Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$2.49
Max. Negotiated Rate	$2.49
Rate for Payer: Qualcare PPO/HMO/WC	$2.49

SUTURE NYLON 5/0 PS-2

Facility

$16.61

Hospital Charge Code	270655950
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.30
Rate for Payer: Aetna Commercial	$6.31
Rate for Payer: Aetna Medicare Advantage	$4.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.24
Rate for Payer: Cigna Commercial	$8.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.98
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 NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$3.74
Max. Negotiated Rate	$77.69
Rate for Payer: Aetna Commercial	$59.04
Rate for Payer: Aetna Medicare Advantage	$46.61
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.62
Rate for Payer: Cigna Commercial	$77.69
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$46.61
Rate for Payer: Oxford Commercial	$31.07
Rate for Payer: Qualcare PPO/HMO/WC	$23.31
Rate for Payer: UnitedHealthcare Commercial	$31.07
Rate for Payer: UnitedHealthcare Community & State	$3.74
Rate for Payer: Wellpoint Medicaid Managed Care	$4.12

SUTURE NYLON 8-0 13CM 5 INCH

Facility

$155.37

Hospital Charge Code	270671300
Hospital Revenue Code	272
Min. Negotiated Rate	$23.31
Max. Negotiated Rate	$23.31
Rate for Payer: Qualcare PPO/HMO/WC	$23.31

SUTURE NYLON 9-0 M.E.T POINT

Facility

$215.40

Hospital Charge Code	270667526
Hospital Revenue Code	272
Min. Negotiated Rate	$32.31
Max. Negotiated Rate	$32.31
Rate for Payer: Qualcare PPO/HMO/WC	$32.31

SUTURE NYLON 9-0 M.E.T POINT

Facility

$215.40

Hospital Charge Code	270667526
Hospital Revenue Code	272
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$107.70
Rate for Payer: Aetna Commercial	$81.85
Rate for Payer: Aetna Medicare Advantage	$64.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.93
Rate for Payer: Cigna Commercial	$107.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$64.62
Rate for Payer: Oxford Commercial	$43.08
Rate for Payer: Qualcare PPO/HMO/WC	$32.31
Rate for Payer: UnitedHealthcare Commercial	$43.08
Rate for Payer: UnitedHealthcare Community & State	$5.19
Rate for Payer: Wellpoint Medicaid Managed Care	$5.71

SUTURE NYLON 9-0 TAPERPOINT A

Facility

$178.30

Hospital Charge Code	270667527
Hospital Revenue Code	272
Min. Negotiated Rate	$4.30
Max. Negotiated Rate	$89.15
Rate for Payer: Aetna Commercial	$67.75
Rate for Payer: Aetna Medicare Advantage	$53.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$45.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$45.47
Rate for Payer: Cigna Commercial	$89.15
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$53.49
Rate for Payer: Oxford Commercial	$35.66
Rate for Payer: Qualcare PPO/HMO/WC	$26.75
Rate for Payer: UnitedHealthcare Commercial	$35.66
Rate for Payer: UnitedHealthcare Community & State	$4.30
Rate for Payer: Wellpoint Medicaid Managed Care	$4.72

SUTURE NYLON 9-0 TAPERPOINT A

Facility

$178.30

Hospital Charge Code	270667527
Hospital Revenue Code	272
Min. Negotiated Rate	$26.75
Max. Negotiated Rate	$26.75
Rate for Payer: Qualcare PPO/HMO/WC	$26.75

SUTURE NYLON CU5 10-0

Facility

$235.25

Hospital Charge Code	270604739
Hospital Revenue Code	272
Min. Negotiated Rate	$5.67
Max. Negotiated Rate	$117.62
Rate for Payer: Aetna Commercial	$89.39
Rate for Payer: Aetna Medicare Advantage	$70.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$59.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$59.99
Rate for Payer: Cigna Commercial	$117.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.58
Rate for Payer: Oxford Commercial	$47.05
Rate for Payer: Qualcare PPO/HMO/WC	$35.29
Rate for Payer: UnitedHealthcare Commercial	$47.05
Rate for Payer: UnitedHealthcare Community & State	$5.67
Rate for Payer: Wellpoint Medicaid Managed Care	$6.23

