Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONODERM 2-0 30CMX30CM

Facility

$97.14

Hospital Charge Code	270668402
Hospital Revenue Code	272
Min. Negotiated Rate	$14.57
Max. Negotiated Rate	$14.57
Rate for Payer: Qualcare PPO/HMO/WC	$14.57

SUTURE MONODERM 2-0 30CMX30CM

Facility

$97.14

Hospital Charge Code	270668402
Hospital Revenue Code	272
Min. Negotiated Rate	$2.34
Max. Negotiated Rate	$48.57
Rate for Payer: Aetna Commercial	$36.91
Rate for Payer: Aetna Medicare Advantage	$29.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.77
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.77
Rate for Payer: Cigna Commercial	$48.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.14
Rate for Payer: Oxford Commercial	$19.43
Rate for Payer: Qualcare PPO/HMO/WC	$14.57
Rate for Payer: UnitedHealthcare Commercial	$19.43
Rate for Payer: UnitedHealthcare Community & State	$2.34
Rate for Payer: Wellpoint Medicaid Managed Care	$2.57

SUTURE MONOSOF 10/0 5 BLACK

Facility

$74.92

Hospital Charge Code	270653854
Hospital Revenue Code	272
Min. Negotiated Rate	$11.24
Max. Negotiated Rate	$11.24
Rate for Payer: Qualcare PPO/HMO/WC	$11.24

SUTURE MONOSOF 10/0 5 BLACK

Facility

$74.92

Hospital Charge Code	270653854
Hospital Revenue Code	272
Min. Negotiated Rate	$1.81
Max. Negotiated Rate	$37.46
Rate for Payer: Aetna Commercial	$28.47
Rate for Payer: Aetna Medicare Advantage	$22.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.10
Rate for Payer: Cigna Commercial	$37.46
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.48
Rate for Payer: Oxford Commercial	$14.98
Rate for Payer: Qualcare PPO/HMO/WC	$11.24
Rate for Payer: UnitedHealthcare Commercial	$14.98
Rate for Payer: UnitedHealthcare Community & State	$1.81
Rate for Payer: Wellpoint Medicaid Managed Care	$1.99

SUTURE MONOSOF 10-0 BLACK

Facility

$110.42

Hospital Charge Code	270651166
Hospital Revenue Code	272
Min. Negotiated Rate	$2.66
Max. Negotiated Rate	$55.21
Rate for Payer: Aetna Commercial	$41.96
Rate for Payer: Aetna Medicare Advantage	$33.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.16
Rate for Payer: Cigna Commercial	$55.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.13
Rate for Payer: Oxford Commercial	$22.08
Rate for Payer: Qualcare PPO/HMO/WC	$16.56
Rate for Payer: UnitedHealthcare Commercial	$22.08
Rate for Payer: UnitedHealthcare Community & State	$2.66
Rate for Payer: Wellpoint Medicaid Managed Care	$2.93

SUTURE MONOSOF 10-0 BLACK

Facility

$110.42

Hospital Charge Code	270651166
Hospital Revenue Code	272
Min. Negotiated Rate	$16.56
Max. Negotiated Rate	$16.56
Rate for Payer: Qualcare PPO/HMO/WC	$16.56

SUTURE MONOSOF 1-0 BLACK

Facility

$181.54

Hospital Charge Code	270651162
Hospital Revenue Code	272
Min. Negotiated Rate	$4.38
Max. Negotiated Rate	$90.77
Rate for Payer: Aetna Commercial	$68.99
Rate for Payer: Aetna Medicare Advantage	$54.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.29
Rate for Payer: Cigna Commercial	$90.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$54.46
Rate for Payer: Oxford Commercial	$36.31
Rate for Payer: Qualcare PPO/HMO/WC	$27.23
Rate for Payer: UnitedHealthcare Commercial	$36.31
Rate for Payer: UnitedHealthcare Community & State	$4.38
Rate for Payer: Wellpoint Medicaid Managed Care	$4.81

SUTURE MONOSOF 1-0 BLACK

Facility

$181.54

Hospital Charge Code	270651162
Hospital Revenue Code	272
Min. Negotiated Rate	$27.23
Max. Negotiated Rate	$27.23
Rate for Payer: Qualcare PPO/HMO/WC	$27.23

SUTURE MONOSOF 2/0 18 BLK

Facility

$6.33

Hospital Charge Code	270656161
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.17
Rate for Payer: Aetna Commercial	$2.41
Rate for Payer: Aetna Medicare Advantage	$1.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.61
Rate for Payer: Cigna Commercial	$3.17
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.90
Rate for Payer: Oxford Commercial	$1.27
Rate for Payer: Qualcare PPO/HMO/WC	$0.95
Rate for Payer: UnitedHealthcare Commercial	$1.27
Rate for Payer: UnitedHealthcare Community & State	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.17

