Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE CT-2 VICRYL 3-0

Facility

$342.95

Hospital Charge Code	270657436
Hospital Revenue Code	272
Min. Negotiated Rate	$8.27
Max. Negotiated Rate	$171.47
Rate for Payer: Aetna Commercial	$130.32
Rate for Payer: Aetna Medicare Advantage	$102.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$87.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$87.45
Rate for Payer: Cigna Commercial	$171.47
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$102.89
Rate for Payer: Oxford Commercial	$68.59
Rate for Payer: Qualcare PPO/HMO/WC	$51.44
Rate for Payer: UnitedHealthcare Commercial	$68.59
Rate for Payer: UnitedHealthcare Community & State	$8.27
Rate for Payer: Wellpoint Medicaid Managed Care	$9.09

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.32
Rate for Payer: Aetna Commercial	$7.84
Rate for Payer: Aetna Medicare Advantage	$6.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.26
Rate for Payer: Cigna Commercial	$10.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.19
Rate for Payer: Oxford Commercial	$4.13
Rate for Payer: Qualcare PPO/HMO/WC	$3.10
Rate for Payer: UnitedHealthcare Commercial	$4.13
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

SUTURE CTD VICRYL 7-0 UND P-1

Facility

$20.64

Hospital Charge Code	270671351
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$3.10
Rate for Payer: Qualcare PPO/HMO/WC	$3.10

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.42
Rate for Payer: Aetna Commercial	$3.36
Rate for Payer: Aetna Medicare Advantage	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.65
Rate for Payer: Oxford Commercial	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$1.77
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE CTD VICRYL PLUS 3-0

Facility

$8.85

Hospital Charge Code	270692090
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.33
Rate for Payer: Aetna Commercial	$3.29
Rate for Payer: Aetna Medicare Advantage	$2.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.21
Rate for Payer: Cigna Commercial	$4.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.60
Rate for Payer: Oxford Commercial	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.30
Rate for Payer: UnitedHealthcare Commercial	$1.73
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE CTD VICRYL PLUS 4/0 27I

Facility

$8.65

Hospital Charge Code	270684400
Hospital Revenue Code	272
Min. Negotiated Rate	$1.30
Max. Negotiated Rate	$1.30
Rate for Payer: Qualcare PPO/HMO/WC	$1.30

SUTURE CV2 36 INCHES

Facility

$120.80

Hospital Charge Code	270666837
Hospital Revenue Code	272
Min. Negotiated Rate	$2.91
Max. Negotiated Rate	$60.40
Rate for Payer: Aetna Commercial	$45.90
Rate for Payer: Aetna Medicare Advantage	$36.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.80
Rate for Payer: Cigna Commercial	$60.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.24
Rate for Payer: Oxford Commercial	$24.16
Rate for Payer: Qualcare PPO/HMO/WC	$18.12
Rate for Payer: UnitedHealthcare Commercial	$24.16
Rate for Payer: UnitedHealthcare Community & State	$2.91
Rate for Payer: Wellpoint Medicaid Managed Care	$3.20

SUTURE CV2 36 INCHES

Facility

$120.80

Hospital Charge Code	270666837
Hospital Revenue Code	272
Min. Negotiated Rate	$18.12
Max. Negotiated Rate	$18.12
Rate for Payer: Qualcare PPO/HMO/WC	$18.12

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$19.25
Max. Negotiated Rate	$19.25
Rate for Payer: Qualcare PPO/HMO/WC	$19.25

SUTURE CV6/TT9 NEEDLE

Facility

$128.33

Hospital Charge Code	270603871
Hospital Revenue Code	272
Min. Negotiated Rate	$3.09
Max. Negotiated Rate	$64.17
Rate for Payer: Aetna Commercial	$48.77
Rate for Payer: Aetna Medicare Advantage	$38.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.72
Rate for Payer: Cigna Commercial	$64.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.50
Rate for Payer: Oxford Commercial	$25.67
Rate for Payer: Qualcare PPO/HMO/WC	$19.25
Rate for Payer: UnitedHealthcare Commercial	$25.67
Rate for Payer: UnitedHealthcare Community & State	$3.09
Rate for Payer: Wellpoint Medicaid Managed Care	$3.40

SUTURE DERMALON 6-0 BLUE

Facility

$12.00

Hospital Charge Code	270651285
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

SUTURE DERMALON 6-0 BLUE

Facility

$12.00

Hospital Charge Code	270651285
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

SUTURE DERMALON MONOFILAMENT

Facility

$14.11

Hospital Charge Code	270651284
Hospital Revenue Code	272
Min. Negotiated Rate	$2.12
Max. Negotiated Rate	$2.12
Rate for Payer: Qualcare PPO/HMO/WC	$2.12

