Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$2.39
Max. Negotiated Rate	$49.48
Rate for Payer: Aetna Commercial	$37.61
Rate for Payer: Aetna Medicare Advantage	$29.69
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.24
Rate for Payer: Cigna Commercial	$49.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.69
Rate for Payer: Oxford Commercial	$19.79
Rate for Payer: Qualcare PPO/HMO/WC	$14.85
Rate for Payer: UnitedHealthcare Commercial	$19.79
Rate for Payer: UnitedHealthcare Community & State	$2.39
Rate for Payer: Wellpoint Medicaid Managed Care	$2.62

SUTURE ETHILON 9-0 BV100-4

Facility

$98.97

Hospital Charge Code	270671753
Hospital Revenue Code	272
Min. Negotiated Rate	$14.85
Max. Negotiated Rate	$14.85
Rate for Payer: Qualcare PPO/HMO/WC	$14.85

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$9.03
Max. Negotiated Rate	$9.03
Rate for Payer: Qualcare PPO/HMO/WC	$9.03

SUTURE ETHILON 9-0 TG140-8

Facility

$60.22

Hospital Charge Code	270673282
Hospital Revenue Code	272
Min. Negotiated Rate	$1.45
Max. Negotiated Rate	$30.11
Rate for Payer: Aetna Commercial	$22.88
Rate for Payer: Aetna Medicare Advantage	$18.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.36
Rate for Payer: Cigna Commercial	$30.11
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.07
Rate for Payer: Oxford Commercial	$12.04
Rate for Payer: Qualcare PPO/HMO/WC	$9.03
Rate for Payer: UnitedHealthcare Commercial	$12.04
Rate for Payer: UnitedHealthcare Community & State	$1.45
Rate for Payer: Wellpoint Medicaid Managed Care	$1.60

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

SUTURE ETHILON BLK MONO FS-2

Facility

$5.99

Hospital Charge Code	270600771
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$4.36
Max. Negotiated Rate	$4.36
Rate for Payer: Qualcare PPO/HMO/WC	$4.36

SUTURE ETHLION 2-0 BLK MONO

Facility

$29.05

Hospital Charge Code	270663889
Hospital Revenue Code	272
Min. Negotiated Rate	$0.70
Max. Negotiated Rate	$14.53
Rate for Payer: Aetna Commercial	$11.04
Rate for Payer: Aetna Medicare Advantage	$8.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.41
Rate for Payer: Cigna Commercial	$14.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.71
Rate for Payer: Oxford Commercial	$5.81
Rate for Payer: Qualcare PPO/HMO/WC	$4.36
Rate for Payer: UnitedHealthcare Commercial	$5.81
Rate for Payer: UnitedHealthcare Community & State	$0.70
Rate for Payer: Wellpoint Medicaid Managed Care	$0.77

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$48.75
Max. Negotiated Rate	$48.75
Rate for Payer: Qualcare PPO/HMO/WC	$48.75

SUTURE FIBERLINK 0 BLUE

Facility

$325.00

Hospital Charge Code	270688453
Hospital Revenue Code	272
Min. Negotiated Rate	$7.83
Max. Negotiated Rate	$162.50
Rate for Payer: Aetna Commercial	$123.50
Rate for Payer: Aetna Medicare Advantage	$97.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$82.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$82.88
Rate for Payer: Cigna Commercial	$162.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$97.50
Rate for Payer: Oxford Commercial	$65.00
Rate for Payer: Qualcare PPO/HMO/WC	$48.75
Rate for Payer: UnitedHealthcare Commercial	$65.00
Rate for Payer: UnitedHealthcare Community & State	$7.83
Rate for Payer: Wellpoint Medicaid Managed Care	$8.61

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$63.75
Max. Negotiated Rate	$63.75
Rate for Payer: Qualcare PPO/HMO/WC	$63.75

SUTURE FIBER LINK 1.3 MM

Facility

$425.00

Hospital Charge Code	270684976
Hospital Revenue Code	272
Min. Negotiated Rate	$10.24
Max. Negotiated Rate	$212.50
Rate for Payer: Aetna Commercial	$161.50
Rate for Payer: Aetna Medicare Advantage	$127.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$108.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$108.38
Rate for Payer: Cigna Commercial	$212.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$127.50
Rate for Payer: Oxford Commercial	$85.00
Rate for Payer: Qualcare PPO/HMO/WC	$63.75
Rate for Payer: UnitedHealthcare Commercial	$85.00
Rate for Payer: UnitedHealthcare Community & State	$10.24
Rate for Payer: Wellpoint Medicaid Managed Care	$11.26

