Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDE WIRE .038 X 145CM HEAVY

Facility

$154.00

Hospital Charge Code	270331273
Hospital Revenue Code	278
Min. Negotiated Rate	$23.10
Max. Negotiated Rate	$37.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.27
Rate for Payer: Qualcare PPO/HMO/WC	$23.10

GUIDE WIRE .038 X 145CM HEAVY

Facility

$154.00

Hospital Charge Code	270331273
Hospital Revenue Code	278
Min. Negotiated Rate	$4.37
Max. Negotiated Rate	$77.00
Rate for Payer: Aetna Commercial	$58.52
Rate for Payer: Aetna Medicare Advantage	$46.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.27
Rate for Payer: Cigna Commercial	$77.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.27
Rate for Payer: Qualcare PPO/HMO/WC	$23.10
Rate for Payer: UnitedHealthcare Community & State	$4.87
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

GUIDEWIRE .038X150CM DUAL FLEX

Facility

$374.66

Service Code	HCPCS C1769
Hospital Charge Code	270684751
Hospital Revenue Code	278
Min. Negotiated Rate	$56.20
Max. Negotiated Rate	$90.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.67
Rate for Payer: Qualcare PPO/HMO/WC	$56.20

GUIDEWIRE .038X150CM DUAL FLEX

Facility

$374.66

Service Code	HCPCS C1769
Hospital Charge Code	270684751
Hospital Revenue Code	278
Min. Negotiated Rate	$10.64
Max. Negotiated Rate	$187.33
Rate for Payer: Aetna Commercial	$142.37
Rate for Payer: Aetna Medicare Advantage	$112.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$95.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$95.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$74.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$95.54
Rate for Payer: Cigna Commercial	$187.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$90.67
Rate for Payer: Qualcare PPO/HMO/WC	$56.20
Rate for Payer: UnitedHealthcare Community & State	$11.84
Rate for Payer: Wellpoint Medicaid Managed Care	$10.64

GUIDEWIRE .038 X150CMX15CM

Facility

$208.00

Hospital Charge Code	270332070
Hospital Revenue Code	278
Min. Negotiated Rate	$31.20
Max. Negotiated Rate	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.34
Rate for Payer: Qualcare PPO/HMO/WC	$31.20

GUIDEWIRE .038 X150CMX15CM

Facility

$208.00

Hospital Charge Code	270332070
Hospital Revenue Code	278
Min. Negotiated Rate	$5.91
Max. Negotiated Rate	$104.00
Rate for Payer: Aetna Commercial	$79.04
Rate for Payer: Aetna Medicare Advantage	$62.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$41.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.04
Rate for Payer: Cigna Commercial	$104.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$50.34
Rate for Payer: Qualcare PPO/HMO/WC	$31.20
Rate for Payer: UnitedHealthcare Community & State	$6.57
Rate for Payer: Wellpoint Medicaid Managed Care	$5.91

GUIDE WIRE .054 X 6

Facility

$80.00

Hospital Charge Code	270659705
Hospital Revenue Code	278
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$40.00
Rate for Payer: Aetna Commercial	$30.40
Rate for Payer: Aetna Medicare Advantage	$24.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.40
Rate for Payer: Cigna Commercial	$40.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00
Rate for Payer: UnitedHealthcare Community & State	$2.53
Rate for Payer: Wellpoint Medicaid Managed Care	$2.27

GUIDE WIRE .054 X 6

Facility

$80.00

Hospital Charge Code	270659705
Hospital Revenue Code	278
Min. Negotiated Rate	$12.00
Max. Negotiated Rate	$19.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$16.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.36
Rate for Payer: Qualcare PPO/HMO/WC	$12.00

GUIDE WIRE .059

Facility

$45.00

Hospital Charge Code	270637505
Hospital Revenue Code	272
Min. Negotiated Rate	$1.28
Max. Negotiated Rate	$22.50
Rate for Payer: Aetna Commercial	$17.10
Rate for Payer: Aetna Medicare Advantage	$13.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.47
Rate for Payer: Cigna Commercial	$22.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$9.00
Rate for Payer: Qualcare PPO/HMO/WC	$6.75
Rate for Payer: UnitedHealthcare Commercial	$9.00
Rate for Payer: UnitedHealthcare Community & State	$1.42
Rate for Payer: Wellpoint Medicaid Managed Care	$1.28

GUIDE WIRE .059

Facility

$45.00

Hospital Charge Code	270637505
Hospital Revenue Code	272
Min. Negotiated Rate	$6.75
Max. Negotiated Rate	$6.75
Rate for Payer: Qualcare PPO/HMO/WC	$6.75

