Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.18
Rate for Payer: Aetna Commercial	$10.02
Rate for Payer: Aetna Medicare Advantage	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.72
Rate for Payer: Cigna Commercial	$13.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.95
Rate for Payer: UnitedHealthcare Commercial	$5.27
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647S
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.95

SUTURE MONOCRYL 4-0 PS-2

Facility

$31.09

Hospital Charge Code	270643910
Hospital Revenue Code	272
Min. Negotiated Rate	$0.75
Max. Negotiated Rate	$15.54
Rate for Payer: Aetna Commercial	$11.81
Rate for Payer: Aetna Medicare Advantage	$9.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.93
Rate for Payer: Cigna Commercial	$15.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.33
Rate for Payer: Oxford Commercial	$6.22
Rate for Payer: Qualcare PPO/HMO/WC	$4.66
Rate for Payer: UnitedHealthcare Commercial	$6.22
Rate for Payer: UnitedHealthcare Community & State	$0.75
Rate for Payer: Wellpoint Medicaid Managed Care	$0.82

SUTURE MONOCRYL 4-0 PS-2

Facility

$27.42

Hospital Charge Code	270646082
Hospital Revenue Code	272
Min. Negotiated Rate	$0.66
Max. Negotiated Rate	$13.71
Rate for Payer: Aetna Commercial	$10.42
Rate for Payer: Aetna Medicare Advantage	$8.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.99
Rate for Payer: Cigna Commercial	$13.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.23
Rate for Payer: Oxford Commercial	$5.48
Rate for Payer: Qualcare PPO/HMO/WC	$4.11
Rate for Payer: UnitedHealthcare Commercial	$5.48
Rate for Payer: UnitedHealthcare Community & State	$0.66
Rate for Payer: Wellpoint Medicaid Managed Care	$0.73

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.15

Hospital Charge Code	270663647N
Hospital Revenue Code	272
Min. Negotiated Rate	$3.92
Max. Negotiated Rate	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$3.92

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647
Hospital Revenue Code	272
Min. Negotiated Rate	$3.95
Max. Negotiated Rate	$3.95
Rate for Payer: Qualcare PPO/HMO/WC	$3.95

SUTURE MONOCRYL 4-0 PS-2

Facility

$26.36

Hospital Charge Code	270663647
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.18
Rate for Payer: Aetna Commercial	$10.02
Rate for Payer: Aetna Medicare Advantage	$7.91
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.72
Rate for Payer: Cigna Commercial	$13.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.91
Rate for Payer: Oxford Commercial	$5.27
Rate for Payer: Qualcare PPO/HMO/WC	$3.95
Rate for Payer: UnitedHealthcare Commercial	$5.27
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

SUTURE MONOCRYL 4-0 PS-2

Facility

$27.42

Hospital Charge Code	270646082
Hospital Revenue Code	272
Min. Negotiated Rate	$4.11
Max. Negotiated Rate	$4.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.11

SUTURE MONOCRYL 4-0 PS-2 40CM

Facility

$145.59

Hospital Charge Code	270681810
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$72.80
Rate for Payer: Aetna Commercial	$55.32
Rate for Payer: Aetna Medicare Advantage	$43.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.13
Rate for Payer: Cigna Commercial	$72.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.68
Rate for Payer: Oxford Commercial	$29.12
Rate for Payer: Qualcare PPO/HMO/WC	$21.84
Rate for Payer: UnitedHealthcare Commercial	$29.12
Rate for Payer: UnitedHealthcare Community & State	$3.51
Rate for Payer: Wellpoint Medicaid Managed Care	$3.86

SUTURE MONOCRYL 4-0 PS-2 40CM

Facility

$145.59

Hospital Charge Code	270681810
Hospital Revenue Code	272
Min. Negotiated Rate	$21.84
Max. Negotiated Rate	$21.84
Rate for Payer: Qualcare PPO/HMO/WC	$21.84

SUTURE MONOCRYL 4-0 RB-1

Facility

$11.08

Hospital Charge Code	270672603
Hospital Revenue Code	272
Min. Negotiated Rate	$1.66
Max. Negotiated Rate	$1.66
Rate for Payer: Qualcare PPO/HMO/WC	$1.66

SUTURE MONOCRYL 4-0 RB-1

Facility

$10.46

Hospital Charge Code	270671517
Hospital Revenue Code	272
Min. Negotiated Rate	$0.25
Max. Negotiated Rate	$5.23
Rate for Payer: Aetna Commercial	$3.97
Rate for Payer: Aetna Medicare Advantage	$3.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.67
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.67
Rate for Payer: Cigna Commercial	$5.23
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.14
Rate for Payer: Oxford Commercial	$2.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.57
Rate for Payer: UnitedHealthcare Commercial	$2.09
Rate for Payer: UnitedHealthcare Community & State	$0.25
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE MONOCRYL 4-0 RB-1

Facility

$10.46

Hospital Charge Code	270671517
Hospital Revenue Code	272
Min. Negotiated Rate	$1.57
Max. Negotiated Rate	$1.57
Rate for Payer: Qualcare PPO/HMO/WC	$1.57

