Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE 5-0 VICRYL UNDYES PC-3

Facility

$33.50

Hospital Charge Code	270684898
Hospital Revenue Code	272
Min. Negotiated Rate	$5.03
Max. Negotiated Rate	$5.03
Rate for Payer: Qualcare PPO/HMO/WC	$5.03

SUTURE 5-0 VICRYL UNDYES PC-3

Facility

$31.85

Hospital Charge Code	270684897
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$15.93
Rate for Payer: Aetna Commercial	$12.10
Rate for Payer: Aetna Medicare Advantage	$9.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.12
Rate for Payer: Cigna Commercial	$15.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.55
Rate for Payer: Oxford Commercial	$6.37
Rate for Payer: Qualcare PPO/HMO/WC	$4.78
Rate for Payer: UnitedHealthcare Commercial	$6.37
Rate for Payer: UnitedHealthcare Community & State	$0.77
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

SUTURE 5-0 VICRYL UNDYES PC-3

Facility

$31.85

Hospital Charge Code	270684897
Hospital Revenue Code	272
Min. Negotiated Rate	$4.78
Max. Negotiated Rate	$4.78
Rate for Payer: Qualcare PPO/HMO/WC	$4.78

SUTURE 5 SILK 60 IN

Facility

$17.85

Hospital Charge Code	270702978
Hospital Revenue Code	278
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$4.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.68

SUTURE 5 SILK 60 IN

Facility

$17.85

Hospital Charge Code	270702978
Hospital Revenue Code	278
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.93
Rate for Payer: Aetna Commercial	$6.78
Rate for Payer: Aetna Medicare Advantage	$5.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.55
Rate for Payer: Cigna Commercial	$8.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.32
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$2.68
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE 6-0 PROLENE BL BV-1 36

Facility

$462.48

Hospital Charge Code	270679571
Hospital Revenue Code	272
Min. Negotiated Rate	$11.15
Max. Negotiated Rate	$231.24
Rate for Payer: Aetna Commercial	$175.74
Rate for Payer: Aetna Medicare Advantage	$138.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$117.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$117.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$117.93
Rate for Payer: Cigna Commercial	$231.24
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$138.74
Rate for Payer: Oxford Commercial	$92.50
Rate for Payer: Qualcare PPO/HMO/WC	$69.37
Rate for Payer: UnitedHealthcare Commercial	$92.50
Rate for Payer: UnitedHealthcare Community & State	$11.15
Rate for Payer: Wellpoint Medicaid Managed Care	$12.26

SUTURE 6-0 PROLENE BL BV-1 36

Facility

$462.48

Hospital Charge Code	270679571
Hospital Revenue Code	272
Min. Negotiated Rate	$69.37
Max. Negotiated Rate	$69.37
Rate for Payer: Qualcare PPO/HMO/WC	$69.37

SUTURE 6-0 PROLENE RB-1 DA 36

Facility

$221.05

Hospital Charge Code	270679572
Hospital Revenue Code	272
Min. Negotiated Rate	$33.16
Max. Negotiated Rate	$33.16
Rate for Payer: Qualcare PPO/HMO/WC	$33.16

SUTURE 6-0 PROLENE RB-1 DA 36

Facility

$221.05

Hospital Charge Code	270679572
Hospital Revenue Code	272
Min. Negotiated Rate	$5.33
Max. Negotiated Rate	$110.53
Rate for Payer: Aetna Commercial	$84.00
Rate for Payer: Aetna Medicare Advantage	$66.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$56.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$56.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$56.37
Rate for Payer: Cigna Commercial	$110.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$66.31
Rate for Payer: Oxford Commercial	$44.21
Rate for Payer: Qualcare PPO/HMO/WC	$33.16
Rate for Payer: UnitedHealthcare Commercial	$44.21
Rate for Payer: UnitedHealthcare Community & State	$5.33
Rate for Payer: Wellpoint Medicaid Managed Care	$5.86

SUTURE 7717G

Facility

$33.57

Hospital Charge Code	270654903
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.79
Rate for Payer: Aetna Commercial	$12.76
Rate for Payer: Aetna Medicare Advantage	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.56
Rate for Payer: Cigna Commercial	$16.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.07
Rate for Payer: Oxford Commercial	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.04
Rate for Payer: UnitedHealthcare Commercial	$6.71
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

SUTURE 7717G

Facility

$33.57

Hospital Charge Code	270654903
Hospital Revenue Code	272
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$5.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.04

SUTURE 90 DEG STRGHT AR406890

Facility

$700.00

Hospital Charge Code	270638447
Hospital Revenue Code	272
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SUTURE 90 DEG STRGHT AR406890

Facility

$700.00

Hospital Charge Code	270638447
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SUTURE ABS V-LOC 180 P-12 3-0

Facility

$339.86

Hospital Charge Code	270652810
Hospital Revenue Code	272
Min. Negotiated Rate	$50.98
Max. Negotiated Rate	$50.98
Rate for Payer: Qualcare PPO/HMO/WC	$50.98

