Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE NOVAFIL GS-22 2-0

Facility

$8.36

Hospital Charge Code	270651831
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 O BLUE 30

Facility

$7.75

Hospital Charge Code	270656052
Hospital Revenue Code	272
Min. Negotiated Rate	$1.16
Max. Negotiated Rate	$1.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.16

SUTURE NOVAFIL O BLUE 30

Facility

$7.75

Hospital Charge Code	270656052
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.88
Rate for Payer: Aetna Commercial	$2.94
Rate for Payer: Aetna Medicare Advantage	$2.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.98
Rate for Payer: Cigna Commercial	$3.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.33
Rate for Payer: Oxford Commercial	$1.55
Rate for Payer: Qualcare PPO/HMO/WC	$1.16
Rate for Payer: UnitedHealthcare Commercial	$1.55
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SUTURE NOVAFIL T-20 30

Facility

$37.65

Hospital Charge Code	270605242
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

SUTURE NOVAFIL T-20 30

Facility

$37.65

Hospital Charge Code	270605242
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$14.31
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.29
Rate for Payer: Oxford Commercial	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$7.53
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SUTURE NOVOCUT MANGER

Facility

$875.00

Hospital Charge Code	270689757
Hospital Revenue Code	272
Min. Negotiated Rate	$131.25
Max. Negotiated Rate	$131.25
Rate for Payer: Qualcare PPO/HMO/WC	$131.25

SUTURE NOVOCUT MANGER

Facility

$875.00

Hospital Charge Code	270689757
Hospital Revenue Code	272
Min. Negotiated Rate	$21.09
Max. Negotiated Rate	$437.50
Rate for Payer: Aetna Commercial	$332.50
Rate for Payer: Aetna Medicare Advantage	$262.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$223.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$223.12
Rate for Payer: Cigna Commercial	$437.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$262.50
Rate for Payer: Oxford Commercial	$175.00
Rate for Payer: Qualcare PPO/HMO/WC	$131.25
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Community & State	$21.09
Rate for Payer: Wellpoint Medicaid Managed Care	$23.19

SUTURE NOVOSTITCH PRO 2-0

Facility

$2,475.00

Hospital Charge Code	270689759
Hospital Revenue Code	272
Min. Negotiated Rate	$59.65
Max. Negotiated Rate	$1,237.50
Rate for Payer: Aetna Commercial	$940.50
Rate for Payer: Aetna Medicare Advantage	$742.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$631.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$631.12
Rate for Payer: Cigna Commercial	$1,237.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$742.50
Rate for Payer: Oxford Commercial	$495.00
Rate for Payer: Qualcare PPO/HMO/WC	$371.25
Rate for Payer: UnitedHealthcare Commercial	$495.00
Rate for Payer: UnitedHealthcare Community & State	$59.65
Rate for Payer: Wellpoint Medicaid Managed Care	$65.59

SUTURE NOVOSTITCH PRO 2-0

Facility

$2,475.00

Hospital Charge Code	270689759
Hospital Revenue Code	272
Min. Negotiated Rate	$371.25
Max. Negotiated Rate	$371.25
Rate for Payer: Qualcare PPO/HMO/WC	$371.25

SUTURE NUROLON 0 CT-1

Facility

$53.72

Hospital Charge Code	270655951
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$26.86
Rate for Payer: Aetna Commercial	$20.41
Rate for Payer: Aetna Medicare Advantage	$16.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.70
Rate for Payer: Cigna Commercial	$26.86
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.12
Rate for Payer: Oxford Commercial	$10.74
Rate for Payer: Qualcare PPO/HMO/WC	$8.06
Rate for Payer: UnitedHealthcare Commercial	$10.74
Rate for Payer: UnitedHealthcare Community & State	$1.29
Rate for Payer: Wellpoint Medicaid Managed Care	$1.42

SUTURE NUROLON 0 CT-1

Facility

$53.72

Hospital Charge Code	270655951
Hospital Revenue Code	272
Min. Negotiated Rate	$8.06
Max. Negotiated Rate	$8.06
Rate for Payer: Qualcare PPO/HMO/WC	$8.06

SUTURE NUROLON 1 CT-1

Facility

$54.80

Hospital Charge Code	270677887
Hospital Revenue Code	272
Min. Negotiated Rate	$8.22
Max. Negotiated Rate	$8.22
Rate for Payer: Qualcare PPO/HMO/WC	$8.22

SUTURE NUROLON 1 CT-1

Facility

$54.80

Hospital Charge Code	270677887
Hospital Revenue Code	272
Min. Negotiated Rate	$1.32
Max. Negotiated Rate	$27.40
Rate for Payer: Aetna Commercial	$20.82
Rate for Payer: Aetna Medicare Advantage	$16.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$13.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$13.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$13.97
Rate for Payer: Cigna Commercial	$27.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$16.44
Rate for Payer: Oxford Commercial	$10.96
Rate for Payer: Qualcare PPO/HMO/WC	$8.22
Rate for Payer: UnitedHealthcare Commercial	$10.96
Rate for Payer: UnitedHealthcare Community & State	$1.32
Rate for Payer: Wellpoint Medicaid Managed Care	$1.45

