Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIREGUARD PAPILLOTON***

Facility

$942.00

Hospital Charge Code	2300564
Hospital Revenue Code	279
Min. Negotiated Rate	$22.70
Max. Negotiated Rate	$471.00
Rate for Payer: Aetna Commercial	$357.96
Rate for Payer: Aetna Medicare Advantage	$282.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.21
Rate for Payer: Cigna Commercial	$471.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.60
Rate for Payer: Oxford Commercial	$188.40
Rate for Payer: Qualcare PPO/HMO/WC	$141.30
Rate for Payer: UnitedHealthcare Commercial	$188.40
Rate for Payer: UnitedHealthcare Community & State	$22.70
Rate for Payer: Wellpoint Medicaid Managed Care	$24.96

WIRE GUIDE .018x60cm

Facility

$107.50

Service Code	HCPCS C1789
Hospital Charge Code	270653109
Hospital Revenue Code	278
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

WIRE GUIDE .018x60cm

Facility

$107.50

Service Code	HCPCS C1789
Hospital Charge Code	270653109
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$53.75
Rate for Payer: Aetna Commercial	$40.85
Rate for Payer: Aetna Medicare Advantage	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$53.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.12
Rate for Payer: UnitedHealthcare Community & State	$2.59
Rate for Payer: Wellpoint Medicaid Managed Care	$2.85

WIRE GUIDE .035 260CM EXCH STR

Facility

$405.50

Service Code	HCPCS C1769
Hospital Charge Code	270616498
Hospital Revenue Code	279
Min. Negotiated Rate	$9.77
Max. Negotiated Rate	$202.75
Rate for Payer: Aetna Commercial	$154.09
Rate for Payer: Aetna Medicare Advantage	$121.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$103.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$103.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$103.40
Rate for Payer: Cigna Commercial	$202.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$121.65
Rate for Payer: Oxford Commercial	$81.10
Rate for Payer: Qualcare PPO/HMO/WC	$60.83
Rate for Payer: UnitedHealthcare Commercial	$81.10
Rate for Payer: UnitedHealthcare Community & State	$9.77
Rate for Payer: Wellpoint Medicaid Managed Care	$10.75

WIRE GUIDE .035 260CM EXCH STR

Facility

$405.50

Service Code	HCPCS C1769
Hospital Charge Code	270616498
Hospital Revenue Code	279
Min. Negotiated Rate	$60.83
Max. Negotiated Rate	$60.83
Rate for Payer: Qualcare PPO/HMO/WC	$60.83

WIRE GUIDE .035 X 260CM

Facility

$135.00

Hospital Charge Code	270667764
Hospital Revenue Code	272
Min. Negotiated Rate	$20.25
Max. Negotiated Rate	$20.25
Rate for Payer: Qualcare PPO/HMO/WC	$20.25

WIRE GUIDE .035 X 260CM

Facility

$135.00

Hospital Charge Code	270667764
Hospital Revenue Code	272
Min. Negotiated Rate	$3.25
Max. Negotiated Rate	$67.50
Rate for Payer: Aetna Commercial	$51.30
Rate for Payer: Aetna Medicare Advantage	$40.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.42
Rate for Payer: Cigna Commercial	$67.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.50
Rate for Payer: Oxford Commercial	$27.00
Rate for Payer: Qualcare PPO/HMO/WC	$20.25
Rate for Payer: UnitedHealthcare Commercial	$27.00
Rate for Payer: UnitedHealthcare Community & State	$3.25
Rate for Payer: Wellpoint Medicaid Managed Care	$3.58

WIREGUIDE 035x260x3 LQT 256898

Facility

$2,500.00

Hospital Charge Code	270623285
Hospital Revenue Code	272
Min. Negotiated Rate	$60.25
Max. Negotiated Rate	$1,250.00
Rate for Payer: Aetna Commercial	$950.00
Rate for Payer: Aetna Medicare Advantage	$750.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$637.50
Rate for Payer: Cigna Commercial	$1,250.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$750.00
Rate for Payer: Oxford Commercial	$500.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00
Rate for Payer: UnitedHealthcare Commercial	$500.00
Rate for Payer: UnitedHealthcare Community & State	$60.25
Rate for Payer: Wellpoint Medicaid Managed Care	$66.25

