Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$90,495.01

Service Code	MSDRG 963
Min. Negotiated Rate	$27,554.57
Max. Negotiated Rate	$90,495.01
Rate for Payer: Aetna Commercial	$62,437.71
Rate for Payer: Aetna Medicare Advantage	$90,495.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63,502.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63,502.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$29,004.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63,502.53
Rate for Payer: Cigna Commercial	$51,160.33
Rate for Payer: Cigna Medicare Advantage	$29,004.81
Rate for Payer: Clover Medicare Advantage	$27,554.57
Rate for Payer: EmblemHealth Commercial	$87,014.43
Rate for Payer: Humana Medicare Advantage	$29,874.95
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$29,004.81
Rate for Payer: Oxford Commercial	$36,769.61
Rate for Payer: UnitedHealthcare Commercial	$64,476.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$29,004.81
Rate for Payer: Wellcare Medicare Advantage	$29,004.81

OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$32,532.58

Service Code	MSDRG 965
Min. Negotiated Rate	$9,905.75
Max. Negotiated Rate	$32,532.58
Rate for Payer: Aetna Commercial	$22,610.93
Rate for Payer: Aetna Medicare Advantage	$32,532.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22,330.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22,330.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$10,427.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22,330.56
Rate for Payer: Cigna Commercial	$17,600.52
Rate for Payer: Cigna Medicare Advantage	$10,427.11
Rate for Payer: Clover Medicare Advantage	$9,905.75
Rate for Payer: EmblemHealth Commercial	$31,281.33
Rate for Payer: Humana Medicare Advantage	$10,739.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,427.11
Rate for Payer: Oxford Commercial	$12,649.73
Rate for Payer: UnitedHealthcare Commercial	$22,181.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,427.11
Rate for Payer: Wellcare Medicare Advantage	$10,427.11

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$11,667.87

Service Code	APR-DRG 3513
Min. Negotiated Rate	$11,439.09
Max. Negotiated Rate	$11,667.87
Rate for Payer: UnitedHealthcare Community & State	$11,439.09
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,667.87
Rate for Payer: Wellpoint Medicaid Managed Care	$11,439.09

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$21,864.93

Service Code	APR-DRG 3514
Min. Negotiated Rate	$21,436.21
Max. Negotiated Rate	$21,864.93
Rate for Payer: UnitedHealthcare Community & State	$21,436.21
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$21,864.93
Rate for Payer: Wellpoint Medicaid Managed Care	$21,436.21

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$6,033.73

Service Code	APR-DRG 3511
Min. Negotiated Rate	$5,915.42
Max. Negotiated Rate	$6,033.73
Rate for Payer: UnitedHealthcare Community & State	$5,915.42
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,033.73
Rate for Payer: Wellpoint Medicaid Managed Care	$5,915.42

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$7,547.89

Service Code	APR-DRG 3512
Min. Negotiated Rate	$7,399.89
Max. Negotiated Rate	$7,547.89
Rate for Payer: UnitedHealthcare Community & State	$7,399.89
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,547.89
Rate for Payer: Wellpoint Medicaid Managed Care	$7,399.89

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility

$33,628.26

Service Code	MSDRG 565
Min. Negotiated Rate	$10,239.38
Max. Negotiated Rate	$33,628.26
Rate for Payer: Aetna Commercial	$23,363.78
Rate for Payer: Aetna Medicare Advantage	$33,628.26
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	$10,778.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23,261.00
Rate for Payer: Cigna Commercial	$18,234.92
Rate for Payer: Cigna Medicare Advantage	$10,778.29
Rate for Payer: Clover Medicare Advantage	$10,239.38
Rate for Payer: EmblemHealth Commercial	$32,334.87
Rate for Payer: Humana Medicare Advantage	$11,101.64
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$10,778.29
Rate for Payer: Oxford Commercial	$13,105.68
Rate for Payer: UnitedHealthcare Commercial	$22,981.22
Rate for Payer: UnitedHealthcare Medicare Advantage	$10,778.29
Rate for Payer: Wellcare Medicare Advantage	$10,778.29

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility

$52,025.84

Service Code	MSDRG 564
Min. Negotiated Rate	$15,841.20
Max. Negotiated Rate	$52,025.84
Rate for Payer: Aetna Commercial	$36,005.03
Rate for Payer: Aetna Medicare Advantage	$52,025.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36,287.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36,287.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,674.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36,287.16
Rate for Payer: Cigna Commercial	$28,886.93
Rate for Payer: Cigna Medicare Advantage	$16,674.95
Rate for Payer: Clover Medicare Advantage	$15,841.20
Rate for Payer: EmblemHealth Commercial	$50,024.85
Rate for Payer: Humana Medicare Advantage	$17,175.20
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,674.95
Rate for Payer: Oxford Commercial	$20,761.42
Rate for Payer: UnitedHealthcare Commercial	$36,405.81
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,674.95
Rate for Payer: Wellcare Medicare Advantage	$16,674.95

