Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$318,330.32

Service Code	MSDRG 216
Min. Negotiated Rate	$96,927.50
Max. Negotiated Rate	$318,330.32
Rate for Payer: Aetna Commercial	$218,986.56
Rate for Payer: Aetna Medicare Advantage	$318,330.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$225,864.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$225,864.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$102,028.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$225,864.31
Rate for Payer: Cigna Commercial	$183,075.32
Rate for Payer: Cigna Medicare Advantage	$102,028.95
Rate for Payer: Clover Medicare Advantage	$96,927.50
Rate for Payer: EmblemHealth Commercial	$306,086.85
Rate for Payer: Humana Medicare Advantage	$105,089.82
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$102,028.95
Rate for Payer: Oxford Commercial	$131,578.66
Rate for Payer: UnitedHealthcare Commercial	$230,727.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$102,028.95
Rate for Payer: Wellcare Medicare Advantage	$102,028.95

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$214,658.65

Service Code	MSDRG 218
Min. Negotiated Rate	$65,360.81
Max. Negotiated Rate	$214,658.65
Rate for Payer: Aetna Commercial	$147,752.29
Rate for Payer: Aetna Medicare Advantage	$214,658.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$132,587.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$132,587.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$68,800.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$132,587.70
Rate for Payer: Cigna Commercial	$123,050.16
Rate for Payer: Cigna Medicare Advantage	$68,800.85
Rate for Payer: Clover Medicare Advantage	$65,360.81
Rate for Payer: EmblemHealth Commercial	$206,402.55
Rate for Payer: Humana Medicare Advantage	$70,864.88
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$68,800.85
Rate for Payer: Oxford Commercial	$88,437.79
Rate for Payer: UnitedHealthcare Commercial	$155,078.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$68,800.85
Rate for Payer: Wellcare Medicare Advantage	$68,800.85

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility

$174,498.98

Service Code	MSDRG 220
Min. Negotiated Rate	$53,132.70
Max. Negotiated Rate	$174,498.98
Rate for Payer: Aetna Commercial	$120,158.01
Rate for Payer: Aetna Medicare Advantage	$174,498.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$121,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$121,887.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$55,929.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$121,887.64
Rate for Payer: Cigna Commercial	$99,798.02
Rate for Payer: Cigna Medicare Advantage	$55,929.16
Rate for Payer: Clover Medicare Advantage	$53,132.70
Rate for Payer: EmblemHealth Commercial	$167,787.48
Rate for Payer: Humana Medicare Advantage	$57,607.03
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$55,929.16
Rate for Payer: Oxford Commercial	$71,726.16
Rate for Payer: UnitedHealthcare Commercial	$125,774.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$55,929.16
Rate for Payer: Wellcare Medicare Advantage	$55,929.16

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$250,309.39

Service Code	MSDRG 219
Min. Negotiated Rate	$76,216.00
Max. Negotiated Rate	$250,309.39
Rate for Payer: Aetna Commercial	$172,248.43
Rate for Payer: Aetna Medicare Advantage	$250,309.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$179,342.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$179,342.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$80,227.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$179,342.31
Rate for Payer: Cigna Commercial	$143,691.71
Rate for Payer: Cigna Medicare Advantage	$80,227.37
Rate for Payer: Clover Medicare Advantage	$76,216.00
Rate for Payer: EmblemHealth Commercial	$240,682.11
Rate for Payer: Humana Medicare Advantage	$82,634.19
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$80,227.37
Rate for Payer: Oxford Commercial	$103,273.13
Rate for Payer: UnitedHealthcare Commercial	$181,092.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$80,227.37
Rate for Payer: Wellcare Medicare Advantage	$80,227.37

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$165,041.70

Service Code	MSDRG 221
Min. Negotiated Rate	$50,253.08
Max. Negotiated Rate	$165,041.70
Rate for Payer: Aetna Commercial	$113,659.79
Rate for Payer: Aetna Medicare Advantage	$165,041.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108,163.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108,163.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$52,897.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108,163.65
Rate for Payer: Cigna Commercial	$94,322.30
Rate for Payer: Cigna Medicare Advantage	$52,897.98
Rate for Payer: Clover Medicare Advantage	$50,253.08
Rate for Payer: EmblemHealth Commercial	$158,693.94
Rate for Payer: Humana Medicare Advantage	$54,484.92
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$52,897.98
Rate for Payer: Oxford Commercial	$67,790.69
Rate for Payer: UnitedHealthcare Commercial	$118,873.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$52,897.98
Rate for Payer: Wellcare Medicare Advantage	$52,897.98

