Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE STEEL NON NEEDLE PRODUC

Facility

$19.16

Hospital Charge Code	270651348
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

SUTURE STERNOTOMY USP SZ6

Facility

$37.65

Hospital Charge Code	270604715
Hospital Revenue Code	272
Min. Negotiated Rate	$0.91
Max. Negotiated Rate	$18.82
Rate for Payer: Aetna Commercial	$14.31
Rate for Payer: Aetna Medicare Advantage	$11.29
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.60
Rate for Payer: Cigna Commercial	$18.82
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.29
Rate for Payer: Oxford Commercial	$7.53
Rate for Payer: Qualcare PPO/HMO/WC	$5.65
Rate for Payer: UnitedHealthcare Commercial	$7.53
Rate for Payer: UnitedHealthcare Community & State	$0.91
Rate for Payer: Wellpoint Medicaid Managed Care	$1.00

SUTURE STERNOTOMY USP SZ6

Facility

$37.65

Hospital Charge Code	270604715
Hospital Revenue Code	272
Min. Negotiated Rate	$5.65
Max. Negotiated Rate	$5.65
Rate for Payer: Qualcare PPO/HMO/WC	$5.65

SUTURE STRATA 0 MH

Facility

$75.68

Hospital Charge Code	270671509
Hospital Revenue Code	272
Min. Negotiated Rate	$1.82
Max. Negotiated Rate	$37.84
Rate for Payer: Aetna Commercial	$28.76
Rate for Payer: Aetna Medicare Advantage	$22.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.30
Rate for Payer: Cigna Commercial	$37.84
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$22.70
Rate for Payer: Oxford Commercial	$15.14
Rate for Payer: Qualcare PPO/HMO/WC	$11.35
Rate for Payer: UnitedHealthcare Commercial	$15.14
Rate for Payer: UnitedHealthcare Community & State	$1.82
Rate for Payer: Wellpoint Medicaid Managed Care	$2.01

SUTURE STRATA 0 MH

Facility

$75.68

Hospital Charge Code	270671509
Hospital Revenue Code	272
Min. Negotiated Rate	$11.35
Max. Negotiated Rate	$11.35
Rate for Payer: Qualcare PPO/HMO/WC	$11.35

SUTURE STRATA 1 CT-1

Facility

$112.61

Hospital Charge Code	270671512
Hospital Revenue Code	272
Min. Negotiated Rate	$16.89
Max. Negotiated Rate	$16.89
Rate for Payer: Qualcare PPO/HMO/WC	$16.89

SUTURE STRATA 1 CT-1

Facility

$112.61

Hospital Charge Code	270671512
Hospital Revenue Code	272
Min. Negotiated Rate	$2.71
Max. Negotiated Rate	$56.30
Rate for Payer: Aetna Commercial	$42.79
Rate for Payer: Aetna Medicare Advantage	$33.78
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.72
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.72
Rate for Payer: Cigna Commercial	$56.30
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.78
Rate for Payer: Oxford Commercial	$22.52
Rate for Payer: Qualcare PPO/HMO/WC	$16.89
Rate for Payer: UnitedHealthcare Commercial	$22.52
Rate for Payer: UnitedHealthcare Community & State	$2.71
Rate for Payer: Wellpoint Medicaid Managed Care	$2.98

SUTURE STRATA 1 CTX

Facility

$104.05

Hospital Charge Code	270673096
Hospital Revenue Code	272
Min. Negotiated Rate	$15.61
Max. Negotiated Rate	$15.61
Rate for Payer: Qualcare PPO/HMO/WC	$15.61

SUTURE STRATA 1 CTX

Facility

$104.05

Hospital Charge Code	270673096
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.02
Rate for Payer: Aetna Commercial	$39.54
Rate for Payer: Aetna Medicare Advantage	$31.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.53
Rate for Payer: Cigna Commercial	$52.02
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.21
Rate for Payer: Oxford Commercial	$20.81
Rate for Payer: Qualcare PPO/HMO/WC	$15.61
Rate for Payer: UnitedHealthcare Commercial	$20.81
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

SUTURE STRATA 2-0 CT-1 20CM

Facility

$111.04

Hospital Charge Code	270671506
Hospital Revenue Code	272
Min. Negotiated Rate	$16.66
Max. Negotiated Rate	$16.66
Rate for Payer: Qualcare PPO/HMO/WC	$16.66

SUTURE STRATA 2-0 CT-1 20CM

Facility

$111.04

Hospital Charge Code	270671506
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.52
Rate for Payer: Aetna Commercial	$42.20
Rate for Payer: Aetna Medicare Advantage	$33.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$55.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.31
Rate for Payer: Oxford Commercial	$22.21
Rate for Payer: Qualcare PPO/HMO/WC	$16.66
Rate for Payer: UnitedHealthcare Commercial	$22.21
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.94

SUTURE STRATA 2-0 CT-1 30CM

Facility

$86.66

Hospital Charge Code	270671507
Hospital Revenue Code	272
Min. Negotiated Rate	$2.09
Max. Negotiated Rate	$43.33
Rate for Payer: Aetna Commercial	$32.93
Rate for Payer: Aetna Medicare Advantage	$26.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.10
Rate for Payer: Cigna Commercial	$43.33
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$26.00
Rate for Payer: Oxford Commercial	$17.33
Rate for Payer: Qualcare PPO/HMO/WC	$13.00
Rate for Payer: UnitedHealthcare Commercial	$17.33
Rate for Payer: UnitedHealthcare Community & State	$2.09
Rate for Payer: Wellpoint Medicaid Managed Care	$2.30

SUTURE STRATA 2-0 CT-1 30CM

Facility

$86.66

Hospital Charge Code	270671507
Hospital Revenue Code	272
Min. Negotiated Rate	$13.00
Max. Negotiated Rate	$13.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.00

