Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$27,583.33

Service Code	APR-DRG 7113
Min. Negotiated Rate	$27,042.48
Max. Negotiated Rate	$27,583.33
Rate for Payer: UnitedHealthcare Community & State	$27,042.48
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$27,583.33
Rate for Payer: Wellpoint Medicaid Managed Care	$27,042.48

POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE

Facility

$16,889.60

Service Code	APR-DRG 7112
Min. Negotiated Rate	$16,558.43
Max. Negotiated Rate	$16,889.60
Rate for Payer: UnitedHealthcare Community & State	$16,558.43
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,889.60
Rate for Payer: Wellpoint Medicaid Managed Care	$16,558.43

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$14,423.00

Service Code	APR-DRG 7213
Min. Negotiated Rate	$14,140.20
Max. Negotiated Rate	$14,423.00
Rate for Payer: UnitedHealthcare Community & State	$14,140.20
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$14,423.00
Rate for Payer: Wellpoint Medicaid Managed Care	$14,140.20

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$6,955.52

Service Code	APR-DRG 7211
Min. Negotiated Rate	$6,819.14
Max. Negotiated Rate	$6,955.52
Rate for Payer: UnitedHealthcare Community & State	$6,819.14
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$6,955.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6,819.14

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$25,375.89

Service Code	APR-DRG 7214
Min. Negotiated Rate	$24,878.32
Max. Negotiated Rate	$25,375.89
Rate for Payer: UnitedHealthcare Community & State	$24,878.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$25,375.89
Rate for Payer: Wellpoint Medicaid Managed Care	$24,878.32

POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$9,168.06

Service Code	APR-DRG 7212
Min. Negotiated Rate	$8,988.29
Max. Negotiated Rate	$9,168.06
Rate for Payer: UnitedHealthcare Community & State	$8,988.29
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$9,168.06
Rate for Payer: Wellpoint Medicaid Managed Care	$8,988.29

POSTOP IMPLANT 8X14MM

Facility

$7,475.00

Hospital Charge Code	270656549
Hospital Revenue Code	278
Min. Negotiated Rate	$1,121.25
Max. Negotiated Rate	$1,808.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25

POSTOP IMPLANT 8X14MM

Facility

$7,475.00

Hospital Charge Code	270656549
Hospital Revenue Code	278
Min. Negotiated Rate	$180.15
Max. Negotiated Rate	$3,737.50
Rate for Payer: Aetna Commercial	$2,840.50
Rate for Payer: Aetna Medicare Advantage	$2,242.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,906.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,495.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,906.12
Rate for Payer: Cigna Commercial	$3,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,808.95
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,644.50
Rate for Payer: Qualcare PPO/HMO/WC	$1,121.25
Rate for Payer: UnitedHealthcare Community & State	$180.15
Rate for Payer: Wellpoint Medicaid Managed Care	$198.09

POST OUTRIGGER STRAIGHT 11mm

Facility

$765.00

Hospital Charge Code	270646014
Hospital Revenue Code	270
Min. Negotiated Rate	$114.75
Max. Negotiated Rate	$114.75
Rate for Payer: Qualcare PPO/HMO/WC	$114.75

POST OUTRIGGER STRAIGHT 11mm

Facility

$765.00

Hospital Charge Code	270646014
Hospital Revenue Code	270
Min. Negotiated Rate	$18.44
Max. Negotiated Rate	$382.50
Rate for Payer: Aetna Commercial	$290.70
Rate for Payer: Aetna Medicare Advantage	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$195.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$195.07
Rate for Payer: Cigna Commercial	$382.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.50
Rate for Payer: Oxford Commercial	$153.00
Rate for Payer: Qualcare PPO/HMO/WC	$114.75
Rate for Payer: UnitedHealthcare Commercial	$153.00
Rate for Payer: UnitedHealthcare Community & State	$18.44
Rate for Payer: Wellpoint Medicaid Managed Care	$20.27

POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

Facility

$56,751.15

Service Code	MSDRG 769
Min. Negotiated Rate	$17,280.00
Max. Negotiated Rate	$56,751.15
Rate for Payer: Aetna Commercial	$39,251.85
Rate for Payer: Aetna Medicare Advantage	$56,751.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35,821.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$18,189.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35,821.94
Rate for Payer: Cigna Commercial	$31,622.92
Rate for Payer: Cigna Medicare Advantage	$18,189.47
Rate for Payer: Clover Medicare Advantage	$17,280.00
Rate for Payer: EmblemHealth Commercial	$54,568.41
Rate for Payer: Humana Medicare Advantage	$18,735.15
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$18,189.47
Rate for Payer: Oxford Commercial	$22,727.81
Rate for Payer: UnitedHealthcare Commercial	$39,853.93
Rate for Payer: UnitedHealthcare Medicare Advantage	$18,189.47
Rate for Payer: Wellcare Medicare Advantage	$18,189.47

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES

Facility

$23,295.07

Service Code	MSDRG 776
Min. Negotiated Rate	$7,093.05
Max. Negotiated Rate	$23,295.07
Rate for Payer: Aetna Commercial	$16,263.68
Rate for Payer: Aetna Medicare Advantage	$23,295.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,747.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,747.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$7,466.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,747.92
Rate for Payer: Cigna Commercial	$12,252.06
Rate for Payer: Cigna Medicare Advantage	$7,466.37
Rate for Payer: Clover Medicare Advantage	$7,093.05
Rate for Payer: EmblemHealth Commercial	$22,399.11
Rate for Payer: Humana Medicare Advantage	$7,690.36
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$7,466.37
Rate for Payer: Oxford Commercial	$8,805.72
Rate for Payer: UnitedHealthcare Commercial	$15,441.10
Rate for Payer: UnitedHealthcare Medicare Advantage	$7,466.37
Rate for Payer: Wellcare Medicare Advantage	$7,466.37

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$4,529.76

Service Code	APR-DRG 5612
Min. Negotiated Rate	$4,440.94
Max. Negotiated Rate	$4,529.76
Rate for Payer: UnitedHealthcare Community & State	$4,440.94
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$4,529.76
Rate for Payer: Wellpoint Medicaid Managed Care	$4,440.94

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$16,562.74

Service Code	APR-DRG 5614
Min. Negotiated Rate	$16,237.98
Max. Negotiated Rate	$16,562.74
Rate for Payer: UnitedHealthcare Community & State	$16,237.98
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$16,562.74
Rate for Payer: Wellpoint Medicaid Managed Care	$16,237.98

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$2,997.74

Service Code	APR-DRG 5611
Min. Negotiated Rate	$2,938.96
Max. Negotiated Rate	$2,997.74
Rate for Payer: UnitedHealthcare Community & State	$2,938.96
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$2,997.74
Rate for Payer: Wellpoint Medicaid Managed Care	$2,938.96

POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE

Facility

$7,342.34

Service Code	APR-DRG 5613
Min. Negotiated Rate	$7,198.37
Max. Negotiated Rate	$7,342.34
Rate for Payer: UnitedHealthcare Community & State	$7,198.37
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$7,342.34
Rate for Payer: Wellpoint Medicaid Managed Care	$7,198.37

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$39,142.60

Service Code	APR-DRG 5484
Min. Negotiated Rate	$38,375.10
Max. Negotiated Rate	$39,142.60
Rate for Payer: UnitedHealthcare Community & State	$38,375.10
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$39,142.60
Rate for Payer: Wellpoint Medicaid Managed Care	$38,375.10

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$17,845.87

Service Code	APR-DRG 5483
Min. Negotiated Rate	$17,495.95
Max. Negotiated Rate	$17,845.87
Rate for Payer: UnitedHealthcare Community & State	$17,495.95
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$17,845.87
Rate for Payer: Wellpoint Medicaid Managed Care	$17,495.95