SUTURE NYLON CU5 10-0

Facility

$235.25

Hospital Charge Code	270604739
Hospital Revenue Code	272
Min. Negotiated Rate	$35.29
Max. Negotiated Rate	$35.29
Rate for Payer: Qualcare PPO/HMO/WC	$35.29

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$3.62
Max. Negotiated Rate	$75.05
Rate for Payer: Aetna Commercial	$57.04
Rate for Payer: Aetna Medicare Advantage	$45.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.28
Rate for Payer: Cigna Commercial	$75.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.03
Rate for Payer: Oxford Commercial	$30.02
Rate for Payer: Qualcare PPO/HMO/WC	$22.52
Rate for Payer: UnitedHealthcare Commercial	$30.02
Rate for Payer: UnitedHealthcare Community & State	$3.62
Rate for Payer: Wellpoint Medicaid Managed Care	$3.98

SUTURE NYLON CU5 10 8065192101

Facility

$150.10

Hospital Charge Code	270608745
Hospital Revenue Code	272
Min. Negotiated Rate	$22.52
Max. Negotiated Rate	$22.52
Rate for Payer: Qualcare PPO/HMO/WC	$22.52

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$6.34
Max. Negotiated Rate	$6.34
Rate for Payer: Qualcare PPO/HMO/WC	$6.34

SUTURE NYLON LOTRAU S 2-0

Facility

$42.28

Hospital Charge Code	270604726
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$21.14
Rate for Payer: Aetna Commercial	$16.07
Rate for Payer: Aetna Medicare Advantage	$12.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$10.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$10.78
Rate for Payer: Cigna Commercial	$21.14
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$12.68
Rate for Payer: Oxford Commercial	$8.46
Rate for Payer: Qualcare PPO/HMO/WC	$6.34
Rate for Payer: UnitedHealthcare Commercial	$8.46
Rate for Payer: UnitedHealthcare Community & State	$1.02
Rate for Payer: Wellpoint Medicaid Managed Care	$1.12

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$3.69
Max. Negotiated Rate	$76.50
Rate for Payer: Aetna Commercial	$58.14
Rate for Payer: Aetna Medicare Advantage	$45.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$39.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$39.02
Rate for Payer: Cigna Commercial	$76.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.90
Rate for Payer: Oxford Commercial	$30.60
Rate for Payer: Qualcare PPO/HMO/WC	$22.95
Rate for Payer: UnitedHealthcare Commercial	$30.60
Rate for Payer: UnitedHealthcare Community & State	$3.69
Rate for Payer: Wellpoint Medicaid Managed Care	$4.05

SUTURE NYLON SZ. 9-0 12L CV-1

Facility

$153.00

Hospital Charge Code	270334661
Hospital Revenue Code	272
Min. Negotiated Rate	$22.95
Max. Negotiated Rate	$22.95
Rate for Payer: Qualcare PPO/HMO/WC	$22.95

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$0.68
Max. Negotiated Rate	$14.02
Rate for Payer: Aetna Commercial	$10.65
Rate for Payer: Aetna Medicare Advantage	$8.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.15
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.15
Rate for Payer: Cigna Commercial	$14.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.41
Rate for Payer: Oxford Commercial	$5.61
Rate for Payer: Qualcare PPO/HMO/WC	$4.20
Rate for Payer: UnitedHealthcare Commercial	$5.61
Rate for Payer: UnitedHealthcare Community & State	$0.68
Rate for Payer: Wellpoint Medicaid Managed Care	$0.74

