Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE PIN METATARSAL

Facility

$350.00

Hospital Charge Code	270672050
Hospital Revenue Code	278
Min. Negotiated Rate	$52.50
Max. Negotiated Rate	$84.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$70.00
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

GUIDE PIN METATARSAL

Facility

$425.00

Hospital Charge Code	270669664
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GUIDE PIN METATARSAL

Facility

$425.00

Hospital Charge Code	270669664
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

GUIDE PIN N-FORCE 7.3 3.2MM

Facility

$495.00

Hospital Charge Code	270687089
Hospital Revenue Code	272
Min. Negotiated Rate	$11.93
Max. Negotiated Rate	$247.50
Rate for Payer: Aetna Commercial	$188.10
Rate for Payer: Aetna Medicare Advantage	$148.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$126.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$126.22
Rate for Payer: Cigna Commercial	$247.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$148.50
Rate for Payer: Oxford Commercial	$99.00
Rate for Payer: Qualcare PPO/HMO/WC	$74.25
Rate for Payer: UnitedHealthcare Commercial	$99.00
Rate for Payer: UnitedHealthcare Community & State	$11.93
Rate for Payer: Wellpoint Medicaid Managed Care	$13.12

GUIDE PIN N-FORCE 7.3 3.2MM

Facility

$495.00

Hospital Charge Code	270687089
Hospital Revenue Code	272
Min. Negotiated Rate	$74.25
Max. Negotiated Rate	$74.25
Rate for Payer: Qualcare PPO/HMO/WC	$74.25

GUIDEPIN PERFORM 3X100MM

Facility

$1,810.00

Hospital Charge Code	270700537
Hospital Revenue Code	272
Min. Negotiated Rate	$43.62
Max. Negotiated Rate	$905.00
Rate for Payer: Aetna Commercial	$687.80
Rate for Payer: Aetna Medicare Advantage	$543.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$461.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$461.55
Rate for Payer: Cigna Commercial	$905.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$543.00
Rate for Payer: Oxford Commercial	$362.00
Rate for Payer: Qualcare PPO/HMO/WC	$271.50
Rate for Payer: UnitedHealthcare Commercial	$362.00
Rate for Payer: UnitedHealthcare Community & State	$43.62
Rate for Payer: Wellpoint Medicaid Managed Care	$47.97

GUIDEPIN PERFORM 3X100MM

Facility

$1,810.00

Hospital Charge Code	270700537
Hospital Revenue Code	272
Min. Negotiated Rate	$271.50
Max. Negotiated Rate	$271.50
Rate for Payer: Qualcare PPO/HMO/WC	$271.50

GUIDE PIN PHALANGEAL

Facility

$425.00

Hospital Charge Code	270669665
Hospital Revenue Code	278
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$102.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

GUIDE PIN PHALANGEAL

Facility

$425.00

Hospital Charge Code	270669665
Hospital Revenue Code	278
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$85.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.85
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$93.50
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

GUIDE PIN PHALANGEAL

Facility

$300.00

Hospital Charge Code	270672049
Hospital Revenue Code	278
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) NJ Health	$60.00
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	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00
Rate for Payer: UnitedHealthcare Community & State	$7.23
Rate for Payer: Wellpoint Medicaid Managed Care	$7.95

GUIDE PIN PHALANGEAL

Facility

$300.00

Hospital Charge Code	270672049
Hospital Revenue Code	278
Min. Negotiated Rate	$45.00
Max. Negotiated Rate	$72.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$60.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$72.60
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$66.00
Rate for Payer: Qualcare PPO/HMO/WC	$45.00

GUIDE PIN SMN 3.2 353MM 115163

Facility

$267.25

Hospital Charge Code	270621505
Hospital Revenue Code	270
Min. Negotiated Rate	$6.44
Max. Negotiated Rate	$133.62
Rate for Payer: Aetna Commercial	$101.56
Rate for Payer: Aetna Medicare Advantage	$80.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$68.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$68.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$68.15
Rate for Payer: Cigna Commercial	$133.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$80.17
Rate for Payer: Oxford Commercial	$53.45
Rate for Payer: Qualcare PPO/HMO/WC	$40.09
Rate for Payer: UnitedHealthcare Commercial	$53.45
Rate for Payer: UnitedHealthcare Community & State	$6.44
Rate for Payer: Wellpoint Medicaid Managed Care	$7.08

GUIDE PIN SMN 3.2 353MM 115163

Facility

$267.25

Hospital Charge Code	270621505
Hospital Revenue Code	270
Min. Negotiated Rate	$40.09
Max. Negotiated Rate	$40.09
Rate for Payer: Qualcare PPO/HMO/WC	$40.09

GUIDE PIN THREADED ITST 225867

Facility

$824.00

Hospital Charge Code	270632317
Hospital Revenue Code	272
Min. Negotiated Rate	$19.86
Max. Negotiated Rate	$412.00
Rate for Payer: Aetna Commercial	$313.12
Rate for Payer: Aetna Medicare Advantage	$247.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$210.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$210.12
Rate for Payer: Cigna Commercial	$412.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$247.20
Rate for Payer: Oxford Commercial	$164.80
Rate for Payer: Qualcare PPO/HMO/WC	$123.60
Rate for Payer: UnitedHealthcare Commercial	$164.80
Rate for Payer: UnitedHealthcare Community & State	$19.86
Rate for Payer: Wellpoint Medicaid Managed Care	$21.84

