Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

JAGWIRE 0.035X260

Facility

$649.98

Hospital Charge Code	270627941
Hospital Revenue Code	272
Min. Negotiated Rate	$97.50
Max. Negotiated Rate	$97.50
Rate for Payer: Qualcare PPO/HMO/WC	$97.50

JAGWIRE 0.035X260

Facility

$649.98

Hospital Charge Code	270627941
Hospital Revenue Code	272
Min. Negotiated Rate	$15.66
Max. Negotiated Rate	$324.99
Rate for Payer: Aetna Commercial	$246.99
Rate for Payer: Aetna Medicare Advantage	$194.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$165.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$165.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$165.74
Rate for Payer: Cigna Commercial	$324.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$194.99
Rate for Payer: Oxford Commercial	$130.00
Rate for Payer: Qualcare PPO/HMO/WC	$97.50
Rate for Payer: UnitedHealthcare Commercial	$130.00
Rate for Payer: UnitedHealthcare Community & State	$15.66
Rate for Payer: Wellpoint Medicaid Managed Care	$17.22

JAGWIRE .025 450 ANG BX

Facility

$1,130.05

Hospital Charge Code	270680469
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.02
Rate for Payer: Aetna Commercial	$429.42
Rate for Payer: Aetna Medicare Advantage	$339.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.16
Rate for Payer: Cigna Commercial	$565.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.01
Rate for Payer: Oxford Commercial	$226.01
Rate for Payer: Qualcare PPO/HMO/WC	$169.51
Rate for Payer: UnitedHealthcare Commercial	$226.01
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

JAGWIRE .025 450 ANG BX

Facility

$1,130.05

Hospital Charge Code	270680469
Hospital Revenue Code	272
Min. Negotiated Rate	$169.51
Max. Negotiated Rate	$169.51
Rate for Payer: Qualcare PPO/HMO/WC	$169.51

JAGWIRE .025 450 ANG ST

Facility

$1,130.05

Hospital Charge Code	270680470
Hospital Revenue Code	272
Min. Negotiated Rate	$169.51
Max. Negotiated Rate	$169.51
Rate for Payer: Qualcare PPO/HMO/WC	$169.51

JAGWIRE .025 450 ANG ST

Facility

$1,130.05

Hospital Charge Code	270680470
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$565.02
Rate for Payer: Aetna Commercial	$429.42
Rate for Payer: Aetna Medicare Advantage	$339.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$288.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$288.16
Rate for Payer: Cigna Commercial	$565.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$339.01
Rate for Payer: Oxford Commercial	$226.01
Rate for Payer: Qualcare PPO/HMO/WC	$169.51
Rate for Payer: UnitedHealthcare Commercial	$226.01
Rate for Payer: UnitedHealthcare Community & State	$27.23
Rate for Payer: Wellpoint Medicaid Managed Care	$29.95

JAGWIRE 0.25x450cm STRAIGHT

Facility

$566.45

Service Code	HCPCS C1769
Hospital Charge Code	270683528
Hospital Revenue Code	278
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$283.23
Rate for Payer: Aetna Commercial	$215.25
Rate for Payer: Aetna Medicare Advantage	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.62
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Community & State	$13.65
Rate for Payer: Wellpoint Medicaid Managed Care	$15.01

JAGWIRE 0.25x450cm STRAIGHT

Facility

$566.45

Service Code	HCPCS C1769
Hospital Charge Code	270683528
Hospital Revenue Code	278
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$137.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$113.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$137.08
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$124.62
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

JAGWIRE 0.35

Facility

$652.63

Hospital Charge Code	270665631
Hospital Revenue Code	272
Min. Negotiated Rate	$97.89
Max. Negotiated Rate	$97.89
Rate for Payer: Qualcare PPO/HMO/WC	$97.89

