Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE STRATA 3-0 PGA/PCL 30CM

Facility

$106.55

Hospital Charge Code	270673095
Hospital Revenue Code	272
Min. Negotiated Rate	$15.98
Max. Negotiated Rate	$15.98
Rate for Payer: Qualcare PPO/HMO/WC	$15.98

SUTURE STRATA 3-0 PGA/PCL 30CM

Facility

$106.55

Hospital Charge Code	270673095
Hospital Revenue Code	272
Min. Negotiated Rate	$2.57
Max. Negotiated Rate	$53.27
Rate for Payer: Aetna Commercial	$40.49
Rate for Payer: Aetna Medicare Advantage	$31.96
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$27.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$27.17
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$27.17
Rate for Payer: Cigna Commercial	$53.27
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.96
Rate for Payer: Oxford Commercial	$21.31
Rate for Payer: Qualcare PPO/HMO/WC	$15.98
Rate for Payer: UnitedHealthcare Commercial	$21.31
Rate for Payer: UnitedHealthcare Community & State	$2.57
Rate for Payer: Wellpoint Medicaid Managed Care	$2.82

SUTURE STRATA 3-0 PGA/PCL 60CM

Facility

$104.21

Hospital Charge Code	270671504
Hospital Revenue Code	272
Min. Negotiated Rate	$15.63
Max. Negotiated Rate	$15.63
Rate for Payer: Qualcare PPO/HMO/WC	$15.63

SUTURE STRATA 3-0 PGA/PCL 60CM

Facility

$104.21

Hospital Charge Code	270671504
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.10
Rate for Payer: Aetna Commercial	$39.60
Rate for Payer: Aetna Medicare Advantage	$31.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.57
Rate for Payer: Cigna Commercial	$52.10
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.26
Rate for Payer: Oxford Commercial	$20.84
Rate for Payer: Qualcare PPO/HMO/WC	$15.63
Rate for Payer: UnitedHealthcare Commercial	$20.84
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

SUTURE STRATA 4.0 PGA/PCL 60CM

Facility

$92.25

Hospital Charge Code	270672743
Hospital Revenue Code	272
Min. Negotiated Rate	$13.84
Max. Negotiated Rate	$13.84
Rate for Payer: Qualcare PPO/HMO/WC	$13.84

SUTURE STRATA 4.0 PGA/PCL 60CM

Facility

$92.25

Hospital Charge Code	270672743
Hospital Revenue Code	272
Min. Negotiated Rate	$2.22
Max. Negotiated Rate	$46.12
Rate for Payer: Aetna Commercial	$35.05
Rate for Payer: Aetna Medicare Advantage	$27.68
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$23.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$23.52
Rate for Payer: Cigna Commercial	$46.12
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.68
Rate for Payer: Oxford Commercial	$18.45
Rate for Payer: Qualcare PPO/HMO/WC	$13.84
Rate for Payer: UnitedHealthcare Commercial	$18.45
Rate for Payer: UnitedHealthcare Community & State	$2.22
Rate for Payer: Wellpoint Medicaid Managed Care	$2.44

SUTURE STRATA 4-1 PGA/PCL 30CM

Facility

$117.61

Hospital Charge Code	270671505
Hospital Revenue Code	272
Min. Negotiated Rate	$2.83
Max. Negotiated Rate	$58.80
Rate for Payer: Aetna Commercial	$44.69
Rate for Payer: Aetna Medicare Advantage	$35.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$29.99
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$29.99
Rate for Payer: Cigna Commercial	$58.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$35.28
Rate for Payer: Oxford Commercial	$23.52
Rate for Payer: Qualcare PPO/HMO/WC	$17.64
Rate for Payer: UnitedHealthcare Commercial	$23.52
Rate for Payer: UnitedHealthcare Community & State	$2.83
Rate for Payer: Wellpoint Medicaid Managed Care	$3.12

SUTURE STRATA 4-1 PGA/PCL 30CM

Facility

$117.61

Hospital Charge Code	270671505
Hospital Revenue Code	272
Min. Negotiated Rate	$17.64
Max. Negotiated Rate	$17.64
Rate for Payer: Qualcare PPO/HMO/WC	$17.64