GUIDE PIN THREADED ITST 225867

Facility

$824.00

Hospital Charge Code	270632317
Hospital Revenue Code	272
Min. Negotiated Rate	$123.60
Max. Negotiated Rate	$123.60
Rate for Payer: Qualcare PPO/HMO/WC	$123.60

GUIDE PIN TIP THD 3.2 71631190

Facility

$265.20

Hospital Charge Code	270633368
Hospital Revenue Code	272
Min. Negotiated Rate	$39.78
Max. Negotiated Rate	$39.78
Rate for Payer: Qualcare PPO/HMO/WC	$39.78

GUIDE PIN TIP THD 3.2 71631190

Facility

$265.20

Hospital Charge Code	270633368
Hospital Revenue Code	272
Min. Negotiated Rate	$6.39
Max. Negotiated Rate	$132.60
Rate for Payer: Aetna Commercial	$100.78
Rate for Payer: Aetna Medicare Advantage	$79.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$67.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$67.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$67.63
Rate for Payer: Cigna Commercial	$132.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$79.56
Rate for Payer: Oxford Commercial	$53.04
Rate for Payer: Qualcare PPO/HMO/WC	$39.78
Rate for Payer: UnitedHealthcare Commercial	$53.04
Rate for Payer: UnitedHealthcare Community & State	$6.39
Rate for Payer: Wellpoint Medicaid Managed Care	$7.03

GUIDE PLS A.I.M. ING 9MMx10DEG

Facility

$260.00

Hospital Charge Code	270671343
Hospital Revenue Code	272
Min. Negotiated Rate	$6.27
Max. Negotiated Rate	$130.00
Rate for Payer: Aetna Commercial	$98.80
Rate for Payer: Aetna Medicare Advantage	$78.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$66.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$66.30
Rate for Payer: Cigna Commercial	$130.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$78.00
Rate for Payer: Oxford Commercial	$52.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00
Rate for Payer: UnitedHealthcare Commercial	$52.00
Rate for Payer: UnitedHealthcare Community & State	$6.27
Rate for Payer: Wellpoint Medicaid Managed Care	$6.89

GUIDE PLS A.I.M. ING 9MMx10DEG

Facility

$260.00

Hospital Charge Code	270671343
Hospital Revenue Code	272
Min. Negotiated Rate	$39.00
Max. Negotiated Rate	$39.00
Rate for Payer: Qualcare PPO/HMO/WC	$39.00

GUIDE RADIAL CATH IKARI LT 3.5

Facility

$500.00

Hospital Charge Code	270675912
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE RADIAL CATH IKARI LT 3.5

Facility

$500.00

Hospital Charge Code	270675912
Hospital Revenue Code	272
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) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

GUIDE RADIAL CATH IKAR LT 3.75

Facility

$500.00

Hospital Charge Code	270675913
Hospital Revenue Code	272
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) PPO	$127.50
Rate for Payer: Cigna Commercial	$250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$150.00
Rate for Payer: Oxford Commercial	$100.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00
Rate for Payer: UnitedHealthcare Commercial	$100.00
Rate for Payer: UnitedHealthcare Community & State	$12.05
Rate for Payer: Wellpoint Medicaid Managed Care	$13.25

GUIDE RADIAL CATH IKAR LT 3.75

Facility

$500.00

Hospital Charge Code	270675913
Hospital Revenue Code	272
Min. Negotiated Rate	$75.00
Max. Negotiated Rate	$75.00
Rate for Payer: Qualcare PPO/HMO/WC	$75.00

GUIDE REAMER 4 PEG AUG LEFT

Facility

$1,525.00

Service Code	HCPCS A4649
Hospital Charge Code	270699508
Hospital Revenue Code	272
Min. Negotiated Rate	$228.75
Max. Negotiated Rate	$228.75
Rate for Payer: Qualcare PPO/HMO/WC	$228.75

GUIDE REAMER 4 PEG AUG LEFT

Facility

$1,525.00

Service Code	HCPCS A4649
Hospital Charge Code	270699508
Hospital Revenue Code	272
Min. Negotiated Rate	$36.75
Max. Negotiated Rate	$762.50
Rate for Payer: Aetna Commercial	$579.50
Rate for Payer: Aetna Medicare Advantage	$457.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$388.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$388.88
Rate for Payer: Cigna Commercial	$762.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$457.50
Rate for Payer: Oxford Commercial	$305.00
Rate for Payer: Qualcare PPO/HMO/WC	$228.75
Rate for Payer: UnitedHealthcare Commercial	$305.00
Rate for Payer: UnitedHealthcare Community & State	$36.75
Rate for Payer: Wellpoint Medicaid Managed Care	$40.41

Know your out-of-pocket cost for care.

All Charges