Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MERSILENE 10-0 CS160-6

Facility

$119.09

Hospital Charge Code	270681830
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$59.55
Rate for Payer: Aetna Commercial	$45.25
Rate for Payer: Aetna Medicare Advantage	$35.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.37
Rate for Payer: Cigna Commercial	$59.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.73
Rate for Payer: Oxford Commercial	$23.82
Rate for Payer: Qualcare PPO/HMO/WC	$17.86
Rate for Payer: UnitedHealthcare Commercial	$23.82
Rate for Payer: UnitedHealthcare Community & State	$2.87
Rate for Payer: Wellpoint Medicaid Managed Care	$3.16

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$20.52
Max. Negotiated Rate	$20.52
Rate for Payer: Qualcare PPO/HMO/WC	$20.52

SUTURE MERSILENE 11-0 TG160-4

Facility

$136.78

Hospital Charge Code	270681832
Hospital Revenue Code	272
Min. Negotiated Rate	$3.30
Max. Negotiated Rate	$68.39
Rate for Payer: Aetna Commercial	$51.98
Rate for Payer: Aetna Medicare Advantage	$41.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.88
Rate for Payer: Cigna Commercial	$68.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$41.03
Rate for Payer: Oxford Commercial	$27.36
Rate for Payer: Qualcare PPO/HMO/WC	$20.52
Rate for Payer: UnitedHealthcare Commercial	$27.36
Rate for Payer: UnitedHealthcare Community & State	$3.30
Rate for Payer: Wellpoint Medicaid Managed Care	$3.62

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$16.87
Max. Negotiated Rate	$350.00
Rate for Payer: Aetna Commercial	$266.00
Rate for Payer: Aetna Medicare Advantage	$210.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$178.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$178.50
Rate for Payer: Cigna Commercial	$350.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$210.00
Rate for Payer: Oxford Commercial	$140.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00
Rate for Payer: UnitedHealthcare Commercial	$140.00
Rate for Payer: UnitedHealthcare Community & State	$16.87
Rate for Payer: Wellpoint Medicaid Managed Care	$18.55

SUTURE MICRO LASSO STRAIGHT

Facility

$700.00

Hospital Charge Code	270671285
Hospital Revenue Code	272
Min. Negotiated Rate	$105.00
Max. Negotiated Rate	$105.00
Rate for Payer: Qualcare PPO/HMO/WC	$105.00

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$90.18
Max. Negotiated Rate	$90.18
Rate for Payer: Qualcare PPO/HMO/WC	$90.18

SUTURE MINITAPE BLUE 39.5MM

Facility

$601.20

Hospital Charge Code	270687540
Hospital Revenue Code	272
Min. Negotiated Rate	$14.49
Max. Negotiated Rate	$300.60
Rate for Payer: Aetna Commercial	$228.46
Rate for Payer: Aetna Medicare Advantage	$180.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$153.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$153.31
Rate for Payer: Cigna Commercial	$300.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$180.36
Rate for Payer: Oxford Commercial	$120.24
Rate for Payer: Qualcare PPO/HMO/WC	$90.18
Rate for Payer: UnitedHealthcare Commercial	$120.24
Rate for Payer: UnitedHealthcare Community & State	$14.49
Rate for Payer: Wellpoint Medicaid Managed Care	$15.93

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$22.70
Max. Negotiated Rate	$470.90
Rate for Payer: Aetna Commercial	$357.88
Rate for Payer: Aetna Medicare Advantage	$282.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$240.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$240.16
Rate for Payer: Cigna Commercial	$470.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$282.54
Rate for Payer: Oxford Commercial	$188.36
Rate for Payer: Qualcare PPO/HMO/WC	$141.27
Rate for Payer: UnitedHealthcare Commercial	$188.36
Rate for Payer: UnitedHealthcare Community & State	$22.70
Rate for Payer: Wellpoint Medicaid Managed Care	$24.96

SUTURE MINITAPE ULTRALOOP NO.2

Facility

$941.80

Hospital Charge Code	270696203
Hospital Revenue Code	272
Min. Negotiated Rate	$141.27
Max. Negotiated Rate	$141.27
Rate for Payer: Qualcare PPO/HMO/WC	$141.27

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$4.06
Max. Negotiated Rate	$4.06
Rate for Payer: Qualcare PPO/HMO/WC	$4.06