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$54,630.41

Service Code	APR-DRG 1621
Min. Negotiated Rate	$53,559.23
Max. Negotiated Rate	$54,630.41
Rate for Payer: UnitedHealthcare Community & State	$53,559.23
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$54,630.41
Rate for Payer: Wellpoint Medicaid Managed Care	$53,559.23

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$62,912.42

Service Code	APR-DRG 1622
Min. Negotiated Rate	$61,678.84
Max. Negotiated Rate	$62,912.42
Rate for Payer: UnitedHealthcare Community & State	$61,678.84
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$62,912.42
Rate for Payer: Wellpoint Medicaid Managed Care	$61,678.84

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$80,522.02

Service Code	APR-DRG 1623
Min. Negotiated Rate	$78,943.16
Max. Negotiated Rate	$80,522.02
Rate for Payer: UnitedHealthcare Community & State	$78,943.16
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$80,522.02
Rate for Payer: Wellpoint Medicaid Managed Care	$78,943.16

CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$118,885.92

Service Code	APR-DRG 1624
Min. Negotiated Rate	$116,554.82
Max. Negotiated Rate	$118,885.92
Rate for Payer: UnitedHealthcare Community & State	$116,554.82
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$118,885.92
Rate for Payer: Wellpoint Medicaid Managed Care	$116,554.82

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$66,261.23

Service Code	APR-DRG 1633
Min. Negotiated Rate	$64,961.99
Max. Negotiated Rate	$66,261.23
Rate for Payer: UnitedHealthcare Community & State	$64,961.99
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$66,261.23
Rate for Payer: Wellpoint Medicaid Managed Care	$64,961.99

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$100,586.86

Service Code	APR-DRG 1634
Min. Negotiated Rate	$98,614.57
Max. Negotiated Rate	$100,586.86
Rate for Payer: UnitedHealthcare Community & State	$98,614.57
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$100,586.86
Rate for Payer: Wellpoint Medicaid Managed Care	$98,614.57

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$47,295.69

Service Code	APR-DRG 1631
Min. Negotiated Rate	$46,368.32
Max. Negotiated Rate	$47,295.69
Rate for Payer: UnitedHealthcare Community & State	$46,368.32
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$47,295.69
Rate for Payer: Wellpoint Medicaid Managed Care	$46,368.32

CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS

Facility

$52,839.17

Service Code	APR-DRG 1632
Min. Negotiated Rate	$51,803.11
Max. Negotiated Rate	$52,839.17
Rate for Payer: UnitedHealthcare Community & State	$51,803.11
Rate for Payer: Wellcare New Jersey Medicaid/Family Care	$52,839.17
Rate for Payer: Wellpoint Medicaid Managed Care	$51,803.11

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$14.70
Max. Negotiated Rate	$14.70
Rate for Payer: Qualcare PPO/HMO/WC	$14.70

CARDINAL NDL 16 GAXCM 17 TIP

Facility

$98.00

Hospital Charge Code	270339132
Hospital Revenue Code	272
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$49.00
Rate for Payer: Aetna Commercial	$37.24
Rate for Payer: Aetna Medicare Advantage	$29.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.99
Rate for Payer: Cigna Commercial	$49.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.40
Rate for Payer: Oxford Commercial	$19.60
Rate for Payer: Qualcare PPO/HMO/WC	$14.70
Rate for Payer: UnitedHealthcare Commercial	$19.60
Rate for Payer: UnitedHealthcare Community & State	$2.36
Rate for Payer: Wellpoint Medicaid Managed Care	$2.60

