Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE MIXED WHITE

Facility

$236.58

Hospital Charge Code	270672939
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$89.90
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.97
Rate for Payer: Oxford Commercial	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$47.32
Rate for Payer: UnitedHealthcare Community & State	$5.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6.27

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$35.49
Max. Negotiated Rate	$35.49
Rate for Payer: Qualcare PPO/HMO/WC	$35.49

SUTURE CARTRIDGE PP CO-BRAID

Facility

$236.58

Hospital Charge Code	270672941
Hospital Revenue Code	272
Min. Negotiated Rate	$5.70
Max. Negotiated Rate	$118.29
Rate for Payer: Aetna Commercial	$89.90
Rate for Payer: Aetna Medicare Advantage	$70.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$60.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$60.33
Rate for Payer: Cigna Commercial	$118.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.97
Rate for Payer: Oxford Commercial	$47.32
Rate for Payer: Qualcare PPO/HMO/WC	$35.49
Rate for Payer: UnitedHealthcare Commercial	$47.32
Rate for Payer: UnitedHealthcare Community & State	$5.70
Rate for Payer: Wellpoint Medicaid Managed Care	$6.27

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SMARTST BLUE

Facility

$1,625.00

Hospital Charge Code	270668399
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 CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE CARTRIDGE SMARTST WHITE

Facility

$1,625.00

Hospital Charge Code	270668400
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 CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$212.25
Max. Negotiated Rate	$212.25
Rate for Payer: Qualcare PPO/HMO/WC	$212.25

SUTURE CARTRIDGE SPEEDSTITCH

Facility

$1,415.00

Hospital Charge Code	270672846
Hospital Revenue Code	272
Min. Negotiated Rate	$34.10
Max. Negotiated Rate	$707.50
Rate for Payer: Aetna Commercial	$537.70
Rate for Payer: Aetna Medicare Advantage	$424.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$360.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$360.82
Rate for Payer: Cigna Commercial	$707.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$424.50
Rate for Payer: Oxford Commercial	$283.00
Rate for Payer: Qualcare PPO/HMO/WC	$212.25
Rate for Payer: UnitedHealthcare Commercial	$283.00
Rate for Payer: UnitedHealthcare Community & State	$34.10
Rate for Payer: Wellpoint Medicaid Managed Care	$37.50

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$0.97
Rate for Payer: Qualcare PPO/HMO/WC	$0.97

SUTURE CH GUT 2/0 30 GS-24 11T

Facility

$6.45

Hospital Charge Code	270656095
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.23
Rate for Payer: Aetna Commercial	$2.45
Rate for Payer: Aetna Medicare Advantage	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.64
Rate for Payer: Cigna Commercial	$3.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$0.97
Rate for Payer: UnitedHealthcare Commercial	$1.29
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$4.30
Rate for Payer: Qualcare PPO/HMO/WC	$4.30

SUTURE CHR BUT 4-0 PS-2 18

Facility

$28.70

Hospital Charge Code	270663419
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.35
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.61
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.30
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$28.57
Max. Negotiated Rate	$592.73
Rate for Payer: Aetna Commercial	$450.47
Rate for Payer: Aetna Medicare Advantage	$355.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$302.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$302.29
Rate for Payer: Cigna Commercial	$592.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$355.63
Rate for Payer: Oxford Commercial	$237.09
Rate for Payer: Qualcare PPO/HMO/WC	$177.82
Rate for Payer: UnitedHealthcare Commercial	$237.09
Rate for Payer: UnitedHealthcare Community & State	$28.57
Rate for Payer: Wellpoint Medicaid Managed Care	$31.41

SUTURE CHR GUT 6-0 PS-3 18INCH

Facility

$1,185.45

Hospital Charge Code	270664550
Hospital Revenue Code	272
Min. Negotiated Rate	$177.82
Max. Negotiated Rate	$177.82
Rate for Payer: Qualcare PPO/HMO/WC	$177.82