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility

$26,352.71

Service Code	MSDRG 566
Min. Negotiated Rate	$8,024.06
Max. Negotiated Rate	$26,352.71
Rate for Payer: Aetna Commercial	$18,364.65
Rate for Payer: Aetna Medicare Advantage	$26,352.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17,445.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17,445.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$8,446.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17,445.75
Rate for Payer: Cigna Commercial	$14,022.40
Rate for Payer: Cigna Medicare Advantage	$8,446.38
Rate for Payer: Clover Medicare Advantage	$8,024.06
Rate for Payer: EmblemHealth Commercial	$25,339.14
Rate for Payer: Humana Medicare Advantage	$8,699.77
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$8,446.38
Rate for Payer: Oxford Commercial	$10,078.08
Rate for Payer: UnitedHealthcare Commercial	$17,672.24
Rate for Payer: UnitedHealthcare Medicare Advantage	$8,446.38
Rate for Payer: Wellcare Medicare Advantage	$8,446.38

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

Facility

$69,301.69

Service Code	MSDRG 516
Min. Negotiated Rate	$21,101.48
Max. Negotiated Rate	$69,301.69
Rate for Payer: Aetna Commercial	$47,875.49
Rate for Payer: Aetna Medicare Advantage	$69,301.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$47,452.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$47,452.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$22,212.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$47,452.44
Rate for Payer: Cigna Commercial	$38,889.56
Rate for Payer: Cigna Medicare Advantage	$22,212.08
Rate for Payer: Clover Medicare Advantage	$21,101.48
Rate for Payer: EmblemHealth Commercial	$66,636.24
Rate for Payer: Humana Medicare Advantage	$22,878.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$22,212.08
Rate for Payer: Oxford Commercial	$27,950.44
Rate for Payer: UnitedHealthcare Commercial	$49,011.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$22,212.08
Rate for Payer: Wellcare Medicare Advantage	$22,212.08

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility

$105,139.94

Service Code	MSDRG 515
Min. Negotiated Rate	$32,013.76
Max. Negotiated Rate	$105,139.94
Rate for Payer: Aetna Commercial	$72,500.45
Rate for Payer: Aetna Medicare Advantage	$105,139.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$73,504.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$73,504.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$33,698.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$73,504.76
Rate for Payer: Cigna Commercial	$59,639.65
Rate for Payer: Cigna Medicare Advantage	$33,698.70
Rate for Payer: Clover Medicare Advantage	$32,013.76
Rate for Payer: EmblemHealth Commercial	$101,096.10
Rate for Payer: Humana Medicare Advantage	$34,709.66
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$33,698.70
Rate for Payer: Oxford Commercial	$42,863.81
Rate for Payer: UnitedHealthcare Commercial	$75,163.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$33,698.70
Rate for Payer: Wellcare Medicare Advantage	$33,698.70

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility

$51,802.76

Service Code	MSDRG 517
Min. Negotiated Rate	$15,773.28
Max. Negotiated Rate	$51,802.76
Rate for Payer: Aetna Commercial	$35,851.71
Rate for Payer: Aetna Medicare Advantage	$51,802.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34,658.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$16,603.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34,658.89
Rate for Payer: Cigna Commercial	$28,757.80
Rate for Payer: Cigna Medicare Advantage	$16,603.45
Rate for Payer: Clover Medicare Advantage	$15,773.28
Rate for Payer: EmblemHealth Commercial	$49,810.35
Rate for Payer: Humana Medicare Advantage	$17,101.55
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$16,603.45
Rate for Payer: Oxford Commercial	$20,668.62
Rate for Payer: UnitedHealthcare Commercial	$36,243.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$16,603.45
Rate for Payer: Wellcare Medicare Advantage	$16,603.45

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$26,565.78

Service Code	APR-DRG 3203
Min. Negotiated Rate	$26,044.88
Max. Negotiated Rate	$26,565.78
Rate for Payer: UnitedHealthcare Community & State	$26,044.88
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,565.78
Rate for Payer: Wellpoint Medicaid Managed Care	$26,044.88

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$18,302.90

Service Code	APR-DRG 3202
Min. Negotiated Rate	$17,944.02
Max. Negotiated Rate	$18,302.90
Rate for Payer: UnitedHealthcare Community & State	$17,944.02
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,302.90
Rate for Payer: Wellpoint Medicaid Managed Care	$17,944.02

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$13,226.70

Service Code	APR-DRG 3201
Min. Negotiated Rate	$12,967.35
Max. Negotiated Rate	$13,226.70
Rate for Payer: UnitedHealthcare Community & State	$12,967.35
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,226.70
Rate for Payer: Wellpoint Medicaid Managed Care	$12,967.35

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES

Facility

$46,132.61

Service Code	APR-DRG 3204
Min. Negotiated Rate	$45,228.05
Max. Negotiated Rate	$46,132.61
Rate for Payer: UnitedHealthcare Community & State	$45,228.05
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$46,132.61
Rate for Payer: Wellpoint Medicaid Managed Care	$45,228.05

