Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SILK 4-0 TIES

Facility

$21.54

Hospital Charge Code	270671431
Hospital Revenue Code	272
Min. Negotiated Rate	$3.23
Max. Negotiated Rate	$3.23
Rate for Payer: Qualcare PPO/HMO/WC	$3.23

SUTURE SILK 4-0 TIES

Facility

$21.54

Hospital Charge Code	270671431
Hospital Revenue Code	272
Min. Negotiated Rate	$0.52
Max. Negotiated Rate	$10.77
Rate for Payer: Aetna Commercial	$8.19
Rate for Payer: Aetna Medicare Advantage	$6.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.49
Rate for Payer: Cigna Commercial	$10.77
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.46
Rate for Payer: Oxford Commercial	$4.31
Rate for Payer: Qualcare PPO/HMO/WC	$3.23
Rate for Payer: UnitedHealthcare Commercial	$4.31
Rate for Payer: UnitedHealthcare Community & State	$0.52
Rate for Payer: Wellpoint Medicaid Managed Care	$0.57

SUTURE SILK 4-0 TIES

Facility

$10.89

Hospital Charge Code	270671500
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 4-0 V-20

Facility

$5.96

Hospital Charge Code	270664549
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$0.89
Rate for Payer: Qualcare PPO/HMO/WC	$0.89

SUTURE SILK 4-0 V-20

Facility

$5.96

Hospital Charge Code	270664549
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$2.98
Rate for Payer: Aetna Commercial	$2.26
Rate for Payer: Aetna Medicare Advantage	$1.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.52
Rate for Payer: Cigna Commercial	$2.98
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$0.89
Rate for Payer: UnitedHealthcare Commercial	$1.19
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

SUTURE SILK 5-0 P-3

Facility

$18.66

Hospital Charge Code	270671392
Hospital Revenue Code	272
Min. Negotiated Rate	$2.80
Max. Negotiated Rate	$2.80
Rate for Payer: Qualcare PPO/HMO/WC	$2.80

SUTURE SILK 5-0 P-3

Facility

$18.66

Hospital Charge Code	270671392
Hospital Revenue Code	272
Min. Negotiated Rate	$0.45
Max. Negotiated Rate	$9.33
Rate for Payer: Aetna Commercial	$7.09
Rate for Payer: Aetna Medicare Advantage	$5.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.76
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.76
Rate for Payer: Cigna Commercial	$9.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.60
Rate for Payer: Oxford Commercial	$3.73
Rate for Payer: Qualcare PPO/HMO/WC	$2.80
Rate for Payer: UnitedHealthcare Commercial	$3.73
Rate for Payer: UnitedHealthcare Community & State	$0.45
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SILK 6-0 BLK BR G-7 18

Facility

$1,464.60

Hospital Charge Code	270662653
Hospital Revenue Code	272
Min. Negotiated Rate	$35.30
Max. Negotiated Rate	$732.30
Rate for Payer: Aetna Commercial	$556.55
Rate for Payer: Aetna Medicare Advantage	$439.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$373.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$373.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$373.47
Rate for Payer: Cigna Commercial	$732.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$439.38
Rate for Payer: Oxford Commercial	$292.92
Rate for Payer: Qualcare PPO/HMO/WC	$219.69
Rate for Payer: UnitedHealthcare Commercial	$292.92
Rate for Payer: UnitedHealthcare Community & State	$35.30
Rate for Payer: Wellpoint Medicaid Managed Care	$38.81

SUTURE SILK 6-0 BLK BR G-7 18

Facility

$1,464.60

Hospital Charge Code	270662653
Hospital Revenue Code	272
Min. Negotiated Rate	$219.69
Max. Negotiated Rate	$219.69
Rate for Payer: Qualcare PPO/HMO/WC	$219.69