SUTURE CHROM GUT 0 18 PCT 122L

Facility

$2.19

Hospital Charge Code	270656128
Hospital Revenue Code	272
Min. Negotiated Rate	$0.05
Max. Negotiated Rate	$1.09
Rate for Payer: Aetna Commercial	$0.83
Rate for Payer: Aetna Medicare Advantage	$0.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$0.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$0.56
Rate for Payer: Cigna Commercial	$1.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$0.66
Rate for Payer: Oxford Commercial	$0.44
Rate for Payer: Qualcare PPO/HMO/WC	$0.33
Rate for Payer: UnitedHealthcare Commercial	$0.44
Rate for Payer: UnitedHealthcare Community & State	$0.05
Rate for Payer: Wellpoint Medicaid Managed Care	$0.06

SUTURE CHROM GUT 0 18 PCT 122L

Facility

$2.19

Hospital Charge Code	270656128
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$0.33
Rate for Payer: Qualcare PPO/HMO/WC	$0.33

SUTURE CHROMIC 2/0 CT

Facility

$64.58

Hospital Charge Code	270655653
Hospital Revenue Code	272
Min. Negotiated Rate	$1.56
Max. Negotiated Rate	$32.29
Rate for Payer: Aetna Commercial	$24.54
Rate for Payer: Aetna Medicare Advantage	$19.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16.47
Rate for Payer: Cigna Commercial	$32.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$19.37
Rate for Payer: Oxford Commercial	$12.92
Rate for Payer: Qualcare PPO/HMO/WC	$9.69
Rate for Payer: UnitedHealthcare Commercial	$12.92
Rate for Payer: UnitedHealthcare Community & State	$1.56
Rate for Payer: Wellpoint Medicaid Managed Care	$1.71

SUTURE CHROMIC 2/0 CT

Facility

$64.58

Hospital Charge Code	270655653
Hospital Revenue Code	272
Min. Negotiated Rate	$9.69
Max. Negotiated Rate	$9.69
Rate for Payer: Qualcare PPO/HMO/WC	$9.69

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$4.31
Max. Negotiated Rate	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$4.31

SUTURE CHROMIC 2-0CT

Facility

$28.72

Hospital Charge Code	270655350
Hospital Revenue Code	272
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.36
Rate for Payer: Aetna Commercial	$10.91
Rate for Payer: Aetna Medicare Advantage	$8.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.32
Rate for Payer: Cigna Commercial	$14.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.62
Rate for Payer: Oxford Commercial	$5.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.31
Rate for Payer: UnitedHealthcare Commercial	$5.74
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$5.31
Max. Negotiated Rate	$5.31
Rate for Payer: Qualcare PPO/HMO/WC	$5.31

SUTURE CHROMIC 2 TP1 60 IN

Facility

$35.38

Hospital Charge Code	270681872
Hospital Revenue Code	272
Min. Negotiated Rate	$0.85
Max. Negotiated Rate	$17.69
Rate for Payer: Aetna Commercial	$13.44
Rate for Payer: Aetna Medicare Advantage	$10.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.02
Rate for Payer: Cigna Commercial	$17.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.61
Rate for Payer: Oxford Commercial	$7.08
Rate for Payer: Qualcare PPO/HMO/WC	$5.31
Rate for Payer: UnitedHealthcare Commercial	$7.08
Rate for Payer: UnitedHealthcare Community & State	$0.85
Rate for Payer: Wellpoint Medicaid Managed Care	$0.94

SUTURE CHROMIC 3/0 SH

Facility

$40.40

Hospital Charge Code	270655681
Hospital Revenue Code	272
Min. Negotiated Rate	$0.97
Max. Negotiated Rate	$20.20
Rate for Payer: Aetna Commercial	$15.35
Rate for Payer: Aetna Medicare Advantage	$12.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.30
Rate for Payer: Cigna Commercial	$20.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.12
Rate for Payer: Oxford Commercial	$8.08
Rate for Payer: Qualcare PPO/HMO/WC	$6.06
Rate for Payer: UnitedHealthcare Commercial	$8.08
Rate for Payer: UnitedHealthcare Community & State	$0.97
Rate for Payer: Wellpoint Medicaid Managed Care	$1.07

Know your out-of-pocket cost for care.

All Charges