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$5,059.59

Service Code	APR-DRG 5481
Min. Negotiated Rate	$4,960.38
Max. Negotiated Rate	$5,059.59
Rate for Payer: UnitedHealthcare Community & State	$4,960.38
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$5,059.59
Rate for Payer: Wellpoint Medicaid Managed Care	$4,960.38

POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE

Facility

$10,428.15

Service Code	APR-DRG 5482
Min. Negotiated Rate	$10,223.68
Max. Negotiated Rate	$10,428.15
Rate for Payer: UnitedHealthcare Community & State	$10,223.68
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$10,428.15
Rate for Payer: Wellpoint Medicaid Managed Care	$10,223.68

POST PARTUM TUBAL LIGATION

Facility

$2,200.00

Hospital Charge Code	1800242
Hospital Revenue Code	722
Min. Negotiated Rate	$53.02
Max. Negotiated Rate	$4,601.00
Rate for Payer: Aetna Commercial	$836.00
Rate for Payer: Aetna Medicare Advantage	$660.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$561.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$561.00
Rate for Payer: Cigna Commercial	$1,100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$660.00
Rate for Payer: Oxford Commercial	$2,624.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00
Rate for Payer: UnitedHealthcare Commercial	$4,601.00
Rate for Payer: UnitedHealthcare Community & State	$53.02
Rate for Payer: Wellpoint Medicaid Managed Care	$58.30

POST PARTUM TUBAL LIGATION

Facility

$2,200.00

Hospital Charge Code	1800242
Hospital Revenue Code	722
Min. Negotiated Rate	$330.00
Max. Negotiated Rate	$330.00
Rate for Payer: Qualcare PPO/HMO/WC	$330.00

POSTR COLPORPHY REP RCTCL

Facility

$33,259.50

Service Code	HCPCS 57250
Hospital Charge Code	1600000719
Hospital Revenue Code	360
Min. Negotiated Rate	$801.55
Max. Negotiated Rate	$21,452.59
Rate for Payer: Aetna Commercial	$16,165.07
Rate for Payer: Aetna Medicare Advantage	$19,255.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21,452.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21,452.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$5,943.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,742.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21,452.59
Rate for Payer: Cigna Commercial	$11,912.81
Rate for Payer: Cigna Medicare Advantage	$5,943.04
Rate for Payer: Clover Medicare Advantage	$5,645.89
Rate for Payer: EmblemHealth Commercial	$17,829.12
Rate for Payer: Humana Medicare Advantage	$6,121.33
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$5,943.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9,977.85
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: Qualcare PPO/HMO/WC	$4,988.93
Rate for Payer: UnitedHealthcare Commercial	$10,232.00
Rate for Payer: UnitedHealthcare Community & State	$801.55
Rate for Payer: UnitedHealthcare Medicare Advantage	$5,943.04
Rate for Payer: Wellcare Medicare Advantage	$5,943.04
Rate for Payer: Wellpoint Medicaid Managed Care	$881.38

POSTR COLPORPHY REP RCTCL

Facility

$33,259.50

Service Code	HCPCS 57250
Hospital Charge Code	1600000719
Hospital Revenue Code	360
Min. Negotiated Rate	$4,988.93
Max. Negotiated Rate	$4,988.93
Rate for Payer: Qualcare PPO/HMO/WC	$4,988.93

POST STAB FEMORAL SZ8 RT PS

Facility

$6,873.10

Service Code	HCPCS C1776
Hospital Charge Code	270698639
Hospital Revenue Code	278
Min. Negotiated Rate	$165.64
Max. Negotiated Rate	$3,436.55
Rate for Payer: Aetna Commercial	$2,611.78
Rate for Payer: Aetna Medicare Advantage	$2,061.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,752.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,752.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,374.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,752.64
Rate for Payer: Cigna Commercial	$3,436.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,663.29
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$1,512.08
Rate for Payer: Qualcare PPO/HMO/WC	$1,030.96
Rate for Payer: UnitedHealthcare Community & State	$165.64
Rate for Payer: Wellpoint Medicaid Managed Care	$182.14

Know your out-of-pocket cost for care.

All Charges