Bayonne University Hospital

All Charges

Charge

Type

Setting

Price

SUTURE SURGIPRO CV22 6-0

Facility

$15.05

Hospital Charge Code	270604684
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.53
Rate for Payer: Aetna Commercial	$5.72
Rate for Payer: Aetna Medicare Advantage	$4.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.84
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.84
Rate for Payer: Cigna Commercial	$7.53
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.51
Rate for Payer: Oxford Commercial	$3.01
Rate for Payer: Qualcare PPO/HMO/WC	$2.26
Rate for Payer: UnitedHealthcare Commercial	$3.01
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

SUTURE SURGIPRO CV23 5-0

Facility

$8.85

Hospital Charge Code	270604681
Hospital Revenue Code	272
Min. Negotiated Rate	$1.33
Max. Negotiated Rate	$1.33
Rate for Payer: Qualcare PPO/HMO/WC	$1.33

SUTURE SURGIPRO CV23 5-0

Facility

$8.85

Hospital Charge Code	270604681
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.42
Rate for Payer: Aetna Commercial	$3.36
Rate for Payer: Aetna Medicare Advantage	$2.65
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.26
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.26
Rate for Payer: Cigna Commercial	$4.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.65
Rate for Payer: Oxford Commercial	$1.77
Rate for Payer: Qualcare PPO/HMO/WC	$1.33
Rate for Payer: UnitedHealthcare Commercial	$1.77
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE SURGIPRO CV2 6-0

Facility

$15.14

Hospital Charge Code	270604661
Hospital Revenue Code	272
Min. Negotiated Rate	$2.27
Max. Negotiated Rate	$2.27
Rate for Payer: Qualcare PPO/HMO/WC	$2.27

SUTURE SURGIPRO CV2 6-0

Facility

$15.14

Hospital Charge Code	270604661
Hospital Revenue Code	272
Min. Negotiated Rate	$0.36
Max. Negotiated Rate	$7.57
Rate for Payer: Aetna Commercial	$5.75
Rate for Payer: Aetna Medicare Advantage	$4.54
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.86
Rate for Payer: Cigna Commercial	$7.57
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.54
Rate for Payer: Oxford Commercial	$3.03
Rate for Payer: Qualcare PPO/HMO/WC	$2.27
Rate for Payer: UnitedHealthcare Commercial	$3.03
Rate for Payer: UnitedHealthcare Community & State	$0.36
Rate for Payer: Wellpoint Medicaid Managed Care	$0.40

SUTURE SURGIPRO GS-21 0 BLUE

Facility

$49.80

Hospital Charge Code	270651273
Hospital Revenue Code	272
Min. Negotiated Rate	$1.20
Max. Negotiated Rate	$24.90
Rate for Payer: Aetna Commercial	$18.92
Rate for Payer: Aetna Medicare Advantage	$14.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$12.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$12.70
Rate for Payer: Cigna Commercial	$24.90
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$14.94
Rate for Payer: Oxford Commercial	$9.96
Rate for Payer: Qualcare PPO/HMO/WC	$7.47
Rate for Payer: UnitedHealthcare Commercial	$9.96
Rate for Payer: UnitedHealthcare Community & State	$1.20
Rate for Payer: Wellpoint Medicaid Managed Care	$1.32

SUTURE SURGIPRO GS-21 0 BLUE

Facility

$49.80

Hospital Charge Code	270651273
Hospital Revenue Code	272
Min. Negotiated Rate	$7.47
Max. Negotiated Rate	$7.47
Rate for Payer: Qualcare PPO/HMO/WC	$7.47

SUTURE SURGIPRO GS-21 1 BLUE

Facility

$8.39

Hospital Charge Code	270651138
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$1.26

SUTURE SURGIPRO GS-21 1 BLUE

Facility

$8.39

Hospital Charge Code	270651138
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 SURGIPRO GS-24 0

Facility

$7.30

Hospital Charge Code	270615882
Hospital Revenue Code	272
Min. Negotiated Rate	$1.09
Max. Negotiated Rate	$1.09
Rate for Payer: Qualcare PPO/HMO/WC	$1.09

SUTURE SURGIPRO GS-24 0

Facility

$7.30

Hospital Charge Code	270615882
Hospital Revenue Code	272
Min. Negotiated Rate	$0.18
Max. Negotiated Rate	$3.65
Rate for Payer: Aetna Commercial	$2.77
Rate for Payer: Aetna Medicare Advantage	$2.19
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1.86
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1.86
Rate for Payer: Cigna Commercial	$3.65
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.19
Rate for Payer: Oxford Commercial	$1.46
Rate for Payer: Qualcare PPO/HMO/WC	$1.09
Rate for Payer: UnitedHealthcare Commercial	$1.46
Rate for Payer: UnitedHealthcare Community & State	$0.18
Rate for Payer: Wellpoint Medicaid Managed Care	$0.19

