Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE CATH XBLAD 3.5 6F

Facility

$280.00

Hospital Charge Code	2709001190
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

GUIDE CATH XBLAD 3.5 6F

Facility

$280.00

Hospital Charge Code	2709001190
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE CATH XBLAD 4.0 6F

Facility

$280.00

Hospital Charge Code	2709001191
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$140.00
Rate for Payer: Aetna Commercial	$106.40
Rate for Payer: Aetna Medicare Advantage	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$71.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$71.40
Rate for Payer: Cigna Commercial	$140.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.00
Rate for Payer: Oxford Commercial	$56.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00
Rate for Payer: UnitedHealthcare Commercial	$56.00
Rate for Payer: UnitedHealthcare Community & State	$6.75
Rate for Payer: Wellpoint Medicaid Managed Care	$7.42

GUIDE CATH XBLAD 4.0 6F

Facility

$280.00

Hospital Charge Code	2709001191
Hospital Revenue Code	272
Min. Negotiated Rate	$42.00
Max. Negotiated Rate	$42.00
Rate for Payer: Qualcare PPO/HMO/WC	$42.00

GUIDE CATH XBRCA 6F

Facility

$274.75

Hospital Charge Code	2709001192
Hospital Revenue Code	272
Min. Negotiated Rate	$41.21
Max. Negotiated Rate	$41.21
Rate for Payer: Qualcare PPO/HMO/WC	$41.21

GUIDE CATH XBRCA 6F

Facility

$274.75

Hospital Charge Code	2709001192
Hospital Revenue Code	272
Min. Negotiated Rate	$6.62
Max. Negotiated Rate	$137.38
Rate for Payer: Aetna Commercial	$104.41
Rate for Payer: Aetna Medicare Advantage	$82.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$70.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$70.06
Rate for Payer: Cigna Commercial	$137.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$82.42
Rate for Payer: Oxford Commercial	$54.95
Rate for Payer: Qualcare PPO/HMO/WC	$41.21
Rate for Payer: UnitedHealthcare Commercial	$54.95
Rate for Payer: UnitedHealthcare Community & State	$6.62
Rate for Payer: Wellpoint Medicaid Managed Care	$7.28

GUIDE COMPRESSION IMPLANT SIZE

Facility

$300.00

Hospital Charge Code	270672145
Hospital Revenue Code	272
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GUIDE COMPRESSION IMPLANT SIZE

Facility

$300.00

Hospital Charge Code	270672145
Hospital Revenue Code	272
Min. Negotiated Rate	$7.23
Max. Negotiated Rate	$150.00
Rate for Payer: Aetna Commercial	$114.00
Rate for Payer: Aetna Medicare Advantage	$90.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$76.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$76.50
Rate for Payer: Cigna Commercial	$150.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.00
Rate for Payer: Oxford Commercial	$60.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Commercial	$60.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

GUIDE CONSTANT TIBIAL

Facility

$9,160.00

Hospital Charge Code	270691450
Hospital Revenue Code	272
Min. Negotiated Rate	$220.76
Max. Negotiated Rate	$4,580.00
Rate for Payer: Aetna Commercial	$3,480.80
Rate for Payer: Aetna Medicare Advantage	$2,748.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,335.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,335.80
Rate for Payer: Cigna Commercial	$4,580.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,748.00
Rate for Payer: Oxford Commercial	$1,832.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,374.00
Rate for Payer: UnitedHealthcare Commercial	$1,832.00
Rate for Payer: UnitedHealthcare Community & State	$220.76
Rate for Payer: Wellpoint Medicaid Managed Care	$242.74

GUIDE CONSTANT TIBIAL

Facility

$9,160.00

Hospital Charge Code	270691450
Hospital Revenue Code	272
Min. Negotiated Rate	$1,374.00
Max. Negotiated Rate	$1,374.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,374.00

GUIDED PERCUT DRG PLMT OF CATH

Facility

$9,500.00

Service Code	HCPCS 75989
Hospital Charge Code	2200511
Hospital Revenue Code	350
Min. Negotiated Rate	$228.95
Max. Negotiated Rate	$4,750.00
Rate for Payer: Aetna Commercial	$3,610.00
Rate for Payer: Aetna Medicare Advantage	$2,850.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,422.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$253.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,422.50
Rate for Payer: Cigna Commercial	$4,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,850.00
Rate for Payer: Oxford Commercial	$2,443.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00
Rate for Payer: UnitedHealthcare Commercial	$3,354.00
Rate for Payer: UnitedHealthcare Community & State	$228.95
Rate for Payer: Wellpoint Medicaid Managed Care	$251.75

GUIDED PERCUT DRG PLMT OF CATH

Facility

$9,500.00

Service Code	HCPCS 75989
Hospital Charge Code	2200511
Hospital Revenue Code	350
Min. Negotiated Rate	$1,425.00
Max. Negotiated Rate	$1,425.00
Rate for Payer: Qualcare PPO/HMO/WC	$1,425.00

GUIDE DRILL 2.0MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270678119
Hospital Revenue Code	272
Min. Negotiated Rate	$250.29
Max. Negotiated Rate	$250.29
Rate for Payer: Qualcare PPO/HMO/WC	$250.29

GUIDE DRILL 2.0MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270678119
Hospital Revenue Code	272
Min. Negotiated Rate	$40.21
Max. Negotiated Rate	$834.30
Rate for Payer: Aetna Commercial	$634.07
Rate for Payer: Aetna Medicare Advantage	$500.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.49
Rate for Payer: Cigna Commercial	$834.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.58
Rate for Payer: Oxford Commercial	$333.72
Rate for Payer: Qualcare PPO/HMO/WC	$250.29
Rate for Payer: UnitedHealthcare Commercial	$333.72
Rate for Payer: UnitedHealthcare Community & State	$40.21
Rate for Payer: Wellpoint Medicaid Managed Care	$44.22

