Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SOFSILK V20 0

Facility

$16.85

Hospital Charge Code	270604598
Hospital Revenue Code	272
Min. Negotiated Rate	$0.41
Max. Negotiated Rate	$8.43
Rate for Payer: Aetna Commercial	$6.40
Rate for Payer: Aetna Medicare Advantage	$5.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.30
Rate for Payer: Cigna Commercial	$8.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.05
Rate for Payer: Oxford Commercial	$3.37
Rate for Payer: Qualcare PPO/HMO/WC	$2.53
Rate for Payer: UnitedHealthcare Commercial	$3.37
Rate for Payer: UnitedHealthcare Community & State	$0.41
Rate for Payer: Wellpoint Medicaid Managed Care	$0.45

SUTURE SOFSILK V20 0

Facility

$16.85

Hospital Charge Code	270604598
Hospital Revenue Code	272
Min. Negotiated Rate	$2.53
Max. Negotiated Rate	$2.53
Rate for Payer: Qualcare PPO/HMO/WC	$2.53

SUTURE SOFSILK V20 4-0

Facility

$36.85

Hospital Charge Code	270604604
Hospital Revenue Code	272
Min. Negotiated Rate	$5.53
Max. Negotiated Rate	$5.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.53

SUTURE SOFSILK V20 4-0

Facility

$36.85

Hospital Charge Code	270604604
Hospital Revenue Code	272
Min. Negotiated Rate	$0.89
Max. Negotiated Rate	$18.43
Rate for Payer: Aetna Commercial	$14.00
Rate for Payer: Aetna Medicare Advantage	$11.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.40
Rate for Payer: Cigna Commercial	$18.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.05
Rate for Payer: Oxford Commercial	$7.37
Rate for Payer: Qualcare PPO/HMO/WC	$5.53
Rate for Payer: UnitedHealthcare Commercial	$7.37
Rate for Payer: UnitedHealthcare Community & State	$0.89
Rate for Payer: Wellpoint Medicaid Managed Care	$0.98

SUTURE SOFSILK V-26 1 30 BLACK

Facility

$5.25

Hospital Charge Code	270651242
Hospital Revenue Code	272
Min. Negotiated Rate	$0.13
Max. Negotiated Rate	$2.62
Rate for Payer: Aetna Commercial	$2.00
Rate for Payer: Aetna Medicare Advantage	$1.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.34
Rate for Payer: Cigna Commercial	$2.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.57
Rate for Payer: Oxford Commercial	$1.05
Rate for Payer: Qualcare PPO/HMO/WC	$0.79
Rate for Payer: UnitedHealthcare Commercial	$1.05
Rate for Payer: UnitedHealthcare Community & State	$0.13
Rate for Payer: Wellpoint Medicaid Managed Care	$0.14

SUTURE SOFSILK V-26 1 30 BLACK

Facility

$5.25

Hospital Charge Code	270651242
Hospital Revenue Code	272
Min. Negotiated Rate	$0.79
Max. Negotiated Rate	$0.79
Rate for Payer: Qualcare PPO/HMO/WC	$0.79

SUTURE SPECIALITY

Facility

$161.65

Hospital Charge Code	270999003
Hospital Revenue Code	272
Min. Negotiated Rate	$24.25
Max. Negotiated Rate	$24.25
Rate for Payer: Qualcare PPO/HMO/WC	$24.25

SUTURE SPECIALITY

Facility

$161.65

Hospital Charge Code	270999003
Hospital Revenue Code	272
Min. Negotiated Rate	$3.90
Max. Negotiated Rate	$80.83
Rate for Payer: Aetna Commercial	$61.43
Rate for Payer: Aetna Medicare Advantage	$48.49
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.22
Rate for Payer: Cigna Commercial	$80.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$48.49
Rate for Payer: Oxford Commercial	$32.33
Rate for Payer: Qualcare PPO/HMO/WC	$24.25
Rate for Payer: UnitedHealthcare Commercial	$32.33
Rate for Payer: UnitedHealthcare Community & State	$3.90
Rate for Payer: Wellpoint Medicaid Managed Care	$4.28