SUTURE MONOCRYL 4-0 RB-1

Facility

$11.08

Hospital Charge Code	270672603
Hospital Revenue Code	272
Min. Negotiated Rate	$0.27
Max. Negotiated Rate	$5.54
Rate for Payer: Aetna Commercial	$4.21
Rate for Payer: Aetna Medicare Advantage	$3.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.83
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.83
Rate for Payer: Cigna Commercial	$5.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.32
Rate for Payer: Oxford Commercial	$2.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.66
Rate for Payer: UnitedHealthcare Commercial	$2.22
Rate for Payer: UnitedHealthcare Community & State	$0.27
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE MONOCRYL 4-0 SH

Facility

$9.91

Hospital Charge Code	270671520
Hospital Revenue Code	272
Min. Negotiated Rate	$1.49
Max. Negotiated Rate	$1.49
Rate for Payer: Qualcare PPO/HMO/WC	$1.49

SUTURE MONOCRYL 4-0 SH

Facility

$9.91

Hospital Charge Code	270671520
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$4.96
Rate for Payer: Aetna Commercial	$3.77
Rate for Payer: Aetna Medicare Advantage	$2.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.53
Rate for Payer: Cigna Commercial	$4.96
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.97
Rate for Payer: Oxford Commercial	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.49
Rate for Payer: UnitedHealthcare Commercial	$1.98
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.26

SUTURE MONOCRYL 4-0 V-20

Facility

$10.73

Hospital Charge Code	270672368
Hospital Revenue Code	272
Min. Negotiated Rate	$1.61
Max. Negotiated Rate	$1.61
Rate for Payer: Qualcare PPO/HMO/WC	$1.61

SUTURE MONOCRYL 4-0 V-20

Facility

$10.73

Hospital Charge Code	270672368
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.37
Rate for Payer: Aetna Commercial	$4.08
Rate for Payer: Aetna Medicare Advantage	$3.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.74
Rate for Payer: Cigna Commercial	$5.37
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.22
Rate for Payer: Oxford Commercial	$2.15
Rate for Payer: Qualcare PPO/HMO/WC	$1.61
Rate for Payer: UnitedHealthcare Commercial	$2.15
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.28

SUTURE MONOCRYL 5-0 P-3

Facility

$32.80

Hospital Charge Code	270660427
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$16.40
Rate for Payer: Aetna Commercial	$12.46
Rate for Payer: Aetna Medicare Advantage	$9.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.36
Rate for Payer: Cigna Commercial	$16.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.84
Rate for Payer: Oxford Commercial	$6.56
Rate for Payer: Qualcare PPO/HMO/WC	$4.92
Rate for Payer: UnitedHealthcare Commercial	$6.56
Rate for Payer: UnitedHealthcare Community & State	$0.79
Rate for Payer: Wellpoint Medicaid Managed Care	$0.87

SUTURE MONOCRYL 5-0 P-3

Facility

$24.20

Hospital Charge Code	270671524
Hospital Revenue Code	272
Min. Negotiated Rate	$3.63
Max. Negotiated Rate	$3.63
Rate for Payer: Qualcare PPO/HMO/WC	$3.63

SUTURE MONOCRYL 5-0 P-3

Facility

$24.20

Hospital Charge Code	270671524
Hospital Revenue Code	272
Min. Negotiated Rate	$0.58
Max. Negotiated Rate	$12.10
Rate for Payer: Aetna Commercial	$9.20
Rate for Payer: Aetna Medicare Advantage	$7.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.17
Rate for Payer: Cigna Commercial	$12.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.26
Rate for Payer: Oxford Commercial	$4.84
Rate for Payer: Qualcare PPO/HMO/WC	$3.63
Rate for Payer: UnitedHealthcare Commercial	$4.84
Rate for Payer: UnitedHealthcare Community & State	$0.58
Rate for Payer: Wellpoint Medicaid Managed Care	$0.64

SUTURE MONOCRYL 5-0 P-3

Facility

$32.80

Hospital Charge Code	270660427
Hospital Revenue Code	272
Min. Negotiated Rate	$4.92
Max. Negotiated Rate	$4.92
Rate for Payer: Qualcare PPO/HMO/WC	$4.92

SUTURE MONOCRYL 5-0 RB-1

Facility

$12.00

Hospital Charge Code	270672616
Hospital Revenue Code	272
Min. Negotiated Rate	$0.29
Max. Negotiated Rate	$6.00
Rate for Payer: Aetna Commercial	$4.56
Rate for Payer: Aetna Medicare Advantage	$3.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.06
Rate for Payer: Cigna Commercial	$6.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.60
Rate for Payer: Oxford Commercial	$2.40
Rate for Payer: Qualcare PPO/HMO/WC	$1.80
Rate for Payer: UnitedHealthcare Commercial	$2.40
Rate for Payer: UnitedHealthcare Community & State	$0.29
Rate for Payer: Wellpoint Medicaid Managed Care	$0.32

SUTURE MONOCRYL 5-0 RB-1

Facility

$12.00

Hospital Charge Code	270672616
Hospital Revenue Code	272
Min. Negotiated Rate	$1.80
Max. Negotiated Rate	$1.80
Rate for Payer: Qualcare PPO/HMO/WC	$1.80

SUTURE MONOCRYL 5-0 V-10

Facility

$26.18

Hospital Charge Code	270663587
Hospital Revenue Code	272
Min. Negotiated Rate	$3.93
Max. Negotiated Rate	$3.93
Rate for Payer: Qualcare PPO/HMO/WC	$3.93

Know your out-of-pocket cost for care.

All Charges