Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHIBOND 2-0 TIES

Facility

$28.28

Hospital Charge Code	270672862
Hospital Revenue Code	272
Min. Negotiated Rate	$4.24
Max. Negotiated Rate	$4.24
Rate for Payer: Qualcare PPO/HMO/WC	$4.24

SUTURE ETHIBOND 2-0 TIES

Facility

$28.28

Hospital Charge Code	270672862
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$14.14
Rate for Payer: Aetna Commercial	$10.75
Rate for Payer: Aetna Medicare Advantage	$8.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.21
Rate for Payer: Cigna Commercial	$14.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.48
Rate for Payer: Oxford Commercial	$5.66
Rate for Payer: Qualcare PPO/HMO/WC	$4.24
Rate for Payer: UnitedHealthcare Commercial	$5.66
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.75

SUTURE ETHIBOND 2 OS-4

Facility

$12.43

Hospital Charge Code	270604642
Hospital Revenue Code	272
Min. Negotiated Rate	$1.86
Max. Negotiated Rate	$1.86
Rate for Payer: Qualcare PPO/HMO/WC	$1.86

SUTURE ETHIBOND 2 OS-4

Facility

$12.43

Hospital Charge Code	270604642
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.21
Rate for Payer: Aetna Commercial	$4.72
Rate for Payer: Aetna Medicare Advantage	$3.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.17
Rate for Payer: Cigna Commercial	$6.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.73
Rate for Payer: Oxford Commercial	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.86
Rate for Payer: UnitedHealthcare Commercial	$2.49
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

SUTURE ETHIBOND 3-0 RB-1

Facility

$10.63

Hospital Charge Code	270672856
Hospital Revenue Code	272
Min. Negotiated Rate	$1.59
Max. Negotiated Rate	$1.59
Rate for Payer: Qualcare PPO/HMO/WC	$1.59

SUTURE ETHIBOND 3-0 RB-1

Facility

$10.63

Hospital Charge Code	270672856
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.32
Rate for Payer: Aetna Commercial	$4.04
Rate for Payer: Aetna Medicare Advantage	$3.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.71
Rate for Payer: Cigna Commercial	$5.32
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.19
Rate for Payer: Oxford Commercial	$2.13
Rate for Payer: Qualcare PPO/HMO/WC	$1.59
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 3-0 SH

Facility

$10.80

Hospital Charge Code	270673100
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.40
Rate for Payer: Aetna Commercial	$4.10
Rate for Payer: Aetna Medicare Advantage	$3.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.75
Rate for Payer: Cigna Commercial	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.24
Rate for Payer: Oxford Commercial	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.62
Rate for Payer: UnitedHealthcare Commercial	$2.16
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE ETHIBOND 3-0 SH

Facility

$10.80

Hospital Charge Code	270673100
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

SUTURE ETHIBOND 3-0 SH

Facility

$21.39

Hospital Charge Code	270672609
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.70
Rate for Payer: Aetna Commercial	$8.13
Rate for Payer: Aetna Medicare Advantage	$6.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.45
Rate for Payer: Cigna Commercial	$10.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.42
Rate for Payer: Oxford Commercial	$4.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.21
Rate for Payer: UnitedHealthcare Commercial	$4.28
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

SUTURE ETHIBOND 3-0 SH

Facility

$21.39

Hospital Charge Code	270672609
Hospital Revenue Code	272
Min. Negotiated Rate	$3.21
Max. Negotiated Rate	$3.21
Rate for Payer: Qualcare PPO/HMO/WC	$3.21

SUTURE ETHIBOND 3-0 SH V-20

Facility

$52.80

Hospital Charge Code	270673097
Hospital Revenue Code	272
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$7.92

SUTURE ETHIBOND 3-0 SH V-20

Facility

$52.80

Hospital Charge Code	270673097
Hospital Revenue Code	272
Min. Negotiated Rate	$1.27
Max. Negotiated Rate	$26.40
Rate for Payer: Aetna Commercial	$20.06
Rate for Payer: Aetna Medicare Advantage	$15.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.46
Rate for Payer: Cigna Commercial	$26.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$15.84
Rate for Payer: Oxford Commercial	$10.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.92
Rate for Payer: UnitedHealthcare Commercial	$10.56
Rate for Payer: UnitedHealthcare Community & State	$1.27
Rate for Payer: Wellpoint Medicaid Managed Care	$1.40