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

SUTURE FIBERLOOP #2 CRVD NEEDL

Facility

$250.00

Hospital Charge Code	270676804
Hospital Revenue Code	272
Min. Negotiated Rate	$6.03
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$95.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$75.00
Rate for Payer: Oxford Commercial	$50.00
Rate for Payer: Qualcare PPO/HMO/WC	$37.50
Rate for Payer: UnitedHealthcare Commercial	$50.00
Rate for Payer: UnitedHealthcare Community & State	$6.03
Rate for Payer: Wellpoint Medicaid Managed Care	$6.62

SUTURE GORETEX CV6 6.0 6M10A

Facility

$122.92

Hospital Charge Code	270634709
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$61.46
Rate for Payer: Aetna Commercial	$46.71
Rate for Payer: Aetna Medicare Advantage	$36.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.34
Rate for Payer: Cigna Commercial	$61.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.88
Rate for Payer: Oxford Commercial	$24.58
Rate for Payer: Qualcare PPO/HMO/WC	$18.44
Rate for Payer: UnitedHealthcare Commercial	$24.58
Rate for Payer: UnitedHealthcare Community & State	$2.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

SUTURE GORETEX CV6 6.0 6M10A

Facility

$122.92

Hospital Charge Code	270634709
Hospital Revenue Code	272
Min. Negotiated Rate	$18.44
Max. Negotiated Rate	$18.44
Rate for Payer: Qualcare PPO/HMO/WC	$18.44

SUTURE GORE-TEX CV-6 76CM TT13

Facility

$124.17

Hospital Charge Code	270650752
Hospital Revenue Code	272
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$62.09
Rate for Payer: Aetna Commercial	$47.18
Rate for Payer: Aetna Medicare Advantage	$37.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.66
Rate for Payer: Cigna Commercial	$62.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.25
Rate for Payer: Oxford Commercial	$24.83
Rate for Payer: Qualcare PPO/HMO/WC	$18.63
Rate for Payer: UnitedHealthcare Commercial	$24.83
Rate for Payer: UnitedHealthcare Community & State	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

SUTURE GORE-TEX CV-6 76CM TT13

Facility

$124.17

Hospital Charge Code	270650752
Hospital Revenue Code	272
Min. Negotiated Rate	$18.63
Max. Negotiated Rate	$18.63
Rate for Payer: Qualcare PPO/HMO/WC	$18.63

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$48.92
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.62
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$25.75
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$48.92
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.62
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$25.75
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823N
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823S
Hospital Revenue Code	272
Min. Negotiated Rate	$3.10
Max. Negotiated Rate	$64.38
Rate for Payer: Aetna Commercial	$48.92
Rate for Payer: Aetna Medicare Advantage	$38.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$32.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$32.83
Rate for Payer: Cigna Commercial	$64.38
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$38.62
Rate for Payer: Oxford Commercial	$25.75
Rate for Payer: Qualcare PPO/HMO/WC	$19.31
Rate for Payer: UnitedHealthcare Commercial	$25.75
Rate for Payer: UnitedHealthcare Community & State	$3.10
Rate for Payer: Wellpoint Medicaid Managed Care	$3.41

SUTURE GORE-TEX CV-7 TT-13

Facility

$128.75

Hospital Charge Code	270650823S
Hospital Revenue Code	272
Min. Negotiated Rate	$19.31
Max. Negotiated Rate	$19.31
Rate for Payer: Qualcare PPO/HMO/WC	$19.31

Suture Gore-Tex TT 9 6-0

Facility

$140.42

Hospital Charge Code	270606765
Hospital Revenue Code	272
Min. Negotiated Rate	$3.38
Max. Negotiated Rate	$70.21
Rate for Payer: Aetna Commercial	$53.36
Rate for Payer: Aetna Medicare Advantage	$42.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.81
Rate for Payer: Cigna Commercial	$70.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.13
Rate for Payer: Oxford Commercial	$28.08
Rate for Payer: Qualcare PPO/HMO/WC	$21.06
Rate for Payer: UnitedHealthcare Commercial	$28.08
Rate for Payer: UnitedHealthcare Community & State	$3.38
Rate for Payer: Wellpoint Medicaid Managed Care	$3.72

Know your out-of-pocket cost for care.

All Charges