblemHealth Commercial	$35,333.97
Rate for Payer: Humana Medicare Advantage	$12,131.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$11,777.99
Rate for Payer: Oxford Commercial	$14,403.60
Rate for Payer: UnitedHealthcare Commercial	$25,257.18
Rate for Payer: UnitedHealthcare Medicare Advantage	$11,777.99
Rate for Payer: Wellcare Medicare Advantage	$11,777.99

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$7,821.14

Service Code	APR-DRG 7602
Min. Negotiated Rate	$7,667.78
Max. Negotiated Rate	$7,821.14
Rate for Payer: UnitedHealthcare Community & State	$7,667.78
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,821.14
Rate for Payer: Wellpoint Medicaid Managed Care	$7,667.78

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$5,526.87

Service Code	APR-DRG 7601
Min. Negotiated Rate	$5,418.50
Max. Negotiated Rate	$5,526.87
Rate for Payer: UnitedHealthcare Community & State	$5,418.50
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,526.87
Rate for Payer: Wellpoint Medicaid Managed Care	$5,418.50

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$21,407.84

Service Code	APR-DRG 7604
Min. Negotiated Rate	$20,988.08
Max. Negotiated Rate	$21,407.84
Rate for Payer: UnitedHealthcare Community & State	$20,988.08
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,407.84
Rate for Payer: Wellpoint Medicaid Managed Care	$20,988.08

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$11,455.91

Service Code	APR-DRG 7603
Min. Negotiated Rate	$11,231.28
Max. Negotiated Rate	$11,455.91
Rate for Payer: UnitedHealthcare Community & State	$11,231.28
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,455.91
Rate for Payer: Wellpoint Medicaid Managed Care	$11,231.28

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$51,670.23

Service Code	MSDRG 964
Min. Negotiated Rate	$15,732.92
Max. Negotiated Rate	$51,670.23
Rate for Payer: Aetna Commercial	$35,760.66
Rate for Payer: Aetna Medicare Advantage	$51,670.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,891.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,891.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,560.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,891.50
Rate for Payer: Cigna Commercial	$28,681.08
Rate for Payer: Cigna Medicare Advantage	$16,560.97
Rate for Payer: Clover Medicare Advantage	$15,732.92
Rate for Payer: EmblemHealth Commercial	$49,682.91
Rate for Payer: Humana Medicare Advantage	$17,057.80
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,560.97
Rate for Payer: Oxford Commercial	$20,613.47
Rate for Payer: UnitedHealthcare Commercial	$36,146.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,560.97
Rate for Payer: Wellcare Medicare Advantage	$16,560.97

Know your out-of-pocket cost for care.

All Charges