Hoboken University Hospital

All Charges

Charge

Type

Setting

Price

GUIDEWIRE 1.1MMX150MM TROCTIP

Facility

$343.75

Service Code	HCPCS C1713
Hospital Charge Code	270691913
Hospital Revenue Code	278
Min. Negotiated Rate	$51.56
Max. Negotiated Rate	$83.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$68.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$83.19
Rate for Payer: Qualcare PPO/HMO/WC	$51.56

GUIDEWIRE 1.1 X 100

Facility

$189.00

Service Code	HCPCS C1769
Hospital Charge Code	270667243
Hospital Revenue Code	278
Min. Negotiated Rate	$5.37
Max. Negotiated Rate	$94.50
Rate for Payer: Aetna Commercial	$71.82
Rate for Payer: Aetna Medicare Advantage	$56.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$48.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$48.20
Rate for Payer: Cigna Commercial	$94.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: Qualcare PPO/HMO/WC	$28.35
Rate for Payer: UnitedHealthcare Community & State	$5.97
Rate for Payer: Wellpoint Medicaid Managed Care	$5.37

GUIDEWIRE 1.1 X 100

Facility

$189.00

Service Code	HCPCS C1769
Hospital Charge Code	270667243
Hospital Revenue Code	278
Min. Negotiated Rate	$28.35
Max. Negotiated Rate	$45.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$37.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.74
Rate for Payer: Qualcare PPO/HMO/WC	$28.35

GUIDE WIRE 1.25M 150MM

Facility

$122.20

Service Code	HCPCS C1713
Hospital Charge Code	270642556
Hospital Revenue Code	278
Min. Negotiated Rate	$3.47
Max. Negotiated Rate	$61.10
Rate for Payer: Aetna Commercial	$46.44
Rate for Payer: Aetna Medicare Advantage	$36.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.16
Rate for Payer: Cigna Commercial	$61.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$18.33
Rate for Payer: UnitedHealthcare Community & State	$3.86
Rate for Payer: Wellpoint Medicaid Managed Care	$3.47

GUIDE WIRE 1.25M 150MM

Facility

$122.20

Service Code	HCPCS C1713
Hospital Charge Code	270642556
Hospital Revenue Code	278
Min. Negotiated Rate	$18.33
Max. Negotiated Rate	$29.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.44
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.57
Rate for Payer: Qualcare PPO/HMO/WC	$18.33

GUIDE WIRE 1.2MM

Facility

$121.75

Service Code	HCPCS C1769
Hospital Charge Code	270661039
Hospital Revenue Code	278
Min. Negotiated Rate	$3.46
Max. Negotiated Rate	$60.88
Rate for Payer: Aetna Commercial	$46.27
Rate for Payer: Aetna Medicare Advantage	$36.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.05
Rate for Payer: Cigna Commercial	$60.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.46
Rate for Payer: Qualcare PPO/HMO/WC	$18.26
Rate for Payer: UnitedHealthcare Community & State	$3.85
Rate for Payer: Wellpoint Medicaid Managed Care	$3.46

GUIDE WIRE 1.2MM

Facility

$121.75

Service Code	HCPCS C1769
Hospital Charge Code	270661039
Hospital Revenue Code	278
Min. Negotiated Rate	$18.26
Max. Negotiated Rate	$29.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$24.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.46
Rate for Payer: Qualcare PPO/HMO/WC	$18.26

GUIDEWIRE 1.2MM

Facility

$150.00

Service Code	HCPCS C1769
Hospital Charge Code	270686758
Hospital Revenue Code	278
Min. Negotiated Rate	$22.50
Max. Negotiated Rate	$36.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50

