Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CHROMIC GUT 3/0 30 CP2

Facility

$6.99

Hospital Charge Code	270675605
Hospital Revenue Code	272
Min. Negotiated Rate	$1.05
Max. Negotiated Rate	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$1.05

SUTURE CHROMIC GUT 3/0 30 CP2

Facility

$6.99

Hospital Charge Code	270675605
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.50
Rate for Payer: Aetna Commercial	$2.66
Rate for Payer: Aetna Medicare Advantage	$2.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.78
Rate for Payer: Cigna Commercial	$3.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.10
Rate for Payer: Oxford Commercial	$1.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.05
Rate for Payer: UnitedHealthcare Commercial	$1.40
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE CHROMIC GUT 3/0 30 P12

Facility

$14.94

Hospital Charge Code	270651287
Hospital Revenue Code	272
Min. Negotiated Rate	$2.24
Max. Negotiated Rate	$2.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.24

SUTURE CHROMIC GUT 3/0 30 P12

Facility

$14.94

Hospital Charge Code	270651287
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.47
Rate for Payer: Aetna Commercial	$5.68
Rate for Payer: Aetna Medicare Advantage	$4.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.81
Rate for Payer: Cigna Commercial	$7.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.48
Rate for Payer: Oxford Commercial	$2.99
Rate for Payer: Qualcare PPO/HMO/WC	$2.24
Rate for Payer: UnitedHealthcare Commercial	$2.99
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

SUTURE CHROMIC GUT 3-0 CT-1

Facility

$15.65

Hospital Charge Code	270655656
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

SUTURE CHROMIC GUT 3-0 CT-1

Facility

$15.65

Hospital Charge Code	270655656
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.83
Rate for Payer: Aetna Commercial	$5.95
Rate for Payer: Aetna Medicare Advantage	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.99
Rate for Payer: Cigna Commercial	$7.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.70
Rate for Payer: Oxford Commercial	$3.13
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$3.13
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.41

SUTURE CHROMIC GUT 3-0 FS-2

Facility

$15.01

Hospital Charge Code	270671391
Hospital Revenue Code	272
Min. Negotiated Rate	$2.25
Max. Negotiated Rate	$2.25
Rate for Payer: Qualcare PPO/HMO/WC	$2.25

SUTURE CHROMIC GUT 3-0 FS-2

Facility

$15.01

Hospital Charge Code	270671391
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.50
Rate for Payer: Aetna Commercial	$5.70
Rate for Payer: Aetna Medicare Advantage	$4.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.83
Rate for Payer: Cigna Commercial	$7.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.50
Rate for Payer: Oxford Commercial	$3.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.25
Rate for Payer: UnitedHealthcare Commercial	$3.00
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

SUTURE CHROMIC GUT 3-0 PS-2

Facility

$47.93

Hospital Charge Code	270655626
Hospital Revenue Code	272
Min. Negotiated Rate	$7.19
Max. Negotiated Rate	$7.19
Rate for Payer: Qualcare PPO/HMO/WC	$7.19

SUTURE CHROMIC GUT 3-0 PS-2

Facility

$47.93

Hospital Charge Code	270655626
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$23.96
Rate for Payer: Aetna Commercial	$18.21
Rate for Payer: Aetna Medicare Advantage	$14.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.22
Rate for Payer: Cigna Commercial	$23.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.38
Rate for Payer: Oxford Commercial	$9.59
Rate for Payer: Qualcare PPO/HMO/WC	$7.19
Rate for Payer: UnitedHealthcare Commercial	$9.59
Rate for Payer: UnitedHealthcare Community & State	$1.16
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

SUTURE CHROMIC GUT 3-0 RB-1

Facility

$16.62

Hospital Charge Code	270671514
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.31
Rate for Payer: Aetna Commercial	$6.32
Rate for Payer: Aetna Medicare Advantage	$4.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.24
Rate for Payer: Cigna Commercial	$8.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.99
Rate for Payer: Oxford Commercial	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$3.32
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

SUTURE CHROMIC GUT 3-0 RB-1

Facility

$16.62

Hospital Charge Code	270671514
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE CHROMIC GUT 3-0 TIES

Facility

$15.74

Hospital Charge Code	270659079
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.87
Rate for Payer: Aetna Commercial	$5.98
Rate for Payer: Aetna Medicare Advantage	$4.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.01
Rate for Payer: Cigna Commercial	$7.87
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.72
Rate for Payer: Oxford Commercial	$3.15
Rate for Payer: Qualcare PPO/HMO/WC	$2.36
Rate for Payer: UnitedHealthcare Commercial	$3.15
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE CHROMIC GUT 3-0 TIES

Facility

$15.74

Hospital Charge Code	270659079
Hospital Revenue Code	272
Min. Negotiated Rate	$2.36
Max. Negotiated Rate	$2.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.36

SUTURE CHROMIC GUT 3-0 V-20

Facility

$13.86

Hospital Charge Code	270648403
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.93
Rate for Payer: Aetna Commercial	$5.27
Rate for Payer: Aetna Medicare Advantage	$4.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.53
Rate for Payer: Cigna Commercial	$6.93
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.16
Rate for Payer: Oxford Commercial	$2.77
Rate for Payer: Qualcare PPO/HMO/WC	$2.08
Rate for Payer: UnitedHealthcare Commercial	$2.77
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

SUTURE CHROMIC GUT 3-0 V-20

Facility

$13.86

Hospital Charge Code	270648403
Hospital Revenue Code	272
Min. Negotiated Rate	$2.08
Max. Negotiated Rate	$2.08
Rate for Payer: Qualcare PPO/HMO/WC	$2.08

SUTURE CHROMIC GUT 3-0 V-26

Facility

$16.21

Hospital Charge Code	270658813
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.11
Rate for Payer: Aetna Commercial	$6.16
Rate for Payer: Aetna Medicare Advantage	$4.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.13
Rate for Payer: Cigna Commercial	$8.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.86
Rate for Payer: Oxford Commercial	$3.24
Rate for Payer: Qualcare PPO/HMO/WC	$2.43
Rate for Payer: UnitedHealthcare Commercial	$3.24
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SUTURE CHROMIC GUT 3-0 V-26

Facility

$16.21

Hospital Charge Code	270658813
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$2.43
Rate for Payer: Qualcare PPO/HMO/WC	$2.43

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 3-1 CP-2

Facility

$15.83

Hospital Charge Code	270661112
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.92
Rate for Payer: Aetna Commercial	$6.02
Rate for Payer: Aetna Medicare Advantage	$4.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.04
Rate for Payer: Cigna Commercial	$7.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.75
Rate for Payer: Oxford Commercial	$3.17
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.17
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$2.37
Max. Negotiated Rate	$2.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.37

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$15.81

Hospital Charge Code	270600788
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.91
Rate for Payer: Aetna Commercial	$6.01
Rate for Payer: Aetna Medicare Advantage	$4.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.03
Rate for Payer: Cigna Commercial	$7.91
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.74
Rate for Payer: Oxford Commercial	$3.16
Rate for Payer: Qualcare PPO/HMO/WC	$2.37
Rate for Payer: UnitedHealthcare Commercial	$3.16
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE CHROMIC GUT 4/0 18 P12

Facility

$13.77

Hospital Charge Code	270641079
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$5.23
Rate for Payer: Aetna Medicare Advantage	$4.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.13
Rate for Payer: Oxford Commercial	$2.75
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$2.75
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SUTURE CHROMIC GUT 4/0 30 C13

Facility

$7.75

Hospital Charge Code	270604495
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.55
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

Know your out-of-pocket cost for care.

All Charges