Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.55
Rate for Payer: Aetna Commercial	$2.70
Rate for Payer: Aetna Medicare Advantage	$2.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.81
Rate for Payer: Cigna Commercial	$3.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.13
Rate for Payer: Oxford Commercial	$1.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.06
Rate for Payer: UnitedHealthcare Commercial	$1.42
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE SILK 3/0 KS

Facility

$7.10

Hospital Charge Code	270655649
Hospital Revenue Code	272
Min. Negotiated Rate	$1.06
Max. Negotiated Rate	$1.06
Rate for Payer: Qualcare PPO/HMO/WC	$1.06

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$33.77
Rate for Payer: Aetna Commercial	$25.66
Rate for Payer: Aetna Medicare Advantage	$20.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.22
Rate for Payer: Cigna Commercial	$33.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$20.26
Rate for Payer: Oxford Commercial	$13.51
Rate for Payer: Qualcare PPO/HMO/WC	$10.13
Rate for Payer: UnitedHealthcare Commercial	$13.51
Rate for Payer: UnitedHealthcare Community & State	$1.63
Rate for Payer: Wellpoint Medicaid Managed Care	$1.79

SUTURE SILK 3-0 RB-1

Facility

$67.53

Hospital Charge Code	270655675
Hospital Revenue Code	272
Min. Negotiated Rate	$10.13
Max. Negotiated Rate	$10.13
Rate for Payer: Qualcare PPO/HMO/WC	$10.13

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$10.83
Max. Negotiated Rate	$10.83
Rate for Payer: Qualcare PPO/HMO/WC	$10.83

SUTURE SILK 3-0 SH

Facility

$72.19

Hospital Charge Code	270671437
Hospital Revenue Code	272
Min. Negotiated Rate	$1.74
Max. Negotiated Rate	$36.09
Rate for Payer: Aetna Commercial	$27.43
Rate for Payer: Aetna Medicare Advantage	$21.66
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$18.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$18.41
Rate for Payer: Cigna Commercial	$36.09
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$21.66
Rate for Payer: Oxford Commercial	$14.44
Rate for Payer: Qualcare PPO/HMO/WC	$10.83
Rate for Payer: UnitedHealthcare Commercial	$14.44
Rate for Payer: UnitedHealthcare Community & State	$1.74
Rate for Payer: Wellpoint Medicaid Managed Care	$1.91

SUTURE SILK 3-0 ST-1

Facility

$7.61

Hospital Charge Code	270676535
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE SILK 3-0 ST-1

Facility

$7.61

Hospital Charge Code	270676535
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.81
Rate for Payer: Aetna Commercial	$2.89
Rate for Payer: Aetna Medicare Advantage	$2.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.94
Rate for Payer: Cigna Commercial	$3.81
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.28
Rate for Payer: Oxford Commercial	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.14
Rate for Payer: UnitedHealthcare Commercial	$1.52
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.20

SUTURE SILK 3-0 TIES

Facility

$10.89

Hospital Charge Code	270655712
Hospital Revenue Code	272
Min. Negotiated Rate	$1.63
Max. Negotiated Rate	$1.63
Rate for Payer: Qualcare PPO/HMO/WC	$1.63

SUTURE SILK 3-0 TIES

Facility

$21.26

Hospital Charge Code	270671432
Hospital Revenue Code	272
Min. Negotiated Rate	$0.51
Max. Negotiated Rate	$10.63
Rate for Payer: Aetna Commercial	$8.08
Rate for Payer: Aetna Medicare Advantage	$6.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.42
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.42
Rate for Payer: Cigna Commercial	$10.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.38
Rate for Payer: Oxford Commercial	$4.25
Rate for Payer: Qualcare PPO/HMO/WC	$3.19
Rate for Payer: UnitedHealthcare Commercial	$4.25
Rate for Payer: UnitedHealthcare Community & State	$0.51
Rate for Payer: Wellpoint Medicaid Managed Care	$0.56

SUTURE SILK 3-0 TIES

Facility

$21.26

Hospital Charge Code	270671432
Hospital Revenue Code	272
Min. Negotiated Rate	$3.19
Max. Negotiated Rate	$3.19
Rate for Payer: Qualcare PPO/HMO/WC	$3.19

SUTURE SILK 3-0 TIES

Facility

$10.89

Hospital Charge Code	270655712
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$2.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.63
Rate for Payer: UnitedHealthcare Commercial	$2.18
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

SUTURE SILK 3-0 V-20

Facility

$5.85

Hospital Charge Code	270671492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.88
Max. Negotiated Rate	$0.88
Rate for Payer: Qualcare PPO/HMO/WC	$0.88

SUTURE SILK 3-0 V-20

Facility

$5.85

Hospital Charge Code	270671492
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.92
Rate for Payer: Aetna Commercial	$2.22
Rate for Payer: Aetna Medicare Advantage	$1.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.49
Rate for Payer: Cigna Commercial	$2.92
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.75
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 SILK 4-0 C-3