SUTURE SURGIPRO GS-24 2-0 30

Facility

$8.39

Hospital Charge Code	270651144
Hospital Revenue Code	272
Min. Negotiated Rate	$1.26
Max. Negotiated Rate	$1.26
Rate for Payer: Qualcare PPO/HMO/WC	$1.26

SUTURE SURGIPRO GS-24 2-0 30

Facility

$8.39

Hospital Charge Code	270651144
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 SURGIPRO GS27 0

Facility

$77.65

Hospital Charge Code	270604656
Hospital Revenue Code	272
Min. Negotiated Rate	$11.65
Max. Negotiated Rate	$11.65
Rate for Payer: Qualcare PPO/HMO/WC	$11.65

SUTURE SURGIPRO GS27 0

Facility

$77.65

Hospital Charge Code	270604656
Hospital Revenue Code	272
Min. Negotiated Rate	$1.87
Max. Negotiated Rate	$38.83
Rate for Payer: Aetna Commercial	$29.51
Rate for Payer: Aetna Medicare Advantage	$23.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.80
Rate for Payer: Cigna Commercial	$38.83
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$23.30
Rate for Payer: Oxford Commercial	$15.53
Rate for Payer: Qualcare PPO/HMO/WC	$11.65
Rate for Payer: UnitedHealthcare Commercial	$15.53
Rate for Payer: UnitedHealthcare Community & State	$1.87
Rate for Payer: Wellpoint Medicaid Managed Care	$2.06

SUTURE SURGIPRO II 3/0 18 BLU

Facility

$16.32

Hospital Charge Code	270610869
Hospital Revenue Code	272
Min. Negotiated Rate	$0.39
Max. Negotiated Rate	$8.16
Rate for Payer: Aetna Commercial	$6.20
Rate for Payer: Aetna Medicare Advantage	$4.90
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.16
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.16
Rate for Payer: Cigna Commercial	$8.16
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.90
Rate for Payer: Oxford Commercial	$3.26
Rate for Payer: Qualcare PPO/HMO/WC	$2.45
Rate for Payer: UnitedHealthcare Commercial	$3.26
Rate for Payer: UnitedHealthcare Community & State	$0.39
Rate for Payer: Wellpoint Medicaid Managed Care	$0.43

SUTURE SURGIPRO II 3/0 18 BLU

Facility

$16.32

Hospital Charge Code	270610869
Hospital Revenue Code	272
Min. Negotiated Rate	$2.45
Max. Negotiated Rate	$2.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.45

SUTURE SURGIPRO II 3/0 18 BLU

Facility

$16.78

Hospital Charge Code	270669227
Hospital Revenue Code	272
Min. Negotiated Rate	$0.40
Max. Negotiated Rate	$8.39
Rate for Payer: Aetna Commercial	$6.38
Rate for Payer: Aetna Medicare Advantage	$5.03
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.28
Rate for Payer: Cigna Commercial	$8.39
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$5.03
Rate for Payer: Oxford Commercial	$3.36
Rate for Payer: Qualcare PPO/HMO/WC	$2.52
Rate for Payer: UnitedHealthcare Commercial	$3.36
Rate for Payer: UnitedHealthcare Community & State	$0.40
Rate for Payer: Wellpoint Medicaid Managed Care	$0.44

SUTURE SURGIPRO II 3/0 18 BLU

Facility

$16.78

Hospital Charge Code	270669227
Hospital Revenue Code	272
Min. Negotiated Rate	$2.52
Max. Negotiated Rate	$2.52
Rate for Payer: Qualcare PPO/HMO/WC	$2.52

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$3.28
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.59
Rate for Payer: Oxford Commercial	$1.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.72
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676S
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$3.28
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.59
Rate for Payer: Oxford Commercial	$1.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.72
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676S
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676N
Hospital Revenue Code	272
Min. Negotiated Rate	$0.21
Max. Negotiated Rate	$4.31
Rate for Payer: Aetna Commercial	$3.28
Rate for Payer: Aetna Medicare Advantage	$2.59
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2.20
Rate for Payer: Cigna Commercial	$4.31
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.59
Rate for Payer: Oxford Commercial	$1.72
Rate for Payer: Qualcare PPO/HMO/WC	$1.29
Rate for Payer: UnitedHealthcare Commercial	$1.72
Rate for Payer: UnitedHealthcare Community & State	$0.21
Rate for Payer: Wellpoint Medicaid Managed Care	$0.23

SUTURE SURGIPRO II 3/0 30 BLU

Facility

$8.62

Hospital Charge Code	270604676N
Hospital Revenue Code	272
Min. Negotiated Rate	$1.29
Max. Negotiated Rate	$1.29
Rate for Payer: Qualcare PPO/HMO/WC	$1.29

Know your out-of-pocket cost for care.

All Charges