Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIRE JAGTAIL EXT .035 200 5690

Facility

$446.45

Hospital Charge Code	270627948
Hospital Revenue Code	278
Min. Negotiated Rate	$66.97
Max. Negotiated Rate	$108.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.22
Rate for Payer: Qualcare PPO/HMO/WC	$66.97

WIRE JAGTAIL EXT .035 200 5690

Facility

$446.45

Hospital Charge Code	270627948
Hospital Revenue Code	278
Min. Negotiated Rate	$10.76
Max. Negotiated Rate	$223.22
Rate for Payer: Aetna Commercial	$169.65
Rate for Payer: Aetna Medicare Advantage	$133.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$113.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$89.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$113.84
Rate for Payer: Cigna Commercial	$223.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$108.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$98.22
Rate for Payer: Qualcare PPO/HMO/WC	$66.97
Rate for Payer: UnitedHealthcare Community & State	$10.76
Rate for Payer: Wellpoint Medicaid Managed Care	$11.83

WIRE K .062 KW062

Facility

$70.00

Service Code	HCPCS C1769
Hospital Charge Code	270635657
Hospital Revenue Code	278
Min. Negotiated Rate	$1.69
Max. Negotiated Rate	$35.00
Rate for Payer: Aetna Commercial	$26.60
Rate for Payer: Aetna Medicare Advantage	$21.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.85
Rate for Payer: Cigna Commercial	$35.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.50
Rate for Payer: UnitedHealthcare Community & State	$1.69
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

WIRE K .062 KW062

Facility

$70.00

Service Code	HCPCS C1769
Hospital Charge Code	270635657
Hospital Revenue Code	278
Min. Negotiated Rate	$10.50
Max. Negotiated Rate	$16.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$14.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.94
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$15.40
Rate for Payer: Qualcare PPO/HMO/WC	$10.50

WIRE K 0.8

Facility

$250.00

Hospital Charge Code	270665992
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

WIRE K 0.8

Facility

$250.00

Hospital Charge Code	270665992
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

WIRE K 1.2

Facility

$250.00

Hospital Charge Code	270665993
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

WIRE K 1.2

Facility

$250.00

Hospital Charge Code	270665993
Hospital Revenue Code	278
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$55.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

WIRE K 1.6mm X 152mm 186-090

Facility

$23.70

Service Code	HCPCS C1769
Hospital Charge Code	270610158
Hospital Revenue Code	278
Min. Negotiated Rate	$0.57
Max. Negotiated Rate	$11.85
Rate for Payer: Aetna Commercial	$9.01
Rate for Payer: Aetna Medicare Advantage	$7.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.04
Rate for Payer: Cigna Commercial	$11.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.57
Rate for Payer: Wellpoint Medicaid Managed Care	$0.63

WIRE K 1.6mm X 152mm 186-090

Facility

$23.70

Service Code	HCPCS C1769
Hospital Charge Code	270610158
Hospital Revenue Code	278
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$5.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.74
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$5.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.56

WIRE K 2.0

Facility

$311.60

Hospital Charge Code	270673789
Hospital Revenue Code	272
Min. Negotiated Rate	$7.51
Max. Negotiated Rate	$155.80
Rate for Payer: Aetna Commercial	$118.41
Rate for Payer: Aetna Medicare Advantage	$93.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$79.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$79.46
Rate for Payer: Cigna Commercial	$155.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$93.48
Rate for Payer: Oxford Commercial	$62.32
Rate for Payer: Qualcare PPO/HMO/WC	$46.74
Rate for Payer: UnitedHealthcare Commercial	$62.32
Rate for Payer: UnitedHealthcare Community & State	$7.51
Rate for Payer: Wellpoint Medicaid Managed Care	$8.26

WIRE K 2.0

Facility

$311.60

Hospital Charge Code	270673789
Hospital Revenue Code	272
Min. Negotiated Rate	$46.74
Max. Negotiated Rate	$46.74
Rate for Payer: Qualcare PPO/HMO/WC	$46.74

WIRE K 2.0mm

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270669277
Hospital Revenue Code	278
Min. Negotiated Rate	$4.82
Max. Negotiated Rate	$100.00
Rate for Payer: Aetna Commercial	$76.00
Rate for Payer: Aetna Medicare Advantage	$60.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$51.00
Rate for Payer: Cigna Commercial	$100.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00
Rate for Payer: UnitedHealthcare Community & State	$4.82
Rate for Payer: Wellpoint Medicaid Managed Care	$5.30

WIRE K 2.0mm

Facility

$200.00

Service Code	HCPCS C1713
Hospital Charge Code	270669277
Hospital Revenue Code	278
Min. Negotiated Rate	$30.00
Max. Negotiated Rate	$48.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.40
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$44.00
Rate for Payer: Qualcare PPO/HMO/WC	$30.00