GUIDEWIRE 1.2MM

Facility

$150.00

Service Code	HCPCS C1769
Hospital Charge Code	270686758
Hospital Revenue Code	278
Min. Negotiated Rate	$4.26
Max. Negotiated Rate	$75.00
Rate for Payer: Aetna Commercial	$57.00
Rate for Payer: Aetna Medicare Advantage	$45.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.25
Rate for Payer: Cigna Commercial	$75.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.30
Rate for Payer: Qualcare PPO/HMO/WC	$22.50
Rate for Payer: UnitedHealthcare Community & State	$4.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.26

GUIDEWIRE 1.2MM

Facility

$115.00

Service Code	HCPCS C1769
Hospital Charge Code	270686223
Hospital Revenue Code	278
Min. Negotiated Rate	$3.27
Max. Negotiated Rate	$57.50
Rate for Payer: Aetna Commercial	$43.70
Rate for Payer: Aetna Medicare Advantage	$34.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.32
Rate for Payer: Cigna Commercial	$57.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.25
Rate for Payer: UnitedHealthcare Community & State	$3.63
Rate for Payer: Wellpoint Medicaid Managed Care	$3.27

GUIDEWIRE 1.2MM

Facility

$115.00

Service Code	HCPCS C1769
Hospital Charge Code	270686223
Hospital Revenue Code	278
Min. Negotiated Rate	$17.25
Max. Negotiated Rate	$27.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$23.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.83
Rate for Payer: Qualcare PPO/HMO/WC	$17.25

GUIDEWIRE 1.2x100mm

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270685400
Hospital Revenue Code	278
Min. Negotiated Rate	$16.50
Max. Negotiated Rate	$26.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50

GUIDEWIRE 1.2x100mm

Facility

$110.00

Service Code	HCPCS C1769
Hospital Charge Code	270685400
Hospital Revenue Code	278
Min. Negotiated Rate	$3.12
Max. Negotiated Rate	$55.00
Rate for Payer: Aetna Commercial	$41.80
Rate for Payer: Aetna Medicare Advantage	$33.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$22.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.05
Rate for Payer: Cigna Commercial	$55.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.62
Rate for Payer: Qualcare PPO/HMO/WC	$16.50
Rate for Payer: UnitedHealthcare Community & State	$3.48
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

GUIDEWIRE 1.35MM

Facility

$100.00

Service Code	HCPCS C1769
Hospital Charge Code	270682618
Hospital Revenue Code	278
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$50.00
Rate for Payer: Aetna Commercial	$38.00
Rate for Payer: Aetna Medicare Advantage	$30.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.50
Rate for Payer: Cigna Commercial	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00
Rate for Payer: UnitedHealthcare Community & State	$3.16
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

GUIDEWIRE 1.35MM

Facility

$100.00

Service Code	HCPCS C1769
Hospital Charge Code	270682618
Hospital Revenue Code	278
Min. Negotiated Rate	$15.00
Max. Negotiated Rate	$24.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$20.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$24.20
Rate for Payer: Qualcare PPO/HMO/WC	$15.00

GUIDEWIRE 1.4MM

Facility

$65.00

Service Code	HCPCS C1769
Hospital Charge Code	270698539
Hospital Revenue Code	278
Min. Negotiated Rate	$1.85
Max. Negotiated Rate	$32.50
Rate for Payer: Aetna Commercial	$24.70
Rate for Payer: Aetna Medicare Advantage	$19.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.57
Rate for Payer: Cigna Commercial	$32.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.75
Rate for Payer: UnitedHealthcare Community & State	$2.05
Rate for Payer: Wellpoint Medicaid Managed Care	$1.85

GUIDEWIRE 1.4MM

Facility

$65.00

Service Code	HCPCS C1769
Hospital Charge Code	270698539
Hospital Revenue Code	278
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$15.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$13.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.73
Rate for Payer: Qualcare PPO/HMO/WC	$9.75

