Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$73.50
Max. Negotiated Rate	$73.50
Rate for Payer: Qualcare PPO/HMO/WC	$73.50

WIRE-PASS S 2.0x7MM

Facility

$490.00

Hospital Charge Code	270674535
Hospital Revenue Code	272
Min. Negotiated Rate	$11.81
Max. Negotiated Rate	$245.00
Rate for Payer: Aetna Commercial	$186.20
Rate for Payer: Aetna Medicare Advantage	$147.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$124.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$124.95
Rate for Payer: Cigna Commercial	$245.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$147.00
Rate for Payer: Oxford Commercial	$98.00
Rate for Payer: Qualcare PPO/HMO/WC	$73.50
Rate for Payer: UnitedHealthcare Commercial	$98.00
Rate for Payer: UnitedHealthcare Community & State	$11.81
Rate for Payer: Wellpoint Medicaid Managed Care	$12.98

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
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) PPO	$242.25
Rate for Payer: Cigna Commercial	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$285.00
Rate for Payer: Oxford Commercial	$190.00
Rate for Payer: Qualcare PPO/HMO/WC	$142.50
Rate for Payer: UnitedHealthcare Commercial	$190.00
Rate for Payer: UnitedHealthcare Community & State	$22.89
Rate for Payer: Wellpoint Medicaid Managed Care	$25.18

WIRE PEDAL

Facility

$950.00

Hospital Charge Code	270671234
Hospital Revenue Code	272
Min. Negotiated Rate	$142.50
Max. Negotiated Rate	$142.50
Rate for Payer: Qualcare PPO/HMO/WC	$142.50

WIRE PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
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 PILOT

Facility

$200.00

Service Code	HCPCS C1769
Hospital Charge Code	270671577
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 PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$17.57
Max. Negotiated Rate	$364.62
Rate for Payer: Aetna Commercial	$277.12
Rate for Payer: Aetna Medicare Advantage	$218.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$185.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$185.96
Rate for Payer: Cigna Commercial	$364.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.44
Rate for Payer: Qualcare PPO/HMO/WC	$109.39
Rate for Payer: UnitedHealthcare Community & State	$17.57
Rate for Payer: Wellpoint Medicaid Managed Care	$19.33

WIRE PLATE RED SM 1.25mmx150mm

Facility

$729.25

Service Code	HCPCS C1713
Hospital Charge Code	270678591
Hospital Revenue Code	278
Min. Negotiated Rate	$109.39
Max. Negotiated Rate	$176.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$145.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$176.48
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$160.44
Rate for Payer: Qualcare PPO/HMO/WC	$109.39

WIRE PLATE REDUCTN 1.25x150MM

Facility

$751.15

Service Code	HCPCS C1713
Hospital Charge Code	270645541
Hospital Revenue Code	278
Min. Negotiated Rate	$112.67
Max. Negotiated Rate	$181.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.25
Rate for Payer: Qualcare PPO/HMO/WC	$112.67

WIRE PLATE REDUCTN 1.25x150MM

Facility

$751.15

Service Code	HCPCS C1713
Hospital Charge Code	270645541
Hospital Revenue Code	278
Min. Negotiated Rate	$18.10
Max. Negotiated Rate	$375.57
Rate for Payer: Aetna Commercial	$285.44
Rate for Payer: Aetna Medicare Advantage	$225.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$191.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$150.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$191.54
Rate for Payer: Cigna Commercial	$375.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$181.78
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$165.25
Rate for Payer: Qualcare PPO/HMO/WC	$112.67
Rate for Payer: UnitedHealthcare Community & State	$18.10
Rate for Payer: Wellpoint Medicaid Managed Care	$19.91

WIRE POSER CRONIOTOME

Facility

$600.00

Hospital Charge Code	270664476
Hospital Revenue Code	272
Min. Negotiated Rate	$90.00
Max. Negotiated Rate	$90.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00

WIRE POSER CRONIOTOME

Facility

$600.00

Hospital Charge Code	270664476
Hospital Revenue Code	272
Min. Negotiated Rate	$14.46
Max. Negotiated Rate	$300.00
Rate for Payer: Aetna Commercial	$228.00
Rate for Payer: Aetna Medicare Advantage	$180.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.00
Rate for Payer: Cigna Commercial	$300.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.00
Rate for Payer: Oxford Commercial	$120.00
Rate for Payer: Qualcare PPO/HMO/WC	$90.00
Rate for Payer: UnitedHealthcare Commercial	$120.00
Rate for Payer: UnitedHealthcare Community & State	$14.46
Rate for Payer: Wellpoint Medicaid Managed Care	$15.90

WIRE POST 4 HOLE

Facility

$1,101.20

Service Code	HCPCS C1713
Hospital Charge Code	270683955
Hospital Revenue Code	278
Min. Negotiated Rate	$26.54
Max. Negotiated Rate	$550.60
Rate for Payer: Aetna Commercial	$418.46
Rate for Payer: Aetna Medicare Advantage	$330.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$280.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$280.81
Rate for Payer: Cigna Commercial	$550.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.26
Rate for Payer: Qualcare PPO/HMO/WC	$165.18
Rate for Payer: UnitedHealthcare Community & State	$26.54
Rate for Payer: Wellpoint Medicaid Managed Care	$29.18

