Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ENDOSTITCH DLU 0

Facility

$228.85

Hospital Charge Code	270604735
Hospital Revenue Code	272
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$114.42
Rate for Payer: Aetna Commercial	$86.96
Rate for Payer: Aetna Medicare Advantage	$68.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.36
Rate for Payer: Cigna Commercial	$114.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.66
Rate for Payer: Oxford Commercial	$45.77
Rate for Payer: Qualcare PPO/HMO/WC	$34.33
Rate for Payer: UnitedHealthcare Commercial	$45.77
Rate for Payer: UnitedHealthcare Community & State	$5.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6.06

SUTURE ENDOSTITCH DLU 0

Facility

$228.85

Hospital Charge Code	270604735
Hospital Revenue Code	272
Min. Negotiated Rate	$34.33
Max. Negotiated Rate	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$34.33

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$2.13
Max. Negotiated Rate	$44.27
Rate for Payer: Aetna Commercial	$33.65
Rate for Payer: Aetna Medicare Advantage	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.58
Rate for Payer: Cigna Commercial	$44.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.57
Rate for Payer: Oxford Commercial	$17.71
Rate for Payer: Qualcare PPO/HMO/WC	$13.28
Rate for Payer: UnitedHealthcare Commercial	$17.71
Rate for Payer: UnitedHealthcare Community & State	$2.13
Rate for Payer: Wellpoint Medicaid Managed Care	$2.35

SUTURE ENDOSTITCH POLYSORB 0

Facility

$88.55

Hospital Charge Code	270658689
Hospital Revenue Code	272
Min. Negotiated Rate	$13.28
Max. Negotiated Rate	$13.28
Rate for Payer: Qualcare PPO/HMO/WC	$13.28

SUTURE ENDOSTIT DLU2-0

Facility

$228.85

Hospital Charge Code	270604734
Hospital Revenue Code	272
Min. Negotiated Rate	$5.52
Max. Negotiated Rate	$114.42
Rate for Payer: Aetna Commercial	$86.96
Rate for Payer: Aetna Medicare Advantage	$68.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$58.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$58.36
Rate for Payer: Cigna Commercial	$114.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$68.66
Rate for Payer: Oxford Commercial	$45.77
Rate for Payer: Qualcare PPO/HMO/WC	$34.33
Rate for Payer: UnitedHealthcare Commercial	$45.77
Rate for Payer: UnitedHealthcare Community & State	$5.52
Rate for Payer: Wellpoint Medicaid Managed Care	$6.06

SUTURE ENDOSTIT DLU2-0

Facility

$228.85

Hospital Charge Code	270604734
Hospital Revenue Code	272
Min. Negotiated Rate	$34.33
Max. Negotiated Rate	$34.33
Rate for Payer: Qualcare PPO/HMO/WC	$34.33

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$7.76
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

SUTURE ETHI 3-0 BLK MONO PC-5

Facility

$20.43

Hospital Charge Code	270671386
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$6.76
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.34
Rate for Payer: Oxford Commercial	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE ETHI 3-0 BLK MONO PS-1

Facility

$17.79

Hospital Charge Code	270671377
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHI 3-0 BLK MON PS-1

Facility

$17.79

Hospital Charge Code	270671376
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.89
Rate for Payer: Aetna Commercial	$6.76
Rate for Payer: Aetna Medicare Advantage	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.54
Rate for Payer: Cigna Commercial	$8.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.34
Rate for Payer: Oxford Commercial	$3.56
Rate for Payer: Qualcare PPO/HMO/WC	$2.67
Rate for Payer: UnitedHealthcare Commercial	$3.56
Rate for Payer: UnitedHealthcare Community & State	$0.43
Rate for Payer: Wellpoint Medicaid Managed Care	$0.47

SUTURE ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
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	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.25
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	$1.32
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 ETHI 4-0 BLK MONO FS1

Facility

$8.83

Hospital Charge Code	270671374
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

SUTURE ETHI 4-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671382
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$7.76
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

SUTURE ETHI 4-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671382
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 5-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671383
Hospital Revenue Code	272
Min. Negotiated Rate	$0.49
Max. Negotiated Rate	$10.21
Rate for Payer: Aetna Commercial	$7.76
Rate for Payer: Aetna Medicare Advantage	$6.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.21
Rate for Payer: Cigna Commercial	$10.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.13
Rate for Payer: Oxford Commercial	$4.09
Rate for Payer: Qualcare PPO/HMO/WC	$3.06
Rate for Payer: UnitedHealthcare Commercial	$4.09
Rate for Payer: UnitedHealthcare Community & State	$0.49
Rate for Payer: Wellpoint Medicaid Managed Care	$0.54

SUTURE ETHI 5-0 BLK MONO PC-1

Facility

$20.43

Hospital Charge Code	270671383
Hospital Revenue Code	272
Min. Negotiated Rate	$3.06
Max. Negotiated Rate	$3.06
Rate for Payer: Qualcare PPO/HMO/WC	$3.06

SUTURE ETHI 6-0 BLK MONO P-3

Facility

$16.37

Hospital Charge Code	270671380
Hospital Revenue Code	272
Min. Negotiated Rate	$2.46
Max. Negotiated Rate	$2.46
Rate for Payer: Qualcare PPO/HMO/WC	$2.46

SUTURE ETHI 6-0 BLK MONO P-3

Facility

$16.37

Hospital Charge Code	270671380
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.19
Rate for Payer: Aetna Commercial	$6.22
Rate for Payer: Aetna Medicare Advantage	$4.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.17
Rate for Payer: Cigna Commercial	$8.19
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.91
Rate for Payer: Oxford Commercial	$3.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.46
Rate for Payer: UnitedHealthcare Commercial	$3.27
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SUTURE ETHI 6-0 BLK MONO PC-3

Facility

$20.93

Hospital Charge Code	270671385
Hospital Revenue Code	272
Min. Negotiated Rate	$0.50
Max. Negotiated Rate	$10.46
Rate for Payer: Aetna Commercial	$7.95
Rate for Payer: Aetna Medicare Advantage	$6.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.34
Rate for Payer: Cigna Commercial	$10.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.28
Rate for Payer: Oxford Commercial	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.14
Rate for Payer: UnitedHealthcare Commercial	$4.19
Rate for Payer: UnitedHealthcare Community & State	$0.50
Rate for Payer: Wellpoint Medicaid Managed Care	$0.55

SUTURE ETHI 6-0 BLK MONO PC-3

Facility

$20.93

Hospital Charge Code	270671385
Hospital Revenue Code	272
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.14

SUTURE ETHI 7-0 BLK MONO P-1

Facility

$18.67

Hospital Charge Code	270671379
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

SUTURE ETHI 7-0 BLK MONO P-1

Facility

$18.67

Hospital Charge Code	270671379
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.34
Rate for Payer: Aetna Commercial	$7.09
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.76
Rate for Payer: Cigna Commercial	$9.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.60
Rate for Payer: Oxford Commercial	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$3.73
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE ETHIBOND 0 CT-1

Facility

$8.63

Hospital Charge Code	270672615
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.32
Rate for Payer: Aetna Commercial	$3.28
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.59
Rate for Payer: Oxford Commercial	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.73
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

Know your out-of-pocket cost for care.

All Charges