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIO CRP

Facility

$390.00

Service Code	HCPCS 86141
Hospital Charge Code	39900469
Hospital Revenue Code	302
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$35.22
Rate for Payer: Aetna Medicare Advantage	$41.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$12.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.75
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$12.95
Rate for Payer: Clover Medicare Advantage	$12.30
Rate for Payer: EmblemHealth Commercial	$38.85
Rate for Payer: Humana Medicare Advantage	$13.34
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$12.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$10.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$12.95
Rate for Payer: Wellcare Medicare Advantage	$12.95
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIO IQ HEMOGLOBIN A1C

Facility

$390.00

Service Code	HCPCS 83036
Hospital Charge Code	401183036
Hospital Revenue Code	301
Min. Negotiated Rate	$7.77
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$31.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$9.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$12.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.05
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$9.71
Rate for Payer: Clover Medicare Advantage	$9.22
Rate for Payer: EmblemHealth Commercial	$29.13
Rate for Payer: Humana Medicare Advantage	$10.00
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$9.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$7.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.71
Rate for Payer: Wellcare Medicare Advantage	$9.71
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$7.80
Max. Negotiated Rate	$7.80
Rate for Payer: Qualcare PPO/HMO/WC	$7.80

CARDIOIQLIPOPROTSUBFRIONMOBSER

Facility

$52.00

Service Code	HCPCS 83704
Hospital Charge Code	401383704
Hospital Revenue Code	301
Min. Negotiated Rate	$1.38
Max. Negotiated Rate	$124.00
Rate for Payer: Aetna Commercial	$93.00
Rate for Payer: Aetna Medicare Advantage	$110.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$123.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$34.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$39.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$123.42
Rate for Payer: Cigna Commercial	$26.00
Rate for Payer: Cigna Medicare Advantage	$34.19
Rate for Payer: Clover Medicare Advantage	$32.48
Rate for Payer: EmblemHealth Commercial	$102.57
Rate for Payer: Humana Medicare Advantage	$35.22
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$34.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.60
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$7.80
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$27.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$34.19
Rate for Payer: Wellcare Medicare Advantage	$34.19
Rate for Payer: Wellpoint Medicaid Managed Care	$1.38

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$195.00
Rate for Payer: Aetna Commercial	$106.79
Rate for Payer: Aetna Medicare Advantage	$127.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$141.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$39.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$141.72
Rate for Payer: Cigna Commercial	$195.00
Rate for Payer: Cigna Medicare Advantage	$39.26
Rate for Payer: Clover Medicare Advantage	$37.30
Rate for Payer: EmblemHealth Commercial	$117.78
Rate for Payer: Humana Medicare Advantage	$40.44
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$39.26
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$117.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$58.50
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$31.41
Rate for Payer: UnitedHealthcare Medicare Advantage	$39.26
Rate for Payer: Wellcare Medicare Advantage	$39.26
Rate for Payer: Wellpoint Medicaid Managed Care	$10.34

CARDIO IQ NT PROBNP

Facility

$390.00

Service Code	HCPCS 83880
Hospital Charge Code	401083880
Hospital Revenue Code	301
Min. Negotiated Rate	$58.50
Max. Negotiated Rate	$58.50
Rate for Payer: Qualcare PPO/HMO/WC	$58.50

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$250.50
Rate for Payer: Aetna Commercial	$69.22
Rate for Payer: Aetna Medicare Advantage	$82.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$91.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$91.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$25.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$77.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$91.87
Rate for Payer: Cigna Commercial	$250.50
Rate for Payer: Cigna Medicare Advantage	$25.45
Rate for Payer: Clover Medicare Advantage	$24.18
Rate for Payer: EmblemHealth Commercial	$76.35
Rate for Payer: Humana Medicare Advantage	$26.21
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$25.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.30
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.15
Rate for Payer: UnitedHealthcare Commercial	$124.00
Rate for Payer: UnitedHealthcare Community & State	$20.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.45
Rate for Payer: Wellcare Medicare Advantage	$25.45
Rate for Payer: Wellpoint Medicaid Managed Care	$13.28

CARDIOLIPIN AB,EA IG CLASS

Facility

$501.00

Service Code	HCPCS 86147
Hospital Charge Code	38476183
Hospital Revenue Code	302
Min. Negotiated Rate	$75.15
Max. Negotiated Rate	$75.15
Rate for Payer: Qualcare PPO/HMO/WC	$75.15

Know your out-of-pocket cost for care.

All Charges