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility

$41,482.46

Service Code	MSDRG 844
Min. Negotiated Rate	$12,630.88
Max. Negotiated Rate	$41,482.46
Rate for Payer: Aetna Commercial	$28,760.51
Rate for Payer: Aetna Medicare Advantage	$41,482.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26,982.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26,982.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$13,295.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26,982.76
Rate for Payer: Cigna Commercial	$22,782.42
Rate for Payer: Cigna Medicare Advantage	$13,295.66
Rate for Payer: Clover Medicare Advantage	$12,630.88
Rate for Payer: EmblemHealth Commercial	$39,886.98
Rate for Payer: Humana Medicare Advantage	$13,694.53
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$13,295.66
Rate for Payer: Oxford Commercial	$16,374.03
Rate for Payer: UnitedHealthcare Commercial	$28,712.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$13,295.66
Rate for Payer: Wellcare Medicare Advantage	$13,295.66

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility

$66,609.32

Service Code	MSDRG 843
Min. Negotiated Rate	$20,281.68
Max. Negotiated Rate	$66,609.32
Rate for Payer: Aetna Commercial	$46,025.51
Rate for Payer: Aetna Medicare Advantage	$66,609.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43,265.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43,265.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$21,349.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43,265.46
Rate for Payer: Cigna Commercial	$37,330.69
Rate for Payer: Cigna Medicare Advantage	$21,349.14
Rate for Payer: Clover Medicare Advantage	$20,281.68
Rate for Payer: EmblemHealth Commercial	$64,047.42
Rate for Payer: Humana Medicare Advantage	$21,989.61
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$21,349.14
Rate for Payer: Oxford Commercial	$26,830.06
Rate for Payer: UnitedHealthcare Commercial	$47,047.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$21,349.14
Rate for Payer: Wellcare Medicare Advantage	$21,349.14

OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility

$29,659.19

Service Code	MSDRG 845
Min. Negotiated Rate	$9,030.84
Max. Negotiated Rate	$29,659.19
Rate for Payer: Aetna Commercial	$20,636.58
Rate for Payer: Aetna Medicare Advantage	$29,659.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20,004.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20,004.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9,506.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20,004.46
Rate for Payer: Cigna Commercial	$15,936.84
Rate for Payer: Cigna Medicare Advantage	$9,506.15
Rate for Payer: Clover Medicare Advantage	$9,030.84
Rate for Payer: EmblemHealth Commercial	$28,518.45
Rate for Payer: Humana Medicare Advantage	$9,791.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9,506.15
Rate for Payer: Oxford Commercial	$11,454.02
Rate for Payer: UnitedHealthcare Commercial	$20,084.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$9,506.15
Rate for Payer: Wellcare Medicare Advantage	$9,506.15

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$29,802.22

Service Code	APR-DRG 0263
Min. Negotiated Rate	$29,217.86
Max. Negotiated Rate	$29,802.22
Rate for Payer: UnitedHealthcare Community & State	$29,217.86
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$29,802.22
Rate for Payer: Wellpoint Medicaid Managed Care	$29,217.86

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$52,205.91

Service Code	APR-DRG 0264
Min. Negotiated Rate	$51,182.26
Max. Negotiated Rate	$52,205.91
Rate for Payer: UnitedHealthcare Community & State	$51,182.26
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,205.91
Rate for Payer: Wellpoint Medicaid Managed Care	$51,182.26

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$19,374.05

Service Code	APR-DRG 0262
Min. Negotiated Rate	$18,994.17
Max. Negotiated Rate	$19,374.05
Rate for Payer: UnitedHealthcare Community & State	$18,994.17
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,374.05
Rate for Payer: Wellpoint Medicaid Managed Care	$18,994.17

OTHER NERVOUS SYSTEM AND RELATED PROCEDURES

Facility

$15,621.82

Service Code	APR-DRG 0261
Min. Negotiated Rate	$15,315.51
Max. Negotiated Rate	$15,621.82
Rate for Payer: UnitedHealthcare Community & State	$15,315.51
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,621.82
Rate for Payer: Wellpoint Medicaid Managed Care	$15,315.51

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$9,313.59

Service Code	APR-DRG 4253
Min. Negotiated Rate	$9,130.97
Max. Negotiated Rate	$9,313.59
Rate for Payer: UnitedHealthcare Community & State	$9,130.97
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,313.59
Rate for Payer: Wellpoint Medicaid Managed Care	$9,130.97

OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$5,473.27

Service Code	APR-DRG 4251
Min. Negotiated Rate	$5,365.95
Max. Negotiated Rate	$5,473.27
Rate for Payer: UnitedHealthcare Community & State	$5,365.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,473.27
Rate for Payer: Wellpoint Medicaid Managed Care	$5,365.95

Know your out-of-pocket cost for care.

All Charges