SUTURE STRATA 2-0 MH

Facility

$131.51

Hospital Charge Code	270671508
Hospital Revenue Code	272
Min. Negotiated Rate	$3.17
Max. Negotiated Rate	$65.75
Rate for Payer: Aetna Commercial	$49.97
Rate for Payer: Aetna Medicare Advantage	$39.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$33.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$33.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$33.54
Rate for Payer: Cigna Commercial	$65.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.45
Rate for Payer: Oxford Commercial	$26.30
Rate for Payer: Qualcare PPO/HMO/WC	$19.73
Rate for Payer: UnitedHealthcare Commercial	$26.30
Rate for Payer: UnitedHealthcare Community & State	$3.17
Rate for Payer: Wellpoint Medicaid Managed Care	$3.49

SUTURE STRATA 2-0 MH

Facility

$131.51

Hospital Charge Code	270671508
Hospital Revenue Code	272
Min. Negotiated Rate	$19.73
Max. Negotiated Rate	$19.73
Rate for Payer: Qualcare PPO/HMO/WC	$19.73

SUTURE STRATA 2-0 PDS CT01

Facility

$113.32

Hospital Charge Code	270681809
Hospital Revenue Code	272
Min. Negotiated Rate	$2.73
Max. Negotiated Rate	$56.66
Rate for Payer: Aetna Commercial	$43.06
Rate for Payer: Aetna Medicare Advantage	$34.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.90
Rate for Payer: Cigna Commercial	$56.66
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.00
Rate for Payer: Oxford Commercial	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$17.00
Rate for Payer: UnitedHealthcare Commercial	$22.66
Rate for Payer: UnitedHealthcare Community & State	$2.73
Rate for Payer: Wellpoint Medicaid Managed Care	$3.00

SUTURE STRATA 2-0 PDS CT01

Facility

$113.32

Hospital Charge Code	270681809
Hospital Revenue Code	272
Min. Negotiated Rate	$17.00
Max. Negotiated Rate	$17.00
Rate for Payer: Qualcare PPO/HMO/WC	$17.00

SUTURE STRATA 2-0 PGA/PCL 20CM

Facility

$111.04

Hospital Charge Code	270672361
Hospital Revenue Code	272
Min. Negotiated Rate	$2.68
Max. Negotiated Rate	$55.52
Rate for Payer: Aetna Commercial	$42.20
Rate for Payer: Aetna Medicare Advantage	$33.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$28.32
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$28.32
Rate for Payer: Cigna Commercial	$55.52
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$33.31
Rate for Payer: Oxford Commercial	$22.21
Rate for Payer: Qualcare PPO/HMO/WC	$16.66
Rate for Payer: UnitedHealthcare Commercial	$22.21
Rate for Payer: UnitedHealthcare Community & State	$2.68
Rate for Payer: Wellpoint Medicaid Managed Care	$2.94

SUTURE STRATA 2-0 PGA/PCL 20CM

Facility

$111.04

Hospital Charge Code	270672361
Hospital Revenue Code	272
Min. Negotiated Rate	$16.66
Max. Negotiated Rate	$16.66
Rate for Payer: Qualcare PPO/HMO/WC	$16.66

SUTURE STRATA 2-0 PGA/PCL 45CM

Facility

$113.89

Hospital Charge Code	270672226
Hospital Revenue Code	272
Min. Negotiated Rate	$2.74
Max. Negotiated Rate	$56.95
Rate for Payer: Aetna Commercial	$43.28
Rate for Payer: Aetna Medicare Advantage	$34.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.04
Rate for Payer: Cigna Commercial	$56.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$34.17
Rate for Payer: Oxford Commercial	$22.78
Rate for Payer: Qualcare PPO/HMO/WC	$17.08
Rate for Payer: UnitedHealthcare Commercial	$22.78
Rate for Payer: UnitedHealthcare Community & State	$2.74
Rate for Payer: Wellpoint Medicaid Managed Care	$3.02

SUTURE STRATA 2-0 PGA/PCL 45CM

Facility

$113.89

Hospital Charge Code	270672226
Hospital Revenue Code	272
Min. Negotiated Rate	$17.08
Max. Negotiated Rate	$17.08
Rate for Payer: Qualcare PPO/HMO/WC	$17.08

SUTURE STRATA 2-0 SH 20CM

Facility

$144.84

Hospital Charge Code	270671510
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

SUTURE STRATA 2-0 SH 20CM

Facility

$144.84

Hospital Charge Code	270671510
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$55.04
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.93
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.45
Rate for Payer: Oxford Commercial	$28.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$28.97
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

SUTURE STRATA 2-0 SH 28CM

Facility

$144.84

Hospital Charge Code	270671511
Hospital Revenue Code	272
Min. Negotiated Rate	$3.49
Max. Negotiated Rate	$72.42
Rate for Payer: Aetna Commercial	$55.04
Rate for Payer: Aetna Medicare Advantage	$43.45
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.93
Rate for Payer: Cigna Commercial	$72.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.45
Rate for Payer: Oxford Commercial	$28.97
Rate for Payer: Qualcare PPO/HMO/WC	$21.73
Rate for Payer: UnitedHealthcare Commercial	$28.97
Rate for Payer: UnitedHealthcare Community & State	$3.49
Rate for Payer: Wellpoint Medicaid Managed Care	$3.84

SUTURE STRATA 2-0 SH 28CM

Facility

$144.84

Hospital Charge Code	270671511
Hospital Revenue Code	272
Min. Negotiated Rate	$21.73
Max. Negotiated Rate	$21.73
Rate for Payer: Qualcare PPO/HMO/WC	$21.73

Know your out-of-pocket cost for care.

All Charges