SUTURE DERMALON MONOFILAMENT

Facility

$14.11

Hospital Charge Code	270651284
Hospital Revenue Code	272
Min. Negotiated Rate	$0.34
Max. Negotiated Rate	$7.05
Rate for Payer: Aetna Commercial	$5.36
Rate for Payer: Aetna Medicare Advantage	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.60
Rate for Payer: Cigna Commercial	$7.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.23
Rate for Payer: Oxford Commercial	$2.82
Rate for Payer: Qualcare PPO/HMO/WC	$2.12
Rate for Payer: UnitedHealthcare Commercial	$2.82
Rate for Payer: UnitedHealthcare Community & State	$0.34
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$255.00
Max. Negotiated Rate	$255.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00

SUTURE DOUBLE LOADED 3x14.5

Facility

$1,700.00

Hospital Charge Code	270659657
Hospital Revenue Code	272
Min. Negotiated Rate	$40.97
Max. Negotiated Rate	$850.00
Rate for Payer: Aetna Commercial	$646.00
Rate for Payer: Aetna Medicare Advantage	$510.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$433.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$433.50
Rate for Payer: Cigna Commercial	$850.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$510.00
Rate for Payer: Oxford Commercial	$340.00
Rate for Payer: Qualcare PPO/HMO/WC	$255.00
Rate for Payer: UnitedHealthcare Commercial	$340.00
Rate for Payer: UnitedHealthcare Community & State	$40.97
Rate for Payer: Wellpoint Medicaid Managed Care	$45.05

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$0.96
Max. Negotiated Rate	$19.86
Rate for Payer: Aetna Commercial	$15.10
Rate for Payer: Aetna Medicare Advantage	$11.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.13
Rate for Payer: Cigna Commercial	$19.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.92
Rate for Payer: Oxford Commercial	$7.95
Rate for Payer: Qualcare PPO/HMO/WC	$5.96
Rate for Payer: UnitedHealthcare Commercial	$7.95
Rate for Payer: UnitedHealthcare Community & State	$0.96
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$22.15
Max. Negotiated Rate	$22.15
Rate for Payer: Qualcare PPO/HMO/WC	$22.15

SUTURE D SPECIAL

Facility

$147.64

Hospital Charge Code	270670806
Hospital Revenue Code	272
Min. Negotiated Rate	$3.56
Max. Negotiated Rate	$73.82
Rate for Payer: Aetna Commercial	$56.10
Rate for Payer: Aetna Medicare Advantage	$44.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.65
Rate for Payer: Cigna Commercial	$73.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.29
Rate for Payer: Oxford Commercial	$29.53
Rate for Payer: Qualcare PPO/HMO/WC	$22.15
Rate for Payer: UnitedHealthcare Commercial	$29.53
Rate for Payer: UnitedHealthcare Community & State	$3.56
Rate for Payer: Wellpoint Medicaid Managed Care	$3.91

SUTURE D SPECIAL

Facility

$39.73

Hospital Charge Code	270670693
Hospital Revenue Code	272
Min. Negotiated Rate	$5.96
Max. Negotiated Rate	$5.96
Rate for Payer: Qualcare PPO/HMO/WC	$5.96

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$22.80
Max. Negotiated Rate	$22.80
Rate for Payer: Qualcare PPO/HMO/WC	$22.80

SUTURE ENDOKNOT PDS II 0 ST-3

Facility

$152.00

Hospital Charge Code	270628667
Hospital Revenue Code	272
Min. Negotiated Rate	$3.66
Max. Negotiated Rate	$76.00
Rate for Payer: Aetna Commercial	$57.76
Rate for Payer: Aetna Medicare Advantage	$45.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.76
Rate for Payer: Cigna Commercial	$76.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.60
Rate for Payer: Oxford Commercial	$30.40
Rate for Payer: Qualcare PPO/HMO/WC	$22.80
Rate for Payer: UnitedHealthcare Commercial	$30.40
Rate for Payer: UnitedHealthcare Community & State	$3.66
Rate for Payer: Wellpoint Medicaid Managed Care	$4.03

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$4.76
Max. Negotiated Rate	$98.70
Rate for Payer: Aetna Commercial	$75.01
Rate for Payer: Aetna Medicare Advantage	$59.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$50.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$50.34
Rate for Payer: Cigna Commercial	$98.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$59.22
Rate for Payer: Oxford Commercial	$39.48
Rate for Payer: Qualcare PPO/HMO/WC	$29.61
Rate for Payer: UnitedHealthcare Commercial	$39.48
Rate for Payer: UnitedHealthcare Community & State	$4.76
Rate for Payer: Wellpoint Medicaid Managed Care	$5.23

SUTURE ENDOLOOP LIGA 0 PDS II

Facility

$197.40

Hospital Charge Code	270664791
Hospital Revenue Code	272
Min. Negotiated Rate	$29.61
Max. Negotiated Rate	$29.61
Rate for Payer: Qualcare PPO/HMO/WC	$29.61

Know your out-of-pocket cost for care.

All Charges