Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOSOF 3/0 30 BLK P17

Facility

$13.31

Hospital Charge Code	270675599
Hospital Revenue Code	272
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.00

SUTURE MONOSOF 4/0 18 BLK P12

Facility

$34.98

Hospital Charge Code	270651307
Hospital Revenue Code	272
Min. Negotiated Rate	$5.25
Max. Negotiated Rate	$5.25
Rate for Payer: Qualcare PPO/HMO/WC	$5.25

SUTURE MONOSOF 4/0 18 BLK P12

Facility

$34.98

Hospital Charge Code	270651307
Hospital Revenue Code	272
Min. Negotiated Rate	$0.84
Max. Negotiated Rate	$17.49
Rate for Payer: Aetna Commercial	$13.29
Rate for Payer: Aetna Medicare Advantage	$10.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.92
Rate for Payer: Cigna Commercial	$17.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.49
Rate for Payer: Oxford Commercial	$7.00
Rate for Payer: Qualcare PPO/HMO/WC	$5.25
Rate for Payer: UnitedHealthcare Commercial	$7.00
Rate for Payer: UnitedHealthcare Community & State	$0.84
Rate for Payer: Wellpoint Medicaid Managed Care	$0.93

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$1.73
Rate for Payer: Qualcare PPO/HMO/WC	$1.73

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.76
Rate for Payer: Aetna Commercial	$4.38
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.76
Rate for Payer: Aetna Commercial	$4.38
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$11.53

Hospital Charge Code	270660465N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.28
Max. Negotiated Rate	$5.76
Rate for Payer: Aetna Commercial	$4.38
Rate for Payer: Aetna Medicare Advantage	$3.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.94
Rate for Payer: Cigna Commercial	$5.76
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.46
Rate for Payer: Oxford Commercial	$2.31
Rate for Payer: Qualcare PPO/HMO/WC	$1.73
Rate for Payer: UnitedHealthcare Commercial	$2.31
Rate for Payer: UnitedHealthcare Community & State	$0.28
Rate for Payer: Wellpoint Medicaid Managed Care	$0.31

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$13.26

Hospital Charge Code	270649090
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.63
Rate for Payer: Aetna Commercial	$5.04
Rate for Payer: Aetna Medicare Advantage	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.38
Rate for Payer: Cigna Commercial	$6.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.98
Rate for Payer: Oxford Commercial	$2.65
Rate for Payer: Qualcare PPO/HMO/WC	$1.99
Rate for Payer: UnitedHealthcare Commercial	$2.65
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

SUTURE MONOSOF 4/0 18 BLK P13

Facility

$13.26

Hospital Charge Code	270649090
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.99

SUTURE MONOSOF 4/0 18 BLK P14

Facility

$6.02

Hospital Charge Code	270613631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.15
Max. Negotiated Rate	$3.01
Rate for Payer: Aetna Commercial	$2.29
Rate for Payer: Aetna Medicare Advantage	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.54
Rate for Payer: Cigna Commercial	$3.01
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.81
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	$0.15
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SUTURE MONOSOF 4/0 18 BLK P14

Facility

$6.02

Hospital Charge Code	270613631
Hospital Revenue Code	272
Min. Negotiated Rate	$0.90
Max. Negotiated Rate	$0.90
Rate for Payer: Qualcare PPO/HMO/WC	$0.90

SUTURE MONOSOF 4/0 18 BLK PC1

Facility

$16.58

Hospital Charge Code	270604511
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 4/0 18 BLK PC1

Facility

$16.58

Hospital Charge Code	270604511
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 4/0 18 BLK PC3

Facility

$16.68

Hospital Charge Code	270600780
Hospital Revenue Code	272
Min. Negotiated Rate	$2.50
Max. Negotiated Rate	$2.50
Rate for Payer: Qualcare PPO/HMO/WC	$2.50

SUTURE MONOSOF 4/0 18 BLK PC3

Facility

$16.68

Hospital Charge Code	270600780
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.34
Rate for Payer: Aetna Commercial	$6.34
Rate for Payer: Aetna Medicare Advantage	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.25
Rate for Payer: Cigna Commercial	$8.34
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.00
Rate for Payer: Oxford Commercial	$3.34
Rate for Payer: Qualcare PPO/HMO/WC	$2.50
Rate for Payer: UnitedHealthcare Commercial	$3.34
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

SUTURE MONOSOF 4/0 18 BLK PC5

Facility

$141.08

Hospital Charge Code	270600779
Hospital Revenue Code	272
Min. Negotiated Rate	$21.16
Max. Negotiated Rate	$21.16
Rate for Payer: Qualcare PPO/HMO/WC	$21.16

SUTURE MONOSOF 4/0 18 BLK PC5

Facility

$141.08

Hospital Charge Code	270600779
Hospital Revenue Code	272
Min. Negotiated Rate	$3.40
Max. Negotiated Rate	$70.54
Rate for Payer: Aetna Commercial	$53.61
Rate for Payer: Aetna Medicare Advantage	$42.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$35.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$35.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$35.98
Rate for Payer: Cigna Commercial	$70.54
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.32
Rate for Payer: Oxford Commercial	$28.22
Rate for Payer: Qualcare PPO/HMO/WC	$21.16
Rate for Payer: UnitedHealthcare Commercial	$28.22
Rate for Payer: UnitedHealthcare Community & State	$3.40
Rate for Payer: Wellpoint Medicaid Managed Care	$3.74

SUTURE MONOSOF 4/0 30 BLK FSL

Facility

$5.87

Hospital Charge Code	270675690
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.94
Rate for Payer: Aetna Commercial	$2.23
Rate for Payer: Aetna Medicare Advantage	$1.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.50
Rate for Payer: Cigna Commercial	$2.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.76
Rate for Payer: Oxford Commercial	$1.17
Rate for Payer: Qualcare PPO/HMO/WC	$0.88
Rate for Payer: UnitedHealthcare Commercial	$1.17
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SUTURE MONOSOF 4/0 30 BLK FSL

Facility

$5.87

Hospital Charge Code	270675690
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SUTURE MONOSOF 4/0 30 BLK SC2

Facility

$5.81

Hospital Charge Code	270675607
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.90
Rate for Payer: Aetna Commercial	$2.21
Rate for Payer: Aetna Medicare Advantage	$1.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.48
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.48
Rate for Payer: Cigna Commercial	$2.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.74
Rate for Payer: Oxford Commercial	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$0.87
Rate for Payer: UnitedHealthcare Commercial	$1.16
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

SUTURE MONOSOF 4/0 30 BLK SC2

Facility

$5.81

Hospital Charge Code	270675607
Hospital Revenue Code	272
Min. Negotiated Rate	$0.87
Max. Negotiated Rate	$0.87
Rate for Payer: Qualcare PPO/HMO/WC	$0.87

SUTURE MONOSOF 4-0 P-13 18

Facility

$13.39

Hospital Charge Code	270651312
Hospital Revenue Code	272
Min. Negotiated Rate	$2.01
Max. Negotiated Rate	$2.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.01

SUTURE MONOSOF 4-0 P-13 18

Facility

$13.39

Hospital Charge Code	270651312
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.70
Rate for Payer: Aetna Commercial	$5.09
Rate for Payer: Aetna Medicare Advantage	$4.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.41
Rate for Payer: Cigna Commercial	$6.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.02
Rate for Payer: Oxford Commercial	$2.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.01
Rate for Payer: UnitedHealthcare Commercial	$2.68
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