WIRE K 9mm X 76mm 186-052

Facility

$22.40

Hospital Charge Code	270610155
Hospital Revenue Code	278
Min. Negotiated Rate	$0.54
Max. Negotiated Rate	$11.20
Rate for Payer: Aetna Commercial	$8.51
Rate for Payer: Aetna Medicare Advantage	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.71
Rate for Payer: Cigna Commercial	$11.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.36
Rate for Payer: UnitedHealthcare Community & State	$0.54
Rate for Payer: Wellpoint Medicaid Managed Care	$0.59

WIRE K 9mm X 76mm 186-052

Facility

$22.40

Hospital Charge Code	270610155
Hospital Revenue Code	278
Min. Negotiated Rate	$3.36
Max. Negotiated Rate	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$4.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.42
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$4.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.36

WIRE KATZEN 145 X 12 46196

Facility

$967.75

Hospital Charge Code	270628046
Hospital Revenue Code	278
Min. Negotiated Rate	$145.16
Max. Negotiated Rate	$234.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.91
Rate for Payer: Qualcare PPO/HMO/WC	$145.16

WIRE KATZEN 145 X 12 46196

Facility

$967.75

Hospital Charge Code	270628046
Hospital Revenue Code	278
Min. Negotiated Rate	$23.32
Max. Negotiated Rate	$483.88
Rate for Payer: Aetna Commercial	$367.75
Rate for Payer: Aetna Medicare Advantage	$290.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$246.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$246.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$193.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$246.78
Rate for Payer: Cigna Commercial	$483.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$234.20
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$212.91
Rate for Payer: Qualcare PPO/HMO/WC	$145.16
Rate for Payer: UnitedHealthcare Community & State	$23.32
Rate for Payer: Wellpoint Medicaid Managed Care	$25.65

WIRE KATZEN INFUSION 12x180CM

Facility

$900.00

Hospital Charge Code	270626087
Hospital Revenue Code	278
Min. Negotiated Rate	$135.00
Max. Negotiated Rate	$217.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00

WIRE KATZEN INFUSION 12x180CM

Facility

$900.00

Hospital Charge Code	270626087
Hospital Revenue Code	278
Min. Negotiated Rate	$21.69
Max. Negotiated Rate	$450.00
Rate for Payer: Aetna Commercial	$342.00
Rate for Payer: Aetna Medicare Advantage	$270.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$229.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$229.50
Rate for Payer: Cigna Commercial	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$217.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$198.00
Rate for Payer: Qualcare PPO/HMO/WC	$135.00
Rate for Payer: UnitedHealthcare Community & State	$21.69
Rate for Payer: Wellpoint Medicaid Managed Care	$23.85

WIRE KIRSCHNER .028

Facility

$25.99

Hospital Charge Code	270638919
Hospital Revenue Code	270
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$3.90
Rate for Payer: Qualcare PPO/HMO/WC	$3.90

WIRE KIRSCHNER .028

Facility

$25.99

Hospital Charge Code	270638919
Hospital Revenue Code	270
Min. Negotiated Rate	$0.63
Max. Negotiated Rate	$12.99
Rate for Payer: Aetna Commercial	$9.88
Rate for Payer: Aetna Medicare Advantage	$7.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.63
Rate for Payer: Cigna Commercial	$12.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.80
Rate for Payer: Oxford Commercial	$5.20
Rate for Payer: Qualcare PPO/HMO/WC	$3.90
Rate for Payer: UnitedHealthcare Commercial	$5.20
Rate for Payer: UnitedHealthcare Community & State	$0.63
Rate for Payer: Wellpoint Medicaid Managed Care	$0.69

WIRE KIRSCHNER 03 2X450MM

Facility

$865.00

Hospital Charge Code	270656513
Hospital Revenue Code	278
Min. Negotiated Rate	$129.75
Max. Negotiated Rate	$209.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$190.30
Rate for Payer: Qualcare PPO/HMO/WC	$129.75

WIRE KIRSCHNER 03 2X450MM

Facility

$865.00

Hospital Charge Code	270656513
Hospital Revenue Code	278
Min. Negotiated Rate	$20.85
Max. Negotiated Rate	$432.50
Rate for Payer: Aetna Commercial	$328.70
Rate for Payer: Aetna Medicare Advantage	$259.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$220.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$173.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$220.57
Rate for Payer: Cigna Commercial	$432.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$209.33
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$190.30
Rate for Payer: Qualcare PPO/HMO/WC	$129.75
Rate for Payer: UnitedHealthcare Community & State	$20.85
Rate for Payer: Wellpoint Medicaid Managed Care	$22.92

WIRE KIRSCHNER .062

Facility

$357.50

Service Code	HCPCS C1713
Hospital Charge Code	270653119
Hospital Revenue Code	278
Min. Negotiated Rate	$53.62
Max. Negotiated Rate	$86.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$71.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$86.52
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$78.65
Rate for Payer: Qualcare PPO/HMO/WC	$53.62

Know your out-of-pocket cost for care.

All Charges