Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100965
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100959
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100951
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100945
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100964
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100123
Hospital Revenue Code	209
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100967
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100923
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100955
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU

Facility

$20,000.00

Hospital Charge Code	100954
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD-ICU

Facility

$20,000.00

Hospital Charge Code	100995
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU-4N

Facility

$20,000.00

Hospital Charge Code	100819
Hospital Revenue Code	200
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD ICU-MEDICAL

Facility

$20,000.00

Hospital Charge Code	100817
Hospital Revenue Code	202
Min. Negotiated Rate	$3,000.00
Max. Negotiated Rate	$8,793.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,237.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,793.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6,500.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,000.00

ROOM & BOARD IMCU

Facility

$18,000.00

Hospital Charge Code	100172
Hospital Revenue Code	206
Min. Negotiated Rate	$2,700.00
Max. Negotiated Rate	$8,116.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,755.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8,116.00
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 L&D

Facility

$25,000.00

Hospital Charge Code	100929
Hospital Revenue Code	122
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	$3,750.00

ROOM & BOARD MED/SURG

Facility

$18,000.00

Hospital Charge Code	100095
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-MED SURG

Facility

$18,000.00

Hospital Charge Code	100096
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-MED SURG

Facility

$18,000.00

Hospital Charge Code	100997
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-MED SURG

Facility

$18,000.00

Hospital Charge Code	100999
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-MED SURG

Facility

$18,000.00

Hospital Charge Code	100998
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-MED SURG

Facility

$18,000.00

Hospital Charge Code	100996
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 MED/SURG 9P

Facility

$18,000.00

Hospital Charge Code	100927
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-MED SURG PRIVATE

Facility

$18,000.00

Hospital Charge Code	100969
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 M/S

Facility

$18,000.00

Hospital Charge Code	100015
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-M/S SEMIPRIVATE

Facility

$18,000.00

Hospital Charge Code	100970
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