Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE PDS STRATAFIX 0 30 CT-2

Facility

$124.15

Hospital Charge Code	270681813
Hospital Revenue Code	272
Min. Negotiated Rate	$2.99
Max. Negotiated Rate	$62.08
Rate for Payer: Aetna Commercial	$47.18
Rate for Payer: Aetna Medicare Advantage	$37.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.66
Rate for Payer: Cigna Commercial	$62.08
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$37.24
Rate for Payer: Oxford Commercial	$24.83
Rate for Payer: Qualcare PPO/HMO/WC	$18.62
Rate for Payer: UnitedHealthcare Commercial	$24.83
Rate for Payer: UnitedHealthcare Community & State	$2.99
Rate for Payer: Wellpoint Medicaid Managed Care	$3.29

SUTURE PDS STRATAFIX 3-0 70CM

Facility

$122.98

Hospital Charge Code	270681812
Hospital Revenue Code	272
Min. Negotiated Rate	$18.45
Max. Negotiated Rate	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$18.45

SUTURE PDS STRATAFIX 3-0 70CM

Facility

$122.98

Hospital Charge Code	270681812
Hospital Revenue Code	272
Min. Negotiated Rate	$2.96
Max. Negotiated Rate	$61.49
Rate for Payer: Aetna Commercial	$46.73
Rate for Payer: Aetna Medicare Advantage	$36.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$31.36
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$31.36
Rate for Payer: Cigna Commercial	$61.49
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$36.89
Rate for Payer: Oxford Commercial	$24.60
Rate for Payer: Qualcare PPO/HMO/WC	$18.45
Rate for Payer: UnitedHealthcare Commercial	$24.60
Rate for Payer: UnitedHealthcare Community & State	$2.96
Rate for Payer: Wellpoint Medicaid Managed Care	$3.26

SUTURE PDS SZ 0 CT 45 CM

Facility

$97.53

Hospital Charge Code	270690244
Hospital Revenue Code	272
Min. Negotiated Rate	$14.63
Max. Negotiated Rate	$14.63
Rate for Payer: Qualcare PPO/HMO/WC	$14.63

SUTURE PDS SZ 0 CT 45 CM

Facility

$97.53

Hospital Charge Code	270690244
Hospital Revenue Code	272
Min. Negotiated Rate	$2.35
Max. Negotiated Rate	$48.77
Rate for Payer: Aetna Commercial	$37.06
Rate for Payer: Aetna Medicare Advantage	$29.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$24.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$24.87
Rate for Payer: Cigna Commercial	$48.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$29.26
Rate for Payer: Oxford Commercial	$19.51
Rate for Payer: Qualcare PPO/HMO/WC	$14.63
Rate for Payer: UnitedHealthcare Commercial	$19.51
Rate for Payer: UnitedHealthcare Community & State	$2.35
Rate for Payer: Wellpoint Medicaid Managed Care	$2.58

SUTURE PDS SZ. 2-018

Facility

$118.00

Hospital Charge Code	270334668
Hospital Revenue Code	272
Min. Negotiated Rate	$17.70
Max. Negotiated Rate	$17.70
Rate for Payer: Qualcare PPO/HMO/WC	$17.70

SUTURE PDS SZ. 2-018

Facility

$118.00

Hospital Charge Code	270334668
Hospital Revenue Code	272
Min. Negotiated Rate	$2.84
Max. Negotiated Rate	$59.00
Rate for Payer: Aetna Commercial	$44.84
Rate for Payer: Aetna Medicare Advantage	$35.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$30.09
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$30.09
Rate for Payer: Cigna Commercial	$59.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.40
Rate for Payer: Oxford Commercial	$23.60
Rate for Payer: Qualcare PPO/HMO/WC	$17.70
Rate for Payer: UnitedHealthcare Commercial	$23.60
Rate for Payer: UnitedHealthcare Community & State	$2.84
Rate for Payer: Wellpoint Medicaid Managed Care	$3.13

SUTURE PDS SZ 3-0 RB1 27 IN

Facility

$20.96

Hospital Charge Code	270684784
Hospital Revenue Code	272
Min. Negotiated Rate	$3.14
Max. Negotiated Rate	$3.14
Rate for Payer: Qualcare PPO/HMO/WC	$3.14