WIREGUIDE 035x260x3 LQT 256898

Facility

$2,500.00

Hospital Charge Code	270623285
Hospital Revenue Code	272
Min. Negotiated Rate	$375.00
Max. Negotiated Rate	$375.00
Rate for Payer: Qualcare PPO/HMO/WC	$375.00

WIRE GUIDE 1.0

Facility

$456.00

Service Code	HCPCS C1769
Hospital Charge Code	270665338
Hospital Revenue Code	278
Min. Negotiated Rate	$10.99
Max. Negotiated Rate	$228.00
Rate for Payer: Aetna Commercial	$173.28
Rate for Payer: Aetna Medicare Advantage	$136.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$116.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$116.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$116.28
Rate for Payer: Cigna Commercial	$228.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.32
Rate for Payer: Qualcare PPO/HMO/WC	$68.40
Rate for Payer: UnitedHealthcare Community & State	$10.99
Rate for Payer: Wellpoint Medicaid Managed Care	$12.08

WIRE GUIDE 1.0

Facility

$456.00

Service Code	HCPCS C1769
Hospital Charge Code	270665338
Hospital Revenue Code	278
Min. Negotiated Rate	$68.40
Max. Negotiated Rate	$110.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$91.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$110.35
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$100.32
Rate for Payer: Qualcare PPO/HMO/WC	$68.40

WIRE GUIDE 1.1

Facility

$107.50

Hospital Charge Code	270648825
Hospital Revenue Code	278
Min. Negotiated Rate	$2.59
Max. Negotiated Rate	$53.75
Rate for Payer: Aetna Commercial	$40.85
Rate for Payer: Aetna Medicare Advantage	$32.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.41
Rate for Payer: Cigna Commercial	$53.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.12
Rate for Payer: UnitedHealthcare Community & State	$2.59
Rate for Payer: Wellpoint Medicaid Managed Care	$2.85

WIRE GUIDE 1.1

Facility

$107.50

Hospital Charge Code	270648825
Hospital Revenue Code	278
Min. Negotiated Rate	$16.12
Max. Negotiated Rate	$26.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$21.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$23.65
Rate for Payer: Qualcare PPO/HMO/WC	$16.12

WIREGUIDE APPROACH PRO

Facility

$428.75

Hospital Charge Code	270660260
Hospital Revenue Code	272
Min. Negotiated Rate	$64.31
Max. Negotiated Rate	$64.31
Rate for Payer: Qualcare PPO/HMO/WC	$64.31

WIREGUIDE APPROACH PRO

Facility

$428.75

Hospital Charge Code	270660260
Hospital Revenue Code	272
Min. Negotiated Rate	$10.33
Max. Negotiated Rate	$214.38
Rate for Payer: Aetna Commercial	$162.93
Rate for Payer: Aetna Medicare Advantage	$128.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.33
Rate for Payer: Cigna Commercial	$214.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.62
Rate for Payer: Oxford Commercial	$85.75
Rate for Payer: Qualcare PPO/HMO/WC	$64.31
Rate for Payer: UnitedHealthcare Commercial	$85.75
Rate for Payer: UnitedHealthcare Community & State	$10.33
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

WIRE GUIDE APPROACH PRO LT

Facility

$428.75

Hospital Charge Code	270660262
Hospital Revenue Code	272
Min. Negotiated Rate	$64.31
Max. Negotiated Rate	$64.31
Rate for Payer: Qualcare PPO/HMO/WC	$64.31

WIRE GUIDE APPROACH PRO LT

Facility

$428.75

Hospital Charge Code	270660262
Hospital Revenue Code	272
Min. Negotiated Rate	$10.33
Max. Negotiated Rate	$214.38
Rate for Payer: Aetna Commercial	$162.93
Rate for Payer: Aetna Medicare Advantage	$128.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$109.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$109.33
Rate for Payer: Cigna Commercial	$214.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$128.62
Rate for Payer: Oxford Commercial	$85.75
Rate for Payer: Qualcare PPO/HMO/WC	$64.31
Rate for Payer: UnitedHealthcare Commercial	$85.75
Rate for Payer: UnitedHealthcare Community & State	$10.33
Rate for Payer: Wellpoint Medicaid Managed Care	$11.36