GUIDEWIRE 1.4MM MAXTORQUE 5IN

Facility

$125.00

Service Code	HCPCS C1769
Hospital Charge Code	270700604
Hospital Revenue Code	272
Min. Negotiated Rate	$3.55
Max. Negotiated Rate	$62.50
Rate for Payer: Aetna Commercial	$47.50
Rate for Payer: Aetna Medicare Advantage	$37.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.88
Rate for Payer: Cigna Commercial	$62.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.50
Rate for Payer: Oxford Commercial	$25.00
Rate for Payer: Qualcare PPO/HMO/WC	$18.75
Rate for Payer: UnitedHealthcare Commercial	$25.00
Rate for Payer: UnitedHealthcare Community & State	$3.95
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

GUIDEWIRE 1.4MM MAXTORQUE 5IN

Facility

$125.00

Service Code	HCPCS C1769
Hospital Charge Code	270700604
Hospital Revenue Code	272
Min. Negotiated Rate	$18.75
Max. Negotiated Rate	$18.75
Rate for Payer: Qualcare PPO/HMO/WC	$18.75

GUIDEWIRE 1.4X150MM

Facility

$1,183.00

Service Code	HCPCS C1769
Hospital Charge Code	270699453
Hospital Revenue Code	278
Min. Negotiated Rate	$177.45
Max. Negotiated Rate	$286.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.29
Rate for Payer: Qualcare PPO/HMO/WC	$177.45

GUIDEWIRE 1.4X150MM

Facility

$1,183.00

Service Code	HCPCS C1769
Hospital Charge Code	270699453
Hospital Revenue Code	278
Min. Negotiated Rate	$33.60
Max. Negotiated Rate	$591.50
Rate for Payer: Aetna Commercial	$449.54
Rate for Payer: Aetna Medicare Advantage	$354.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$301.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$301.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$236.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$301.67
Rate for Payer: Cigna Commercial	$591.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$286.29
Rate for Payer: Qualcare PPO/HMO/WC	$177.45
Rate for Payer: UnitedHealthcare Community & State	$37.38
Rate for Payer: Wellpoint Medicaid Managed Care	$33.60

GUIDE WIRE 1.4X150MM STERILE

Facility

$570.75

Service Code	HCPCS C1769
Hospital Charge Code	270669238
Hospital Revenue Code	278
Min. Negotiated Rate	$16.21
Max. Negotiated Rate	$285.38
Rate for Payer: Aetna Commercial	$216.88
Rate for Payer: Aetna Medicare Advantage	$171.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$145.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$145.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$145.54
Rate for Payer: Cigna Commercial	$285.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.61
Rate for Payer: UnitedHealthcare Community & State	$18.04
Rate for Payer: Wellpoint Medicaid Managed Care	$16.21

GUIDE WIRE 1.4X150MM STERILE

Facility

$570.75

Service Code	HCPCS C1769
Hospital Charge Code	270669238
Hospital Revenue Code	278
Min. Negotiated Rate	$85.61
Max. Negotiated Rate	$138.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$114.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.61

GUIDE WIRE 1.6

Facility

$157.50

Service Code	HCPCS C1769
Hospital Charge Code	270663860
Hospital Revenue Code	278
Min. Negotiated Rate	$4.47
Max. Negotiated Rate	$78.75
Rate for Payer: Aetna Commercial	$59.85
Rate for Payer: Aetna Medicare Advantage	$47.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$40.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$40.16
Rate for Payer: Cigna Commercial	$78.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.12
Rate for Payer: Qualcare PPO/HMO/WC	$23.62
Rate for Payer: UnitedHealthcare Community & State	$4.98
Rate for Payer: Wellpoint Medicaid Managed Care	$4.47

GUIDE WIRE 1.6

Facility

$157.50

Service Code	HCPCS C1769
Hospital Charge Code	270663860
Hospital Revenue Code	278
Min. Negotiated Rate	$23.62
Max. Negotiated Rate	$38.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$31.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.12
Rate for Payer: Qualcare PPO/HMO/WC	$23.62

Know your out-of-pocket cost for care.

All Charges