Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

RONGUER KERRISON 3M

Facility

$5,439.75

Hospital Charge Code	270664164
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 2M

Facility

$5,439.75

Hospital Charge Code	270664165
Hospital Revenue Code	270
Min. Negotiated Rate	$131.10
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$2,067.11
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.92
Rate for Payer: Oxford Commercial	$1,087.95
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$1,087.95
Rate for Payer: UnitedHealthcare Community & State	$131.10
Rate for Payer: Wellpoint Medicaid Managed Care	$144.15

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$815.96
Max. Negotiated Rate	$815.96
Rate for Payer: Qualcare PPO/HMO/WC	$815.96

RONGUER KERRSION 4M

Facility

$5,439.75

Hospital Charge Code	270664166
Hospital Revenue Code	270
Min. Negotiated Rate	$131.10
Max. Negotiated Rate	$2,719.88
Rate for Payer: Aetna Commercial	$2,067.11
Rate for Payer: Aetna Medicare Advantage	$1,631.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,387.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,387.14
Rate for Payer: Cigna Commercial	$2,719.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,631.92
Rate for Payer: Oxford Commercial	$1,087.95
Rate for Payer: Qualcare PPO/HMO/WC	$815.96
Rate for Payer: UnitedHealthcare Commercial	$1,087.95
Rate for Payer: UnitedHealthcare Community & State	$131.10
Rate for Payer: Wellpoint Medicaid Managed Care	$144.15

ROOM AND BOARD-MED SURG-ADULT

Facility

$18,000.00

Hospital Charge Code	100102
Hospital Revenue Code	120
Min. Negotiated Rate	$900.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: Wellpoint Medicaid Managed Care	$900.00

ROOM & BOARD 2A

Facility

$18,000.00

Hospital Charge Code	100016
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A

Facility

$18,000.00

Hospital Charge Code	100032
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100018
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2A - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100017
Hospital Revenue Code	110
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2E PRIVATE

Facility

$18,000.00

Hospital Charge Code	100941
Hospital Revenue Code	111
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2E SEMI

Facility

$18,000.00

Hospital Charge Code	100940
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 2R

Facility

$18,000.00

Hospital Charge Code	100024
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 3R

Facility

$18,000.00

Hospital Charge Code	100057
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 3R - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100058
Hospital Revenue Code	141
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 3 SEMI TOWER

Facility

$18,000.00

Hospital Charge Code	100901
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 4NORTH-PRIVATE

Facility

$18,000.00

Hospital Charge Code	100810
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 4R

Facility

$18,000.00

Hospital Charge Code	100065
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 4R - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100066
Hospital Revenue Code	141
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 5R

Facility

$18,000.00

Hospital Charge Code	100073
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 5R - PRIVATE

Facility

$18,000.00

Hospital Charge Code	1000074
Hospital Revenue Code	111
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 5R - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100074
Hospital Revenue Code	141
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-ISOLATION

Facility

$18,000.00

Hospital Charge Code	100808
Hospital Revenue Code	164
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-PRIVATE

Facility

$18,000.00

Hospital Charge Code	100805
Hospital Revenue Code	111
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD 6SO-SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100806
Hospital Revenue Code	121
Min. Negotiated Rate	$2,312.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,312.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5,000.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

Know your out-of-pocket cost for care.

All Charges