SUTURE SILK 6-0 G-11

Facility

$23.43

Hospital Charge Code	270655847
Hospital Revenue Code	272
Min. Negotiated Rate	$0.56
Max. Negotiated Rate	$11.71
Rate for Payer: Aetna Commercial	$8.90
Rate for Payer: Aetna Medicare Advantage	$7.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5.97
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5.97
Rate for Payer: Cigna Commercial	$11.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.03
Rate for Payer: Oxford Commercial	$4.69
Rate for Payer: Qualcare PPO/HMO/WC	$3.51
Rate for Payer: UnitedHealthcare Commercial	$4.69
Rate for Payer: UnitedHealthcare Community & State	$0.56
Rate for Payer: Wellpoint Medicaid Managed Care	$0.62

SUTURE SILK 6-0 G-11

Facility

$23.43

Hospital Charge Code	270655847
Hospital Revenue Code	272
Min. Negotiated Rate	$3.51
Max. Negotiated Rate	$3.51
Rate for Payer: Qualcare PPO/HMO/WC	$3.51

SUTURE SILK 7-0, 18 INCH

Facility

$499.35

Hospital Charge Code	270657448
Hospital Revenue Code	272
Min. Negotiated Rate	$12.03
Max. Negotiated Rate	$249.68
Rate for Payer: Aetna Commercial	$189.75
Rate for Payer: Aetna Medicare Advantage	$149.81
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$127.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$127.33
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$127.33
Rate for Payer: Cigna Commercial	$249.68
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$149.81
Rate for Payer: Oxford Commercial	$99.87
Rate for Payer: Qualcare PPO/HMO/WC	$74.90
Rate for Payer: UnitedHealthcare Commercial	$99.87
Rate for Payer: UnitedHealthcare Community & State	$12.03
Rate for Payer: Wellpoint Medicaid Managed Care	$13.23

SUTURE SILK 7-0, 18 INCH

Facility

$499.35

Hospital Charge Code	270657448
Hospital Revenue Code	272
Min. Negotiated Rate	$74.90
Max. Negotiated Rate	$74.90
Rate for Payer: Qualcare PPO/HMO/WC	$74.90

SUTURE SILK 7-0 BLK BR G-7 18

Facility

$1,477.40

Hospital Charge Code	270662652
Hospital Revenue Code	272
Min. Negotiated Rate	$221.61
Max. Negotiated Rate	$221.61
Rate for Payer: Qualcare PPO/HMO/WC	$221.61

SUTURE SILK 7-0 BLK BR G-7 18

Facility

$1,477.40

Hospital Charge Code	270662652
Hospital Revenue Code	272
Min. Negotiated Rate	$35.61
Max. Negotiated Rate	$738.70
Rate for Payer: Aetna Commercial	$561.41
Rate for Payer: Aetna Medicare Advantage	$443.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$376.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$376.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$376.74
Rate for Payer: Cigna Commercial	$738.70
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$443.22
Rate for Payer: Oxford Commercial	$295.48
Rate for Payer: Qualcare PPO/HMO/WC	$221.61
Rate for Payer: UnitedHealthcare Commercial	$295.48
Rate for Payer: UnitedHealthcare Community & State	$35.61
Rate for Payer: Wellpoint Medicaid Managed Care	$39.15

SUTURE SILK C3 8-0

Facility

$100.95

Hospital Charge Code	270608746
Hospital Revenue Code	272
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$50.48
Rate for Payer: Aetna Commercial	$38.36
Rate for Payer: Aetna Medicare Advantage	$30.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$25.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$25.74
Rate for Payer: Cigna Commercial	$50.48
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$30.29
Rate for Payer: Oxford Commercial	$20.19
Rate for Payer: Qualcare PPO/HMO/WC	$15.14
Rate for Payer: UnitedHealthcare Commercial	$20.19
Rate for Payer: UnitedHealthcare Community & State	$2.43
Rate for Payer: Wellpoint Medicaid Managed Care	$2.68

