Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE MONOSOF PC13 4-0

Facility

$33.65

Hospital Charge Code	270600778
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.82
Rate for Payer: Aetna Commercial	$12.79
Rate for Payer: Aetna Medicare Advantage	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.58
Rate for Payer: Cigna Commercial	$16.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.10
Rate for Payer: Oxford Commercial	$6.73
Rate for Payer: Qualcare PPO/HMO/WC	$5.05
Rate for Payer: UnitedHealthcare Commercial	$6.73
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

SUTURE MONOSOF PC13 4-0

Facility

$33.65

Hospital Charge Code	270600778
Hospital Revenue Code	272
Min. Negotiated Rate	$5.05
Max. Negotiated Rate	$5.05
Rate for Payer: Qualcare PPO/HMO/WC	$5.05

SUTURE MONOSOF SE1606 10-0

Facility

$164.85

Hospital Charge Code	270604519
Hospital Revenue Code	272
Min. Negotiated Rate	$24.73
Max. Negotiated Rate	$24.73
Rate for Payer: Qualcare PPO/HMO/WC	$24.73

SUTURE MONOSOF SE1606 10-0

Facility

$164.85

Hospital Charge Code	270604519
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$82.42
Rate for Payer: Aetna Commercial	$62.64
Rate for Payer: Aetna Medicare Advantage	$49.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$42.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$42.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$42.04
Rate for Payer: Cigna Commercial	$82.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$49.45
Rate for Payer: Oxford Commercial	$32.97
Rate for Payer: Qualcare PPO/HMO/WC	$24.73
Rate for Payer: UnitedHealthcare Commercial	$32.97
Rate for Payer: UnitedHealthcare Community & State	$3.97
Rate for Payer: Wellpoint Medicaid Managed Care	$4.37

SUTURE MONOSOF SE1758 8-0

Facility

$124.85

Hospital Charge Code	270604697
Hospital Revenue Code	272
Min. Negotiated Rate	$18.73
Max. Negotiated Rate	$18.73
Rate for Payer: Qualcare PPO/HMO/WC	$18.73

SUTURE MONOSOF SE1758 8-0

Facility

$124.85

Hospital Charge Code	270604697
Hospital Revenue Code	272
Min. Negotiated Rate	$3.01
Max. Negotiated Rate	$62.42
Rate for Payer: Aetna Commercial	$47.44
Rate for Payer: Aetna Medicare Advantage	$37.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.84
Rate for Payer: Cigna Commercial	$62.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.45
Rate for Payer: Oxford Commercial	$24.97
Rate for Payer: Qualcare PPO/HMO/WC	$18.73
Rate for Payer: UnitedHealthcare Commercial	$24.97
Rate for Payer: UnitedHealthcare Community & State	$3.01
Rate for Payer: Wellpoint Medicaid Managed Care	$3.31

SUTURE MONOSOFT 2-0 BLACK 18

Facility

$39.61

Hospital Charge Code	270651309
Hospital Revenue Code	272
Min. Negotiated Rate	$5.94
Max. Negotiated Rate	$5.94
Rate for Payer: Qualcare PPO/HMO/WC	$5.94

SUTURE MONOSOFT 2-0 BLACK 18

Facility

$39.61

Hospital Charge Code	270651309
Hospital Revenue Code	272
Min. Negotiated Rate	$0.95
Max. Negotiated Rate	$19.80
Rate for Payer: Aetna Commercial	$15.05
Rate for Payer: Aetna Medicare Advantage	$11.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.10
Rate for Payer: Cigna Commercial	$19.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.88
Rate for Payer: Oxford Commercial	$7.92
Rate for Payer: Qualcare PPO/HMO/WC	$5.94
Rate for Payer: UnitedHealthcare Commercial	$7.92
Rate for Payer: UnitedHealthcare Community & State	$0.95
Rate for Payer: Wellpoint Medicaid Managed Care	$1.05

SUTURE MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
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 MONOSOFT 3/0 BLACK 18

Facility

$13.21

Hospital Charge Code	270651308
Hospital Revenue Code	272
Min. Negotiated Rate	$1.98
Max. Negotiated Rate	$1.98
Rate for Payer: Qualcare PPO/HMO/WC	$1.98

SUTURE MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$2.07
Max. Negotiated Rate	$2.07
Rate for Payer: Qualcare PPO/HMO/WC	$2.07

SUTURE MONOSOFT 5-0 BLACK 18

Facility

$13.80

Hospital Charge Code	270651311
Hospital Revenue Code	272
Min. Negotiated Rate	$0.33
Max. Negotiated Rate	$6.90
Rate for Payer: Aetna Commercial	$5.24
Rate for Payer: Aetna Medicare Advantage	$4.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.52
Rate for Payer: Cigna Commercial	$6.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.14
Rate for Payer: Oxford Commercial	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.07
Rate for Payer: UnitedHealthcare Commercial	$2.76
Rate for Payer: UnitedHealthcare Community & State	$0.33
Rate for Payer: Wellpoint Medicaid Managed Care	$0.37

SUTURE NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$35.04
Max. Negotiated Rate	$35.04
Rate for Payer: Qualcare PPO/HMO/WC	$35.04