SUTURE O 1/2 TP-1 PDS II

Facility

$28.03

Hospital Charge Code	270678590
Hospital Revenue Code	272
Min. Negotiated Rate	$4.20
Max. Negotiated Rate	$4.20
Rate for Payer: Qualcare PPO/HMO/WC	$4.20

SUTURE OF MESENTERY (SEPARATE PROCEDURE)

Facility

$10,232.00

Service Code	CPT 44850
Hospital Revenue Code	360
Min. Negotiated Rate	$1,626.00
Max. Negotiated Rate	$10,232.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Oxford Commercial	$6,055.00
Rate for Payer: UnitedHealthcare Commercial	$10,232.00

SUTURE ORTHOCORD 223114

Facility

$1,612.00

Hospital Charge Code	270635263
Hospital Revenue Code	272
Min. Negotiated Rate	$241.80
Max. Negotiated Rate	$241.80
Rate for Payer: Qualcare PPO/HMO/WC	$241.80

SUTURE ORTHOCORD 223114

Facility

$1,612.00

Hospital Charge Code	270635263
Hospital Revenue Code	272
Min. Negotiated Rate	$38.85
Max. Negotiated Rate	$806.00
Rate for Payer: Aetna Commercial	$612.56
Rate for Payer: Aetna Medicare Advantage	$483.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$411.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$411.06
Rate for Payer: Cigna Commercial	$806.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$483.60
Rate for Payer: Oxford Commercial	$322.40
Rate for Payer: Qualcare PPO/HMO/WC	$241.80
Rate for Payer: UnitedHealthcare Commercial	$322.40
Rate for Payer: UnitedHealthcare Community & State	$38.85
Rate for Payer: Wellpoint Medicaid Managed Care	$42.72

SUTURE ORTH W/NEED VIOL 223104

Facility

$1,325.00

Hospital Charge Code	270636647
Hospital Revenue Code	272
Min. Negotiated Rate	$198.75
Max. Negotiated Rate	$198.75
Rate for Payer: Qualcare PPO/HMO/WC	$198.75

SUTURE ORTH W/NEED VIOL 223104

Facility

$1,325.00

Hospital Charge Code	270636647
Hospital Revenue Code	272
Min. Negotiated Rate	$31.93
Max. Negotiated Rate	$662.50
Rate for Payer: Aetna Commercial	$503.50
Rate for Payer: Aetna Medicare Advantage	$397.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$337.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$337.88
Rate for Payer: Cigna Commercial	$662.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$397.50
Rate for Payer: Oxford Commercial	$265.00
Rate for Payer: Qualcare PPO/HMO/WC	$198.75
Rate for Payer: UnitedHealthcare Commercial	$265.00
Rate for Payer: UnitedHealthcare Community & State	$31.93
Rate for Payer: Wellpoint Medicaid Managed Care	$35.11

SUTURE ORTH W/O NEED VIO/BLUE

Facility

$1,691.25

Hospital Charge Code	270636646
Hospital Revenue Code	272
Min. Negotiated Rate	$253.69
Max. Negotiated Rate	$253.69
Rate for Payer: Qualcare PPO/HMO/WC	$253.69

SUTURE ORTH W/O NEED VIO/BLUE

Facility

$1,691.25

Hospital Charge Code	270636646
Hospital Revenue Code	272
Min. Negotiated Rate	$40.76
Max. Negotiated Rate	$845.62
Rate for Payer: Aetna Commercial	$642.67
Rate for Payer: Aetna Medicare Advantage	$507.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$431.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$431.27
Rate for Payer: Cigna Commercial	$845.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$507.38
Rate for Payer: Oxford Commercial	$338.25
Rate for Payer: Qualcare PPO/HMO/WC	$253.69
Rate for Payer: UnitedHealthcare Commercial	$338.25
Rate for Payer: UnitedHealthcare Community & State	$40.76
Rate for Payer: Wellpoint Medicaid Managed Care	$44.82

Know your out-of-pocket cost for care.

All Charges