Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$49,689.56

Service Code	APR-DRG 0294
Min. Negotiated Rate	$48,715.25
Max. Negotiated Rate	$49,689.56
Rate for Payer: UnitedHealthcare Community & State	$48,715.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$49,689.56
Rate for Payer: Wellpoint Medicaid Managed Care	$48,715.25

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$31,459.38

Service Code	APR-DRG 0293
Min. Negotiated Rate	$30,842.53
Max. Negotiated Rate	$31,459.38
Rate for Payer: UnitedHealthcare Community & State	$30,842.53
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$31,459.38
Rate for Payer: Wellpoint Medicaid Managed Care	$30,842.53

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$28,184.62

Service Code	APR-DRG 0292
Min. Negotiated Rate	$27,631.98
Max. Negotiated Rate	$28,184.62
Rate for Payer: UnitedHealthcare Community & State	$27,631.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$28,184.62
Rate for Payer: Wellpoint Medicaid Managed Care	$27,631.98

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$24,908.60

Service Code	APR-DRG 0291
Min. Negotiated Rate	$24,420.20
Max. Negotiated Rate	$24,908.60
Rate for Payer: UnitedHealthcare Community & State	$24,420.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$24,908.60
Rate for Payer: Wellpoint Medicaid Managed Care	$24,420.20

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$25,130.77

Service Code	APR-DRG 1822
Min. Negotiated Rate	$24,638.01
Max. Negotiated Rate	$25,130.77
Rate for Payer: UnitedHealthcare Community & State	$24,638.01
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,130.77
Rate for Payer: Wellpoint Medicaid Managed Care	$24,638.01

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$22,770.12

Service Code	APR-DRG 1821
Min. Negotiated Rate	$22,323.65
Max. Negotiated Rate	$22,770.12
Rate for Payer: UnitedHealthcare Community & State	$22,323.65
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$22,770.12
Rate for Payer: Wellpoint Medicaid Managed Care	$22,323.65

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$30,203.13

Service Code	APR-DRG 1823
Min. Negotiated Rate	$29,610.91
Max. Negotiated Rate	$30,203.13
Rate for Payer: UnitedHealthcare Community & State	$29,610.91
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$30,203.13
Rate for Payer: Wellpoint Medicaid Managed Care	$29,610.91

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$53,060.07

Service Code	APR-DRG 1824
Min. Negotiated Rate	$52,019.68
Max. Negotiated Rate	$53,060.07
Rate for Payer: UnitedHealthcare Community & State	$52,019.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,060.07
Rate for Payer: Wellpoint Medicaid Managed Care	$52,019.68

OTHER PNEUMONIA

Facility

$7,750.92

Service Code	APR-DRG 1392
Min. Negotiated Rate	$7,598.94
Max. Negotiated Rate	$7,750.92
Rate for Payer: UnitedHealthcare Community & State	$7,598.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,750.92
Rate for Payer: Wellpoint Medicaid Managed Care	$7,598.94

OTHER PNEUMONIA

Facility

$19,079.17

Service Code	APR-DRG 1394
Min. Negotiated Rate	$18,705.07
Max. Negotiated Rate	$19,079.17
Rate for Payer: UnitedHealthcare Community & State	$18,705.07
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,079.17
Rate for Payer: Wellpoint Medicaid Managed Care	$18,705.07

OTHER PNEUMONIA

Facility

$11,054.99

Service Code	APR-DRG 1393
Min. Negotiated Rate	$10,838.23
Max. Negotiated Rate	$11,054.99
Rate for Payer: UnitedHealthcare Community & State	$10,838.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$11,054.99
Rate for Payer: Wellpoint Medicaid Managed Care	$10,838.23

OTHER PNEUMONIA

Facility

$5,681.33

Service Code	APR-DRG 1391
Min. Negotiated Rate	$5,569.93
Max. Negotiated Rate	$5,681.33
Rate for Payer: UnitedHealthcare Community & State	$5,569.93
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,681.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5,569.93

