Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROOM & BOARD MTY

Facility

$14,500.00

Hospital Charge Code	100921
Hospital Revenue Code	122
Min. Negotiated Rate	$2,175.00
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	$2,175.00

ROOM & BOARD NURSERY

Facility

$2,400.00

Hospital Charge Code	100115
Hospital Revenue Code	171
Min. Negotiated Rate	$360.00
Max. Negotiated Rate	$2,435.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$360.00

ROOM & BOARD NURSERY A

Facility

$18,000.00

Hospital Charge Code	100922
Hospital Revenue Code	171
Min. Negotiated Rate	$2,435.00
Max. Negotiated Rate	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD NURSERY LEVEL 1

Facility

$18,000.00

Hospital Charge Code	100814
Hospital Revenue Code	171
Min. Negotiated Rate	$2,435.00
Max. Negotiated Rate	$2,700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,435.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD OB

Facility

$2,875.00

Hospital Charge Code	100107
Hospital Revenue Code	122
Min. Negotiated Rate	$431.25
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	$431.25

ROOM & BOARD OB

Facility

$25,000.00

Hospital Charge Code	100816
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 OB - PRIVATE

Facility

$2,950.00

Hospital Charge Code	100108
Hospital Revenue Code	142
Min. Negotiated Rate	$442.50
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	$442.50

ROOM & BOARD OB - PRIVATE

Facility

$2,650.00

Hospital Charge Code	100109
Hospital Revenue Code	110
Min. Negotiated Rate	$397.50
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	$397.50

ROOM & BOARD ONCOL

Facility

$1,427.25

Hospital Charge Code	100164
Hospital Revenue Code	127
Min. Negotiated Rate	$214.09
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	$214.09

ROOM & BOARD PEDS

Facility

$18,000.00

Hospital Charge Code	100099
Hospital Revenue Code	123
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 PEDS

Facility

$18,000.00

Hospital Charge Code	100907
Hospital Revenue Code	123
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 PEDS - PRIVATE

Facility

$18,000.00

Hospital Charge Code	100100
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 PRI 3 TOWER

Facility

$18,000.00

Hospital Charge Code	100902
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 PRI 4 TOWER

Facility

$18,000.00

Hospital Charge Code	100909
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 PRI 5 TOWER

Facility

$18,000.00

Hospital Charge Code	100905
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 PRI 6 TOWER

Facility

$18,000.00

Hospital Charge Code	100912
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 PRI 7 TOWER

Facility

$18,000.00

Hospital Charge Code	100915
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 PRI DETOX

Facility

$18,000.00

Hospital Charge Code	100918
Hospital Revenue Code	116
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: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD PRI MED 4 TOWER

Facility

$18,000.00

Hospital Charge Code	100908
Hospital Revenue Code	113
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 PRI MEDJUS 9E

Facility

$18,000.00

Hospital Charge Code	100933
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 PRI MTY

Facility

$18,000.00

Hospital Charge Code	100935
Hospital Revenue Code	112
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 PRI PEDS 2 EAST

Facility

$18,000.00

Hospital Charge Code	100910
Hospital Revenue Code	113
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 PRI PSYCH

Facility

$18,000.00

Hospital Charge Code	100917
Hospital Revenue Code	114
Min. Negotiated Rate	$1,115.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD PSYCH

Facility

$18,000.00

Hospital Charge Code	100081
Hospital Revenue Code	124
Min. Negotiated Rate	$1,115.00
Max. Negotiated Rate	$3,360.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,115.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3,360.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00

ROOM & BOARD SDA

Facility

$18,000.00

Hospital Charge Code	100926
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