WIRE GUIDE BALL TIP 2.0x98cm

Facility

$400.00

Hospital Charge Code	270641334
Hospital Revenue Code	278
Min. Negotiated Rate	$60.00
Max. Negotiated Rate	$96.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00

WIRE GUIDE BALL TIP 2.0x98cm

Facility

$400.00

Hospital Charge Code	270641334
Hospital Revenue Code	278
Min. Negotiated Rate	$9.64
Max. Negotiated Rate	$200.00
Rate for Payer: Aetna Commercial	$152.00
Rate for Payer: Aetna Medicare Advantage	$120.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$102.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$80.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$102.00
Rate for Payer: Cigna Commercial	$200.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$96.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$88.00
Rate for Payer: Qualcare PPO/HMO/WC	$60.00
Rate for Payer: UnitedHealthcare Community & State	$9.64
Rate for Payer: Wellpoint Medicaid Managed Care	$10.60

WIRE GUIDE BALL TIPPED 3x1000m

Facility

$1,084.45

Hospital Charge Code	270672767
Hospital Revenue Code	272
Min. Negotiated Rate	$162.67
Max. Negotiated Rate	$162.67
Rate for Payer: Qualcare PPO/HMO/WC	$162.67

WIRE GUIDE BALL TIPPED 3x1000m

Facility

$1,084.45

Hospital Charge Code	270672767
Hospital Revenue Code	272
Min. Negotiated Rate	$26.14
Max. Negotiated Rate	$542.23
Rate for Payer: Aetna Commercial	$412.09
Rate for Payer: Aetna Medicare Advantage	$325.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$276.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$276.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$276.53
Rate for Payer: Cigna Commercial	$542.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$325.33
Rate for Payer: Oxford Commercial	$216.89
Rate for Payer: Qualcare PPO/HMO/WC	$162.67
Rate for Payer: UnitedHealthcare Commercial	$216.89
Rate for Payer: UnitedHealthcare Community & State	$26.14
Rate for Payer: Wellpoint Medicaid Managed Care	$28.74

WIRE GUIDE CK BENTSON 46046

Facility

$86.45

Hospital Charge Code	270623286
Hospital Revenue Code	278
Min. Negotiated Rate	$12.97
Max. Negotiated Rate	$20.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.97

WIRE GUIDE CK BENTSON 46046

Facility

$86.45

Hospital Charge Code	270623286
Hospital Revenue Code	278
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$43.23
Rate for Payer: Aetna Commercial	$32.85
Rate for Payer: Aetna Medicare Advantage	$25.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$17.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.04
Rate for Payer: Cigna Commercial	$43.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$19.02
Rate for Payer: Qualcare PPO/HMO/WC	$12.97
Rate for Payer: UnitedHealthcare Community & State	$2.08
Rate for Payer: Wellpoint Medicaid Managed Care	$2.29

WIRE GUIDE COPE MANDRIL 60MM

Facility

$160.00

Hospital Charge Code	270678947
Hospital Revenue Code	272
Min. Negotiated Rate	$3.86
Max. Negotiated Rate	$80.00
Rate for Payer: Aetna Commercial	$60.80
Rate for Payer: Aetna Medicare Advantage	$48.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.80
Rate for Payer: Cigna Commercial	$80.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.00
Rate for Payer: Oxford Commercial	$32.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00
Rate for Payer: UnitedHealthcare Commercial	$32.00
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$4.24

WIRE GUIDE COPE MANDRIL 60MM

Facility

$160.00

Hospital Charge Code	270678947
Hospital Revenue Code	272
Min. Negotiated Rate	$24.00
Max. Negotiated Rate	$24.00
Rate for Payer: Qualcare PPO/HMO/WC	$24.00

Know your out-of-pocket cost for care.

All Charges