SUTURE PDS SZ 3-0 RB1 27 IN

Facility

$20.96

Hospital Charge Code	270684784
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.48
Rate for Payer: Aetna Commercial	$7.96
Rate for Payer: Aetna Medicare Advantage	$6.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.34
Rate for Payer: Cigna Commercial	$10.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.29
Rate for Payer: Oxford Commercial	$4.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.14
Rate for Payer: UnitedHealthcare Commercial	$4.19
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

SUTURE PDS TP-1 96

Facility

$33.57

Hospital Charge Code	270654901
Hospital Revenue Code	272
Min. Negotiated Rate	$0.81
Max. Negotiated Rate	$16.79
Rate for Payer: Aetna Commercial	$12.76
Rate for Payer: Aetna Medicare Advantage	$10.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$8.56
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$8.56
Rate for Payer: Cigna Commercial	$16.79
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.07
Rate for Payer: Oxford Commercial	$6.71
Rate for Payer: Qualcare PPO/HMO/WC	$5.04
Rate for Payer: UnitedHealthcare Commercial	$6.71
Rate for Payer: UnitedHealthcare Community & State	$0.81
Rate for Payer: Wellpoint Medicaid Managed Care	$0.89

SUTURE PDS TP-1 96

Facility

$33.57

Hospital Charge Code	270654901
Hospital Revenue Code	272
Min. Negotiated Rate	$5.04
Max. Negotiated Rate	$5.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.04

SUTURE PERMA HAND BLACK 10 X 3

Facility

$10.80

Hospital Charge Code	270692377
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.40
Rate for Payer: Aetna Commercial	$4.10
Rate for Payer: Aetna Medicare Advantage	$3.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.75
Rate for Payer: Cigna Commercial	$5.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.24
Rate for Payer: Oxford Commercial	$2.16
Rate for Payer: Qualcare PPO/HMO/WC	$1.62
Rate for Payer: UnitedHealthcare Commercial	$2.16
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE PERMA HAND BLACK 10 X 3

Facility

$10.80

Hospital Charge Code	270692377
Hospital Revenue Code	272
Min. Negotiated Rate	$1.62
Max. Negotiated Rate	$1.62
Rate for Payer: Qualcare PPO/HMO/WC	$1.62

SUTURE PERMA-HAND SILK 3-0

Facility

$13.33

Hospital Charge Code	270678893
Hospital Revenue Code	272
Min. Negotiated Rate	$2.00
Max. Negotiated Rate	$2.00
Rate for Payer: Qualcare PPO/HMO/WC	$2.00

SUTURE PERMA-HAND SILK 3-0

Facility

$13.33

Hospital Charge Code	270678893
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.67
Rate for Payer: Aetna Commercial	$5.07
Rate for Payer: Aetna Medicare Advantage	$4.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.40
Rate for Payer: Cigna Commercial	$6.67
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.00
Rate for Payer: Oxford Commercial	$2.67
Rate for Payer: Qualcare PPO/HMO/WC	$2.00
Rate for Payer: UnitedHealthcare Commercial	$2.67
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.35

SUTURE PLAIN 0 30 CT-1 GS-21

Facility

$6.78

Hospital Charge Code	270651862
Hospital Revenue Code	272
Min. Negotiated Rate	$1.02
Max. Negotiated Rate	$1.02
Rate for Payer: Qualcare PPO/HMO/WC	$1.02

SUTURE PLAIN 0 30 CT-1 GS-21

Facility

$6.78

Hospital Charge Code	270651862
Hospital Revenue Code	272
Min. Negotiated Rate	$0.16
Max. Negotiated Rate	$3.39
Rate for Payer: Aetna Commercial	$2.58
Rate for Payer: Aetna Medicare Advantage	$2.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.73
Rate for Payer: Cigna Commercial	$3.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.03
Rate for Payer: Oxford Commercial	$1.36
Rate for Payer: Qualcare PPO/HMO/WC	$1.02
Rate for Payer: UnitedHealthcare Commercial	$1.36
Rate for Payer: UnitedHealthcare Community & State	$0.16
Rate for Payer: Wellpoint Medicaid Managed Care	$0.18