SUTURE SPEEDSTITCH MAGNUMWIRE

Facility

$1,625.00

Hospital Charge Code	270668393
Hospital Revenue Code	272
Min. Negotiated Rate	$39.16
Max. Negotiated Rate	$812.50
Rate for Payer: Aetna Commercial	$617.50
Rate for Payer: Aetna Medicare Advantage	$487.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$414.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$414.38
Rate for Payer: Cigna Commercial	$812.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$487.50
Rate for Payer: Oxford Commercial	$325.00
Rate for Payer: Qualcare PPO/HMO/WC	$243.75
Rate for Payer: UnitedHealthcare Commercial	$325.00
Rate for Payer: UnitedHealthcare Community & State	$39.16
Rate for Payer: Wellpoint Medicaid Managed Care	$43.06

SUTURE SPEEDSTITCH MAGNUMWIRE

Facility

$1,625.00

Hospital Charge Code	270668393
Hospital Revenue Code	272
Min. Negotiated Rate	$243.75
Max. Negotiated Rate	$243.75
Rate for Payer: Qualcare PPO/HMO/WC	$243.75

SUTURE SPIRA L-PCL 4-0 PS-2

Facility

$210.72

Hospital Charge Code	270672264
Hospital Revenue Code	272
Min. Negotiated Rate	$31.61
Max. Negotiated Rate	$31.61
Rate for Payer: Qualcare PPO/HMO/WC	$31.61

SUTURE SPIRA L-PCL 4-0 PS-2

Facility

$210.72

Hospital Charge Code	270672264
Hospital Revenue Code	272
Min. Negotiated Rate	$5.08
Max. Negotiated Rate	$105.36
Rate for Payer: Aetna Commercial	$80.07
Rate for Payer: Aetna Medicare Advantage	$63.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$53.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$53.73
Rate for Payer: Cigna Commercial	$105.36
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$63.22
Rate for Payer: Oxford Commercial	$42.14
Rate for Payer: Qualcare PPO/HMO/WC	$31.61
Rate for Payer: UnitedHealthcare Commercial	$42.14
Rate for Payer: UnitedHealthcare Community & State	$5.08
Rate for Payer: Wellpoint Medicaid Managed Care	$5.58

SUTURE SPIRAL PDS PLUS 45X45CM

Facility

$107.25

Hospital Charge Code	270699003
Hospital Revenue Code	272
Min. Negotiated Rate	$16.09
Max. Negotiated Rate	$16.09
Rate for Payer: Qualcare PPO/HMO/WC	$16.09

SUTURE SPIRAL PDS PLUS 45X45CM

Facility

$107.25

Hospital Charge Code	270699003
Hospital Revenue Code	272
Min. Negotiated Rate	$2.58
Max. Negotiated Rate	$53.62
Rate for Payer: Aetna Commercial	$40.76
Rate for Payer: Aetna Medicare Advantage	$32.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.35
Rate for Payer: Cigna Commercial	$53.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$32.17
Rate for Payer: Oxford Commercial	$21.45
Rate for Payer: Qualcare PPO/HMO/WC	$16.09
Rate for Payer: UnitedHealthcare Commercial	$21.45
Rate for Payer: UnitedHealthcare Community & State	$2.58
Rate for Payer: Wellpoint Medicaid Managed Care	$2.84

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$0.19
Max. Negotiated Rate	$3.95
Rate for Payer: Aetna Commercial	$3.00
Rate for Payer: Aetna Medicare Advantage	$2.37
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.01
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.01
Rate for Payer: Cigna Commercial	$3.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.37
Rate for Payer: Oxford Commercial	$1.58
Rate for Payer: Qualcare PPO/HMO/WC	$1.19
Rate for Payer: UnitedHealthcare Commercial	$1.58
Rate for Payer: UnitedHealthcare Community & State	$0.19
Rate for Payer: Wellpoint Medicaid Managed Care	$0.21

SUTURE SR6LON 4-0 BK 5X18

Facility

$7.90

Hospital Charge Code	270656034
Hospital Revenue Code	272
Min. Negotiated Rate	$1.19
Max. Negotiated Rate	$1.19
Rate for Payer: Qualcare PPO/HMO/WC	$1.19

SUTURE STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$4.58
Max. Negotiated Rate	$4.58
Rate for Payer: Qualcare PPO/HMO/WC	$4.58