GUIDEWIRE 0.8x100MM

Facility

$642.70

Service Code	HCPCS C1769
Hospital Charge Code	270634210
Hospital Revenue Code	278
Min. Negotiated Rate	$96.41
Max. Negotiated Rate	$155.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41

GUIDEWIRE 0.8x100MM

Facility

$642.70

Service Code	HCPCS C1769
Hospital Charge Code	270634210
Hospital Revenue Code	278
Min. Negotiated Rate	$18.25
Max. Negotiated Rate	$321.35
Rate for Payer: Aetna Commercial	$244.23
Rate for Payer: Aetna Medicare Advantage	$192.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$163.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$128.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$163.89
Rate for Payer: Cigna Commercial	$321.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$155.53
Rate for Payer: Qualcare PPO/HMO/WC	$96.41
Rate for Payer: UnitedHealthcare Community & State	$20.31
Rate for Payer: Wellpoint Medicaid Managed Care	$18.25

GUIDE WIRE 100MM X0.9MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270679987
Hospital Revenue Code	278
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

GUIDE WIRE 100MM X0.9MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270679987
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

GUIDE WIRE 100MM X 1.1MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270679986
Hospital Revenue Code	278
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

GUIDE WIRE 100MM X 1.1MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270679986
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

GUIDE WIRE 100X1.1MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270637828
Hospital Revenue Code	278
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$28.75
Rate for Payer: Aetna Commercial	$21.85
Rate for Payer: Aetna Medicare Advantage	$17.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.66
Rate for Payer: Cigna Commercial	$28.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

GUIDE WIRE 100X1.1MM

Facility

$57.50

Service Code	HCPCS C1769
Hospital Charge Code	270637828
Hospital Revenue Code	278
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$13.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$11.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$13.91
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

GUIDE WIRE 1.1 MM

Facility

$171.40

Hospital Charge Code	270925348
Hospital Revenue Code	278
Min. Negotiated Rate	$4.87
Max. Negotiated Rate	$85.70
Rate for Payer: Aetna Commercial	$65.13
Rate for Payer: Aetna Medicare Advantage	$51.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.71
Rate for Payer: Cigna Commercial	$85.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.48
Rate for Payer: Qualcare PPO/HMO/WC	$25.71
Rate for Payer: UnitedHealthcare Community & State	$5.42
Rate for Payer: Wellpoint Medicaid Managed Care	$4.87

GUIDE WIRE 1.1 MM

Facility

$171.40

Hospital Charge Code	270925348
Hospital Revenue Code	278
Min. Negotiated Rate	$25.71
Max. Negotiated Rate	$41.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.48
Rate for Payer: Qualcare PPO/HMO/WC	$25.71

GUIDE WIRE 1.1MM

Facility

$170.00

Hospital Charge Code	270625348
Hospital Revenue Code	278
Min. Negotiated Rate	$4.83
Max. Negotiated Rate	$85.00
Rate for Payer: Aetna Commercial	$64.60
Rate for Payer: Aetna Medicare Advantage	$51.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$43.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$43.35
Rate for Payer: Cigna Commercial	$85.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50
Rate for Payer: UnitedHealthcare Community & State	$5.37
Rate for Payer: Wellpoint Medicaid Managed Care	$4.83

GUIDE WIRE 1.1MM

Facility

$170.00

Hospital Charge Code	270625348
Hospital Revenue Code	278
Min. Negotiated Rate	$25.50
Max. Negotiated Rate	$41.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$34.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.14
Rate for Payer: Qualcare PPO/HMO/WC	$25.50

GUIDE WIRE 1.1MM 150MM THRD

Facility

$122.25

Hospital Charge Code	270622782
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.12
Rate for Payer: Aetna Commercial	$46.45
Rate for Payer: Aetna Medicare Advantage	$36.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.17
Rate for Payer: Cigna Commercial	$61.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.34
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

GUIDE WIRE 1.1MM 150MM THRD

Facility

$122.25

Hospital Charge Code	270622782
Hospital Revenue Code	278
Min. Negotiated Rate	$18.34
Max. Negotiated Rate	$29.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.34

GUIDEWIRE 1.1MMX150MM TROCTIP

Facility

$343.75

Service Code	HCPCS C1713
Hospital Charge Code	270691913
Hospital Revenue Code	278
Min. Negotiated Rate	$9.76
Max. Negotiated Rate	$171.88
Rate for Payer: Aetna Commercial	$130.62
Rate for Payer: Aetna Medicare Advantage	$103.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.66
Rate for Payer: Cigna Commercial	$171.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.19
Rate for Payer: Qualcare PPO/HMO/WC	$51.56
Rate for Payer: UnitedHealthcare Community & State	$10.86
Rate for Payer: Wellpoint Medicaid Managed Care	$9.76

Know your out-of-pocket cost for care.

All Charges