WIRE POST 4 HOLE

Facility

$1,101.20

Service Code	HCPCS C1713
Hospital Charge Code	270683955
Hospital Revenue Code	278
Min. Negotiated Rate	$165.18
Max. Negotiated Rate	$266.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$220.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$266.49
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$242.26
Rate for Payer: Qualcare PPO/HMO/WC	$165.18

WIRE POST TALL

Facility

$991.90

Hospital Charge Code	270678085
Hospital Revenue Code	278
Min. Negotiated Rate	$148.78
Max. Negotiated Rate	$240.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.22
Rate for Payer: Qualcare PPO/HMO/WC	$148.78

WIRE POST TALL

Facility

$991.90

Hospital Charge Code	270678085
Hospital Revenue Code	278
Min. Negotiated Rate	$23.90
Max. Negotiated Rate	$495.95
Rate for Payer: Aetna Commercial	$376.92
Rate for Payer: Aetna Medicare Advantage	$297.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$252.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$252.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$198.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$252.93
Rate for Payer: Cigna Commercial	$495.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$240.04
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$218.22
Rate for Payer: Qualcare PPO/HMO/WC	$148.78
Rate for Payer: UnitedHealthcare Community & State	$23.90
Rate for Payer: Wellpoint Medicaid Managed Care	$26.29

WIRE PRECUT .05 X 24 G

Facility

$540.00

Hospital Charge Code	270666929
Hospital Revenue Code	272
Min. Negotiated Rate	$13.01
Max. Negotiated Rate	$270.00
Rate for Payer: Aetna Commercial	$205.20
Rate for Payer: Aetna Medicare Advantage	$162.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$137.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$137.70
Rate for Payer: Cigna Commercial	$270.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$162.00
Rate for Payer: Oxford Commercial	$108.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00
Rate for Payer: UnitedHealthcare Commercial	$108.00
Rate for Payer: UnitedHealthcare Community & State	$13.01
Rate for Payer: Wellpoint Medicaid Managed Care	$14.31

WIRE PRECUT .05 X 24 G

Facility

$540.00

Hospital Charge Code	270666929
Hospital Revenue Code	272
Min. Negotiated Rate	$81.00
Max. Negotiated Rate	$81.00
Rate for Payer: Qualcare PPO/HMO/WC	$81.00

WIRE PROSTR INF 12x145 4127401

Facility

$1,029.00

Service Code	HCPCS C1769
Hospital Charge Code	270637236
Hospital Revenue Code	278
Min. Negotiated Rate	$154.35
Max. Negotiated Rate	$249.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.38
Rate for Payer: Qualcare PPO/HMO/WC	$154.35

WIRE PROSTR INF 12x145 4127401

Facility

$1,029.00

Service Code	HCPCS C1769
Hospital Charge Code	270637236
Hospital Revenue Code	278
Min. Negotiated Rate	$24.80
Max. Negotiated Rate	$514.50
Rate for Payer: Aetna Commercial	$391.02
Rate for Payer: Aetna Medicare Advantage	$308.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$262.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$262.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$205.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$262.39
Rate for Payer: Cigna Commercial	$514.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$249.02
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$226.38
Rate for Payer: Qualcare PPO/HMO/WC	$154.35
Rate for Payer: UnitedHealthcare Community & State	$24.80
Rate for Payer: Wellpoint Medicaid Managed Care	$27.27

WIRE PVASC 40x22x200

Facility

$19,975.00

Hospital Charge Code	270705436
Hospital Revenue Code	279
Min. Negotiated Rate	$481.40
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$7,590.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,992.50
Rate for Payer: Oxford Commercial	$3,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$3,995.00
Rate for Payer: UnitedHealthcare Community & State	$481.40
Rate for Payer: Wellpoint Medicaid Managed Care	$529.34

WIRE PVASC 40x22x200

Facility

$19,975.00

Hospital Charge Code	270705436
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 40x30x200

Facility

$19,975.00

Hospital Charge Code	270705437
Hospital Revenue Code	279
Min. Negotiated Rate	$481.40
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$7,590.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,992.50
Rate for Payer: Oxford Commercial	$3,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$3,995.00
Rate for Payer: UnitedHealthcare Community & State	$481.40
Rate for Payer: Wellpoint Medicaid Managed Care	$529.34

WIRE PVASC 40x30x200

Facility

$19,975.00

Hospital Charge Code	270705437
Hospital Revenue Code	279
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$2,996.25
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

WIRE PVASC 40x38x200

Facility

$19,975.00

Hospital Charge Code	270705438
Hospital Revenue Code	279
Min. Negotiated Rate	$481.40
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$7,590.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5,992.50
Rate for Payer: Oxford Commercial	$3,995.00
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25
Rate for Payer: UnitedHealthcare Commercial	$3,995.00
Rate for Payer: UnitedHealthcare Community & State	$481.40
Rate for Payer: Wellpoint Medicaid Managed Care	$529.34

Know your out-of-pocket cost for care.

All Charges