SUTURE MOMCRYL 4-0 PC12 18IN

Facility

$27.05

Hospital Charge Code	270681805
Hospital Revenue Code	272
Min. Negotiated Rate	$0.65
Max. Negotiated Rate	$13.53
Rate for Payer: Aetna Commercial	$10.28
Rate for Payer: Aetna Medicare Advantage	$8.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.90
Rate for Payer: Cigna Commercial	$13.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.12
Rate for Payer: Oxford Commercial	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$4.06
Rate for Payer: UnitedHealthcare Commercial	$5.41
Rate for Payer: UnitedHealthcare Community & State	$0.65
Rate for Payer: Wellpoint Medicaid Managed Care	$0.72

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.50
Rate for Payer: Aetna Commercial	$4.18
Rate for Payer: Aetna Medicare Advantage	$3.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.81
Rate for Payer: Cigna Commercial	$5.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.30
Rate for Payer: Oxford Commercial	$2.20
Rate for Payer: Qualcare PPO/HMO/WC	$1.65
Rate for Payer: UnitedHealthcare Commercial	$2.20
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE MONCRYL 2-0 CT-1

Facility

$11.00

Hospital Charge Code	270671530
Hospital Revenue Code	272
Min. Negotiated Rate	$1.65
Max. Negotiated Rate	$1.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.65

SUTURE MONCRYL 4-0 PC-3

Facility

$26.40

Hospital Charge Code	270671529
Hospital Revenue Code	272
Min. Negotiated Rate	$3.96
Max. Negotiated Rate	$3.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.96

SUTURE MONCRYL 4-0 PC-3

Facility

$26.40

Hospital Charge Code	270671529
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.20
Rate for Payer: Aetna Commercial	$10.03
Rate for Payer: Aetna Medicare Advantage	$7.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.73
Rate for Payer: Cigna Commercial	$13.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.92
Rate for Payer: Oxford Commercial	$5.28
Rate for Payer: Qualcare PPO/HMO/WC	$3.96
Rate for Payer: UnitedHealthcare Commercial	$5.28
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

SUTURE MONOCRYL 0 CT

Facility

$10.80

Hospital Charge Code	270675260
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 MONOCRYL 0 CT

Facility

$10.80

Hospital Charge Code	270675260
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

SUTURE MONOCRYL 0 CT-1

Facility

$17.20

Hospital Charge Code	270655744
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.60
Rate for Payer: Aetna Commercial	$6.54
Rate for Payer: Aetna Medicare Advantage	$5.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.39
Rate for Payer: Cigna Commercial	$8.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.16
Rate for Payer: Oxford Commercial	$3.44
Rate for Payer: Qualcare PPO/HMO/WC	$2.58
Rate for Payer: UnitedHealthcare Commercial	$3.44
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.46

SUTURE MONOCRYL 0 CT-1

Facility

$11.79

Hospital Charge Code	270671519
Hospital Revenue Code	272
Min. Negotiated Rate	$1.77
Max. Negotiated Rate	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.77

SUTURE MONOCRYL 0 CT-1

Facility

$11.66

Hospital Charge Code	270672362
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

SUTURE MONOCRYL 0 CT-1

Facility

$11.79

Hospital Charge Code	270671519
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.89
Rate for Payer: Aetna Commercial	$4.48
Rate for Payer: Aetna Medicare Advantage	$3.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.01
Rate for Payer: Cigna Commercial	$5.89
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.54
Rate for Payer: Oxford Commercial	$2.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.77
Rate for Payer: UnitedHealthcare Commercial	$2.36
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOCRYL 0 CT-1

Facility

$17.20

Hospital Charge Code	270655744
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$2.58

SUTURE MONOCRYL 0 CT-1

Facility

$11.66

Hospital Charge Code	270672362
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.83
Rate for Payer: Aetna Commercial	$4.43
Rate for Payer: Aetna Medicare Advantage	$3.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.97
Rate for Payer: Cigna Commercial	$5.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.50
Rate for Payer: Oxford Commercial	$2.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$2.33
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOCRYL 0 CTX

Facility

$11.70

Hospital Charge Code	270675261
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.85
Rate for Payer: Aetna Commercial	$4.45
Rate for Payer: Aetna Medicare Advantage	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.98
Rate for Payer: Cigna Commercial	$5.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.51
Rate for Payer: Oxford Commercial	$2.34
Rate for Payer: Qualcare PPO/HMO/WC	$1.75
Rate for Payer: UnitedHealthcare Commercial	$2.34
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOCRYL 0 CTX

Facility

$11.70

Hospital Charge Code	270675261
Hospital Revenue Code	272
Min. Negotiated Rate	$1.75
Max. Negotiated Rate	$1.75
Rate for Payer: Qualcare PPO/HMO/WC	$1.75

Know your out-of-pocket cost for care.

All Charges