SUTURE ABS V-LOC 180 P-12 3-0

Facility

$339.86

Hospital Charge Code	270652810
Hospital Revenue Code	272
Min. Negotiated Rate	$8.19
Max. Negotiated Rate	$169.93
Rate for Payer: Aetna Commercial	$129.15
Rate for Payer: Aetna Medicare Advantage	$101.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$86.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$86.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$86.66
Rate for Payer: Cigna Commercial	$169.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$101.96
Rate for Payer: Oxford Commercial	$67.97
Rate for Payer: Qualcare PPO/HMO/WC	$50.98
Rate for Payer: UnitedHealthcare Commercial	$67.97
Rate for Payer: UnitedHealthcare Community & State	$8.19
Rate for Payer: Wellpoint Medicaid Managed Care	$9.01

SUTURE AN BIO-FK 3x14 AR1324BF

Facility

$1,463.25

Hospital Charge Code	270632657
Hospital Revenue Code	272
Min. Negotiated Rate	$35.26
Max. Negotiated Rate	$731.62
Rate for Payer: Aetna Commercial	$556.03
Rate for Payer: Aetna Medicare Advantage	$438.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.13
Rate for Payer: Cigna Commercial	$731.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$438.98
Rate for Payer: Oxford Commercial	$292.65
Rate for Payer: Qualcare PPO/HMO/WC	$219.49
Rate for Payer: UnitedHealthcare Commercial	$292.65
Rate for Payer: UnitedHealthcare Community & State	$35.26
Rate for Payer: Wellpoint Medicaid Managed Care	$38.78

SUTURE AN BIO-FK 3x14 AR1324BF

Facility

$1,463.25

Hospital Charge Code	270632657
Hospital Revenue Code	272
Min. Negotiated Rate	$219.49
Max. Negotiated Rate	$219.49
Rate for Payer: Qualcare PPO/HMO/WC	$219.49

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$285.00
Max. Negotiated Rate	$459.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$418.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00

SUTURE ANCH BIOCOMP SWIVELOCK

Facility

$1,900.00

Service Code	HCPCS C1713
Hospital Charge Code	270660671
Hospital Revenue Code	278
Min. Negotiated Rate	$45.79
Max. Negotiated Rate	$950.00
Rate for Payer: Aetna Commercial	$722.00
Rate for Payer: Aetna Medicare Advantage	$570.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$484.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$380.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$484.50
Rate for Payer: Cigna Commercial	$950.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$459.80
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$418.00
Rate for Payer: Qualcare PPO/HMO/WC	$285.00
Rate for Payer: UnitedHealthcare Community & State	$45.79
Rate for Payer: Wellpoint Medicaid Managed Care	$50.35

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$21.38
Max. Negotiated Rate	$21.38
Rate for Payer: Qualcare PPO/HMO/WC	$21.38

SUTURE ANCH FORCE FIB SZ2 38IN

Facility

$142.50

Hospital Charge Code	270696185
Hospital Revenue Code	272
Min. Negotiated Rate	$3.43
Max. Negotiated Rate	$71.25
Rate for Payer: Aetna Commercial	$54.15
Rate for Payer: Aetna Medicare Advantage	$42.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.34
Rate for Payer: Cigna Commercial	$71.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.75
Rate for Payer: Oxford Commercial	$28.50
Rate for Payer: Qualcare PPO/HMO/WC	$21.38
Rate for Payer: UnitedHealthcare Commercial	$28.50
Rate for Payer: UnitedHealthcare Community & State	$3.43
Rate for Payer: Wellpoint Medicaid Managed Care	$3.78

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE ANCH MIC B/COMP 2.4x6.5

Facility

$1,625.00

Hospital Charge Code	270677968
Hospital Revenue Code	272
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$2,926.90

Service Code	HCPCS C1713
Hospital Charge Code	270683377
Hospital Revenue Code	278
Min. Negotiated Rate	$70.54
Max. Negotiated Rate	$1,463.45
Rate for Payer: Aetna Commercial	$1,112.22
Rate for Payer: Aetna Medicare Advantage	$878.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$746.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$585.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$746.36
Rate for Payer: Cigna Commercial	$1,463.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$708.31
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$643.92
Rate for Payer: Qualcare PPO/HMO/WC	$439.04
Rate for Payer: UnitedHealthcare Community & State	$70.54
Rate for Payer: Wellpoint Medicaid Managed Care	$77.56

SUTURE ANCHOR 1.4 W/1.2mm TT

Facility

$775.00

Hospital Charge Code	270683346
Hospital Revenue Code	272
Min. Negotiated Rate	$18.68
Max. Negotiated Rate	$387.50
Rate for Payer: Aetna Commercial	$294.50
Rate for Payer: Aetna Medicare Advantage	$232.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$197.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$197.62
Rate for Payer: Cigna Commercial	$387.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$232.50
Rate for Payer: Oxford Commercial	$155.00
Rate for Payer: Qualcare PPO/HMO/WC	$116.25
Rate for Payer: UnitedHealthcare Commercial	$155.00
Rate for Payer: UnitedHealthcare Community & State	$18.68
Rate for Payer: Wellpoint Medicaid Managed Care	$20.54

Know your out-of-pocket cost for care.

All Charges