SUTURE MONOSOF 2/0 18 BLK

Facility

$6.33

Hospital Charge Code	270656161
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$0.95
Rate for Payer: Qualcare PPO/HMO/WC	$0.95

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.89

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.30
Rate for Payer: Aetna Commercial	$4.79
Rate for Payer: Aetna Medicare Advantage	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.21
Rate for Payer: Cigna Commercial	$6.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.78
Rate for Payer: Oxford Commercial	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.89
Rate for Payer: UnitedHealthcare Commercial	$2.52
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.30
Rate for Payer: Aetna Commercial	$4.79
Rate for Payer: Aetna Medicare Advantage	$3.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.21
Rate for Payer: Cigna Commercial	$6.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.78
Rate for Payer: Oxford Commercial	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.89
Rate for Payer: UnitedHealthcare Commercial	$2.52
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.33

SUTURE MONOSOF 2/0 18 BLK PC5

Facility

$12.60

Hospital Charge Code	270661184
Hospital Revenue Code	272
Min. Negotiated Rate	$1.89
Max. Negotiated Rate	$1.89
Rate for Payer: Qualcare PPO/HMO/WC	$1.89

SUTURE MONOSOF 2 18 BLK GS18

Facility

$12.65

Hospital Charge Code	270656029
Hospital Revenue Code	272
Min. Negotiated Rate	$1.90
Max. Negotiated Rate	$1.90
Rate for Payer: Qualcare PPO/HMO/WC	$1.90

SUTURE MONOSOF 2 18 BLK GS18

Facility

$12.65

Hospital Charge Code	270656029
Hospital Revenue Code	272
Min. Negotiated Rate	$0.30
Max. Negotiated Rate	$6.33
Rate for Payer: Aetna Commercial	$4.81
Rate for Payer: Aetna Medicare Advantage	$3.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.23
Rate for Payer: Cigna Commercial	$6.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.79
Rate for Payer: Oxford Commercial	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$1.90
Rate for Payer: UnitedHealthcare Commercial	$2.53
Rate for Payer: UnitedHealthcare Community & State	$0.30
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

SUTURE MONOSOF 2 30 BLK GS18

Facility

$13.62

Hospital Charge Code	270604508
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.81
Rate for Payer: Aetna Commercial	$5.18
Rate for Payer: Aetna Medicare Advantage	$4.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.47
Rate for Payer: Cigna Commercial	$6.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.09
Rate for Payer: Oxford Commercial	$2.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.04
Rate for Payer: UnitedHealthcare Commercial	$2.72
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SUTURE MONOSOF 2 30 BLK GS18

Facility

$13.62

Hospital Charge Code	270604508
Hospital Revenue Code	272
Min. Negotiated Rate	$2.04
Max. Negotiated Rate	$2.04
Rate for Payer: Qualcare PPO/HMO/WC	$2.04

SUTURE MONOSOF 3/0 18 BLK P14

Facility

$13.21

Hospital Charge Code	270600781
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

SUTURE MONOSOF 3/0 18 BLK P14

Facility

$13.21

Hospital Charge Code	270600781
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.61
Rate for Payer: Aetna Commercial	$5.02
Rate for Payer: Aetna Medicare Advantage	$3.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.37
Rate for Payer: Cigna Commercial	$6.61
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.96
Rate for Payer: Oxford Commercial	$2.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.98
Rate for Payer: UnitedHealthcare Commercial	$2.64
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

SUTURE MONOSOF 3/0 18 BLK PC5

Facility

$16.58

Hospital Charge Code	270604510
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.29
Rate for Payer: Aetna Commercial	$6.30
Rate for Payer: Aetna Medicare Advantage	$4.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.23
Rate for Payer: Cigna Commercial	$8.29
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.97
Rate for Payer: Oxford Commercial	$3.32
Rate for Payer: Qualcare PPO/HMO/WC	$2.49
Rate for Payer: UnitedHealthcare Commercial	$3.32
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

SUTURE MONOSOF 3/0 18 BLK PC5

Facility

$16.58

Hospital Charge Code	270604510
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE MONOSOF 3/0 30 BLACK

Facility

$5.96

Hospital Charge Code	270656160
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE MONOSOF 3/0 30 BLACK

Facility

$5.96

Hospital Charge Code	270656160
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.98
Rate for Payer: Aetna Commercial	$2.26
Rate for Payer: Aetna Medicare Advantage	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.52
Rate for Payer: Cigna Commercial	$2.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$1.19
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SUTURE MONOSOF 3/0 30 BLK P17

Facility

$13.31

Hospital Charge Code	270675599
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.66
Rate for Payer: Aetna Commercial	$5.06
Rate for Payer: Aetna Medicare Advantage	$3.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.39
Rate for Payer: Cigna Commercial	$6.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.99
Rate for Payer: Oxford Commercial	$2.66
Rate for Payer: Qualcare PPO/HMO/WC	$2.00
Rate for Payer: UnitedHealthcare Commercial	$2.66
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

Know your out-of-pocket cost for care.

All Charges