JAGWIRE 0.35

Facility

$652.63

Hospital Charge Code	270665631
Hospital Revenue Code	272
Min. Negotiated Rate	$15.73
Max. Negotiated Rate	$326.31
Rate for Payer: Aetna Commercial	$248.00
Rate for Payer: Aetna Medicare Advantage	$195.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$166.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$166.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$166.42
Rate for Payer: Cigna Commercial	$326.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$195.79
Rate for Payer: Oxford Commercial	$130.53
Rate for Payer: Qualcare PPO/HMO/WC	$97.89
Rate for Payer: UnitedHealthcare Commercial	$130.53
Rate for Payer: UnitedHealthcare Community & State	$15.73
Rate for Payer: Wellpoint Medicaid Managed Care	$17.29

JAGWIRE .035 450cm STRAIGHT

Facility

$566.45

Hospital Charge Code	270619354
Hospital Revenue Code	272
Min. Negotiated Rate	$84.97
Max. Negotiated Rate	$84.97
Rate for Payer: Qualcare PPO/HMO/WC	$84.97

JAGWIRE .035 450cm STRAIGHT

Facility

$566.45

Hospital Charge Code	270619354
Hospital Revenue Code	272
Min. Negotiated Rate	$13.65
Max. Negotiated Rate	$283.23
Rate for Payer: Aetna Commercial	$215.25
Rate for Payer: Aetna Medicare Advantage	$169.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.44
Rate for Payer: Cigna Commercial	$283.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$169.94
Rate for Payer: Oxford Commercial	$113.29
Rate for Payer: Qualcare PPO/HMO/WC	$84.97
Rate for Payer: UnitedHealthcare Commercial	$113.29
Rate for Payer: UnitedHealthcare Community & State	$13.65
Rate for Payer: Wellpoint Medicaid Managed Care	$15.01

JAG WIRE .035 450CM STRAIGHT

Facility

$338.75

Hospital Charge Code	270654277
Hospital Revenue Code	272
Min. Negotiated Rate	$8.16
Max. Negotiated Rate	$169.38
Rate for Payer: Aetna Commercial	$128.72
Rate for Payer: Aetna Medicare Advantage	$101.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.38
Rate for Payer: Cigna Commercial	$169.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.62
Rate for Payer: Oxford Commercial	$67.75
Rate for Payer: Qualcare PPO/HMO/WC	$50.81
Rate for Payer: UnitedHealthcare Commercial	$67.75
Rate for Payer: UnitedHealthcare Community & State	$8.16
Rate for Payer: Wellpoint Medicaid Managed Care	$8.98

JAG WIRE .035 450CM STRAIGHT

Facility

$338.75

Hospital Charge Code	270654277
Hospital Revenue Code	272
Min. Negotiated Rate	$50.81
Max. Negotiated Rate	$50.81
Rate for Payer: Qualcare PPO/HMO/WC	$50.81

JAGWIRE .038 260cm STRAIGHT

Facility

$504.08

Hospital Charge Code	270617891
Hospital Revenue Code	272
Min. Negotiated Rate	$12.15
Max. Negotiated Rate	$252.04
Rate for Payer: Aetna Commercial	$191.55
Rate for Payer: Aetna Medicare Advantage	$151.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$128.54
Rate for Payer: Cigna Commercial	$252.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$151.22
Rate for Payer: Oxford Commercial	$100.82
Rate for Payer: Qualcare PPO/HMO/WC	$75.61
Rate for Payer: UnitedHealthcare Commercial	$100.82
Rate for Payer: UnitedHealthcare Community & State	$12.15
Rate for Payer: Wellpoint Medicaid Managed Care	$13.36

JAGWIRE .038 260cm STRAIGHT

Facility

$504.08

Hospital Charge Code	270617891
Hospital Revenue Code	272
Min. Negotiated Rate	$75.61
Max. Negotiated Rate	$75.61
Rate for Payer: Qualcare PPO/HMO/WC	$75.61

