Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100980
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100993
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100986
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100981
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-TELEMETRY

Facility

$25,000.00

Hospital Charge Code	100990
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100983
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100994
Hospital Revenue Code	128
Min. Negotiated Rate	$2,321.00
Max. Negotiated Rate	$6,764.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,764.00
Rate for Payer: Oxford Commercial	$2,321.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,700.00
Rate for Payer: UnitedHealthcare Commercial	$4,071.00

ROOM & BOARD-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100992
Hospital Revenue Code	169
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-TELEMETRY

Facility

$25,000.00

Hospital Charge Code	100979
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100976
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100985
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-TELEMETRY

Facility

$18,000.00

Hospital Charge Code	100975
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 TELEMETRY 9E

Facility

$18,000.00

Hospital Charge Code	100932
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 TELM 3 TOWER

Facility

$18,000.00

Hospital Charge Code	100903
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 TELM 5 TOWER

Facility

$18,000.00

Hospital Charge Code	100906
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 TELM 6 TOWER

Facility

$18,000.00

Hospital Charge Code	100913
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 TELM 7 TOWER

Facility

$18,000.00

Hospital Charge Code	100916
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 TELM 9P

Facility

$18,000.00

Hospital Charge Code	100928
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 TELM ICU2

Facility

$20,000.00

Hospital Charge Code	100924
Hospital Revenue Code	206
Min. Negotiated Rate	$2,755.00
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	$3,000.00

ROOM & BOARD TRCU

Facility

$18,000.00

Hospital Charge Code	100075
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 DETOX PRIVATE

Facility

$18,500.00

Hospital Charge Code	100937
Hospital Revenue Code	116
Min. Negotiated Rate	$2,775.00
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	$2,775.00

ROOM DETOX SEMI PRIVATE

Facility

$18,000.00

Hospital Charge Code	100938
Hospital Revenue Code	126
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 TEMP INJECTATE SYSTEM

Facility

$108.60

Hospital Charge Code	270676374
Hospital Revenue Code	272
Min. Negotiated Rate	$16.29
Max. Negotiated Rate	$16.29
Rate for Payer: Qualcare PPO/HMO/WC	$16.29

ROOM TEMP INJECTATE SYSTEM

Facility

$108.60

Hospital Charge Code	270676374
Hospital Revenue Code	272
Min. Negotiated Rate	$2.62
Max. Negotiated Rate	$54.30
Rate for Payer: Aetna Commercial	$41.27
Rate for Payer: Aetna Medicare Advantage	$32.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.69
Rate for Payer: Cigna Commercial	$54.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.58
Rate for Payer: Oxford Commercial	$21.72
Rate for Payer: Qualcare PPO/HMO/WC	$16.29
Rate for Payer: UnitedHealthcare Commercial	$21.72
Rate for Payer: UnitedHealthcare Community & State	$2.62
Rate for Payer: Wellpoint Medicaid Managed Care	$2.88

ROOT MARKING HOOK MENISCAL

Facility

$3,475.00

Hospital Charge Code	270688312
Hospital Revenue Code	272
Min. Negotiated Rate	$83.75
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,320.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,042.50
Rate for Payer: Oxford Commercial	$695.00
Rate for Payer: Qualcare PPO/HMO/WC	$521.25
Rate for Payer: UnitedHealthcare Commercial	$695.00
Rate for Payer: UnitedHealthcare Community & State	$83.75
Rate for Payer: Wellpoint Medicaid Managed Care	$92.09

Know your out-of-pocket cost for care.

All Charges