SUTURE ETHIBOND 4-0 CV15

Facility

$37.88

Hospital Charge Code	270672753
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.94
Rate for Payer: Aetna Commercial	$14.39
Rate for Payer: Aetna Medicare Advantage	$11.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.66
Rate for Payer: Cigna Commercial	$18.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.36
Rate for Payer: Oxford Commercial	$7.58
Rate for Payer: Qualcare PPO/HMO/WC	$5.68
Rate for Payer: UnitedHealthcare Commercial	$7.58
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SUTURE ETHIBOND 4-0 CV15

Facility

$37.88

Hospital Charge Code	270672753
Hospital Revenue Code	272
Min. Negotiated Rate	$5.68
Max. Negotiated Rate	$5.68
Rate for Payer: Qualcare PPO/HMO/WC	$5.68

SUTURE ETHIBOND 4-0 PS-4

Facility

$17.80

Hospital Charge Code	270604640
Hospital Revenue Code	272
Min. Negotiated Rate	$0.43
Max. Negotiated Rate	$8.90
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	$8.90
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 ETHIBOND 4-0 PS-4

Facility

$17.80

Hospital Charge Code	270604640
Hospital Revenue Code	272
Min. Negotiated Rate	$2.67
Max. Negotiated Rate	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.67

SUTURE ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$4.74
Max. Negotiated Rate	$4.74
Rate for Payer: Qualcare PPO/HMO/WC	$4.74

SUTURE ETHIBOND 4-0 RB-1

Facility

$31.59

Hospital Charge Code	270672857
Hospital Revenue Code	272
Min. Negotiated Rate	$0.76
Max. Negotiated Rate	$15.79
Rate for Payer: Aetna Commercial	$12.00
Rate for Payer: Aetna Medicare Advantage	$9.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.06
Rate for Payer: Cigna Commercial	$15.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.48
Rate for Payer: Oxford Commercial	$6.32
Rate for Payer: Qualcare PPO/HMO/WC	$4.74
Rate for Payer: UnitedHealthcare Commercial	$6.32
Rate for Payer: UnitedHealthcare Community & State	$0.76
Rate for Payer: Wellpoint Medicaid Managed Care	$0.84

SUTURE ETHIBOND 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.36
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	$5.36
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	$1.61
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 4-0 SH

Facility

$10.71

Hospital Charge Code	270673099
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$1.39
Max. Negotiated Rate	$28.73
Rate for Payer: Aetna Commercial	$21.84
Rate for Payer: Aetna Medicare Advantage	$17.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$14.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$14.65
Rate for Payer: Cigna Commercial	$28.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$17.24
Rate for Payer: Oxford Commercial	$11.49
Rate for Payer: Qualcare PPO/HMO/WC	$8.62
Rate for Payer: UnitedHealthcare Commercial	$11.49
Rate for Payer: UnitedHealthcare Community & State	$1.39
Rate for Payer: Wellpoint Medicaid Managed Care	$1.52

SUTURE ETHIBOND 4-0 SH V-20

Facility

$57.47

Hospital Charge Code	270673098
Hospital Revenue Code	272
Min. Negotiated Rate	$8.62
Max. Negotiated Rate	$8.62
Rate for Payer: Qualcare PPO/HMO/WC	$8.62

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SUTURE ETHIBOND 5-0 RB-1

Facility

$10.50

Hospital Charge Code	270678043
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.25
Rate for Payer: Aetna Commercial	$3.99
Rate for Payer: Aetna Medicare Advantage	$3.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.68
Rate for Payer: Cigna Commercial	$5.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.15
Rate for Payer: Oxford Commercial	$2.10
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.10
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE ETHIBOND 5-0 V-37

Facility

$79.58

Hospital Charge Code	270672367
Hospital Revenue Code	272
Min. Negotiated Rate	$1.92
Max. Negotiated Rate	$39.79
Rate for Payer: Aetna Commercial	$30.24
Rate for Payer: Aetna Medicare Advantage	$23.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$20.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$20.29
Rate for Payer: Cigna Commercial	$39.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.87
Rate for Payer: Oxford Commercial	$15.92
Rate for Payer: Qualcare PPO/HMO/WC	$11.94
Rate for Payer: UnitedHealthcare Commercial	$15.92
Rate for Payer: UnitedHealthcare Community & State	$1.92
Rate for Payer: Wellpoint Medicaid Managed Care	$2.11

Know your out-of-pocket cost for care.

All Charges