SUTURE NEEDLE #2 60MM ACL

Facility

$233.60

Hospital Charge Code	270684977
Hospital Revenue Code	272
Min. Negotiated Rate	$5.63
Max. Negotiated Rate	$116.80
Rate for Payer: Aetna Commercial	$88.77
Rate for Payer: Aetna Medicare Advantage	$70.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.57
Rate for Payer: Cigna Commercial	$116.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.08
Rate for Payer: Oxford Commercial	$46.72
Rate for Payer: Qualcare PPO/HMO/WC	$35.04
Rate for Payer: UnitedHealthcare Commercial	$46.72
Rate for Payer: UnitedHealthcare Community & State	$5.63
Rate for Payer: Wellpoint Medicaid Managed Care	$6.19

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$71.45
Rate for Payer: Aetna Commercial	$54.30
Rate for Payer: Aetna Medicare Advantage	$42.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.44
Rate for Payer: Cigna Commercial	$71.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.87
Rate for Payer: Oxford Commercial	$28.58
Rate for Payer: Qualcare PPO/HMO/WC	$21.43
Rate for Payer: UnitedHealthcare Commercial	$28.58
Rate for Payer: UnitedHealthcare Community & State	$3.44
Rate for Payer: Wellpoint Medicaid Managed Care	$3.79

SUTURE NEEDLE VLOC 180 GS 21

Facility

$142.90

Hospital Charge Code	270670580
Hospital Revenue Code	272
Min. Negotiated Rate	$21.43
Max. Negotiated Rate	$21.43
Rate for Payer: Qualcare PPO/HMO/WC	$21.43

SUTURE NOVA BLI X30 T19/GS-22

Facility

$5.15

Hospital Charge Code	270656171
Hospital Revenue Code	272
Min. Negotiated Rate	$0.77
Max. Negotiated Rate	$0.77
Rate for Payer: Qualcare PPO/HMO/WC	$0.77

SUTURE NOVA BLI X30 T19/GS-22

Facility

$5.15

Hospital Charge Code	270656171
Hospital Revenue Code	272
Min. Negotiated Rate	$0.12
Max. Negotiated Rate	$2.58
Rate for Payer: Aetna Commercial	$1.96
Rate for Payer: Aetna Medicare Advantage	$1.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.31
Rate for Payer: Cigna Commercial	$2.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.54
Rate for Payer: Oxford Commercial	$1.03
Rate for Payer: Qualcare PPO/HMO/WC	$0.77
Rate for Payer: UnitedHealthcare Commercial	$1.03
Rate for Payer: UnitedHealthcare Community & State	$0.12
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

SUTURE NOVAFIL 1 30 BLUE T20

Facility

$34.50

Hospital Charge Code	270605210
Hospital Revenue Code	272
Min. Negotiated Rate	$0.83
Max. Negotiated Rate	$17.25
Rate for Payer: Aetna Commercial	$13.11
Rate for Payer: Aetna Medicare Advantage	$10.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.80
Rate for Payer: Cigna Commercial	$17.25
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.35
Rate for Payer: Oxford Commercial	$6.90
Rate for Payer: Qualcare PPO/HMO/WC	$5.17
Rate for Payer: UnitedHealthcare Commercial	$6.90
Rate for Payer: UnitedHealthcare Community & State	$0.83
Rate for Payer: Wellpoint Medicaid Managed Care	$0.91

SUTURE NOVAFIL 1 30 BLUE T20

Facility

$34.50

Hospital Charge Code	270605210
Hospital Revenue Code	272
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Qualcare PPO/HMO/WC	$5.17

SUTURE NOVAFIL 2/0 30 BLU T19

Facility

$8.16

Hospital Charge Code	270655026
Hospital Revenue Code	272
Min. Negotiated Rate	$1.22
Max. Negotiated Rate	$1.22
Rate for Payer: Qualcare PPO/HMO/WC	$1.22

SUTURE NOVAFIL 2/0 30 BLU T19

Facility

$8.16

Hospital Charge Code	270655026
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.08
Rate for Payer: Aetna Commercial	$3.10
Rate for Payer: Aetna Medicare Advantage	$2.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.08
Rate for Payer: Cigna Commercial	$4.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.45
Rate for Payer: Oxford Commercial	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.22
Rate for Payer: UnitedHealthcare Commercial	$1.63
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE NOVAFIL GS-21 0 BLUE 30

Facility

$8.36

Hospital Charge Code	270651829
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

SUTURE NOVAFIL GS-21 0 BLUE 30

Facility

$8.36

Hospital Charge Code	270651829
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.18
Rate for Payer: Aetna Commercial	$3.18
Rate for Payer: Aetna Medicare Advantage	$2.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.13
Rate for Payer: Cigna Commercial	$4.18
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.51
Rate for Payer: Oxford Commercial	$1.67
Rate for Payer: Qualcare PPO/HMO/WC	$1.25
Rate for Payer: UnitedHealthcare Commercial	$1.67
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE NOVAFIL GS-22 2-0

Facility

$8.36

Hospital Charge Code	270651831
Hospital Revenue Code	272
Min. Negotiated Rate	$1.25
Max. Negotiated Rate	$1.25
Rate for Payer: Qualcare PPO/HMO/WC	$1.25

Know your out-of-pocket cost for care.

All Charges