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$27,361.16

Service Code	APR-DRG 4053
Min. Negotiated Rate	$26,824.67
Max. Negotiated Rate	$27,361.16
Rate for Payer: UnitedHealthcare Community & State	$26,824.67
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,361.16
Rate for Payer: Wellpoint Medicaid Managed Care	$26,824.67

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$18,127.99

Service Code	APR-DRG 4052
Min. Negotiated Rate	$17,772.54
Max. Negotiated Rate	$18,127.99
Rate for Payer: UnitedHealthcare Community & State	$17,772.54
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$18,127.99
Rate for Payer: Wellpoint Medicaid Managed Care	$17,772.54

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$15,882.23

Service Code	APR-DRG 4051
Min. Negotiated Rate	$15,570.81
Max. Negotiated Rate	$15,882.23
Rate for Payer: UnitedHealthcare Community & State	$15,570.81
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$15,882.23
Rate for Payer: Wellpoint Medicaid Managed Care	$15,570.81

OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS

Facility

$53,732.83

Service Code	APR-DRG 4054
Min. Negotiated Rate	$52,679.25
Max. Negotiated Rate	$53,732.83
Rate for Payer: UnitedHealthcare Community & State	$52,679.25
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,732.83
Rate for Payer: Wellpoint Medicaid Managed Care	$52,679.25

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$13,137.37

Service Code	APR-DRG 6511
Min. Negotiated Rate	$12,879.77
Max. Negotiated Rate	$13,137.37
Rate for Payer: UnitedHealthcare Community & State	$12,879.77
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$13,137.37
Rate for Payer: Wellpoint Medicaid Managed Care	$12,879.77

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$26,780.25

Service Code	APR-DRG 6513
Min. Negotiated Rate	$26,255.15
Max. Negotiated Rate	$26,780.25
Rate for Payer: UnitedHealthcare Community & State	$26,255.15
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$26,780.25
Rate for Payer: Wellpoint Medicaid Managed Care	$26,255.15

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$19,047.20

Service Code	APR-DRG 6512
Min. Negotiated Rate	$18,673.73
Max. Negotiated Rate	$19,047.20
Rate for Payer: UnitedHealthcare Community & State	$18,673.73
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$19,047.20
Rate for Payer: Wellpoint Medicaid Managed Care	$18,673.73

OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS

Facility

$53,287.26

Service Code	APR-DRG 6514
Min. Negotiated Rate	$52,242.41
Max. Negotiated Rate	$53,287.26
Rate for Payer: UnitedHealthcare Community & State	$52,242.41
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$53,287.26
Rate for Payer: Wellpoint Medicaid Managed Care	$52,242.41

OTHER PT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	9109142
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT CURRENT STATUS

Facility

$0.01

Service Code	HCPCS G8990GP
Hospital Charge Code	9109142
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

OTHER PT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GP
Hospital Charge Code	9109144
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

OTHER PT D/C STATUS

Facility

$0.01

Service Code	HCPCS G8992GP
Hospital Charge Code	9109144
Hospital Revenue Code	420
Rate for Payer: Qualcare PPO/HMO/WC	$0.00

OTHER PT GOAL STATUS

Facility

$0.01

Service Code	HCPCS G8991GP
Hospital Charge Code	9109143
Hospital Revenue Code	420
Max. Negotiated Rate	$1,060.00
Rate for Payer: Aetna Commercial	$0.00
Rate for Payer: Aetna Medicare Advantage	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.00
Rate for Payer: Cigna Commercial	$0.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.00
Rate for Payer: Oxford Commercial	$604.00
Rate for Payer: Qualcare PPO/HMO/WC	$0.00
Rate for Payer: UnitedHealthcare Commercial	$1,060.00
Rate for Payer: UnitedHealthcare Community & State	$0.00
Rate for Payer: Wellpoint Medicaid Managed Care	$0.00

Know your out-of-pocket cost for care.

All Charges