SUTURE STRATAFIX 2-0 PDS SH

Facility

$151.13

Hospital Charge Code	270686012
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.56
Rate for Payer: Aetna Commercial	$57.43
Rate for Payer: Aetna Medicare Advantage	$45.34
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.54
Rate for Payer: Cigna Commercial	$75.56
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.34
Rate for Payer: Oxford Commercial	$30.23
Rate for Payer: Qualcare PPO/HMO/WC	$22.67
Rate for Payer: UnitedHealthcare Commercial	$30.23
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.00

SUTURE STRATAFIX 2-0 PDS SH

Facility

$151.13

Hospital Charge Code	270686012
Hospital Revenue Code	272
Min. Negotiated Rate	$22.67
Max. Negotiated Rate	$22.67
Rate for Payer: Qualcare PPO/HMO/WC	$22.67

SUTURE STRATAFIX 3-0 15CM

Facility

$151.05

Hospital Charge Code	270686260
Hospital Revenue Code	272
Min. Negotiated Rate	$22.66
Max. Negotiated Rate	$22.66
Rate for Payer: Qualcare PPO/HMO/WC	$22.66

SUTURE STRATAFIX 3-0 15CM

Facility

$151.05

Hospital Charge Code	270686260
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.53
Rate for Payer: Aetna Commercial	$57.40
Rate for Payer: Aetna Medicare Advantage	$45.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.52
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.52
Rate for Payer: Cigna Commercial	$75.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.31
Rate for Payer: Oxford Commercial	$30.21
Rate for Payer: Qualcare PPO/HMO/WC	$22.66
Rate for Payer: UnitedHealthcare Commercial	$30.21
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.00

SUTURE STRATAFIX CT-2

Facility

$145.42

Hospital Charge Code	270697831
Hospital Revenue Code	272
Min. Negotiated Rate	$3.50
Max. Negotiated Rate	$72.71
Rate for Payer: Aetna Commercial	$55.26
Rate for Payer: Aetna Medicare Advantage	$43.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$37.08
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$37.08
Rate for Payer: Cigna Commercial	$72.71
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$43.63
Rate for Payer: Oxford Commercial	$29.08
Rate for Payer: Qualcare PPO/HMO/WC	$21.81
Rate for Payer: UnitedHealthcare Commercial	$29.08
Rate for Payer: UnitedHealthcare Community & State	$3.50
Rate for Payer: Wellpoint Medicaid Managed Care	$3.85

SUTURE STRATAFIX CT-2

Facility

$145.42

Hospital Charge Code	270697831
Hospital Revenue Code	272
Min. Negotiated Rate	$21.81
Max. Negotiated Rate	$21.81
Rate for Payer: Qualcare PPO/HMO/WC	$21.81

SUTURE STRATAFIX MONO PS2 3.0

Facility

$104.08

Hospital Charge Code	270698429
Hospital Revenue Code	272
Min. Negotiated Rate	$2.51
Max. Negotiated Rate	$52.04
Rate for Payer: Aetna Commercial	$39.55
Rate for Payer: Aetna Medicare Advantage	$31.22
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$26.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$26.54
Rate for Payer: Cigna Commercial	$52.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$31.22
Rate for Payer: Oxford Commercial	$20.82
Rate for Payer: Qualcare PPO/HMO/WC	$15.61
Rate for Payer: UnitedHealthcare Commercial	$20.82
Rate for Payer: UnitedHealthcare Community & State	$2.51
Rate for Payer: Wellpoint Medicaid Managed Care	$2.76

SUTURE STRATAFIX MONO PS2 3.0

Facility

$104.08

Hospital Charge Code	270698429
Hospital Revenue Code	272
Min. Negotiated Rate	$15.61
Max. Negotiated Rate	$15.61
Rate for Payer: Qualcare PPO/HMO/WC	$15.61

SUTURE STRATAFIX PDS PLUS CT-2

Facility

$141.67

Hospital Charge Code	270697823
Hospital Revenue Code	272
Min. Negotiated Rate	$21.25
Max. Negotiated Rate	$21.25
Rate for Payer: Qualcare PPO/HMO/WC	$21.25

