Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE PIN 2.0mm WS2009ST

Facility

$105.00

Hospital Charge Code	270646200
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$52.50
Rate for Payer: Aetna Commercial	$39.90
Rate for Payer: Aetna Medicare Advantage	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.77
Rate for Payer: Cigna Commercial	$52.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.50
Rate for Payer: Oxford Commercial	$21.00
Rate for Payer: Qualcare PPO/HMO/WC	$15.75
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.78

GUIDE PIN 2.0mm WS2009ST

Facility

$105.00

Hospital Charge Code	270646200
Hospital Revenue Code	272
Min. Negotiated Rate	$15.75
Max. Negotiated Rate	$15.75
Rate for Payer: Qualcare PPO/HMO/WC	$15.75

GUIDE PIN 2.0 X 150CM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270689207
Hospital Revenue Code	278
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$210.00
Rate for Payer: Aetna Commercial	$159.60
Rate for Payer: Aetna Medicare Advantage	$126.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$107.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$107.10
Rate for Payer: Cigna Commercial	$210.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00
Rate for Payer: UnitedHealthcare Community & State	$10.12
Rate for Payer: Wellpoint Medicaid Managed Care	$11.13

GUIDE PIN 2.0 X 150CM

Facility

$420.00

Service Code	HCPCS C1713
Hospital Charge Code	270689207
Hospital Revenue Code	278
Min. Negotiated Rate	$63.00
Max. Negotiated Rate	$101.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$84.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.64
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$92.40
Rate for Payer: Qualcare PPO/HMO/WC	$63.00

GUIDE PIN 250MM ALTA

Facility

$136.00

Hospital Charge Code	270335181
Hospital Revenue Code	272
Min. Negotiated Rate	$3.28
Max. Negotiated Rate	$68.00
Rate for Payer: Aetna Commercial	$51.68
Rate for Payer: Aetna Medicare Advantage	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.68
Rate for Payer: Cigna Commercial	$68.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.80
Rate for Payer: Oxford Commercial	$27.20
Rate for Payer: Qualcare PPO/HMO/WC	$20.40
Rate for Payer: UnitedHealthcare Commercial	$27.20
Rate for Payer: UnitedHealthcare Community & State	$3.28
Rate for Payer: Wellpoint Medicaid Managed Care	$3.60

GUIDE PIN 250MM ALTA

Facility

$136.00

Hospital Charge Code	270335181
Hospital Revenue Code	272
Min. Negotiated Rate	$20.40
Max. Negotiated Rate	$20.40
Rate for Payer: Qualcare PPO/HMO/WC	$20.40

GUIDE PIN 27MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692916
Hospital Revenue Code	278
Min. Negotiated Rate	$281.25
Max. Negotiated Rate	$453.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25

GUIDE PIN 27MM

Facility

$1,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270692916
Hospital Revenue Code	278
Min. Negotiated Rate	$45.19
Max. Negotiated Rate	$937.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$562.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$478.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$375.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$478.12
Rate for Payer: Cigna Commercial	$937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$453.75
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$412.50
Rate for Payer: Qualcare PPO/HMO/WC	$281.25
Rate for Payer: UnitedHealthcare Community & State	$45.19
Rate for Payer: Wellpoint Medicaid Managed Care	$49.69

GUIDE PIN 2MM

Facility

$375.00

Hospital Charge Code	270687088
Hospital Revenue Code	272
Min. Negotiated Rate	$56.25
Max. Negotiated Rate	$56.25
Rate for Payer: Qualcare PPO/HMO/WC	$56.25

GUIDE PIN 2MM

Facility

$265.00

Hospital Charge Code	270667236
Hospital Revenue Code	278
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$100.70
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.30
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Community & State	$6.39
Rate for Payer: Wellpoint Medicaid Managed Care	$7.02

GUIDE PIN 2MM

Facility

$265.00

Hospital Charge Code	270667236
Hospital Revenue Code	278
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$64.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$53.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.13
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$58.30
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

GUIDE PIN 2MM

Facility

$375.00

Hospital Charge Code	270687088
Hospital Revenue Code	272
Min. Negotiated Rate	$9.04
Max. Negotiated Rate	$187.50
Rate for Payer: Aetna Commercial	$142.50
Rate for Payer: Aetna Medicare Advantage	$112.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.62
Rate for Payer: Cigna Commercial	$187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$112.50
Rate for Payer: Oxford Commercial	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$56.25
Rate for Payer: UnitedHealthcare Commercial	$75.00
Rate for Payer: UnitedHealthcare Community & State	$9.04
Rate for Payer: Wellpoint Medicaid Managed Care	$9.94

GUIDE PIN 2MM/.078 DIA

Facility

$183.75

Hospital Charge Code	270652502
Hospital Revenue Code	272
Min. Negotiated Rate	$27.56
Max. Negotiated Rate	$27.56
Rate for Payer: Qualcare PPO/HMO/WC	$27.56

GUIDE PIN 2MM/.078 DIA

Facility

$183.75

Hospital Charge Code	270652502
Hospital Revenue Code	272
Min. Negotiated Rate	$4.43
Max. Negotiated Rate	$91.88
Rate for Payer: Aetna Commercial	$69.83
Rate for Payer: Aetna Medicare Advantage	$55.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.86
Rate for Payer: Cigna Commercial	$91.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$55.12
Rate for Payer: Oxford Commercial	$36.75
Rate for Payer: Qualcare PPO/HMO/WC	$27.56
Rate for Payer: UnitedHealthcare Commercial	$36.75
Rate for Payer: UnitedHealthcare Community & State	$4.43
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