Facility

$19.87

Hospital Charge Code	270604703
Hospital Revenue Code	272
Min. Negotiated Rate	$0.48
Max. Negotiated Rate	$9.94
Rate for Payer: Aetna Commercial	$7.55
Rate for Payer: Aetna Medicare Advantage	$5.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.07
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.07
Rate for Payer: Cigna Commercial	$9.94
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.96
Rate for Payer: Oxford Commercial	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$2.98
Rate for Payer: UnitedHealthcare Commercial	$3.97
Rate for Payer: UnitedHealthcare Community & State	$0.48
Rate for Payer: Wellpoint Medicaid Managed Care	$0.53

SUTURE SILK 4-0 C-3

Facility

$19.87

Hospital Charge Code	270604703
Hospital Revenue Code	272
Min. Negotiated Rate	$2.98
Max. Negotiated Rate	$2.98
Rate for Payer: Qualcare PPO/HMO/WC	$2.98

SUTURE SILK 4/0 KS

Facility

$7.23

Hospital Charge Code	270655817
Hospital Revenue Code	272
Min. Negotiated Rate	$0.17
Max. Negotiated Rate	$3.62
Rate for Payer: Aetna Commercial	$2.75
Rate for Payer: Aetna Medicare Advantage	$2.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.84
Rate for Payer: Cigna Commercial	$3.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.17
Rate for Payer: Oxford Commercial	$1.45
Rate for Payer: Qualcare PPO/HMO/WC	$1.08
Rate for Payer: UnitedHealthcare Commercial	$1.45
Rate for Payer: UnitedHealthcare Community & State	$0.17
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE SILK 4/0 KS

Facility

$7.23

Hospital Charge Code	270655817
Hospital Revenue Code	272
Min. Negotiated Rate	$1.08
Max. Negotiated Rate	$1.08
Rate for Payer: Qualcare PPO/HMO/WC	$1.08

SUTURE SILK 4-0 P-3

Facility

$18.11

Hospital Charge Code	270671393
Hospital Revenue Code	272
Min. Negotiated Rate	$2.72
Max. Negotiated Rate	$2.72
Rate for Payer: Qualcare PPO/HMO/WC	$2.72

SUTURE SILK 4-0 P-3

Facility

$18.11

Hospital Charge Code	270671393
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$9.05
Rate for Payer: Aetna Commercial	$6.88
Rate for Payer: Aetna Medicare Advantage	$5.43
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.62
Rate for Payer: Cigna Commercial	$9.05
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.43
Rate for Payer: Oxford Commercial	$3.62
Rate for Payer: Qualcare PPO/HMO/WC	$2.72
Rate for Payer: UnitedHealthcare Commercial	$3.62
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.48

SUTURE SILK 4-0 RB-1

Facility

$8.40

Hospital Charge Code	270655867
Hospital Revenue Code	272
Min. Negotiated Rate	$0.20
Max. Negotiated Rate	$4.20
Rate for Payer: Aetna Commercial	$3.19
Rate for Payer: Aetna Medicare Advantage	$2.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.14
Rate for Payer: Cigna Commercial	$4.20
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.52
Rate for Payer: Oxford Commercial	$1.68
Rate for Payer: Qualcare PPO/HMO/WC	$1.26
Rate for Payer: UnitedHealthcare Commercial	$1.68
Rate for Payer: UnitedHealthcare Community & State	$0.20
Rate for Payer: Wellpoint Medicaid Managed Care	$0.22

SUTURE SILK 4-0 RB-1

Facility

$8.40

Hospital Charge Code	270655867
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$1.26

SUTURE SILK 4-0 SH

Facility

$46.81

Hospital Charge Code	270671439
Hospital Revenue Code	272
Min. Negotiated Rate	$1.13
Max. Negotiated Rate	$23.41
Rate for Payer: Aetna Commercial	$17.79
Rate for Payer: Aetna Medicare Advantage	$14.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$11.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$11.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$11.94
Rate for Payer: Cigna Commercial	$23.41
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.04
Rate for Payer: Oxford Commercial	$9.36
Rate for Payer: Qualcare PPO/HMO/WC	$7.02
Rate for Payer: UnitedHealthcare Commercial	$9.36
Rate for Payer: UnitedHealthcare Community & State	$1.13
Rate for Payer: Wellpoint Medicaid Managed Care	$1.24

SUTURE SILK 4-0 SH

Facility

$46.81

Hospital Charge Code	270671439
Hospital Revenue Code	272
Min. Negotiated Rate	$7.02
Max. Negotiated Rate	$7.02
Rate for Payer: Qualcare PPO/HMO/WC	$7.02

SUTURE SILK 4-0 TIES

Facility

$10.89

Hospital Charge Code	270671500
Hospital Revenue Code	272
Min. Negotiated Rate	$0.26
Max. Negotiated Rate	$5.45
Rate for Payer: Aetna Commercial	$4.14
Rate for Payer: Aetna Medicare Advantage	$3.27
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.78
Rate for Payer: Cigna Commercial	$5.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.27
Rate for Payer: Oxford Commercial	$2.18
Rate for Payer: Qualcare PPO/HMO/WC	$1.63
Rate for Payer: UnitedHealthcare Commercial	$2.18
Rate for Payer: UnitedHealthcare Community & State	$0.26
Rate for Payer: Wellpoint Medicaid Managed Care	$0.29

Know your out-of-pocket cost for care.

All Charges