SUTURE STEEL 0 TIES

Facility

$30.56

Hospital Charge Code	270659091
Hospital Revenue Code	272
Min. Negotiated Rate	$0.74
Max. Negotiated Rate	$15.28
Rate for Payer: Aetna Commercial	$11.61
Rate for Payer: Aetna Medicare Advantage	$9.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$7.79
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$7.79
Rate for Payer: Cigna Commercial	$15.28
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.17
Rate for Payer: Oxford Commercial	$6.11
Rate for Payer: Qualcare PPO/HMO/WC	$4.58
Rate for Payer: UnitedHealthcare Commercial	$6.11
Rate for Payer: UnitedHealthcare Community & State	$0.74
Rate for Payer: Wellpoint Medicaid Managed Care	$0.81

SUTURE STEEL 2-0 FSLX

Facility

$10.13

Hospital Charge Code	270659092
Hospital Revenue Code	272
Min. Negotiated Rate	$0.24
Max. Negotiated Rate	$5.07
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.58
Rate for Payer: Cigna Commercial	$5.07
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.04
Rate for Payer: Oxford Commercial	$2.03
Rate for Payer: Qualcare PPO/HMO/WC	$1.52
Rate for Payer: UnitedHealthcare Commercial	$2.03
Rate for Payer: UnitedHealthcare Community & State	$0.24
Rate for Payer: Wellpoint Medicaid Managed Care	$0.27

SUTURE STEEL 2-0 FSLX

Facility

$10.13

Hospital Charge Code	270659092
Hospital Revenue Code	272
Min. Negotiated Rate	$1.52
Max. Negotiated Rate	$1.52
Rate for Payer: Qualcare PPO/HMO/WC	$1.52

SUTURE STEEL 5 MONO B&S20 CCS

Facility

$135.45

Hospital Charge Code	270636868
Hospital Revenue Code	272
Min. Negotiated Rate	$3.26
Max. Negotiated Rate	$67.72
Rate for Payer: Aetna Commercial	$51.47
Rate for Payer: Aetna Medicare Advantage	$40.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.54
Rate for Payer: Cigna Commercial	$67.72
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.63
Rate for Payer: Oxford Commercial	$27.09
Rate for Payer: Qualcare PPO/HMO/WC	$20.32
Rate for Payer: UnitedHealthcare Commercial	$27.09
Rate for Payer: UnitedHealthcare Community & State	$3.26
Rate for Payer: Wellpoint Medicaid Managed Care	$3.59

SUTURE STEEL 5 MONO B&S20 CCS

Facility

$135.45

Hospital Charge Code	270636868
Hospital Revenue Code	272
Min. Negotiated Rate	$20.32
Max. Negotiated Rate	$20.32
Rate for Payer: Qualcare PPO/HMO/WC	$20.32

SUTURE STEEL CCS 7 18IN

Facility

$194.67

Hospital Charge Code	270676502
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$97.33
Rate for Payer: Aetna Commercial	$73.97
Rate for Payer: Aetna Medicare Advantage	$58.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$49.64
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$49.64
Rate for Payer: Cigna Commercial	$97.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$58.40
Rate for Payer: Oxford Commercial	$38.93
Rate for Payer: Qualcare PPO/HMO/WC	$29.20
Rate for Payer: UnitedHealthcare Commercial	$38.93
Rate for Payer: UnitedHealthcare Community & State	$4.69
Rate for Payer: Wellpoint Medicaid Managed Care	$5.16

SUTURE STEEL CCS 7 18IN

Facility

$194.67

Hospital Charge Code	270676502
Hospital Revenue Code	272
Min. Negotiated Rate	$29.20
Max. Negotiated Rate	$29.20
Rate for Payer: Qualcare PPO/HMO/WC	$29.20

SUTURE STEEL NON NEEDLE PRODUC

Facility

$19.16

Hospital Charge Code	270651348
Hospital Revenue Code	272
Min. Negotiated Rate	$0.46
Max. Negotiated Rate	$9.58
Rate for Payer: Aetna Commercial	$7.28
Rate for Payer: Aetna Medicare Advantage	$5.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.89
Rate for Payer: Cigna Commercial	$9.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.75
Rate for Payer: Oxford Commercial	$3.83
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$3.83
Rate for Payer: UnitedHealthcare Community & State	$0.46
Rate for Payer: Wellpoint Medicaid Managed Care	$0.51

Know your out-of-pocket cost for care.

All Charges