SUTURE PLAIN 0 CT-1

Facility

$24.79

Hospital Charge Code	270671405
Hospital Revenue Code	272
Min. Negotiated Rate	$0.60
Max. Negotiated Rate	$12.39
Rate for Payer: Aetna Commercial	$9.42
Rate for Payer: Aetna Medicare Advantage	$7.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.32
Rate for Payer: Cigna Commercial	$12.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.44
Rate for Payer: Oxford Commercial	$4.96
Rate for Payer: Qualcare PPO/HMO/WC	$3.72
Rate for Payer: UnitedHealthcare Commercial	$4.96
Rate for Payer: UnitedHealthcare Community & State	$0.60
Rate for Payer: Wellpoint Medicaid Managed Care	$0.66

SUTURE PLAIN 0 CT-1

Facility

$24.79

Hospital Charge Code	270671405
Hospital Revenue Code	272
Min. Negotiated Rate	$3.72
Max. Negotiated Rate	$3.72
Rate for Payer: Qualcare PPO/HMO/WC	$3.72

SUTURE PLAIN 0 FN-2

Facility

$47.80

Hospital Charge Code	270655851
Hospital Revenue Code	272
Min. Negotiated Rate	$1.15
Max. Negotiated Rate	$23.90
Rate for Payer: Aetna Commercial	$18.16
Rate for Payer: Aetna Medicare Advantage	$14.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.19
Rate for Payer: Cigna Commercial	$23.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.34
Rate for Payer: Oxford Commercial	$9.56
Rate for Payer: Qualcare PPO/HMO/WC	$7.17
Rate for Payer: UnitedHealthcare Commercial	$9.56
Rate for Payer: UnitedHealthcare Community & State	$1.15
Rate for Payer: Wellpoint Medicaid Managed Care	$1.27

SUTURE PLAIN 0 FN-2

Facility

$47.80

Hospital Charge Code	270655851
Hospital Revenue Code	272
Min. Negotiated Rate	$7.17
Max. Negotiated Rate	$7.17
Rate for Payer: Qualcare PPO/HMO/WC	$7.17

SUTURE PLAIN 2/0 30 CT-1 GS21

Facility

$5.71

Hospital Charge Code	270614225
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.85
Rate for Payer: Aetna Commercial	$2.17
Rate for Payer: Aetna Medicare Advantage	$1.71
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.46
Rate for Payer: Cigna Commercial	$2.85
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.71
Rate for Payer: Oxford Commercial	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$0.86
Rate for Payer: UnitedHealthcare Commercial	$1.14
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.15

SUTURE PLAIN 2/0 30 CT-1 GS21

Facility

$5.71

Hospital Charge Code	270614225
Hospital Revenue Code	272
Min. Negotiated Rate	$0.86
Max. Negotiated Rate	$0.86
Rate for Payer: Qualcare PPO/HMO/WC	$0.86

SUTURE PLAIN 2-0 CT-1

Facility

$13.48

Hospital Charge Code	270671404
Hospital Revenue Code	272
Min. Negotiated Rate	$0.32
Max. Negotiated Rate	$6.74
Rate for Payer: Aetna Commercial	$5.12
Rate for Payer: Aetna Medicare Advantage	$4.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.44
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.44
Rate for Payer: Cigna Commercial	$6.74
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.04
Rate for Payer: Oxford Commercial	$2.70
Rate for Payer: Qualcare PPO/HMO/WC	$2.02
Rate for Payer: UnitedHealthcare Commercial	$2.70
Rate for Payer: UnitedHealthcare Community & State	$0.32
Rate for Payer: Wellpoint Medicaid Managed Care	$0.36

SUTURE PLAIN 2-0 CT-1

Facility

$13.48

Hospital Charge Code	270671404
Hospital Revenue Code	272
Min. Negotiated Rate	$2.02
Max. Negotiated Rate	$2.02
Rate for Payer: Qualcare PPO/HMO/WC	$2.02

Know your out-of-pocket cost for care.

All Charges