SUTURE NUROLON 1 OS-8

Facility

$69.50

Hospital Charge Code	270677888
Hospital Revenue Code	272
Min. Negotiated Rate	$10.43
Max. Negotiated Rate	$10.43
Rate for Payer: Qualcare PPO/HMO/WC	$10.43

SUTURE NUROLON 1 OS-8

Facility

$69.50

Hospital Charge Code	270677888
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$34.75
Rate for Payer: Aetna Commercial	$26.41
Rate for Payer: Aetna Medicare Advantage	$20.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.72
Rate for Payer: Cigna Commercial	$34.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.85
Rate for Payer: Oxford Commercial	$13.90
Rate for Payer: Qualcare PPO/HMO/WC	$10.43
Rate for Payer: UnitedHealthcare Commercial	$13.90
Rate for Payer: UnitedHealthcare Community & State	$1.67
Rate for Payer: Wellpoint Medicaid Managed Care	$1.84

SUTURE NUROLON 2-0 CT-1

Facility

$19.62

Hospital Charge Code	270655811
Hospital Revenue Code	272
Min. Negotiated Rate	$0.47
Max. Negotiated Rate	$9.81
Rate for Payer: Aetna Commercial	$7.46
Rate for Payer: Aetna Medicare Advantage	$5.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.00
Rate for Payer: Cigna Commercial	$9.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.89
Rate for Payer: Oxford Commercial	$3.92
Rate for Payer: Qualcare PPO/HMO/WC	$2.94
Rate for Payer: UnitedHealthcare Commercial	$3.92
Rate for Payer: UnitedHealthcare Community & State	$0.47
Rate for Payer: Wellpoint Medicaid Managed Care	$0.52

SUTURE NUROLON 2-0 CT-1

Facility

$19.62

Hospital Charge Code	270655811
Hospital Revenue Code	272
Min. Negotiated Rate	$2.94
Max. Negotiated Rate	$2.94
Rate for Payer: Qualcare PPO/HMO/WC	$2.94

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$16.68
Max. Negotiated Rate	$16.68
Rate for Payer: Qualcare PPO/HMO/WC	$16.68

SUTURE NUROLON 2-0 CT-2

Facility

$111.20

Hospital Charge Code	270671440
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.60
Rate for Payer: Aetna Commercial	$42.26
Rate for Payer: Aetna Medicare Advantage	$33.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.36
Rate for Payer: Cigna Commercial	$55.60
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.36
Rate for Payer: Oxford Commercial	$22.24
Rate for Payer: Qualcare PPO/HMO/WC	$16.68
Rate for Payer: UnitedHealthcare Commercial	$22.24
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.95

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$1.78
Max. Negotiated Rate	$36.85
Rate for Payer: Aetna Commercial	$28.01
Rate for Payer: Aetna Medicare Advantage	$22.11
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.79
Rate for Payer: Cigna Commercial	$36.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.11
Rate for Payer: Oxford Commercial	$14.74
Rate for Payer: Qualcare PPO/HMO/WC	$11.05
Rate for Payer: UnitedHealthcare Commercial	$14.74
Rate for Payer: UnitedHealthcare Community & State	$1.78
Rate for Payer: Wellpoint Medicaid Managed Care	$1.95

SUTURE NUROLON 3-0 CP-2

Facility

$73.70

Hospital Charge Code	270671441
Hospital Revenue Code	272
Min. Negotiated Rate	$11.05
Max. Negotiated Rate	$11.05
Rate for Payer: Qualcare PPO/HMO/WC	$11.05

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$9.20
Max. Negotiated Rate	$9.20
Rate for Payer: Qualcare PPO/HMO/WC	$9.20

SUTURE NUROLON 4-0 RB-1 CR

Facility

$61.35

Hospital Charge Code	270690130
Hospital Revenue Code	272
Min. Negotiated Rate	$1.48
Max. Negotiated Rate	$30.68
Rate for Payer: Aetna Commercial	$23.31
Rate for Payer: Aetna Medicare Advantage	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.64
Rate for Payer: Cigna Commercial	$30.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$18.41
Rate for Payer: Oxford Commercial	$12.27
Rate for Payer: Qualcare PPO/HMO/WC	$9.20
Rate for Payer: UnitedHealthcare Commercial	$12.27
Rate for Payer: UnitedHealthcare Community & State	$1.48
Rate for Payer: Wellpoint Medicaid Managed Care	$1.63

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$0.31
Max. Negotiated Rate	$6.45
Rate for Payer: Aetna Commercial	$4.90
Rate for Payer: Aetna Medicare Advantage	$3.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.29
Rate for Payer: Cigna Commercial	$6.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.87
Rate for Payer: Oxford Commercial	$2.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.94
Rate for Payer: UnitedHealthcare Commercial	$2.58
Rate for Payer: UnitedHealthcare Community & State	$0.31
Rate for Payer: Wellpoint Medicaid Managed Care	$0.34

SUTURE NYLON 3/0 MONOFILAMENT

Facility

$12.90

Hospital Charge Code	270649089
Hospital Revenue Code	272
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$1.94
Rate for Payer: Qualcare PPO/HMO/WC	$1.94

Know your out-of-pocket cost for care.

All Charges