SUTURE STRATAFIX PDS PLUS CT-2

Facility

$141.67

Hospital Charge Code	270697823
Hospital Revenue Code	272
Min. Negotiated Rate	$3.41
Max. Negotiated Rate	$70.83
Rate for Payer: Aetna Commercial	$53.83
Rate for Payer: Aetna Medicare Advantage	$42.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$36.13
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$36.13
Rate for Payer: Cigna Commercial	$70.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$42.50
Rate for Payer: Oxford Commercial	$28.33
Rate for Payer: Qualcare PPO/HMO/WC	$21.25
Rate for Payer: UnitedHealthcare Commercial	$28.33
Rate for Payer: UnitedHealthcare Community & State	$3.41
Rate for Payer: Wellpoint Medicaid Managed Care	$3.75

SUTURE STRATAFIX PS-2 4-0

Facility

$151.17

Hospital Charge Code	270691079
Hospital Revenue Code	272
Min. Negotiated Rate	$22.68
Max. Negotiated Rate	$22.68
Rate for Payer: Qualcare PPO/HMO/WC	$22.68

SUTURE STRATAFIX PS-2 4-0

Facility

$151.17

Hospital Charge Code	270691079
Hospital Revenue Code	272
Min. Negotiated Rate	$3.64
Max. Negotiated Rate	$75.58
Rate for Payer: Aetna Commercial	$57.44
Rate for Payer: Aetna Medicare Advantage	$45.35
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$38.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$38.55
Rate for Payer: Cigna Commercial	$75.58
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$45.35
Rate for Payer: Oxford Commercial	$30.23
Rate for Payer: Qualcare PPO/HMO/WC	$22.68
Rate for Payer: UnitedHealthcare Commercial	$30.23
Rate for Payer: UnitedHealthcare Community & State	$3.64
Rate for Payer: Wellpoint Medicaid Managed Care	$4.01

SUTURE STRATAFIX SH 4.0 70CM

Facility

$133.80

Hospital Charge Code	270698361
Hospital Revenue Code	272
Min. Negotiated Rate	$3.22
Max. Negotiated Rate	$66.90
Rate for Payer: Aetna Commercial	$50.84
Rate for Payer: Aetna Medicare Advantage	$40.14
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$34.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$34.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$34.12
Rate for Payer: Cigna Commercial	$66.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$40.14
Rate for Payer: Oxford Commercial	$26.76
Rate for Payer: Qualcare PPO/HMO/WC	$20.07
Rate for Payer: UnitedHealthcare Commercial	$26.76
Rate for Payer: UnitedHealthcare Community & State	$3.22
Rate for Payer: Wellpoint Medicaid Managed Care	$3.55

SUTURE STRATAFIX SH 4.0 70CM

Facility

$133.80

Hospital Charge Code	270698361
Hospital Revenue Code	272
Min. Negotiated Rate	$20.07
Max. Negotiated Rate	$20.07
Rate for Payer: Qualcare PPO/HMO/WC	$20.07

SUTURE SURGICUT 3-0 30 C 13

Facility

$7.60

Hospital Charge Code	270657590
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.80
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	$3.80
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 SURGICUT 3-0 30 C 13

Facility

$7.60

Hospital Charge Code	270657590
Hospital Revenue Code	272
Min. Negotiated Rate	$1.14
Max. Negotiated Rate	$1.14
Rate for Payer: Qualcare PPO/HMO/WC	$1.14

SUTURE SURGICUT C-23 3-0

Facility

$6.00

Hospital Charge Code	270629961
Hospital Revenue Code	272
Min. Negotiated Rate	$0.14
Max. Negotiated Rate	$3.00
Rate for Payer: Aetna Commercial	$2.28
Rate for Payer: Aetna Medicare Advantage	$1.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.53
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.53
Rate for Payer: Cigna Commercial	$3.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.80
Rate for Payer: Oxford Commercial	$1.20
Rate for Payer: Qualcare PPO/HMO/WC	$0.90
Rate for Payer: UnitedHealthcare Commercial	$1.20
Rate for Payer: UnitedHealthcare Community & State	$0.14
Rate for Payer: Wellpoint Medicaid Managed Care	$0.16

Know your out-of-pocket cost for care.

All Charges