Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHIBOND 0 CT-1

Facility

$8.63

Hospital Charge Code	270672615
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE ETHIBOND 0 EN-3

Facility

$103.66

Hospital Charge Code	270641084
Hospital Revenue Code	272
Min. Negotiated Rate	$15.55
Max. Negotiated Rate	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.55

SUTURE ETHIBOND 0 EN-3

Facility

$103.66

Hospital Charge Code	270641084
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$51.83
Rate for Payer: Aetna Commercial	$39.39
Rate for Payer: Aetna Medicare Advantage	$31.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.43
Rate for Payer: Cigna Commercial	$51.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.10
Rate for Payer: Oxford Commercial	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$15.55
Rate for Payer: UnitedHealthcare Commercial	$20.73
Rate for Payer: UnitedHealthcare Community & State	$2.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

SUTURE ETHIBOND 0 OS-4

Facility

$12.82

Hospital Charge Code	270655809
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.41
Rate for Payer: Aetna Commercial	$4.87
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.27
Rate for Payer: Cigna Commercial	$6.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$2.56
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

SUTURE ETHIBOND 0 OS-4

Facility

$12.82

Hospital Charge Code	270655809
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

SUTURE ETHIBOND 18 IN FS-1

Facility

$9.98

Hospital Charge Code	270691429
Hospital Revenue Code	272
Min. Negotiated Rate	$1.50
Max. Negotiated Rate	$1.50
Rate for Payer: Qualcare PPO/HMO/WC	$1.50

SUTURE ETHIBOND 18 IN FS-1

Facility

$9.98

Hospital Charge Code	270691429
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.99
Rate for Payer: Aetna Commercial	$3.79
Rate for Payer: Aetna Medicare Advantage	$2.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.54
Rate for Payer: Cigna Commercial	$4.99
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.99
Rate for Payer: Oxford Commercial	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$1.50
Rate for Payer: UnitedHealthcare Commercial	$2.00
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

SUTURE ETHIBOND 1 CT-1

Facility

$7.84

Hospital Charge Code	270693871
Hospital Revenue Code	272
Min. Negotiated Rate	$1.18
Max. Negotiated Rate	$1.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.18

SUTURE ETHIBOND 1 CT-1

Facility

$7.84

Hospital Charge Code	270693871
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.92
Rate for Payer: Aetna Commercial	$2.98
Rate for Payer: Aetna Medicare Advantage	$2.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.00
Rate for Payer: Cigna Commercial	$3.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.35
Rate for Payer: Oxford Commercial	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.18
Rate for Payer: UnitedHealthcare Commercial	$1.57
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SUTURE ETHIBOND 1 OS-4

Facility

$12.82

Hospital Charge Code	270604644
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$1.92
Rate for Payer: Qualcare PPO/HMO/WC	$1.92

SUTURE ETHIBOND 1 OS-4

Facility

$12.82

Hospital Charge Code	270604644
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.41
Rate for Payer: Aetna Commercial	$4.87
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.27
Rate for Payer: Cigna Commercial	$6.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.85
Rate for Payer: Oxford Commercial	$2.56
Rate for Payer: Qualcare PPO/HMO/WC	$1.92
Rate for Payer: UnitedHealthcare Commercial	$2.56
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

SUTURE ETHIBOND 2-0

Facility

$18.93

Hospital Charge Code	270691581
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.46
Rate for Payer: Aetna Commercial	$7.19
Rate for Payer: Aetna Medicare Advantage	$5.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.83
Rate for Payer: Cigna Commercial	$9.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.68
Rate for Payer: Oxford Commercial	$3.79
Rate for Payer: Qualcare PPO/HMO/WC	$2.84
Rate for Payer: UnitedHealthcare Commercial	$3.79
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.50

SUTURE ETHIBOND 2-0

Facility

$18.93

Hospital Charge Code	270691581
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$2.84
Rate for Payer: Qualcare PPO/HMO/WC	$2.84

SUTURE ETHIBOND 2-0 CT-1

Facility

$8.63

Hospital Charge Code	270672610
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