GUIDE PIN 2mm NON THREADED

Facility

$69.44

Hospital Charge Code	270679218
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.72
Rate for Payer: Aetna Commercial	$26.39
Rate for Payer: Aetna Medicare Advantage	$20.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.71
Rate for Payer: Cigna Commercial	$34.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.83
Rate for Payer: Oxford Commercial	$13.89
Rate for Payer: Qualcare PPO/HMO/WC	$10.42
Rate for Payer: UnitedHealthcare Commercial	$13.89
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

GUIDE PIN 2mm NON THREADED

Facility

$69.44

Hospital Charge Code	270679218
Hospital Revenue Code	272
Min. Negotiated Rate	$10.42
Max. Negotiated Rate	$10.42
Rate for Payer: Qualcare PPO/HMO/WC	$10.42

GUIDE PIN 3.2MM

Facility

$265.00

Hospital Charge Code	270692839
Hospital Revenue Code	272
Min. Negotiated Rate	$39.75
Max. Negotiated Rate	$39.75
Rate for Payer: Qualcare PPO/HMO/WC	$39.75

GUIDE PIN 3.2MM

Facility

$265.00

Hospital Charge Code	270692839
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$132.50
Rate for Payer: Aetna Commercial	$100.70
Rate for Payer: Aetna Medicare Advantage	$79.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.58
Rate for Payer: Cigna Commercial	$132.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.50
Rate for Payer: Oxford Commercial	$53.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.75
Rate for Payer: UnitedHealthcare Commercial	$53.00
Rate for Payer: UnitedHealthcare Community & State	$6.39
Rate for Payer: Wellpoint Medicaid Managed Care	$7.02

GUIDEPIN 3X75MM

Facility

$1,715.00

Hospital Charge Code	270700536
Hospital Revenue Code	272
Min. Negotiated Rate	$41.33
Max. Negotiated Rate	$857.50
Rate for Payer: Aetna Commercial	$651.70
Rate for Payer: Aetna Medicare Advantage	$514.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$437.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$437.32
Rate for Payer: Cigna Commercial	$857.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.50
Rate for Payer: Oxford Commercial	$343.00
Rate for Payer: Qualcare PPO/HMO/WC	$257.25
Rate for Payer: UnitedHealthcare Commercial	$343.00
Rate for Payer: UnitedHealthcare Community & State	$41.33
Rate for Payer: Wellpoint Medicaid Managed Care	$45.45

GUIDEPIN 3X75MM

Facility

$1,715.00

Hospital Charge Code	270700536
Hospital Revenue Code	272
Min. Negotiated Rate	$257.25
Max. Negotiated Rate	$257.25
Rate for Payer: Qualcare PPO/HMO/WC	$257.25

GUIDE PIN DRL TIP 2.8X300MM ST

Facility

$1,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270704918
Hospital Revenue Code	278
Min. Negotiated Rate	$44.34
Max. Negotiated Rate	$920.00
Rate for Payer: Aetna Commercial	$699.20
Rate for Payer: Aetna Medicare Advantage	$552.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$469.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$469.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$368.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$469.20
Rate for Payer: Cigna Commercial	$920.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$404.80
Rate for Payer: Qualcare PPO/HMO/WC	$276.00
Rate for Payer: UnitedHealthcare Community & State	$44.34
Rate for Payer: Wellpoint Medicaid Managed Care	$48.76

GUIDE PIN DRL TIP 2.8X300MM ST

Facility

$1,840.00

Service Code	HCPCS C1713
Hospital Charge Code	270704918
Hospital Revenue Code	278
Min. Negotiated Rate	$276.00
Max. Negotiated Rate	$445.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$368.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$445.28
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$404.80
Rate for Payer: Qualcare PPO/HMO/WC	$276.00

GUIDE PIN FLAREHAWK 7

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270692111
Hospital Revenue Code	278
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$121.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE PIN FLAREHAWK 7

Facility

$500.00

Service Code	HCPCS C1713
Hospital Charge Code	270692111
Hospital Revenue Code	278
Min. Negotiated Rate	$12.05
Max. Negotiated Rate	$250.00
Rate for Payer: Aetna Commercial	$190.00
Rate for Payer: Aetna Medicare Advantage	$150.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$100.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.00
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$110.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

GUIDE PIN METATARSAL

Facility

$350.00

Hospital Charge Code	270672050
Hospital Revenue Code	278
Min. Negotiated Rate	$8.44
Max. Negotiated Rate	$175.00
Rate for Payer: Aetna Commercial	$133.00
Rate for Payer: Aetna Medicare Advantage	$105.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$89.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$89.25
Rate for Payer: Cigna Commercial	$175.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$84.70
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$77.00
Rate for Payer: Qualcare PPO/HMO/WC	$52.50
Rate for Payer: UnitedHealthcare Community & State	$8.44
Rate for Payer: Wellpoint Medicaid Managed Care	$9.28

Know your out-of-pocket cost for care.

All Charges