GUIDE DRILL 2.4MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270677800
Hospital Revenue Code	272
Min. Negotiated Rate	$250.29
Max. Negotiated Rate	$250.29
Rate for Payer: Qualcare PPO/HMO/WC	$250.29

GUIDE DRILL 2.4MM UNIVERSAL

Facility

$1,668.60

Hospital Charge Code	270677800
Hospital Revenue Code	272
Min. Negotiated Rate	$40.21
Max. Negotiated Rate	$834.30
Rate for Payer: Aetna Commercial	$634.07
Rate for Payer: Aetna Medicare Advantage	$500.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$425.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$425.49
Rate for Payer: Cigna Commercial	$834.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$500.58
Rate for Payer: Oxford Commercial	$333.72
Rate for Payer: Qualcare PPO/HMO/WC	$250.29
Rate for Payer: UnitedHealthcare Commercial	$333.72
Rate for Payer: UnitedHealthcare Community & State	$40.21
Rate for Payer: Wellpoint Medicaid Managed Care	$44.22

GUIDE DRILL 2.7*100 MM LOCKING

Facility

$1,800.00

Hospital Charge Code	270648304
Hospital Revenue Code	272
Min. Negotiated Rate	$270.00
Max. Negotiated Rate	$270.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00

GUIDE DRILL 2.7*100 MM LOCKING

Facility

$1,800.00

Hospital Charge Code	270648304
Hospital Revenue Code	272
Min. Negotiated Rate	$43.38
Max. Negotiated Rate	$900.00
Rate for Payer: Aetna Commercial	$684.00
Rate for Payer: Aetna Medicare Advantage	$540.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$459.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$459.00
Rate for Payer: Cigna Commercial	$900.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$540.00
Rate for Payer: Oxford Commercial	$360.00
Rate for Payer: Qualcare PPO/HMO/WC	$270.00
Rate for Payer: UnitedHealthcare Commercial	$360.00
Rate for Payer: UnitedHealthcare Community & State	$43.38
Rate for Payer: Wellpoint Medicaid Managed Care	$47.70

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$256.31
Max. Negotiated Rate	$256.31
Rate for Payer: Qualcare PPO/HMO/WC	$256.31

GUIDE DRILL 2.7MM UNIVERSAL

Facility

$1,708.75

Hospital Charge Code	270678120
Hospital Revenue Code	272
Min. Negotiated Rate	$41.18
Max. Negotiated Rate	$854.38
Rate for Payer: Aetna Commercial	$649.33
Rate for Payer: Aetna Medicare Advantage	$512.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$435.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$435.73
Rate for Payer: Cigna Commercial	$854.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$512.62
Rate for Payer: Oxford Commercial	$341.75
Rate for Payer: Qualcare PPO/HMO/WC	$256.31
Rate for Payer: UnitedHealthcare Commercial	$341.75
Rate for Payer: UnitedHealthcare Community & State	$41.18
Rate for Payer: Wellpoint Medicaid Managed Care	$45.28

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$45.87
Max. Negotiated Rate	$951.62
Rate for Payer: Aetna Commercial	$723.24
Rate for Payer: Aetna Medicare Advantage	$570.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$485.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$485.33
Rate for Payer: Cigna Commercial	$951.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$570.98
Rate for Payer: Oxford Commercial	$380.65
Rate for Payer: Qualcare PPO/HMO/WC	$285.49
Rate for Payer: UnitedHealthcare Commercial	$380.65
Rate for Payer: UnitedHealthcare Community & State	$45.87
Rate for Payer: Wellpoint Medicaid Managed Care	$50.44

GUIDE DRILL 3.5 UNIVERSAL

Facility

$1,903.25

Hospital Charge Code	270614773
Hospital Revenue Code	272
Min. Negotiated Rate	$285.49
Max. Negotiated Rate	$285.49
Rate for Payer: Qualcare PPO/HMO/WC	$285.49

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$25.30
Max. Negotiated Rate	$525.00
Rate for Payer: Aetna Commercial	$399.00
Rate for Payer: Aetna Medicare Advantage	$315.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$267.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$267.75
Rate for Payer: Cigna Commercial	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$315.00
Rate for Payer: Oxford Commercial	$210.00
Rate for Payer: Qualcare PPO/HMO/WC	$157.50
Rate for Payer: UnitedHealthcare Commercial	$210.00
Rate for Payer: UnitedHealthcare Community & State	$25.30
Rate for Payer: Wellpoint Medicaid Managed Care	$27.82

GUIDE DRILL PRE-CUT TM 4MM

Facility

$1,050.00

Hospital Charge Code	270697187
Hospital Revenue Code	272
Min. Negotiated Rate	$157.50
Max. Negotiated Rate	$157.50
Rate for Payer: Qualcare PPO/HMO/WC	$157.50

GUIDE DRILL THREADED 3.5

Facility

$448.05

Hospital Charge Code	270646926
Hospital Revenue Code	272
Min. Negotiated Rate	$10.80
Max. Negotiated Rate	$224.03
Rate for Payer: Aetna Commercial	$170.26
Rate for Payer: Aetna Medicare Advantage	$134.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$114.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$114.25
Rate for Payer: Cigna Commercial	$224.03
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$134.41
Rate for Payer: Oxford Commercial	$89.61
Rate for Payer: Qualcare PPO/HMO/WC	$67.21
Rate for Payer: UnitedHealthcare Commercial	$89.61
Rate for Payer: UnitedHealthcare Community & State	$10.80
Rate for Payer: Wellpoint Medicaid Managed Care	$11.87

Know your out-of-pocket cost for care.

All Charges