SUTURE ETHIBOND 2-0 CT-1

Facility

$8.63

Hospital Charge Code	270672610
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE ETHIBOND 2-0 CT-2

Facility

$8.80

Hospital Charge Code	270672780
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$1.32
Rate for Payer: Qualcare PPO/HMO/WC	$1.32

SUTURE ETHIBOND 2-0 CT-2

Facility

$8.80

Hospital Charge Code	270672780
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.40
Rate for Payer: Aetna Commercial	$3.34
Rate for Payer: Aetna Medicare Advantage	$2.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.24
Rate for Payer: Cigna Commercial	$4.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.64
Rate for Payer: Oxford Commercial	$1.76
Rate for Payer: Qualcare PPO/HMO/WC	$1.32
Rate for Payer: UnitedHealthcare Commercial	$1.76
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE ETHIBOND 2-0 EN3

Facility

$103.66

Hospital Charge Code	270669199
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$51.83
Rate for Payer: Aetna Commercial	$39.39
Rate for Payer: Aetna Medicare Advantage	$31.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.43
Rate for Payer: Cigna Commercial	$51.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.10
Rate for Payer: Oxford Commercial	$20.73
Rate for Payer: Qualcare PPO/HMO/WC	$15.55
Rate for Payer: UnitedHealthcare Commercial	$20.73
Rate for Payer: UnitedHealthcare Community & State	$2.50
Rate for Payer: Wellpoint Medicaid Managed Care	$2.75

SUTURE ETHIBOND 2-0 EN3

Facility

$103.66

Hospital Charge Code	270669199
Hospital Revenue Code	272
Min. Negotiated Rate	$15.55
Max. Negotiated Rate	$15.55
Rate for Payer: Qualcare PPO/HMO/WC	$15.55

SUTURE ETHIBOND 2-0 FS

Facility

$15.70

Hospital Charge Code	270671516
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$2.35
Rate for Payer: Qualcare PPO/HMO/WC	$2.35

SUTURE ETHIBOND 2-0 FS

Facility

$15.70

Hospital Charge Code	270671516
Hospital Revenue Code	272
Min. Negotiated Rate	$0.38
Max. Negotiated Rate	$7.85
Rate for Payer: Aetna Commercial	$5.97
Rate for Payer: Aetna Medicare Advantage	$4.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.00
Rate for Payer: Cigna Commercial	$7.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.71
Rate for Payer: Oxford Commercial	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$2.35
Rate for Payer: UnitedHealthcare Commercial	$3.14
Rate for Payer: UnitedHealthcare Community & State	$0.38
Rate for Payer: Wellpoint Medicaid Managed Care	$0.42

SUTURE ETHIBOND 2-0 RB-1

Facility

$10.70

Hospital Charge Code	270672855
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.35
Rate for Payer: Aetna Commercial	$4.07
Rate for Payer: Aetna Medicare Advantage	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.73
Rate for Payer: Cigna Commercial	$5.35
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.21
Rate for Payer: Oxford Commercial	$2.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.60
Rate for Payer: UnitedHealthcare Commercial	$2.14
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE ETHIBOND 2-0 RB-1

Facility

$10.70

Hospital Charge Code	270672855
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.60

SUTURE ETHIBOND 2-0 SH

Facility

$10.67

Hospital Charge Code	270669531
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.33
Rate for Payer: Aetna Commercial	$4.05
Rate for Payer: Aetna Medicare Advantage	$3.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.72
Rate for Payer: Cigna Commercial	$5.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.20
Rate for Payer: Oxford Commercial	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.60
Rate for Payer: UnitedHealthcare Commercial	$2.13
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE ETHIBOND 2-0 SH

Facility

$10.67

Hospital Charge Code	270669531
Hospital Revenue Code	272
Min. Negotiated Rate	$1.60
Max. Negotiated Rate	$1.60
Rate for Payer: Qualcare PPO/HMO/WC	$1.60

Know your out-of-pocket cost for care.

All Charges