JAGWIRE .35x450CM STRAIGHT

Facility

$557.13

Hospital Charge Code	270603946
Hospital Revenue Code	272
Min. Negotiated Rate	$83.57
Max. Negotiated Rate	$83.57
Rate for Payer: Qualcare PPO/HMO/WC	$83.57

JAGWIRE .35x450CM STRAIGHT

Facility

$557.13

Hospital Charge Code	270603946
Hospital Revenue Code	272
Min. Negotiated Rate	$13.43
Max. Negotiated Rate	$278.56
Rate for Payer: Aetna Commercial	$211.71
Rate for Payer: Aetna Medicare Advantage	$167.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$142.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$142.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$142.07
Rate for Payer: Cigna Commercial	$278.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$167.14
Rate for Payer: Oxford Commercial	$111.43
Rate for Payer: Qualcare PPO/HMO/WC	$83.57
Rate for Payer: UnitedHealthcare Commercial	$111.43
Rate for Payer: UnitedHealthcare Community & State	$13.43
Rate for Payer: Wellpoint Medicaid Managed Care	$14.76

JAGWIRE GUIDEWIRE ANGLED 260CM

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270660813
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAGWIRE GUIDEWIRE ANGLED 260CM

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270660813
Hospital Revenue Code	278
Min. Negotiated Rate	$11.87
Max. Negotiated Rate	$246.24
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$147.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.58
Rate for Payer: Cigna Commercial	$246.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.87
Rate for Payer: UnitedHealthcare Community & State	$11.87
Rate for Payer: Wellpoint Medicaid Managed Care	$13.05

JAGWIRE HYDRA .35X 450CM ANG

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270689959
Hospital Revenue Code	278
Min. Negotiated Rate	$22.89
Max. Negotiated Rate	$475.00
Rate for Payer: Aetna Commercial	$361.00
Rate for Payer: Aetna Medicare Advantage	$285.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$242.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

JAGWIRE HYDRA .35X 450CM ANG

Facility

$950.00

Service Code	HCPCS C1769
Hospital Charge Code	270689959
Hospital Revenue Code	278
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$229.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$190.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$229.90
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$209.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

JAGWIRE--STRAIGHT TIP 0.038 in

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270680059
Hospital Revenue Code	278
Min. Negotiated Rate	$11.87
Max. Negotiated Rate	$246.24
Rate for Payer: Aetna Commercial	$187.14
Rate for Payer: Aetna Medicare Advantage	$147.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$125.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$125.58
Rate for Payer: Cigna Commercial	$246.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.87
Rate for Payer: UnitedHealthcare Community & State	$11.87
Rate for Payer: Wellpoint Medicaid Managed Care	$13.05

JAGWIRE--STRAIGHT TIP 0.038 in

Facility

$492.48

Service Code	HCPCS C1769
Hospital Charge Code	270680059
Hospital Revenue Code	278
Min. Negotiated Rate	$73.87
Max. Negotiated Rate	$119.18
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$98.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$119.18
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$108.35
Rate for Payer: Qualcare PPO/HMO/WC	$73.87

JAK2 EXON 12 MUTATION ANALYSIS

Facility

$400.00

Service Code	HCPCS 81403
Hospital Charge Code	401381403
Hospital Revenue Code	310
Min. Negotiated Rate	$10.60
Max. Negotiated Rate	$668.52
Rate for Payer: Aetna Commercial	$503.74
Rate for Payer: Aetna Medicare Advantage	$600.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$668.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$668.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$185.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$668.52
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: Cigna Medicare Advantage	$185.20
Rate for Payer: Clover Medicare Advantage	$175.94
Rate for Payer: EmblemHealth Commercial	$555.60
Rate for Payer: Humana Medicare Advantage	$190.76
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$185.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$120.00
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$148.16
Rate for Payer: UnitedHealthcare Medicare Advantage	$185.20
Rate for Payer: Wellcare Medicare Advantage	$185.20
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

Know your out-of-pocket cost for care.

All Charges