SUTURE SILK C3 8-0

Facility

$100.95

Hospital Charge Code	270608746
Hospital Revenue Code	272
Min. Negotiated Rate	$15.14
Max. Negotiated Rate	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$15.14

SUTURE SILK CP1 2-0

Facility

$26.45

Hospital Charge Code	270604597
Hospital Revenue Code	272
Min. Negotiated Rate	$0.64
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$10.05
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$5.29
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$5.29
Rate for Payer: UnitedHealthcare Community & State	$0.64
Rate for Payer: Wellpoint Medicaid Managed Care	$0.70

SUTURE SILK CP1 2-0

Facility

$26.45

Hospital Charge Code	270604597
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$4.29
Max. Negotiated Rate	$6.92
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.29
Rate for Payer: Qualcare PPO/HMO/WC	$4.29

SUTURE SILK LR REV CUT 1X30

Facility

$28.60

Hospital Charge Code	270702979
Hospital Revenue Code	278
Min. Negotiated Rate	$0.69
Max. Negotiated Rate	$14.30
Rate for Payer: Aetna Commercial	$10.87
Rate for Payer: Aetna Medicare Advantage	$8.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$5.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.29
Rate for Payer: Cigna Commercial	$14.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6.92
Rate for Payer: New Jersey Carpenters Health Fund Self Funded Medical Benefit Plan	$6.29
Rate for Payer: Qualcare PPO/HMO/WC	$4.29
Rate for Payer: UnitedHealthcare Community & State	$0.69
Rate for Payer: Wellpoint Medicaid Managed Care	$0.76

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$0.44
Max. Negotiated Rate	$9.21
Rate for Payer: Aetna Commercial	$7.00
Rate for Payer: Aetna Medicare Advantage	$5.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.70
Rate for Payer: Cigna Commercial	$9.21
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.53
Rate for Payer: Oxford Commercial	$3.68
Rate for Payer: Qualcare PPO/HMO/WC	$2.76
Rate for Payer: UnitedHealthcare Commercial	$3.68
Rate for Payer: UnitedHealthcare Community & State	$0.44
Rate for Payer: Wellpoint Medicaid Managed Care	$0.49

SUTURE SILK P3 6-0

Facility

$18.42

Hospital Charge Code	270604608
Hospital Revenue Code	272
Min. Negotiated Rate	$2.76
Max. Negotiated Rate	$2.76
Rate for Payer: Qualcare PPO/HMO/WC	$2.76

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$3,435.30
Max. Negotiated Rate	$3,435.30
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30

SUTURE SMALL INTESTINE

Facility

$22,902.00

Service Code	HCPCS 44602
Hospital Charge Code	1600000876
Hospital Revenue Code	360
Min. Negotiated Rate	$551.94
Max. Negotiated Rate	$16,533.87
Rate for Payer: Aetna Commercial	$12,458.69
Rate for Payer: Aetna Medicare Advantage	$14,840.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$16,533.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$16,533.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Medicare Advantage	$4,580.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,626.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$16,533.87
Rate for Payer: Cigna Commercial	$9,181.40
Rate for Payer: Cigna Medicare Advantage	$4,580.40
Rate for Payer: Clover Medicare Advantage	$4,351.38
Rate for Payer: EmblemHealth Commercial	$13,741.20
Rate for Payer: Humana Medicare Advantage	$4,717.81
Rate for Payer: Longevity Health Plan of New Jersey Medicare Advantage	$4,580.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$6,870.60
Rate for Payer: Oxford Commercial	$4,871.00
Rate for Payer: Qualcare PPO/HMO/WC	$3,435.30
Rate for Payer: UnitedHealthcare Commercial	$8,157.00
Rate for Payer: UnitedHealthcare Community & State	$551.94
Rate for Payer: UnitedHealthcare Medicare Advantage	$4,580.40
Rate for Payer: Wellcare Medicare Advantage	$4,580.40
Rate for Payer: Wellpoint Medicaid Managed Care	$606.90

Know your out-of-pocket cost for care.

All Charges